Researchers examined data on 32,606 male and 55,743 female health
professionals who had a colonoscopy between 1986 and 2012. Study
participants provided detailed information about their health,
lifestyle, eating and exercise habits every four years.
Over that time, there were 5,811 cases of colorectal adenomas, or
abnormal tissue that can sometimes become cancerous, in men and
8,116 adenomas in women.
Compared to men who didn't eat any yogurt, those who had at least
two servings weekly were 19 percent less likely to develop so-called
conventional adenomas, the most common kind of polyps found in the
colon and rectum during colonoscopies. The yogurt eaters were also
26 percent less likely to develop adenomas with the highest
potential to turn into cancer.
"Our data provide novel evidence for the role of yogurt in the early
stage of colorectal cancer development," said study coauthor Dr. Yin
Cao of Washington University School of Medicine in St. Louis.
"The findings, if confirmed by future studies, suggest that yogurt
might serve as a widely acceptable modifiable factor, which could
complement colorectal cancer screening and reduce risk of adenoma
among the unscreened," Cao said by email.
Yogurt consumption has been linked to a lower risk of colon and
rectal cancer in previous studies, and some scientists think this
may be because yogurt promotes the growth of healthy bacteria in the
gut. But less is known about how yogurt might impact the potential
for people to develop adenomas.
To minimize the risk of colorectal cancer, adults should start
getting screened for these tumors at age 45, according to the
American Cancer Society. Screening can catch tumors sooner, when
they're smaller and easier to treat, increasing survival odds.
Abnormal polyps can take 10 to 15 years to develop into colon
cancer, and some adenomas found with screening may never become
cancerous or prove fatal.
In the study, yogurt consumption didn't appear to impact the risk of
pre-cancerous polyps in women.
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The study wasn't designed to prove whether or how yogurt consumption
might impact cancer risk. It also didn't examine how many people
with polyps went on to develop cancer.
"Much of the benefit from dairy products is thought to come from the
calcium they provide, which we know can help prevent colon cancer,"
said Dr. Graham Colditz, associate director for prevention and
control at the Alvin J. Siteman Cancer Center in Saint Louis who
wasn't involved in the study.
"However, because this study took into account calcium intake, among
other dietary factors, these results suggest that yogurt may be
lowering risk though an avenue other than calcium," Colditz said by
email.
The probiotics in yogurt may be helping.
"Though it's not clear that probiotics help lower colon cancer risk,
there are a number of possible ways they could," Colditz said. "Probiotics
may help reduce inflammation - a cancer risk factor - as well as
bind and neutralize certain carcinogens in the colon."
People who want to add yogurt to their diet should focus on fat-free
or low-fat options, said Vandana Sheth, owner of a Los Angeles based
nutrition consulting practice. And they should also pay attention to
their overall diet.
"Enjoy a diet filled with lots of vegetables, fruits and whole
grains," Sheth, who wasn't involved in the study, said by email.
"Limit red meat, especially processed meats like hot dogs and lunch
meats, and limit alcohol."
SOURCE: https://bit.ly/2RPiGTN Gut, online June 17, 2019.
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