MDH_Cancer Awareness & Prevention_062322

CANCER

AWARENESS & PREVENTION

• How to utilize food in the fight against cancer Thursday, June 23, 2022

• Environmental factors that increase cancer risk

MDH

• 7 lifestyle choices to reduce cancer risk

• And more!

• The relationship between stress and cancer

Shaw Media • June 2022

| CANCER AWARENESS & PREVENTION

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The most common cancers across the globe (Metro Creative Connection) - Cancer is a word no one wants to hear, whether it’s spoken by a doctor in an exam room or from a friend or family member who has come home from routine testing. But it’s a word far too many individuals hear every day.

The World Health Organization says cancer is one of the leading causes of death worldwide, having accounted for nearly 10 million deaths in 2020, or roughly one out of six deaths. The World Cancer Research Fund estimates there were 18 million cancer cases around the world in 2020, and certain cancers are more prevalent than others.

Breast cancer and lung cancer Breast cancer and lung cancer are two of the most common cancers across the globe.

Some sources indicate breast cancer is the most common cancer globally, while others cite lung cancer as the most common. Regardless of which form of the disease has earned that dubious distinction, there’s no denying both cancers are prevalent. In fact, the American Institute for Cancer Research reports that breast and lung cancers contributed to 12.5 percent and 12.2 percent, respectively, of all new diagnoses in 2020.

Colorectal cancer Cancers that impact the rectum and colon are prolific worldwide. According to the WHO, these cancers caused 916,000 deaths in 2020. Risk fac-

ond leading cause of cancer deaths among American men. The WHO says prostate cancer numbers in 2020 hovered around 1.4 million cases.

Skin cancer Skin cancer (non-melanoma) is the next most prevalent cancer worldwide. Unlike melanoma, non-melanoma skin cancer does not typically cause high numbers of fatalities. Exposure to UV radiation through natural sunlight and tanning beds is the highest risk factor for skin cancer.

tors for colorectal cancer include inflammatory intestinal conditions, obesity, age, and diabetes.

Prostate cancer Prostate cancer is exclusive to men because the prostate is a small gland found only in men that sits just below the bladder in front of the rectum.

The health organization Let’s Get Checked says the risk of prostate cancer tends to increase as men age. While prostate cancer is slow-growing and tends to be highly treatable, it also is the sec-

Stomach cancer At just over 1 million cases in 2020, stomach cancer is another global cancer threat. Stomach cancer represents around 6 percent of all cancers and also is relatively high on the list of cancers that are most fatal, according to the WCRF. While these are the most common cancers across the globe, the WHO reports that lung cancer causes the most cancer deaths worldwide.

Any cancer is much more manageable if detected early, which underscores the importance of routine physical exams and maintaining a dialogue with doctors if any symptom seems out of the ordinary. Many cancers also can be avoided if people refrain from common risk factors, including smoking, excessive alcohol consumption, poor diets, and sedentary lifestyles.

The link between smoking and cancer (Metro Creative Connection) - Direct exposure to carcinogens, which are substances that cause cancer, greatly increases a person’s risk of developing cancer. While there are many different carcinogens in the environment, cigarettes expose smokers and those around them to a wide variety of carcinogens that can cause severe illness.

Tobacco smoke has more than 7,000 toxic chemicals, including arsenic, radioactive polonium-20 and mercury. The American Cancer Society indicates smoking causes about 20 percent of all cancers and roughly 30 percent of all cancer deaths in the United States. Lung cancers are the most notable of all cancers attributed to tobacco use — with 80 percent of such cancers traced back to smoking. But smoking is linked to other cancers as well. The U.S. Surgeon General has identified smoking as a cause of 12 cancers, including: • lung, trachea and bronchus • oropharynx • esophagus • larynx • colorectal • liver • stomach • bladder • myeloid leukemia • pancreas • kidney and ureter

• uterine cervix It is important to note that cancer can come from using smokeless tobacco products as well.

These include chewing tobacco and dip. Furthermore, exposure to someone else’s cigarette smoke can cause cancer in a person who doesn’t smoke. WebMD says bystanders exposed to secondhand smoke are up to 30 percent more likely to get lung cancer than others who are not exposed.

Tobacco can cause cancer in two ways. The first is that carcinogens damage DNA and cause

cells to grow and divide abnormally. The other happens when toxins from smoking weaken the body’s immune system, which may make it harder for the body to fight off illnesses like cancer.

The National Cancer Society warns there is no safe level of tobacco use. Anyone using tobacco should aim to quit immediately Smoking is a dangerous habit that is a leading risk factor in cancer formation. Getting the facts may inspire more people to quit using tobacco for good.

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CANCER AWARENESS & PREVENTION |

Unique ways to reduce cancer risk every day

Shaw Media • June 2022

(Metro Creative Connection) - The human toll cancer takes is significant, both on the lives it claims and on the friends and family of those victims. Estimates from the International Agency for Research on Cancer indicated 10 million individuals across the globe lost their lives to cancer (excluding nonmelanoma skin cancer) in 2020. New research indicates those numbers could be on the rise.

A study published in the journal The Lancet in 2020 found that deaths from cancer are now more common in some high- and middle-income countries than deaths from cardiovascular disease. Authors of the study, which examined incidences of cancer among adults between the ages of 35 and 70 in 21 countries across five continents, concluded that cancer is like to become the leading cause of death in middle-age.

Though cancer is a formidable disease, many cases of cancer are preventable. In fact, the things people do every day can go a long way toward lowering their cancer risk by a significant margin. Certain behaviors, like avoiding smoking, are widely known to reduce cancer risk.

But some lesser known actions also can help individuals lower their risk.

• Quit when you hear the click at the gas station. The Air Pollution Control District of Santa Barbara County in California notes that gasoline vapors include a variety of toxic

substances, including benzene. Benzene is an air pollutant that adversely affects the central nervous system, the respiratory tract and the immune system. Modern automobiles now click when the gas tank is full and it’s vital that drivers avoid adding any more gas after they hear that click. Drivers may be accustomed to topping off after the click, but doing so can affect the vapor recovery system in a car. That system is designed to keep toxic chemicals like benzene out of the air. Topping off can needlessly expose drivers and their passengers to benzene, which the U.S. Department of Health and Human Services considers a carcinogen, or cancer-causing chemical.

• Grill wisely. Millions of people anxiously await the return of warm weather so they can once again fire up their backyard grills. Various studies have suggested there’s a link between well-done grilled meat and cancer. One study conducted by researchers at Vanderbilt University found that high intake of well-done meat increases exposure to heterocyclic amines (HCAs), a type of carcinogen that forms in cooked red meat. That doesn’t mean individuals should put away their grills, but a change in grilling habits could help lower cancer risk. For example, one study from researchers at Kansas State University found that adding antioxidant-rich spices such as rosemary and thyme to marinade and

soaking meat for at least an hour before cooking can reduce HCAs by as much as 87 percent.

• Drink more fluids. Drinking more fluids is one of the easier things people can do every day to reduce their cancer risk. The American Cancer Society recommends individuals consume eight cups of water per day, but millions likely fall far short of that amount. That’s unfortunate, as research presented at the American Association for Cancer Research International Conference on Frontiers in Cancer Prevention Research in 2011 found that high fluid intake was associated with a 24 percent reduced bladder cancer risk among men. In addition, a separate study funded by the Strauss Institute and published in 2020 in the International Journal of Environmental Research and Public Health found that women with breast cancer consumed less water and total fluids than women who did not have breast cancer. The researchers concluded more investigation into the link between drinking more water and reducing breast cancer risk is necessary, but noted that drinking water is harmless, convenient and beneficial to many aspects of health.

Though cancer could soon become the leading cause of death in various parts of the globe, many of those deaths can be prevented. And even the simplest measures can make a difference in cancer risk.

Shaw Media • June 2022

| CANCER AWARENESS & PREVENTION

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How to utilize food in the fight against cancer (Metro Creative Connection) - Despite the fact that it claims millions of lives every year, cancer is often preventable. Estimates from the World Health Organization indicate that between 30 and 50 percent of all cancer cases are preventable, and cancer prevention strategies are often rooted in taking simple, daily steps to safeguard overall health.

The University of Kansas Cancer Center notes that no cancer is 100 percent preventable. So even individuals who do everything possible to reduce their risk for cancer may still develop the disease. However, making the right lifestyle choices can reduce cancer risk by a significant percentage.

Food is one potential weapon in the fight against cancer. The American Institute for Cancer Research reports that numerous studies have found that many individual minerals, vitamins and phytochemicals demonstrate anti-cancer effects.

Those minerals, vitamins and phytochemicals can be found in a variety of vegetables, fruits, whole grains, and beans, including: • Apples • Asparagus • Blueberries • Broccoli • Brussels sprouts • Carrots • Cauliflower • Cherries • Coffee

• Cranberries • Flaxseed • Garlic • Grapefruit • Grapes • Kale • Oranges • Pulses, such as dry beans, peas and lentils (legumes) • Raspberries • Soy • Spinach • Squash • Strawberries • Tea • Tomatoes • Walnuts • Whole grains It’s worth noting that many of these foods also offer additional health benefits. For example, strawberries are a good source of potassium, which the Academy of Nutrition and Dietetics notes has been proven to help lower blood pressure and potentially reduce risk of stroke.

It makes sense that if certain foods and beverages can help people reduce their risk for cancer, there’s also others they should avoid. The AICR says it’s best to limit consumption of certain foods and beverages. Though these items don’t necessarily need to be avoided entirely (unless a doctor advises doing so), moderation is essential with the following foods and beverages:

• Alcohol • Processed meats, such as sausage, ham, bacon, hot dogs, and salami • Red meat, which includes pork • Sugary beverages, including sports drinks and sodas The AICR notes that plant-based diets have become popular in recent years, but warns individuals that it’s difficult to separate evidence from opinion in regard to these diets and their effects on cancer risk. Anyone considering a plant-based diet is urged to speak with their physician before making any changes.

A high percentage of cancer diagnoses are preventable. Certain foods and beverages can be great allies to individuals focused on reducing their cancer risk.

The role of exercise in cancer prevention (Metro Creative Connection) - The effects of cancer on the body are profound, which is why so many people want to implement as many measures as they can to reduce their risk of developing the disease. One of the vital steps to take is to increase physical activity.

A recent study from researchers at the American Cancer Society and the National Cancer Institute links exercise to a lower risk of specific types of cancer. People understand that exercise is important to health, but they may not know just how integral physical activity can be to cancer prevention and even recovery.

Physical activity includes walking, dancing, running, biking, swimming, engaging in sports activities, and performing household chores. The National Cancer Institute says higher levels of physical activity lower cancer risk in these types of cancer.

• Bladder cancer • Breast cancer • Colon cancer • Endometrial cancer • Esophageal cancer • Kidney cancer • Gastric (stomach) cancer There also is some evidence that suggests physical activity is associated with a reduced risk of lung cancer.

Exercise affects various biological factors, which

is why it may help prevent cancer. For example, exercise can prevent high blood levels of insulin, which have been linked to breast and colon cancer progression. Furthermore, exercise can lower sex hormones like estrogen, which has been

associated with cancer development and progression. Since overweight and obesity are major risk factors for cancer development, exercising can reduce overall weight and belly fat, which improves the odds of cancer avoidance. Chronic inflammation is associated with the development of cancer, and exercise helps lower this harmful type of inflammation, too, says Partner MD. In addition, physical activity helps boost the immune system, which may help prevent cancer or assist in recovery.

The ACS says adults should get at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity each week, preferably spread throughout the week. For those who haven’t exercised in a while, it is best to start exercising slowly and build up gradually.

Examples of moderate-intensity exercise include brisk walking, dancing, softball, and doubles tennis. Vigorous activities include swimming, aerobic dance, running, or jogging.

Exercise also is great for cancer survivors, as it can improve sleep quality and energy levels. It also helps the body repair itself, and may improve bone strength.

In addition to healthy eating, exercise is one of the key steps people can take to reduce cancer risk.

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CANCER AWARENESS & PREVENTION | Shaw Media • June 2022

The relationship between stress and cancer (Metro Creative Connection) - Stress is a complicated subject that can leave many people scratching their heads. Many professionals insist they work best under pressure, and that impression is not without merit. A 2013 study from researchers at the University of California, Berkeley found that significant but brief stressful events led to the proliferation of new nerve cells in the brains of rats that ultimately improved their mental performance. But one of the key takeaways from that finding is that the stress experienced by the rats was acute. Numerous other studies have found that prolonged stress adversely affects the body by weakening the immune system, straining the heart and damaging memory cells in the brain.

Another variable that can cause confusion is that no two people are the same. So stress that’s acute, and potentially beneficial, to some might be overwhelming and harmful to others.

The complicated dynamic between human beings and stress becomes even more complex when considering the potential relationship between stress and cancer, one of the leading causes of death across the globe. Because stress is so often linked to negative health outcomes like heart disease and stroke, it seems natural to assume it’s also connected to cancer. However,

it’s not that simple.

Does stress cause cancer?

The National Cancer Institute reports that the evidence that stress can cause cancer is weak. In addition, the results of various studies into the potential relationship between stress and cancer have differed, making it unlikely that medical professionals will definitively declare that stress causes cancer any time soon. The NCI notes that some studies have linked various psychological factors with an increased risk for cancer, while other studies have denied that link.

So are stress and cancer unrelated?

When examining the relationship between stress and cancer, perhaps it’s best to avoid absolutes. For instance, the NCI notes that stress can lead some people to engage in unhealthy behaviors, such as excessive alcohol consumption, that have long been identified as increasing a person’s risk for cancer. This doesn’t mean stress causes cancer, but rather that an individual’s response to stress could very likely lead to cancer. In such instances, avoiding unhealthy responses to stress, such as drinking, smoking or overeating, could help people avoid cancer.

That’s especially likely if they replace these un-

healthy responses to stress with more beneficial alternatives, such as exercise, a healthy diet and activities that allow people to escape the source of their stress.

What about stress and current cancer patients?

The NCI notes that individuals who respond to a cancer diagnosis and subsequent treatment by engaging in risky behaviors such as smoking and drinking alcohol may have a poorer quality of life after treatment. In addition, the NCI reports that experimental studies have found that mice bearing human tumors that were exposed to stressful situations, such as confinement and isolation, were more likely to have those tumors metastasize than mice that were not exposed to such stressors. This highlights not only the link between stress and cancer, but also the importance of a strong support network for cancer patients.

Stress is a complex condition, so it’s no surprise that the relationship between stress and cancer is complex as well. Individuals concerned about their stress levels can consult with their physicians about healthy ways to manage and reduce stress.

Shaw Media • June 2022

| CANCER AWARENESS & PREVENTION

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Environmental factors that increase cancer risk (Metro Creative Connection) - Things might have been different for their parents, but many adults now in middle-age and those younger than them grew up cognizant of the dangers of smoking tobacco. Educational campaigns and efforts on the part of lawmakers to curb smoking have proven effective, and the numbers don’t lie. Data from the Centers for Disease Control and Prevention and the U.S. Department of Health and Human Services indicates that smoking declined considerably between 2005, when roughly 21 percent of adults smoked, and 2020, when the number dipped to 12.5 percent.

Avoiding tobacco is a key component of a healthy lifestyle, as cigarettes, chew, cigars, and other tobacco products have long been linked to a higher risk for cancer. Though many adults were taught the dangers of smoking since they were young children, tobacco use is not the only environmental risk factor associated with a higher cancer risk. In addition to avoiding tobacco, individuals can learn about some additional environmental risk factors that can increase their chances of being diagnosed with cancer.

Alcohol The Cancer Treatment Centers of America notes that regular consumption of alcohol over time increases a person’s risk for cancer. In fact, the DHHS includes alcoholic beverages on its list of known carcinogens. According to the National

Unhealthy weight Obesity is another environmental risk factor that increases a person’s risk for various cancers, including colorectal cancer, ovarian cancer, esophageal cancer, and kidney cancer, among others. Unfortunately, the link between obesity and cancer is not as widely recognized as the link between tobacco use and cancer. The American Institute for Cancer Research noted in its 2015 Cancer Risk Awareness Survey that just 52 percent of respondents were aware that overweight/ obesity was a significant risk factor for cancer. By contrast, 94 percent of respondents were aware of the link between tobacco and cancer.

Cancer Institute, the more alcohol a person drinks regularly over time, the higher his or her risk of developing an alcohol-associated cancer becomes. One study published in the American Journal of Public Health in 2013 estimated that 3.5 percent of cancer deaths in the United States were alcohol-related.

Ultraviolet radiation The CTCA reports that skin cancer is the most common form of cancer in the United States, affecting more than 3.5 million Americans every year. And those numbers are on the rise. Scientists believe that ultraviolet rays from the sun, sunlamps and/or tanning beds may cause damage to cell DNA that leads to melanoma and other forms of skin cancer.

Education about the dangers of tobacco use and its link to cancer have done wonders in terms of raising awareness about the importance of avoiding smoking. Further education about additional risk factors could prove equally effective in the years to come.

7 lifestyle choices to reduce cancer risk (Metro Creative Connection) - To date there is no definitive cure for cancer, nor any one preventative treatment. But individuals should not resign themselves to the fact that cancer is inevitable.

There are plenty of lifestyle modifications that can go a long way toward reducing cancer risk. Here’s a deeper look at some of the more effective.

Avoid tobacco Not only does smoking cause between 80 and 90 percent of lung cancer deaths, according to the Centers for Disease Control and Prevention, it also contributes to many other forms of the disease, including cancers of the pancreas, liver, bladder, and cervix. Quitting smoking and avoiding secondhand smoke can reduce cancer risk.

Exercise regularly Physical activity can lower estrogen levels, reduce levels of insulin in the blood, help a person lose weight, and reduce inflammation — all factors that contribute to the formation of cancer.

Experts recommend 150 minutes of moderateintensity or 75 minutes of vigorous-intensity exercise a week.

Eat healthy foods The American Institute for Cancer Research indicates certain minerals, vitamins and phytochemicals can produce anti-cancer effects. Many foods, namely fruits, vegetables, whole grains,

and legumes, can boost health and contribute to lower cancer risk.

Avoid excessive alcohol consumption Drinking alcohol regularly increases the risk of cancers to the mouth, voice box and throat, according to the CDC. Furthermore, alcohol consumption is a primary risk factor for liver cancer. By limiting alcohol consumption, individuals can reduce their cancer risk.

Be cautious of hepatitis C Individuals should avoid behaviors that put them at risk of contracting hepatitis C, which causes inflammation of the liver. Hepatitis C can be contracted by receiving a piercing or tattoo in an unsanitary environment, through injecting or inhaling illicit drugs, through unsafe sex, or if you are a healthcare worker exposed to infected blood through an accidental needle prick.

Apply sunscreen Protect the skin from exposure to ultraviolet rays from the sun and tanning beds, as skin cancer is the most common form of the disease in the United States. Simply reducing exposure can help prevent skin cancers and other damage. This includes wearing wide-brimmed hats, applying

sunscreen with an SPF of at least 30, avoiding the sun between 10 a.m. and 4 p.m., and wearing sun-protective clothing. Tanning beds are not safer for the skin than being out in the sun, so they should be avoided.

Get enough sleep The importance of sleep to overall health is easily overlooked. Lancaster General Health says, while there is no specific data for sleep on cancer prevention, sleep deprivation can lead to harmful behaviors, such as overeating, drinking too much alcohol or being too tired to exercise, each of which increases cancer risk.

Relatively easy lifestyle changes can go a long way toward reducing cancer risk.

(Metro Creative Connection) - Individuals diagnosed with cancer face several hurdles in their quest to overcome their disease. The first is dealing with the shock of the diagnosis. The second is coping with treatment, which can wreak havoc on the body for several months. Making it through treatment successfully can provide a sigh of relief. But there’s often looming concerns about recurrence.

What is recurrence?

The American Cancer Society says recurrence describes cancers coming back after treatment. The odds of cancer recurring depend on several factors, including which type of cancer a person has had. Furthermore, there are different categories of recurrence. According to MassiveBio, a central hub that connects cancer patients to the best treatments and clinical trials available, the types of cancer recurrence patients may encounter include: local, regional and distant. Local recurrence is when the cancer is back in the same spot. Regional recurrence happens when cancer recurs in the lymph nodes near the original tumor location. Distant recurrence refers to cancer that has spread to a different location in the body and is labeled “metastatic.” For example, colon cancer that is later detected in the lungs would be called metastatic colon cancer.

Why does recurrence occur?

The National Cancer Institute says recurrent cancer begins with cancer cells that the first treatment didn’t fully remove or destroy. In such instances, a small number of cancer cells survived and were too small to detect on any follow-up tests. Over time, these cells grew into tumors that are now detectable. Rest assured that a recurrence is not a sign that treatment was faulty or that the oncologist did anything wrong. Some cancer cells simply survive treatment.

There’s no surefire way to prevent a recurrence. Eating better, avoiding cancer risk factors, exercising, and limiting stress are good for the body, but these behaviors do not prevent recurrence. According to the American Cancer Society, there is no guarantee cancer will never come back.

Cancers with high recurrence rates Cancer Therapy Advisor says some cancers are particularly challenging to treat and have high rates of recurrence. Glioblastoma, the most common type of brain cancer, recurs in nearly all patients. Epithelial ovarian cancer recurrence also is high at 85 percent. Approximately 30 to 50 percent of patients with bladder cancer who have undergone cystectomy will experience a recurrence. Those with breast cancer who have had a lumpectomy and radiation therapy have a 3 to 15 percent risk of local recurrence within 10 years, according to Susan G. Komen. Other types of cancer with elevated recurrence rates include lung cancer, pancreatic cancer, lymphoma, and prostate cancer.

Cancer recurrence remains a possibility even after successful treatment. Physicians will schedule regular appointments following treatment to look for any signs of recurrence so they can catch them as early as possible.

Can recurrence be prevented?

The ACS notes that nothing can prevent cancer from recurring.

Some survivors will experience a recurrence of their cancer, while others won’t. The reasons behind that remain a mystery, but a healthy lifestyle can strengthen the body and increase its readiness to combat cancer should it return.

Healthy habits The ACS urges survivors to eat healthy in an effort to prevent recurrence. A nutritious diet has long been linked to helping individuals improve their overall health and reduce their cancer risk. For example, the organization Cancer Research UK notes that a nutritious diet helps people maintain a healthy weight, which is important for cancer survivors because obesity has been linked to 13 different types of cancer. The ACS recommends a diet that includes a variety of vegetables (i.e., dark green, red and orange veggies) and fiber-rich legumes like beans and peas. Avoid or limit consumption of red meat, which includes beef, lamb and pork.

Processed meats like hot dogs, sausage and deli meats should be avoided as well. When choosing grains, choose whole grains instead of white bread and traditional pastas.

Physical activity is another component of cancer prevention that might help reduce risk for recurrence. Though the link is not direct, the ACS reports that studies have shown that routine physical activity can reduce anxiety and depression, improve self-esteem, and reduce symptoms of fatigue, nausea, pain, and diarrhea. In addition, the MD Anderson Cancer Center indicates that exercise helps to regulate hormones. That’s a significant benefit because increased levels of certain hormones has been linked to a greater risk for developing cancer.

The ACS notes that cancer survivors should be wary of dietary supplements that contain high levels of single nutrients. Some individuals who have survived cancer look to these supplements to reduce their risk for recurrence, but the ACS notes that they can have an unexpected, harmful effect on cancer survivors. Always consult your physician and/or cancer care team before taking any new supplements.

There’s no guarantee that cancer survivors won’t experience a recurrence at some point. But adopting a healthy lifestyle marked by a nutritious diet and routine physical activity can help survivors build the strength they need to combat a cancer recurrence.

Shaw Media • June 2022

Understanding cancer recurrence

(Metro Creative Connection) - The World Health Organization reports that cancer is one of the leading causes of death across the globe. WHO estimates suggest nearly 10 million people lost their lives to cancer in 2020.

Such statistics are sobering, but individuals diagnosed with cancer should know that the five-year survival rates for various types of cancers have been trending upward for decades. For example, the American Cancer Society reports that the three-year survival rates for lung cancer, which the WHO notes is the second most common cause of cancer deaths across the globe, improved dramatically between 2004 and 2018. ACS data indicates that, in 2004, 21 out of 100 people diagnosed with lung cancer were living three years after their diagnosis. By 2018, that figure had increased to 31 out of 100.

Rising survival rates means more people are likely curious about cancer recurrence, and knowledge could be survivors’ best ally as they look forward to the road ahead.

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Can cancer survivors reduce their risk for recurrence?

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