Lifestyle in population-based colorectal cancer screening over 2-year follow-up

Abstract

Present study found no unfavourable changes in total lifestyle in the studied age group due to CRC screening. Results are reassuring from the point of view of CRC screening evaluation.

Lifestyle changes associated with participation in colorectal cancer screening: Prospective data from the English Longitudinal Study of Ageing

“…There are differences in how behaviour change is measured at cancer screening, with some research assessing change across a combined behavioural score. 6,38 Our research examined the impact of screening on individual behaviours; however, the ELSA did not include measures of all behavioural risk factors for bowel cancer, such as the consumption of red and processed meat, with fruit and vegetable consumption the only measure of diet. The items used to measure VPA and MPA meant that it was impossible to determine if people were meeting guidelines, and made it difficult to accurately gauge changes in PA. National estimates of PA are usually based on the number of minutes of MPA and VPA completed per day or week.…”

Hospital-Based Preliminary Observations of Dietary Intake and Physical Activity in Saudi Patients with Colorectal Polyps: A Call for Nutrition Care Integration after Polypectomy Procedure

“…In this study, we explored the dietary risk factors related to colorectal cancer, physical activity, and selected nutritional biomarkers of Saudi patients with colorectal polyps, a precursor of CRC. A number of common characteristics that have been previously identified as risk factors for CRC [11,13,36] were observed among the polypectomy patients. These common characteristics included: (1) Exceeding the recommended dietary fat percentage (≥35%) and exceeding the recommended consumption level of high-fat food items from the fats and sweets group (>2.5 servings/day); (2) a low fiber intake (<30 g/day); (3) BMI > 25 kg/m 2 ; (4) low physical activity levels; and (5) low serum vitamin D levels.…”

“…Most patients were non-active, with an inadequate level of serum vitamin D. Conclusion: We observed several risk factors previously associated with CRC, including low levels of physical activity, serum vitamin D, and fiber intake, and high BMI and fat intake among polypectomy patients.Diets rich in fruit and vegetables, whole grains, and fiber have been reported to reduce the risk of CRC due to their polyphenol, vitamin, and mineral contents, which play roles as antioxidant, anti-inflammatory, prebiotic, and antibacterial factors [11,12]. In contrast, diets high in fat, processed meats, sugar, and other refined carbohydrates, and low in vitamin D and calcium, have been reported to increase the risk of CRC [4,11,13]. Diet has also been reported to modulate inflammation, which plays a crucial role in CRC development [14].…”

Screening Colonoscopy Findings are Associated with nonColorectal Cancer Mortality

“…Yet despite the well-known associations of many diet and lifestyle factors for premature mortality ( 9 ), studies investigating the impact of participating in CRC screening on modifying these risk factors have been inconclusive ( 3 , 4 ). Diet and lifestyle factors may be going unaddressed or in some cases could worsen after CRC screening ( 5 ).…”

“…Most individuals undergoing routine colorectal cancer (CRC) screening and surveillance will die from causes other than CRC (1). Given that these individuals have demonstrated adherence and a desire for routine preventative health care, CRC screening is a unique opportunity to augment efforts to help also prevent non-CRC-related poor health outcomes (2)(3)(4)(5)(6)(7). Gastroenterologists could play a role in the overall health of patients, beyond CRC prevention, by providing brief counseling or referrals for any identified factors that may be detrimental to health such as poor diet, inadequate exercise, tobacco use, or other issues (e.g., medication adherence, sleep apnea, mental health, or dental care) (8).…”