Diet is an important modifiable risk factor for cancer. Adequate diet modification may play a key role in reducing the incidence of some cancers.
ResumenLa dieta es un factor de riesgo modificable importante para el cáncer. Una modificación adecuada puede jugar un papel clave en la reducción de la incidencia de algunos cánceres. La evidencia epidemiológica sugiere enlaces de algunas exposiciones nutricionales con cánceres específicos. Esta revisión actualiza y resume los datos existentes sobre factores de la dieta que se relacionan con la prevención del cáncer, que fueron evaluados en 2007 por el World Cancer Research Fund/American Institute for Cancer Research, e identifica áreas para profundizar en investigación. Se discuten mecanismos de acción de los nutrientes. Para la prevención del cáncer, la evidencia epidemiológica se relaciona con los alimentos de origen vegetal, carnes procesadas y alcohol. Se necesita más investigación para aclarar la relación que tienen con el cáncer ciertos alimentos como lácteos, granos, diferentes tipos de carbohidratos, y otros factores que podrían intervenir: micronutrientes presentes en los alimentos contra suplementos, grasas industriales trans, preparación de alimentos y hábitos alimentarios. Esto facilitaría la creación de estrategias seguras de prevención de cáncer. 2 The report led to the formulation of cancer prevention recommendations on food, nutrition and physical activity, based on epidemiological evidence linking dietary or nutritional components with individual cancer risks. Some dietary factors are believed to play a direct role in cancer prevention; while others are more likely to act through obesity-related mechanisms.2 Despite the growing body of evidence, uncertainty remains for some foods and nutrients; subsequent updates of the 2007 report (Continuous Update Projects, CUP) have further reviewed the evidence for individual cancer sites.3 The aim of this review was to combine the evidence for individual cancers, discuss and update existing data for the dietary factors rated as having strong (convincing or probable) or limitedsuggestive evidence in relation to cancer prevention for at least one cancer. In the present revision recent reviews and key papers were searched for in PubMed with relevant keywords (cancer site/exposure) since the year when the relevant updated report was published, until June 2015. However, this paper did not involve a full systematic review. The review focuses on thirteen cancers with the highest incidence in men and women worldwide listed by Globocan 2012: 4 breast, prostate, lung, colorectal, cervix uteri, stomach, liver, corpus uteri, ovary, oesophagus, bladder, kidney, pancreas. Cancers of non-Hodgkin's lymphoma and leukaemia were excluded due to limited evidence for individual cancers; the WCRF/AICR report considered them jointly and concluded that more research is needed in order to be able to draw any conclusions.
2Foods items that presented a protective effect in more than one cancer site were: fruits, vegetables, coff...