June 1, 2001
     Prostate Cancer

 

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A mackerel a day may keep the prostate doctor away

by Michael O'Leary
SEATTLE -- June 1, 2001 (Cancer Digest) -- Men who eat even moderate amounts of fish high in a healthful oil may significantly reduce their prostate cancer risk, according to Swedish researchers.

After following a group of men for 30 years, the researchers found that men who ate no fish had a two-fold to three-fold higher frequency of prostate cancer than those who ate moderate or high amounts of fish.

The research team led by Dr. Paul Terry of the Karolinska Institute in Stockholm, Sweden published the results of the study in today's issue of The Lancet.

After adjusting for other dietary and lifestyle factors, the researchers found strong link between fish consumption and prostate cancer.

"We examined fish consumption in relation to prostate cancer in a population-based prospective cohort study in Sweden, a country with a traditionally high consumption of fatty fish from Northern (cold) waters, such as salmon, herring, and mackerel, which contain high amounts of omega-3 fatty acids," they wrote. "An increasing proportion of fish in the diet was associated with a decreasing frequency of prostate cancer."

The long-term study involves a subset of a very large population study of twins in Sweden, which began in 1961. The results reported in this new study are based on 6,272 male twins who responded to a diet and lifestyle questionnaire sent to the study participants in 1967. They continued to follow the men until the end of 1997 or until they had been diagnosed with prostate cancer, or had died.

A total of 466 men were diagnosed with prostate cancer at an average age of 76·7 years, and 340 had died. Among the 124 men who seldom or never ate fish, 14 (11.3 percent) were diagnosed with prostate cancer. Among the 549 men who ate fish more than three times a week, 42 (7.7 percent) were diagnosed with prostate cancer.

The study was limited by the fact that a large proportion of the participants regularly eat fish while only a small number of participants seldom or never ate fish.

Based on earlier laboratory studies, the researchers note that only fish high in omega-3 fatty acids are likely to lower the risk of prostate cancer.

Prostate cancer strikes about 21 out of every 100,000 men worldwide, according to the World Health Organization. Prostate cancer is the second leading cause of cancer death in men in the United States, exceeded only by lung cancer.

SOURCE: The Lancet, 02 June 2001: Volume 357, Number 9270 pp. 1764-1766


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