{"id":567,"date":"2013-10-07T08:00:44","date_gmt":"2013-10-07T15:00:44","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=567"},"modified":"2014-02-19T12:16:43","modified_gmt":"2014-02-19T20:16:43","slug":"exercise-more-lose-weight-quit-smoking-10-years-ago-eat-more-tomatoes-salmon-and-stay-away-from-processed-meat-live-well-and-prosper","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=567","title":{"rendered":"Exercise more, lose weight, quit smoking 10 years ago, eat more tomatoes, salmon, and stay away from processed meat \u2013 Live well and prosper"},"content":{"rendered":"<p>In late September, Kenfield, et.al., presented a <a href=\"http:\/\/eccamsterdam2013.ecco-org.eu\/Scientific-Programme\/Abstract-search.aspx\">late breaker<\/a> at the <a href=\"http:\/\/eccamsterdam2013.ecco-org.eu\/\">European Cancer Congress<\/a> in Amsterdam that associated a healthy lifestyle and diet with a 39-46% decreased risk of lethal prostate cancer <!--more-->(prostate cancer death or metastatic disease).<\/p>\n<p>The United States-based Health Professionals Follow-Up Study (HPFS) followed 45,911 men and the Physicians\u2019 Health Study (PHS) followed 21,227 men from 1986-2012 and 1982-2011 respectively for lifestyle and dietary data. The studies defined men at low risk based upon six lifestyle and dietary factors:<\/p>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"213\">DEFINITION of LOW-RISK MEN<\/td>\n<td valign=\"top\" width=\"213\">HPFS<\/td>\n<td valign=\"top\" width=\"213\">PHS<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">Non-smoking or quit <span style=\"text-decoration: underline;\">&gt;<\/span> 10 years<\/td>\n<td valign=\"top\" width=\"213\">x<\/td>\n<td valign=\"top\" width=\"213\">x<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">BMI &lt; 30<\/td>\n<td valign=\"top\" width=\"213\">x<\/td>\n<td valign=\"top\" width=\"213\">x<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">Exercise<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 3 hrs\/ week vigorous or <span style=\"text-decoration: underline;\">&gt;<\/span> 7 hrs brisk walking<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 5 hrs \/ week vigorous<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">Tomatoes<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 7 \/ week<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 3 \/ week<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">Fatty Fish<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 1 \/ week<\/td>\n<td valign=\"top\" width=\"213\"><span style=\"text-decoration: underline;\">&gt;<\/span> 1\/week<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"213\">Processed Red Meat<\/td>\n<td valign=\"top\" width=\"213\">&lt; 3\/ week<\/td>\n<td valign=\"top\" width=\"213\">&lt; 1 \/week<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Two scores were used \u2013 a food-only score (0-3) and a total score (0-6). Results were adjusted for age, time period, diabetes, race, and vitamin and vitamin E supplementation.<\/p>\n<p>In the results, men with 5-6 healthy factors compared to those with <span style=\"text-decoration: underline;\">&lt;<\/span> 1 had a 39% decreased risk of lethal prostate cancer (HR:0.61; 95% CI:0.42-0.88, P trend = 0.0009) in the HPFS and a 46% decreased risk (HR:0.54; 95% CI:0.30-0.95, P trend = 0.005) in the PHS. Looking at dietary factors only, the decrease was 27% and 48% respectively.<\/p>\n<p>Consider this association in light of <a href=\"http:\/\/eccamsterdam2013.ecco-org.eu\/Scientific-Programme\/Abstract-search.aspx\">another study presented by Boniol<\/a> which concluded that for every 1,000 men who have a PSA, one death is prevented and 12 additional cases of impotence and three cases of incontinence are caused by unnecessary surgery. In May of this year the American Urological Associated <a href=\"http:\/\/www.auanet.org\/advnews\/press_releases\/article.cfm?articleNo=290\">dropped its recommendation that men under the age of 40 consider getting a PSA test.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In late September, Kenfield, et.al., presented a late breaker at the European Cancer Congress in Amsterdam that associated a healthy lifestyle and diet with a 39-46% decreased risk of lethal prostate cancer<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15,13],"tags":[],"class_list":["post-567","post","type-post","status-publish","format-standard","hentry","category-medical-practice","category-prevention"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - 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