A risk factor is something that increases your chances of developing cancer. Some risk factors cannot be changed, such as family history or genetics. Fortunately, many other risk factors can be modified.
Colorectal cancer tends run in families because of its genetic components. If more than one close relative has developed colon cancer before age 60, you may be at increased risk. You may also be at risk if anyone in your family has been diagnosed with familial adenomatous polyposis (FAP) or Lynch syndrome.
If you have a strong family history of the disease, your doctor may recommend that you have an early colonoscopy. Depending on the results, you may need to have testing on a more frequent basis.
Some people are more likely to develop polyps. Not all polyps will turn into cancer, but it is important to have a screening and treatment plans in those with history of polyps. The removal of the polyps significantly reduces the risk of colon cancer.
Eating a high-fiber diet has been associated with lower risk of colorectal and other cancers. Fiber is found in all plant foods, including fruits, vegetables, whole grains, and legumes. High consumption of red meat is also linked to an increased risk of colon cancer. Substituting red meat with fish, chicken, or pork may decrease the risk.
Specific foods may also help to lower the risk of colorectal cancer. These foods include onions, garlic, and cruciferous vegetables like kale, cabbage, broccoli, Brussel sprouts, cauliflower, and radishes.
Good nutrition also supports your body's immune system which can help decrease your risk of any cancer.
Regular exercise has been shown to reduce the risk of developing colorectal cancer. Aim for 30 minutes per day on most days of the week. Exercise will also help you lose and/or maintain weight, and boost your immune system.
Talk to your doctor before starting any exercise program. Start out slowly, then increase your activity level a little at a time. If you need help with an exercise program, consider joining a gym with a certified trainer.
Obesity is linked to a higher risk of colorectal cancer. Weight loss takes time and there is no quick fix. Give yourself time to make adjustments to your diet. Portion control, combined with healthy food choices, will get you started on the right track. You can also increase your calorie loss by increasing your physical activity level. Regular exercise will help you meet your weight loss goals. If you need to lose weight, talk to your doctor or a registered dietitian who can help you do so slowly and safely.
Smoking introduces a variety of harmful chemicals into your body. Quitting smoking is an important step in preventing colorectal and other cancers. The sooner smoking is stopped, the sooner your body can start to heal. Talk to your doctor about the options available to help you successfully quit.
Excess alcohol intake is associated with an increased risk for colorectal cancer. Drink alcohol in moderation, which is one drink or less per day for women and two drinks or less per day for men.
Some studies have found a link between aspirin use and reduced rates of colorectal cancer. Since taking aspirin can have side effects, including gastrointestinal bleeding, talk to your doctor before starting any aspirin therapy.
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12/9/2011 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T113642/Colorectal-cancer: Aune D, Chan DS, Lau R, et al. Dietary fibre, whole grains, and risk of colorectal cancer: systematic review and dose-response meta-analysis of prospective studies. BMJ. 2011;343:d6617.
5/6/2013 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T113642/Colorectal-cancer: Wu QJ, Yang Y, Vogtmann E, et al. Cruciferous vegetables intake and the risk of colorectal cancer: a meta-analysis of observational studies. Ann Oncol. 2013;24(4):1079-1087.
Last reviewed December 2016 by Mohei Abouzied, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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