Prostate cancer

father and son

Prostate cancer is scary but there’s plenty you can do to reduce your risk.

What is prostate cancer?

Prostate cancer is an abnormal growth of cells that starts in the prostate – a small gland that helps make semen and is found just below the bladder.

Prostate cancer is the second most common cancer (behind breast cancer) in the UK and around 150 men are diagnosed every day. The good news is that eight out of 10 men survive the disease, although the number is somewhat less encouraging in men over 75.

Like breast cancer, most prostate cancer cases are also hormone-sensitive, which means their growth is stimulated by sex hormones.

Your risk of prostate cancer

One in six men in the UK will develop prostate cancer during their lifetime and diet and lifestyle may play a significant role. Of course, genetics may increase your overall risk – in some cases up to 60 per cent – but even if you have the high-risk genes, it doesn’t mean you will develop prostate cancer. Sometimes, it’s not just about the genes that run in the family – lifestyle and environmental factors are often passed down as well.

Research shows that men at high genetic risk of prostate cancer may slash their risk of lethal prostate cancer by almost a half by maintaining a healthy weight, regular exercise, not smoking and a healthy diet.

Foods that increase your risk

Diet plays a big role in your prostate cancer risk and avoiding certain foods can significantly reduce it. Cutting these foods out of your diet may significantly lower your risk.

1. Dairy:

Consumption of milk and dairy products has been linked to an increased risk of prostate cancer in many studies.

Research suggests that dairy foods, and dairy protein in particular, increase your levels of insulin-like growth factor 1 (IGF-1) in the blood. IGF-1 is an established risk factor for prostate cancer because it stimulates cancer cell growth and prevents natural death of cancer cells.

Cow’s milk also naturally contains hormones, including oestrogens, and these may disrupt hormone balance in your body. An altered ratio of testosterone and oestrogens could lead to changes in prostate function and increase the risk of prostate cancer.

According to scientific studies, neither pasteurisation nor fermentation (yoghurt, cheese) alter the oestrogen content of dairy products.

One study tested the effect of digested milk on prostate cancer cells in 14 separate experiments and in each of them, cow’s milk stimulated their growth – increasing the growth by about 30 per cent. On the other hand, almond milk reduced it by about 90 per cent.

In addition, one of milk proteins, casein, promotes prostate cancer growth independently of hormones. Research revealed that casein prevents certain natural mechanisms by which the body could fight cancer and, at the same time, it supports cancer growth.

2. Red and processed meat:

Research shows that well-done red meat and processed meat (bacon, sausages, salami) increase your risk of prostate cancer. In a large study, men who consumed the most red meat had a more than 30 per cent higher risk of advanced prostate cancer compared with men eating relatively small amounts and the risk increase was the same for processed meat.

The chemicals used to preserve processed meat, such as nitrates and nitrites, can create carcinogenic N-nitroso compounds, and haem iron from red and processed meats can damage your cells, cause DNA damage and gene mutations leading to cancer.

Industrial pesticides called polychlorinated biphenyls (PCBs) were banned worldwide more than 40 years ago because of their toxicity but they are still present in the environment. Once in the body, PCBs can cause cancer. These so-called persistent organic pollutants tend to accumulate in animal fat, which is why meat and meat products, fatty fish, milk and dairy products are among the most contaminated foods.

Cooking any meat at high temperatures produces dangerous compounds such as polycyclic aromatic hydrocarbons (PAH) and heterocyclic amines (HCA), which may also cause cancer. It’s because they cause changes in DNA that may lead to cancer. One HCA, called PhiP, also has strong hormone-stimulating effects, increasing the risk of hormone-sensitive cancers such as breast, ovarian and prostate cancer.

All these compounds, when consumed regularly over long periods of time, can contribute to cancer risk.

Interestingly, one large study using data from countries all over the world found that all meat was linked with prostate cancer – white meat even more than red meat. However, other studies have not confirmed this, so more research is needed.

3. Saturated and trans fats:

Research shows that higher total fat intake, particularly higher saturated and trans fat intake, increases your risk of prostate cancer. The main sources of saturated fats are meat; meat products such as pies and sausages; animal fat such as butter, ghee and lard; high fat dairy products such as cheese, cream, ice cream; coconut and palm oil; and processed foods.

Trans fats are found mostly in processed snacks and other foods and usually hide under the label hydrogenated vegetable oil or partially hydrogenated vegetable oil. They are also found in lower amounts in some animal products, such as meat and dairy products. Trans fats are linked to an increased risk of prostate cancer regardless of ethnicity – some ethnic groups have a higher or lower risk than the population average.

Scientific research revealed that diets high in both of these fats may increase the release of free radicals (linked to DNA damage), trigger inflammation within the prostate gland, increase testosterone levels and insulin-like growth factors (IGF) – all these are risk factors for prostate cancer.

In men who were already diagnosed with prostate cancer, higher saturated fat intake may increase the risk of the aggressive form of the disease.

Foods that lower your risk

Fortunately, many plant-based foods can not only slash your risk of prostate cancer but they also boost your overall health. See how these foods reduce your risk and why they should be a part of your daily diet.

1. Tomatoes:

Tomatoes are a rich source of lycopene – the red pigment responsible for their colour. Lycopene is a powerful antioxidant and, interestingly enough, it’s more available to your body when cooked so tomato sauce is an even better source than raw tomatoes. Other fruits provide lycopene, too, for example red and pink grapefruits, papaya, goji berries or watermelon but tomatoes and products made from them are the richest sources.

Research clearly shows that men who regularly eat lycopene-rich foods have a lower risk of prostate cancer. As lycopene is a very strong antioxidant, it protects your cells from damage and potentially cancer-inducing reactions.

If cancer does develop, studies show that lycopene suppresses cancer cell growth and reproduction and even induces cancer cell death. Prostate cancer cells exposed to lycopene in a lab are less mobile and have a reduced ability to stick together, which makes it much harder for a tumour to form or to spread. It doesn’t mean that lycopene will 100 per cent protect you from prostate cancer but it may significantly reduce your risk.

Best choices include: tomato sauce, tomato purée (used in cooking), sun-dried tomatoes, tomato soup, tomatoes used in cooking (sauces, stews) or baking (vegan pizza, baked pasta dishes)

2. Soya:

If you consume at least one serving of soya food, such as edamame, tofu or soya milk, every day, it may reduce your risk of prostate cancer by up to 20 per cent. However, research suggests there may be differences in the risk reduction depending on the type of soya product – non-fermented soya foods (soya milk, soya yoghurt, tofu, soya protein) seem to have a protective effect, while fermented ones (tempeh, miso, natto) don’t.

The reasons why soya has a protective effect on the prostate are manifold but they are centred around special antioxidant compounds in soya – isoflavones.

According to scientific studies, isoflavones can both prevent and inhibit prostate cancer cell growth, prevent blood vessel formation in a growing tumour and even induce natural death in cancer cells. At the same time, their antioxidant qualities enhance your body’s natural defence mechanisms.

Best choices include: soya milk, soya yoghurt, tofu, edamame, soya-based mock meats

3. Cruciferous veggies:

The cruciferous family includes bok choy, broccoli, Brussels sprouts, cabbage, cauliflower, spring greens, kale, rocket and watercress. All cruciferous vegetables contain very powerful natural compounds that have a strong cancer-fighting effect and have been studied specifically for their prostate cancer prevention potential. These compounds are called glucosinolates and their breakdown products, such as isothiocyanates, are believed to be responsible for their health benefits.

To make the most of these compounds, you need an enzyme that’s in the veggies and helps the breakdown products to do their magic but it can get destroyed by heat. It’s best to eat some cruciferous vegetables raw (cabbage, kohlrabi, radish, rocket, watercress) or only steam them lightly (bok choy, broccoli, spring greens, kale).

Best choices include: any of the above eaten daily

4. Green tea:

Scientific studies suggest drinking green tea daily may lower your risk of prostate cancer.

Green tea contains powerful antioxidants called catechins, which are the source of its distinctive bitter taste. Research revealed that they can induce prostate cancer cell death, prevent cancer cells from multiplying and interfere with signalling necessary for tumour development. On top of that, catechins reduce inflammation and levels of IGF-1 – both important factors in prostate cancer prevention.

Best choices include: quality green tea, brewed shortly (30 to 90 seconds) according to product instructions

5. Coffee:

It’s true, coffee may reduce your risk of prostate cancer. According to science, this is due to multiple health-promoting effects of coffee – it supplies antioxidants, has anti-inflammatory effects, reduces levels of IGF-1 in the blood and triggers a number of reactions in the body that result in a lower risk of prostate cancer. Caffeine itself stimulates cell repair mechanisms while also interfering with cancer cell biology and may even trigger cancer cell death.

Around three cups of coffee a day are enough to offer these benefits and you don’t need more to maintain a healthy lifestyle. However, if you make your coffee strong, even one cup may be plenty so be careful. Drinking too much coffee may cause issues such as anxiety, the shakes, insomnia, stomach troubles, etc, so it’s important to find the right balance.

Best choices include: fresh coffee made from ground coffee beans (not instant)

6. Brazil nuts:

Selenium is an antioxidant crucial for the protection of the human body and it’s also a part of several vital molecules called selenoproteins, which neutralise free radicals and protect cells from oxidative damage. Within the prostate, healthy selenium levels have been linked to a lower risk of cancer, while both high and low levels have been associated with a higher risk of the disease.

Studies show mixed results when it comes to selenium supplements as you can easily get too much, which is why food sources are a safer option. Among plant foods, Brazil nuts are a rich source and eating just one or two daily will ensure a sufficient selenium intake. In fact, you shouldn’t eat more than that to avoid getting too much selenium.

Best choice: one or two Brazil nuts daily

7. Zinc sources:

Zinc is a mineral vital for our health and in the prostate, it may prevent several changes that lead to cancer. The prostate stores high levels of zinc that ensure its correct functioning and so a sufficient zinc intake is not only essential, it may also avert a number of prostate issues, including prostate cancer. A plant-based diet supplying good amounts of zinc can lower your risk of prostate cancer.

On the other hand, too much zinc can also be dangerous and increase your risk of prostate cancer, so it’s best to rely on good food sources rather than supplements that can contain very high doses.

Best choices include: wholegrains, tofu, tempeh, pumpkin seeds, sesame seeds, lentils, peanuts and cashew nuts

tomatoes and passata

Vegan diet reduces your prostate cancer risk

Numerous scientific studies report that Western diets rich in red and processed meat, high-fat dairy products, eggs, sugar and refined carbohydrates (white flour) increase your risk of prostate cancer, while diets based on wholegrains, pulses, fruit and vegetables lower the risk. A balanced vegan diet may reduce your prostate cancer risk by 35 per cent!

And not only can a vegan diet reduce your risk of prostate cancer, it can also positively affect the outcome if you already have the disease – see below.

A healthy vegan diet results in lower levels of IGF-1 in your blood, which is a good thing because higher levels pose a cancer risk. At the same time, vegan diets provide plenty of antioxidants, which help reduce inflammation in the body – and in the prostate as well, keeping it healthy.

As dairy, processed and red meat, and saturated and trans fat all increase your risk of prostate cancer, being vegan automatically removes or reduces your consumption of these and helps protect your health. If you centre your diet around wholesome plant-based foods, you’ll slash your risk of prostate cancer as well as a range of other diseases, such as heart disease and bowel cancer.

Five food rules to lower your prostate cancer risk

A balanced vegan diet can significantly reduce your prostate cancer risk but how to put together the ideal menu? Here are five guidelines for a healthy prostate:

  1. A tomato a day keeps the doctor away – have some tomatoes or tomato product daily as the red pigment in them, lycopene, slashes your risk of prostate cancer. But that’s not all – tomatoes go great with cancer-defying cruciferous veggies so add some rocket, kale or broccoli to your meal as well.
  2. Eat your wholegrains – swap white bread, pasta and rice for wholemeal bread, oats, whole wheat pasta, brown rice or quinoa.
  3. Have at least one serving of soya daily – soya milk on cereal or in tea/coffee, tofu, edamame, soya yoghurt, soya burgers or tofu sausages.
  4. Snack on nuts and seeds – a couple of Brazil nuts and a small handful of pumpkin seeds, peanuts or cashews supply plenty of zinc and selenium.
  5. Coffee and green tea are your allies – quality green tea or matcha are excellent choices and so is coffee. Just try to drink it between meals as coffee can reduce your iron absorption if you drink it with a meal.

See what a balanced vegan meal plan looks like.

granddad with grandchildren

Diet after a prostate cancer diagnosis

Receiving a prostate cancer diagnosis is certainly difficult but thanks to modern screening methods, most cases are caught early and there’s a lot of hope for positive outcomes. A wholesome plant-based diet can slow down and, in some cases, even reverse prostate cancer.

The Prostate Cancer Lifestyle Trial run by American physician and Clinical Professor of Medicine at the University of California, San Francisco, Dr Dean Ornish, showed just how powerful a healthy plant-based diet can be. The trial included 93 men with low-risk prostate cancer (early-stage, slow-growing tumours) who were being monitored but didn’t need an operation at the start of the study. Half of them were assigned to the experimental group and the other half to the control group that didn’t change anything. The experimental group followed a specific lifestyle for a year – a wholesome low-fat vegan diet that included soya on a daily basis, omega-3 oil, vitamin E, selenium, vitamin C, a multivitamin and tomato-based vegetable juice, regular aerobic exercise, daily stress management and a weekly support group.

By the end of the study, no patients in the experimental group needed prostate cancer treatment, while six patients in the control group required conventional treatment because their disease had progressed. Men in the experimental group also experienced a significant improvement in PSA levels (prostate cancer markers in the blood) and these were associated with the extent of plant-based dietary change – the more plant-based their diet was, the lower their PSA levels.

When the groups were assessed again two years after the start of the experiment, 13 of the control group patients needed treatment, while only two from the vegan group did and they still had lower PSA levels than the others.

There was also another small study in which 14 men with recurring prostate cancer adopted a plant-based diet and practised stress management techniques for six months. Ten of them finished the study and their results were very positive – in four of them, PSA levels dropped, showing disease regression and in five others, disease progression significantly slowed.

A newer, large-scale study of over 2,000 men with prostate cancer found similar results – those with the most plant-based diets had a 47 to 55 per cent lower risk of disease progression than men who ate the least plant-based foods. And other studies agree – a healthy plant-based diet can slow disease progression and result in better outcomes than Western diets.

If you’re diagnosed with prostate cancer, a balanced vegan diet may help improve your outcome but it’s not a cure so we encourage you to discuss treatment options with your doctor and attend all your appointments.

Other factors that affect your prostate cancer risk

Diet is vital if you want to reduce your risk of prostate cancer risk but there are other important factors as well. Those that you can’t change include age, ethnicity, family history and genetics. Luckily, there are other factors that you can change and these include diet, obesity, smoking, sedentary lifestyle, exposure to dangerous chemicals (such as pesticides or arsenic) and possibly also some sexually transmitted infections causing prostate inflammation.

If you live a moderately active life, eat a healthy vegan diet, don’t smoke, avoid exposure to chemicals (including using pesticides in your garden) and take precautions with your intimate partners, your prostate risk will be much reduced.

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