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Milk and Prostate Cancer: The Evidence Mounts by
Neal D. Barnard, M.D.
Could milk cause prostate cancer? The question has come up repeatedly
in recent months, as billboards portraying New York City Mayor Rudolph
Giuliani with a milk mustache carried the words, "Got Prostate Cancer?"
The outraged mayor countered that milk had nothing to do with his newly
diagnosed disease, which also killed his father. For the public, this was
completely new territory. Does drinking milk actually contribute to
cancer?
Here are the facts: Major studies suggesting a link between milk and
prostate cancer have appeared in medical journals since the 1970s. Two of
six cohort studies (research studies following groups of people over time)
found increased risk with higher milk intakes. Five studies comparing
cancer patients to healthy individuals found a similar association. One of
these, conducted in northern Italy, found that frequent dairy consumption
could increase risk by two and one-half
times.1
In 1997, the World Cancer Research Fund and the American Institute for
Cancer Research concluded that dairy products should be considered a
possible contributor to prostate cancer. And yet another research study
came out in April 2000 pointing to a link between dairy and prostate
cancer: Harvard's Physicians' Health Study followed 20,885 men for 11
years, finding that having two and one-half dairy servings each day
boosted prostate cancer risk by 34 percent, compared to having less than
one-half serving daily.2
A Smoking Gun?
Researchers are looking, not only at whether milk increases
cancer risk, but how. The answer, apparently, is in the way milk
affects a man's hormones. Dairy products boost the amount of insulin-like
growth factor (IGF-I) in the blood. In turn, IGF-I promotes cancer cell
growth.3-5 A small amount is normally in the
bloodstream, but several recent studies have linked increased IGF-I levels
to prostate cancer and possibly to breast cancer as well.
Milk does other mischief. Its load of calcium depletes the body's
vitamin D, which, in turn, may add to cancer risk. Most dairy products are
also high in fat, which affects the activity of sex hormones that play a
major role in cancer.
And it would come as no surprise that milk might affect the growth of
cancer cells. After all, its biological purpose is to support rapid growth
in all parts of a calf's body. After the age of weaning, calves (like all
mammals) have no need for milk at all, and there is never a need to drink
the milk of another species.
Researchers are investigating whether dairy products might be culprits
in other forms of the disease. Ovarian cancer, in particular, may be
linked to galactose, a sugar produced from the milk sugar lactose. Yogurt,
cheese, "lactose-free" milk, and other dairy products contain substantial
amounts of galactose.
Other parts of the diet affect cancer risk, too. Meat and fatty foods
in general are implicated in increased risk, while tomatoes, watermelons,
and other bright red fruits contain lycopene, which reduces cancer
risk.
The bottom line: While researchers will study the causes of cancer for
years to come, health-conscious families may well want to trade dairy—and
all animal products—for a healthy, vegan diet rich in vegetables, fruits,
whole grains, and legumes. When to make the switch? Evidence suggests that
the earlier in life healthy diet habits begin, the better your protection.
What?! Does Everything Cause
Cancer?
As a matter of fact, no. Whole grains, beans and other legumes,
vegetables, and fruits are cancer fighters. Plant foods are low in fat,
high in fiber, and loaded with protective cancer-fighting nutrients. But
animal products—meat, dairy, eggs—are linked to several forms of the
disease. They contain plenty of fat to harbor cancer-causing chemicals and
to drive up the levels of cancer-promoting hormones in your body. They
have no fiber that would normally sweep carcinogens from your digestive
tract and are low in cancer-fighting antioxidants. And under cooking
temperatures, the creatine, amino acids, and natural sugars in meat can
actually turn into cancer-causing chemicals.
A cancer-prevention diet includes plenty of:
- Vegetables: sweet
potatoes, carrots, broccoli, spinach, asparagus
- Fruits: strawberries,
kiwi, melon, bananas, apples
- Whole grains: breads,
cereal, oatmeal, pasta, rice
- Legumes: beans, peas,
lentils
The most healthful diets eliminate meat, dairy products, eggs, and
fried foods. To make the transition easy, you may wish to use rice milk,
soymilk, meat substitutes, or egg substitutes.
References 1.
World Cancer Research Fund/American Institute for Cancer Research. Food,
Nutrition, and the Prevention of Cancer: A Global Perspective. American
Institute for Cancer Research, Washington, D.C., 1997, p.
322. 2. Chan JM, Stampfer MJ, Ma J, Ajani U, Gaziano JM,
Giovannucci E. Dairy products, calcium, and prostate cancer risk in the
Physicians' Health Study. Presentation, American Association for Cancer
Research, San Francisco, April 2000. 3. Cohen P. Serum
insulin-like growth factor-I levels and prostate cancer risk—interpreting
the evidence. J Natl Cancer Inst 1998;90:876-9. 4.
Cadogan J, Eastell R, Jones N, Barker ME. Milk intake and bone mineral
acquisition in adolescent girls: randomised, controlled intervention
trial. BMJ 1997;315:1255-60. 5. Heaney RP, McCarron DA,
Dawson-Hughes B, et al. Dietary changes favorably affect bone remodeling
in older adults. J Am Dietetic Asso 1999;99:1228-33. |