{"id":53327,"date":"2021-03-17T08:43:37","date_gmt":"2021-03-17T12:43:37","guid":{"rendered":"https:\/\/asweetlife.org\/?p=53327"},"modified":"2021-03-17T10:33:52","modified_gmt":"2021-03-17T14:33:52","slug":"dr-fung-why-obesity-and-diabetes-increase-cancer-risk","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=53327","title":{"rendered":"Dr. Fung: Why Obesity and Diabetes Increase Cancer Risk"},"content":{"rendered":"<p>Dr. Jason Fung is widely known as an advocate for the technique of intermittent fasting in patients hoping to reverse or prevent diabetes and obesity. He has written <a href=\"https:\/\/asweetlife.org\/the-diabetes-code-by-dr-jason-fung-treating-type-2-diabetes-naturally\/\">several books<\/a> on dieting and metabolic health, including <a href=\"https:\/\/www.amazon.com\/gp\/product\/1771642653\/ref=as_li_qf_asin_il_tl?ie=UTF8&amp;tag=asw07-20&amp;creative=9325&amp;linkCode=as2&amp;creativeASIN=1771642653&amp;linkId=5bae8a7d4706e5da7103b2feb32b6415\" rel=\"nofollow noreferrer\">The Diabetes Code<\/a>.<\/p>\n<p>Speaking at the online <a href=\"https:\/\/metabolix.org.il\/\">Metabolix 2021 conference<\/a>, Dr. Fung outlined the surprisingly strong connections between diet and cancer. It\u2019s a relationship that\u2019s been long known, but until recently was very poorly understood, and therefore not much talked about.<\/p>\n<p>&nbsp;<\/p>\n<h3>Cancer and Environmental Factors<\/h3>\n<p>\u201cFor many years we thought of cancer predominantly through the genetic paradigm. We thought about mutations in genes that lead to cancer\u2026 with less emphasis on the environment.\u201d But the truth is that &#8220;genetics contribute the minority of causation towards cancer. Almost all of cancer is a result of the environment.\u201d<\/p>\n<p>That environmental factors can contribute to cancer shouldn\u2019t be surprising, of course. The association between tobacco and lung cancer is enough to make this principle abundantly clear. Experts have also known, for decades, that diet and lifestyle factors contribute to other types of cancer. By studying genetically homogeneous populations that have undergone major lifestyle shifts\u2014such as by comparing migrants to family members that stayed home, or the development of cancer in twins\u2014researchers can tease out which cancers are caused mostly by genetic factors, and which mostly by environmental.<\/p>\n<p>\u201cIt\u2019s not all cancers, only certain cancers\u201d that are highly determined by environmental factors. Experts have <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJM200007133430201\">determined<\/a> that the factors causing stomach cancer, to take just one example, are something like 28% heritable, and 72% environmental. And many cancers seem especially related to diet, notably breast cancer, colorectal cancer, and certain cancers of the vital organs, such as the liver, pancreas and stomach.<\/p>\n<p>&nbsp;<\/p>\n<h3>A Range of Theories<\/h3>\n<p>Unfortunately, it took researchers decades to get close to an understanding of how diet actually increases cancer risks. Dr. Fung walked his audience through a short history of popular hypotheses that more or less had to be cast aside after further scrutiny:<\/p>\n<ul>\n<li><em>Lack of dietary fiber<\/em>. However, studies showed no real difference between low- and high-fiber diets.<\/li>\n<li><em>Vitamin deficiency<\/em>. This was an encouraging theory, given how easily vitamin deficiencies can be solved. Unfortunately, several experiments have found that study participants receiving a placebo develop <em>less<\/em> cancer than those that receive supplements of vitamins such as beta carotene and vitamins E and B12 (in various combinations). Other vitamins showed no effect.<\/li>\n<li><em>Too much dietary fat<\/em>. \u201cThis was popular in the 90s, when fat was blamed for everything,\u201d Dr. Fung says. This connection was the subject of several major studies, but low-fat diets generally proved to have no benefit for cancer.<\/li>\n<li><em>Too much red or processed meat<\/em>. This connection has been accepted enough for the WHO to officially label red and processed meats as a carcinogen. Dr. Fung says that the blame for red meat is \u201ctenuous,\u201d arguing that diet-related cancer continues to grow in the United States, despite a long and consistent decline in red meat consumption. Processed meat may be a real but minor contributor to some cancers.<\/li>\n<\/ul>\n<p>\u201cThis is the conclusion of 50 years of dietary research and hundreds of millions of dollars\u2026 all these hypotheses that we had\u2014they didn\u2019t pan out\u2026\u201d<\/p>\n<p>&nbsp;<\/p>\n<h3>Cancer, Obesity and Insulin<\/h3>\n<p>Experts didn\u2019t know what we were eating that increased cancer rates, but we did know at least one thing: obesity is highly correlated with cancer. As body mass index rises, so does the risk of cancer; for some diet-related cancers, such as liver cancer, the rise can be very steep. Unfortunately, this didn\u2019t help much, because the mainstream medical establishment has notably struggled to explain why obesity occurs in the first place.<\/p>\n<p>\u201cIt\u2019s really only in the last 10 years that we started to shed some light on what part of the diet increases your risk of cancer.\u201d<\/p>\n<p>Dr. Fung has an explanation: \u201cObesity is probably the dominant factor in our diet that needs to be treated\u2026but it might be not just about the obesity, but maybe more specifically about hyperinsulinemia.\u201d<\/p>\n<p>Obesity is almost invariably accompanied by hyperinsulinemia, an abnormal amount of insulin in the blood\u2014in fact, there is some question about which condition causes the other. The chemical link between hyperinsulinemia and obesity has been known for many decades, but has only recently been thrust into mainstream discussion by a new generation of doctors. Could it be <em>too much insulin<\/em> that\u2019s causing cancer?<\/p>\n<p>There is some good data to support the contention. Type 2 diabetes\u2014a disease of hyperinsulinemia\u2014also shows very strong correlations to cancer risk. And high insulin levels are associated with increased cancer risk and cancer severity even in adults of healthy weight. A <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30726946\/\">study<\/a> of colon cancer sufferers showed that those consuming a high-insulin diet (\u201ca lot of sugar, refined carbohydrates\u201d) had twice the risk of death as those consuming a lower insulin diet.<\/p>\n<p>According to Dr. Fung, the mechanism by which this may work is easy to understand. Insulin is a powerful growth factor, and cancer is, in essence, a disease of uncontrolled growth. \u201cCancer cells are six to ten times more receptive to insulin.\u201d The hyperinsulinemic body is an especially fertile environment for cancer.<\/p>\n<p>There is some amazing evidence on the other side of the coin, too. There is very rare genetic condition known as Laron syndrome, in which the body does not respond to the growth hormone function of insulin and insulin-like growth factors. While the syndrome entails major disabilities, it also seems to <a href=\"https:\/\/www.discovermagazine.com\/health\/rare-form-of-dwarfism-protects-against-cancer\">confer immunity<\/a> to both cancer and diabetes.<\/p>\n<p>&nbsp;<\/p>\n<h3>The Prescription<\/h3>\n<p>So, how can we reduce our risk of lifestyle-related cancers?<\/p>\n<p>\u201cClearly stopping smoking is the most important thing you can do. But right behind it, and really just as important, is diet. 30% of total cancer deaths are attributable to diet. And these two factors dwarf everything else\u2014occupational factors and family history are [closer to] 5%.\u201d<\/p>\n<p>\u201cWe\u2019re doing a good job. Most cancers are decreasing in prevalence. The only ones that are increasing are these obesity-related cancers.\u201d<\/p>\n<p>Dr. Fung made his point simply, and for readers that are already familiar with his work, his conclusion won\u2019t be surprising:<\/p>\n<p>\u201cThis is where a low-carbohydrate diet may help, and where intermittent fasting might help.\u201d<\/p>\n<p>A diet heavy in carbohydrates\u2014especially highly refined carbohydrates\u2014prompts the body to overproduce insulin, initiating the cycle of insulin resistance that leads to obesity, Type 2 diabetes, and perhaps to a much higher risk of cancer.<\/p>\n<p>\u201cPresumably, if you\u2019re going to lower the risk of Type 2 diabetes and obesity, you\u2019re going to lower your risk of cancer overall.\u201d<\/p>\n<p><strong><em>Want to learn more about the diet-cancer connection? Pre-order <a href=\"https:\/\/www.amazon.com\/gp\/product\/1631493159\/ref=as_li_qf_asin_il_tl?ie=UTF8&amp;tag=asw07-20&amp;creative=9325&amp;linkCode=as2&amp;creativeASIN=1631493159&amp;linkId=8d887588f7c21c12071d6d15c229a817\" rel=\"nofollow noreferrer\">Ravenous<\/a>, the extraordinary story of the Nazi-era scientific genius who discovered how cancer cells eat\u2014and what it means for how we should.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&hellip;<\/p>\n","protected":false},"author":437,"featured_media":53332,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1447],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.9 (Yoast SEO v22.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dr. Fung: Why Obesity and Diabetes Increase Cancer Risk<\/title>\n<meta name=\"description\" content=\"Dr. Fung outlined the strong connections between diet, obesity, diabetes and cancer. 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