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Published in: Current Colorectal Cancer Reports 5/2017

Open Access 01-10-2017 | Nutrition and Nutritional Interventions in Colorectal Cancer (K Wu, Section Editor)

Lifestyle after Colorectal Cancer Diagnosis in Relation to Survival and Recurrence: A Review of the Literature

Authors: Moniek van Zutphen, Ellen Kampman, Edward L. Giovannucci, Fränzel J. B. van Duijnhoven

Published in: Current Colorectal Cancer Reports | Issue 5/2017

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Abstract

Purpose of Review

This review summarizes the evidence regarding diet, physical activity, smoking, and body composition after colorectal cancer (CRC) diagnosis in relation to all-cause and CRC-specific mortality and disease recurrence and gives suggestions for future research directions.

Recent Findings

Overall, this review suggests that some, albeit not all, of the well-known modifiable risk factors for cancer incidence might also be associated with CRC survival. CRC prognosis appears to be worse with increased physical inactivity, smoking, or being underweight after CRC diagnosis. Emerging evidence suggests that diets associated with a positive energy balance, e.g., high consumption of sugar-sweetened beverages, may negatively impact survival in CRC survivors. In contrast, there is currently little evidence to support the recommendation to limit red and processed meat or alcohol intake after CRC diagnosis. Whether being overweight and obese after CRC diagnosis improves or worsens CRC prognosis remains controversial and may depend on the measure used to assess body fatness.

Summary

Further research on post-diagnosis lifestyle patterns is needed to understand the multifactorial influence on CRC prognosis. Disease recurrence and the development of comorbidities should be included as key outcomes in future studies and lifestyle should preferably be repeatedly measured.
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Metadata
Title
Lifestyle after Colorectal Cancer Diagnosis in Relation to Survival and Recurrence: A Review of the Literature
Authors
Moniek van Zutphen
Ellen Kampman
Edward L. Giovannucci
Fränzel J. B. van Duijnhoven
Publication date
01-10-2017
Publisher
Springer US
Published in
Current Colorectal Cancer Reports / Issue 5/2017
Print ISSN: 1556-3790
Electronic ISSN: 1556-3804
DOI
https://doi.org/10.1007/s11888-017-0386-1
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