{"id":772,"date":"2020-07-22T18:43:02","date_gmt":"2020-07-22T18:43:02","guid":{"rendered":"http:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/?post_type=chapter&#038;p=772"},"modified":"2021-07-19T15:17:20","modified_gmt":"2021-07-19T15:17:20","slug":"2-8-1-what-is-cancer","status":"publish","type":"chapter","link":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/chapter\/2-8-1-what-is-cancer\/","title":{"raw":"2.8.1. What is Cancer?","rendered":"2.8.1. What is Cancer?"},"content":{"raw":"<h1>What Is Cancer?<\/h1>\r\nCancer\u00a0is the name given to a collection of related diseases in which the body\u2019s cells begin to divide without stopping and spread into surrounding tissues.\r\n\r\nMany cancers form solid tumors, which are masses of tissue. Cancers of the blood, such as leukemias, generally do not form solid tumors.\r\n\r\nCancerous tumors are [pb_glossary id=\"487\"]malignant[\/pb_glossary], which means they can spread into, or invade,\u00a0nearby tissues. In addition, as these tumors grow, some cancer cells can break off and travel to distant places in the body through the blood or the lymph system and form new tumors far from the original tumour. Each person\u2019s cancer has a unique combination of genetic changes. As the cancer continues to grow, additional changes will occur. Even within the same tumor, different cells may have different genetic changes.\r\n<div class=\"page\" title=\"Page 112\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nUnlike malignant tumors, [pb_glossary id=\"488\"]benign[\/pb_glossary] tumors do not invade nearby tissues. However, some benign tumors can be quite large. When removed, they usually do not grow back, whereas malignant tumors sometimes do. Unlike most benign tumors elsewhere in the body, benign tumors in the brain can be life threatening.\r\n\r\nMore than one hundred diseases are classified as different forms of cancer, all of them characterized by the <b>uncontrolled growth of abnormal cells.\u00a0<\/b>Cancer is triggered by mutations in a cell\u2019s genetic material. The cause of these changes may be inherited, or it may result from exposure to carcinogens, which are agents that can cause cancer. Carcinogens include chemicals, viruses, certain medical treatments such as radiation, pollution, or other substances and exposures that are known or suspected to cause cancer.[footnote]Known and Probable Human Carcinogens. American Cancer Society.http:\/\/www.cancer.org\/Cancer\/CancerCauses\/OtherCarcinogens\/GeneralInformationaboutCarcinogens\/known-and-probable -human-carcinogens. Updated November 3, 2016. Accessed April 15, 2018.[\/footnote] The National Institutes of Health has classified fifty-four different compounds as known cancer-causing agents in humans.[footnote]Israel B. How Many Cancers Are Caused by the Environment?. https:\/\/www.scientificamerican.com\/article\/how-many-cancers-are-caused-by-the-environment. Published May 10, 2010. Accessed April 15, 2018.[\/footnote]\r\n\r\nUnder normal conditions, a healthy cell will either repair any damage that has been done or self destruct so that no future cells will be affected. Cells become cancerous when their DNA is damaged, but they do not self-destruct or stop reproducing as normal cells would. As these abnormal cells continue their rapid growth, in most cancers they coalesce in a mass called a tumor. Cancer cells can overwhelm healthy cells and interfere with the healthy functioning of the body. They can also invade other organs and spread throughout the body in a process known as metastasis. Scientists and the medical community are giving considerable attention to the early stages of cancer, from the moment a healthy cell is exposed to a carcinogen to the point where cells with damaged DNA are replicating out of control. Intervention at any of these early stages could prove to be quite beneficial, because it is thought that most cancers are the result of lifestyle choices and environmental exposure.\r\n\r\nThe risk factors for different cancers can vary. For example, exposure to ultraviolet radiation from the sun and from tanning beds is a risk factor for skin cancer, while exposure to asbestos is a risk factor for mesothelioma cancer. Table 2.8.1.1 \u201cThe Risk Factors for Cancer\u201d shows some common risk factors for a number of different types of cancer.\r\n<div>\r\n<p class=\"no-indent\"><b>Table 2.8.1.1<\/b> <em>The Risk Factors for Cancer <\/em><\/p>\r\n\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td><strong>Unmodifiable Risk Factors<\/strong><\/td>\r\n<td><strong>Modifiable Risk Factors<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>\r\n<ul>\r\n \t<li><strong>Age:<\/strong>\u00a0Most cancers occur in people over the age of sixty-five. However, people of all ages, including children, can get cancer.<\/li>\r\n \t<li><strong>Family history:<\/strong>\u00a0Certain types of cancer have a genetic link. However, environmental factors may also play a part.<\/li>\r\n<\/ul>\r\n<\/td>\r\n<td>\r\n<ul>\r\n \t<li><strong>Tobacco<\/strong>: Smoking or chewing tobacco greatly increases the risk for certain cancers, including cancer of the lungs, bladder, cervix, kidneys, mouth, and pancreas.<\/li>\r\n \t<li><strong>Alcohol<\/strong>: Drinking alcohol is linked to cancers of the mouth, throat, esophagus, and breast, as well as to cancers of the neck and head.<\/li>\r\n \t<li><strong>Obesity<\/strong>: Linked to cancers of the colon, uterus, pancreas, esophagus, kidney, and breast.<\/li>\r\n \t<li><strong>Cooking techniques:<\/strong>\u00a0Grilling, smoking, and preparing meat at high temperatures forms carcinogens.<\/li>\r\n \t<li><strong>Red meat:<\/strong>\u00a0 The risk of colon cancer seems to increase with the consumption of red meat and processed meat.<\/li>\r\n \t<li><strong>Cured meats:<\/strong>\u00a0 According to a recent study, there is a mild risk of pancreatic cancer with the consumption of cured meats, such as sausage, pepperoni, bacon, ham, smoked turkey, salami, and hot dogs.<\/li>\r\n \t<li><strong>Physical inactivity:<\/strong>\u00a0Linked to colon, breast, and other cancers.<\/li>\r\n \t<li><strong>Exposure to chemicals:<\/strong>\u00a0People who have jobs that expose them to chemicals on a regular basis, such as construction workers and painters, have an increased risk of cancer.<\/li>\r\n \t<li><strong>Viruses or bacteria:<\/strong>\u00a0Certain viruses or bacteria may increase the risk of developing cancer. For example, human papillomaviruses, which are sexually transmitted, are the primary cause of cervical cancer.<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<sup><em>Note:<\/em> There are numerous risk factors for cancers some of which are modifiable and others of which are not. Source: Cancer<\/sup>\r\n\r\n<\/div>\r\n<div class=\"page\" title=\"Page 113\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<h1>Cancer Statistics<\/h1>\r\nCancer severely impacts Canadians and societies throughout the world. Cancer is surely the number one cause of death in Canada. Cancer statistics describe what happens in large groups of people and provide a picture in time of the burden of cancer on society. Statistics indicate how many people are diagnosed with and die from cancer each year, the number of people who are currently living after a cancer diagnosis, and the average age at diagnosis. They also reveal differences among groups defined by age, sex, racial\/ethnic group, geographic location, and other categories.\r\n\r\nAlthough statistical trends are usually not directly applicable to individual patients, they are essential for governments, policymakers, health professionals, and researchers to understand the impact of cancer on the population and to develop strategies to address the challenges that cancer poses to society. Statistical trends are also important for measuring the\u00a0success of efforts to control and manage cancer.\r\n<div class=\"page\" title=\"Page 113\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\nCanadian Cancer Stats and Facts: [footnote]Cancer. The Government of Canada. https:\/\/www.canada.ca\/en\/public-health\/services\/chronic-diseases\/cancer.html. Updated on February 10, 2019. Accessed on January 26, 2020[\/footnote]\r\n<ul>\r\n \t<li>43% of Canadian women and 45% of Canadian men will develop some type of cancer in their lifetime.<\/li>\r\n \t<li>1 in 4 Canadians will die of cancer.<\/li>\r\n \t<li>The number of new cancer cases is steadily rising in Canada as the population increases in number and age.<\/li>\r\n \t<li>The risk of developing cancer increases significantly with age.<\/li>\r\n \t<li>Finding cancer early is imperative. The early you are diagnosed the faster you can receive treatment.<\/li>\r\n \t<li>In 2019 is was estimated that there would be 220,400 new cases of cancer in Canada with 82,100 people dying from cancer.<\/li>\r\n \t<li>Lung, colorectal, breast and prostate cancer made up half of all cancer diagnosis in 2019.<\/li>\r\n \t<li>The most common cancer diagnosis are breast cancer in women and prostate cancer in men.<\/li>\r\n \t<li>The leading cause of cancer death for both sexes is lung cancer.<\/li>\r\n<\/ul>\r\n<div class=\"page\" title=\"Page 114\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div>\r\n<h1>Steps to Reducing the Risk of Cancer<i><u><\/u><\/i><\/h1>\r\nOn average, 604 Canadians will be diagnosed with cancer every day. On average, 225 Canadians will die from cancer every day.[footnote]https:\/\/www.cancer.ca\/en\/cancer-information\/cancer-101\/cancer-statistics-at-a-glance\/?region=on[\/footnote]\r\n\r\nAlthough cancer is one of the leading causes of death worldwide, ongoing research and innovations in treatment have improved the outlook for cancer patients to the point where millions now survive or live with cancer, making it a chronic disease.\r\n\r\nThe American Institute for Cancer Research (AICR)\u00a0and the Canadian Cancer Society (CCS)\u00a0have published <a href=\"https:\/\/www.cancer.ca\/en\/prevention-and-screening\/reduce-cancer-risk\/can-cancer-be-prevented\/?region=on.\">guidelines<\/a> for preventing cancer and staying healthy \u00a0They include several dietary and lifestyle choices, such as participating in physical activity and maintaining a healthy weight. In addition, <i>AICR<\/i>\u00a0and\u00a0CCS recommends consuming a plant-based diet.[footnote]Cancer Prevention and Early Detection Facts and Figures 2013. American Cancer Society. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-prevention-and-early-detection-facts-and-figures\/cancer-prevention-and-early-detection-facts-and-figures-2013.pdf. Published 2013. Accessed April 15, 2018.[\/footnote]\r\n\r\nSeveral epidemiological studies have found a link between eating plenty of fruits and vegetables and a low incidence of certain cancers. Fruits and vegetables containing a wide variety of nutrients and phytochemicals may either prevent or reduce the oxidative damage to cell structures. Cruciferous vegetables, such as cauliflower, broccoli, and brussels sprouts, may also reduce the risk of certain cancers, such as endometrial, esophageal, and others. Also, studies have shown that the more fiber you have in your diet, the lower your risk of colon cancer. [footnote]https:\/\/www.cancer.ca\/en\/prevention-and-screening\/reduce-cancer-risk\/make-healthy-choices\/eat-well\/antioxidants-and-phytochemicals\/?region=on[\/footnote]\r\n\r\nSupplementation may also be helpful to a limited degree. Vitamin D and antioxidants have been linked to lowering the risk of some cancers (however taking an iron supplement may promote others), but, <b>obtaining vital nutrients from food first is the best way to help prevent or manage cancer<\/b>. In addition, regular and vigorous exercise can lower the risk of breast and colon cancers, among others. Also, wear sunblock, stay in the shade, and avoid the midday sun to protect yourself from skin cancer, which is one of the most common kinds of cancer.[footnote]Cancer Prevention: 7 Steps to Reduce Your Risk. Mayo Clinic. http:\/\/www.mayoclinic.com\/health\/cancer -prevention\/CA00024. Updated November 29, 2017. Accessed April 15, 2018.[\/footnote]\r\n\r\n<\/div>\r\n<div class=\"page\" title=\"Page 114\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 115\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 115\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 115\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 116\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 116\">\r\n<div class=\"layoutArea\">\r\n<div class=\"page\" title=\"Page 117\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 117\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 118\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 118\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 119\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 121\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 122\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n<div class=\"page\" title=\"Page 122\">\r\n<div class=\"layoutArea\">\r\n<div class=\"column\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>","rendered":"<h1>What Is Cancer?<\/h1>\n<p>Cancer\u00a0is the name given to a collection of related diseases in which the body\u2019s cells begin to divide without stopping and spread into surrounding tissues.<\/p>\n<p>Many cancers form solid tumors, which are masses of tissue. Cancers of the blood, such as leukemias, generally do not form solid tumors.<\/p>\n<p>Cancerous tumors are <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_772_487\">malignant<\/a>, which means they can spread into, or invade,\u00a0nearby tissues. In addition, as these tumors grow, some cancer cells can break off and travel to distant places in the body through the blood or the lymph system and form new tumors far from the original tumour. Each person\u2019s cancer has a unique combination of genetic changes. As the cancer continues to grow, additional changes will occur. Even within the same tumor, different cells may have different genetic changes.<\/p>\n<div class=\"page\" title=\"Page 112\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Unlike malignant tumors, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_772_488\">benign<\/a> tumors do not invade nearby tissues. However, some benign tumors can be quite large. When removed, they usually do not grow back, whereas malignant tumors sometimes do. Unlike most benign tumors elsewhere in the body, benign tumors in the brain can be life threatening.<\/p>\n<p>More than one hundred diseases are classified as different forms of cancer, all of them characterized by the <b>uncontrolled growth of abnormal cells.\u00a0<\/b>Cancer is triggered by mutations in a cell\u2019s genetic material. The cause of these changes may be inherited, or it may result from exposure to carcinogens, which are agents that can cause cancer. Carcinogens include chemicals, viruses, certain medical treatments such as radiation, pollution, or other substances and exposures that are known or suspected to cause cancer.<a class=\"footnote\" title=\"Known and Probable Human Carcinogens. American Cancer Society.http:\/\/www.cancer.org\/Cancer\/CancerCauses\/OtherCarcinogens\/GeneralInformationaboutCarcinogens\/known-and-probable -human-carcinogens. Updated November 3, 2016. Accessed April 15, 2018.\" id=\"return-footnote-772-1\" href=\"#footnote-772-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a> The National Institutes of Health has classified fifty-four different compounds as known cancer-causing agents in humans.<a class=\"footnote\" title=\"Israel B. How Many Cancers Are Caused by the Environment?. https:\/\/www.scientificamerican.com\/article\/how-many-cancers-are-caused-by-the-environment. Published May 10, 2010. Accessed April 15, 2018.\" id=\"return-footnote-772-2\" href=\"#footnote-772-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/p>\n<p>Under normal conditions, a healthy cell will either repair any damage that has been done or self destruct so that no future cells will be affected. Cells become cancerous when their DNA is damaged, but they do not self-destruct or stop reproducing as normal cells would. As these abnormal cells continue their rapid growth, in most cancers they coalesce in a mass called a tumor. Cancer cells can overwhelm healthy cells and interfere with the healthy functioning of the body. They can also invade other organs and spread throughout the body in a process known as metastasis. Scientists and the medical community are giving considerable attention to the early stages of cancer, from the moment a healthy cell is exposed to a carcinogen to the point where cells with damaged DNA are replicating out of control. Intervention at any of these early stages could prove to be quite beneficial, because it is thought that most cancers are the result of lifestyle choices and environmental exposure.<\/p>\n<p>The risk factors for different cancers can vary. For example, exposure to ultraviolet radiation from the sun and from tanning beds is a risk factor for skin cancer, while exposure to asbestos is a risk factor for mesothelioma cancer. Table 2.8.1.1 \u201cThe Risk Factors for Cancer\u201d shows some common risk factors for a number of different types of cancer.<\/p>\n<div>\n<p class=\"no-indent\"><b>Table 2.8.1.1<\/b> <em>The Risk Factors for Cancer <\/em><\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>Unmodifiable Risk Factors<\/strong><\/td>\n<td><strong>Modifiable Risk Factors<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li><strong>Age:<\/strong>\u00a0Most cancers occur in people over the age of sixty-five. However, people of all ages, including children, can get cancer.<\/li>\n<li><strong>Family history:<\/strong>\u00a0Certain types of cancer have a genetic link. However, environmental factors may also play a part.<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li><strong>Tobacco<\/strong>: Smoking or chewing tobacco greatly increases the risk for certain cancers, including cancer of the lungs, bladder, cervix, kidneys, mouth, and pancreas.<\/li>\n<li><strong>Alcohol<\/strong>: Drinking alcohol is linked to cancers of the mouth, throat, esophagus, and breast, as well as to cancers of the neck and head.<\/li>\n<li><strong>Obesity<\/strong>: Linked to cancers of the colon, uterus, pancreas, esophagus, kidney, and breast.<\/li>\n<li><strong>Cooking techniques:<\/strong>\u00a0Grilling, smoking, and preparing meat at high temperatures forms carcinogens.<\/li>\n<li><strong>Red meat:<\/strong>\u00a0 The risk of colon cancer seems to increase with the consumption of red meat and processed meat.<\/li>\n<li><strong>Cured meats:<\/strong>\u00a0 According to a recent study, there is a mild risk of pancreatic cancer with the consumption of cured meats, such as sausage, pepperoni, bacon, ham, smoked turkey, salami, and hot dogs.<\/li>\n<li><strong>Physical inactivity:<\/strong>\u00a0Linked to colon, breast, and other cancers.<\/li>\n<li><strong>Exposure to chemicals:<\/strong>\u00a0People who have jobs that expose them to chemicals on a regular basis, such as construction workers and painters, have an increased risk of cancer.<\/li>\n<li><strong>Viruses or bacteria:<\/strong>\u00a0Certain viruses or bacteria may increase the risk of developing cancer. For example, human papillomaviruses, which are sexually transmitted, are the primary cause of cervical cancer.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><sup><em>Note:<\/em> There are numerous risk factors for cancers some of which are modifiable and others of which are not. Source: Cancer<\/sup><\/p>\n<\/div>\n<div class=\"page\" title=\"Page 113\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h1>Cancer Statistics<\/h1>\n<p>Cancer severely impacts Canadians and societies throughout the world. Cancer is surely the number one cause of death in Canada. Cancer statistics describe what happens in large groups of people and provide a picture in time of the burden of cancer on society. Statistics indicate how many people are diagnosed with and die from cancer each year, the number of people who are currently living after a cancer diagnosis, and the average age at diagnosis. They also reveal differences among groups defined by age, sex, racial\/ethnic group, geographic location, and other categories.<\/p>\n<p>Although statistical trends are usually not directly applicable to individual patients, they are essential for governments, policymakers, health professionals, and researchers to understand the impact of cancer on the population and to develop strategies to address the challenges that cancer poses to society. Statistical trends are also important for measuring the\u00a0success of efforts to control and manage cancer.<\/p>\n<div class=\"page\" title=\"Page 113\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Canadian Cancer Stats and Facts: <a class=\"footnote\" title=\"Cancer. The Government of Canada. https:\/\/www.canada.ca\/en\/public-health\/services\/chronic-diseases\/cancer.html. Updated on February 10, 2019. Accessed on January 26, 2020\" id=\"return-footnote-772-3\" href=\"#footnote-772-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/p>\n<ul>\n<li>43% of Canadian women and 45% of Canadian men will develop some type of cancer in their lifetime.<\/li>\n<li>1 in 4 Canadians will die of cancer.<\/li>\n<li>The number of new cancer cases is steadily rising in Canada as the population increases in number and age.<\/li>\n<li>The risk of developing cancer increases significantly with age.<\/li>\n<li>Finding cancer early is imperative. The early you are diagnosed the faster you can receive treatment.<\/li>\n<li>In 2019 is was estimated that there would be 220,400 new cases of cancer in Canada with 82,100 people dying from cancer.<\/li>\n<li>Lung, colorectal, breast and prostate cancer made up half of all cancer diagnosis in 2019.<\/li>\n<li>The most common cancer diagnosis are breast cancer in women and prostate cancer in men.<\/li>\n<li>The leading cause of cancer death for both sexes is lung cancer.<\/li>\n<\/ul>\n<div class=\"page\" title=\"Page 114\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div>\n<h1>Steps to Reducing the Risk of Cancer<i><u><\/u><\/i><\/h1>\n<p>On average, 604 Canadians will be diagnosed with cancer every day. On average, 225 Canadians will die from cancer every day.<a class=\"footnote\" title=\"https:\/\/www.cancer.ca\/en\/cancer-information\/cancer-101\/cancer-statistics-at-a-glance\/?region=on\" id=\"return-footnote-772-4\" href=\"#footnote-772-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/p>\n<p>Although cancer is one of the leading causes of death worldwide, ongoing research and innovations in treatment have improved the outlook for cancer patients to the point where millions now survive or live with cancer, making it a chronic disease.<\/p>\n<p>The American Institute for Cancer Research (AICR)\u00a0and the Canadian Cancer Society (CCS)\u00a0have published <a href=\"https:\/\/www.cancer.ca\/en\/prevention-and-screening\/reduce-cancer-risk\/can-cancer-be-prevented\/?region=on.\">guidelines<\/a> for preventing cancer and staying healthy \u00a0They include several dietary and lifestyle choices, such as participating in physical activity and maintaining a healthy weight. In addition, <i>AICR<\/i>\u00a0and\u00a0CCS recommends consuming a plant-based diet.<a class=\"footnote\" title=\"Cancer Prevention and Early Detection Facts and Figures 2013. American Cancer Society. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-prevention-and-early-detection-facts-and-figures\/cancer-prevention-and-early-detection-facts-and-figures-2013.pdf. Published 2013. Accessed April 15, 2018.\" id=\"return-footnote-772-5\" href=\"#footnote-772-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><\/p>\n<p>Several epidemiological studies have found a link between eating plenty of fruits and vegetables and a low incidence of certain cancers. Fruits and vegetables containing a wide variety of nutrients and phytochemicals may either prevent or reduce the oxidative damage to cell structures. Cruciferous vegetables, such as cauliflower, broccoli, and brussels sprouts, may also reduce the risk of certain cancers, such as endometrial, esophageal, and others. Also, studies have shown that the more fiber you have in your diet, the lower your risk of colon cancer. <a class=\"footnote\" title=\"https:\/\/www.cancer.ca\/en\/prevention-and-screening\/reduce-cancer-risk\/make-healthy-choices\/eat-well\/antioxidants-and-phytochemicals\/?region=on\" id=\"return-footnote-772-6\" href=\"#footnote-772-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/p>\n<p>Supplementation may also be helpful to a limited degree. Vitamin D and antioxidants have been linked to lowering the risk of some cancers (however taking an iron supplement may promote others), but, <b>obtaining vital nutrients from food first is the best way to help prevent or manage cancer<\/b>. In addition, regular and vigorous exercise can lower the risk of breast and colon cancers, among others. Also, wear sunblock, stay in the shade, and avoid the midday sun to protect yourself from skin cancer, which is one of the most common kinds of cancer.<a class=\"footnote\" title=\"Cancer Prevention: 7 Steps to Reduce Your Risk. Mayo Clinic. http:\/\/www.mayoclinic.com\/health\/cancer -prevention\/CA00024. Updated November 29, 2017. Accessed April 15, 2018.\" id=\"return-footnote-772-7\" href=\"#footnote-772-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><\/p>\n<\/div>\n<div class=\"page\" title=\"Page 114\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 115\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 115\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 115\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 116\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 116\">\n<div class=\"layoutArea\">\n<div class=\"page\" title=\"Page 117\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 117\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 118\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 118\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 119\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 121\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 122\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 122\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-772-1\">Known and Probable Human Carcinogens. American Cancer Society.http:\/\/www.cancer.org\/Cancer\/CancerCauses\/OtherCarcinogens\/GeneralInformationaboutCarcinogens\/known-and-probable -human-carcinogens. Updated November 3, 2016. Accessed April 15, 2018. <a href=\"#return-footnote-772-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-772-2\">Israel B. How Many Cancers Are Caused by the Environment?. https:\/\/www.scientificamerican.com\/article\/how-many-cancers-are-caused-by-the-environment. Published May 10, 2010. Accessed April 15, 2018. <a href=\"#return-footnote-772-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-772-3\">Cancer. The Government of Canada. https:\/\/www.canada.ca\/en\/public-health\/services\/chronic-diseases\/cancer.html. Updated on February 10, 2019. Accessed on January 26, 2020 <a href=\"#return-footnote-772-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-772-4\">https:\/\/www.cancer.ca\/en\/cancer-information\/cancer-101\/cancer-statistics-at-a-glance\/?region=on <a href=\"#return-footnote-772-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-772-5\">Cancer Prevention and Early Detection Facts and Figures 2013. American Cancer Society. https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-prevention-and-early-detection-facts-and-figures\/cancer-prevention-and-early-detection-facts-and-figures-2013.pdf. Published 2013. Accessed April 15, 2018. <a href=\"#return-footnote-772-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-772-6\">https:\/\/www.cancer.ca\/en\/prevention-and-screening\/reduce-cancer-risk\/make-healthy-choices\/eat-well\/antioxidants-and-phytochemicals\/?region=on <a href=\"#return-footnote-772-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-772-7\">Cancer Prevention: 7 Steps to Reduce Your Risk. Mayo Clinic. http:\/\/www.mayoclinic.com\/health\/cancer -prevention\/CA00024. Updated November 29, 2017. Accessed April 15, 2018. <a href=\"#return-footnote-772-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><\/ol><\/div><div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_772_487\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_772_487\"><div tabindex=\"-1\"><p>Cancerous tumors that can spread into or invade nearby tissues.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_772_488\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_772_488\"><div tabindex=\"-1\"><p>Tumors that do not invade nearby tissues.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":9,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-772","chapter","type-chapter","status-publish","hentry"],"part":486,"_links":{"self":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapters\/772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/wp\/v2\/users\/9"}],"version-history":[{"count":11,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapters\/772\/revisions"}],"predecessor-version":[{"id":1963,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapters\/772\/revisions\/1963"}],"part":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/parts\/486"}],"metadata":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapters\/772\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/wp\/v2\/media?parent=772"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/pressbooks\/v2\/chapter-type?post=772"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/wp\/v2\/contributor?post=772"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/fundamentalsofhealthandphysicalactivity\/wp-json\/wp\/v2\/license?post=772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}