Study finds coffee may help battle colon
cancer
By Michael Lasalandra
Copyright 1999 Boston Herald
January 22, 1999
Maybe you should skip the bran muffin and have an extra cup of
coffee instead.
Now that it has been shown that eating a high-fiber diet
does not protect 
against colon 
cancer, some are looking to java as a way to prevent the deadly
disease.
Dr. Edward Giovannucci of the Harvard School of 
Public Health published a study last year suggesting that the 
risk of colorectal 
cancer drops 24 percent among those who drink four or more cups of
coffee a day.  
But before you go out and invest in a Starbucks franchise,
take note. 
Giovannucci says the study is far from conclusive.
"I wouldn't tell people to go out and start drinking
coffee, although there 
isn't much harm in it," he said.
Experts say the best 
ways to prevent colorectal 
cancer are still taking vitamins, staying in shape, taking an
aspirin a day, avoiding 
red meat and getting regular screenings after age 50.
Giovannucci's paper, which reviewed all the literature on
the subject of coffee 
and colorectal 
cancer, appeared 
in the American Journal of Epidemiology. But he downplayed its
importance.
"I'm not sure the 24 percent reduction in 
risk is a 
cause and effect association," he said. 
"It would be important if it is real, but it is hard
to say in an 
epidemiological study that there isn't a bias or 
other factor that is accounting for this."
Giovannucci said the results were interesting enough to
warrant further study, 
which is what Vanderbilt University in Nashville is planning to do.
Vanderbilt 
is scheduled to open its Institute for Coffee Studies within the
next six 
months, thanks to $6 million in funding from trade groups 
in leading coffee-producing nations.
"We're going to help people get over the idea that
coffee is caffeine," said Vanderbilt's Peter Martin. 
"Caffeine actually is a very small component of coffee. There
are many other 
components that aren't well understood."
Some studies have suggested coffee can 
help relieve depression, treat alcoholism and prevent colorectal 
cancer. The institute's mission is to understand why.
Although it may not reduce the 
risk of colon 
cancer, eating lots of fruits, vegetables and cereals has been
shown to help prevent 
diverticulitis, high blood pressure and heart disease. But
preventing 
colorectal 
cancer may require more technology-oriented strategies.
Dr. Francis Farraye, a gastroenterologist at Harvard
Vanguard Medical 
Associates, says those over 50 should discuss colorectal screening
with their 
doctors.
There are several methods, including an annual stool test;
a test in which 
a scope is inserted into the lower third of the colon, once every
five years; a 
barium enema, done every five to 10 years; or a more invasive test
in which a 
scope is inserted into the entire colon, usually once every decade.
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