Here’s a piece of news about cancer and eating fruits and vegetables. The hype in the many MSM articles that covered this research story was the same: eating a goodly number of fruits and vegetables won’t prevent cancer. Stop the presses!
Well, who ever thought it would? I was only under the impression it might slightly reduce the chance of developing cancer, which has complex and poorly-understood causes. And it turns out that’s exactly what the study said:
…[E]ven large consumptions of fruit and veg will only reduce the risk by a maximum of 10 per cent.
It’s not great, granted. But ten percent is still ten percent.
The article goes on to say that obesity and drinking represent far greater cancer risks. Obesity is the favorite whipping boy of the health industry, so this should come as no surprise. But I was curious to find out what percent of cancer cases have been found to be due to obesity.
Trouble is, none of the MSM articles on the research offered that particular statistic. And when I went to check out the original article, it turns out it would cost me $32 to read it (thanks but no thanks).
So I went on a Google search for the answer, or at least an answer. I found this:
In 2002, about 41,000 new cases of cancer in the United States were estimated to be due to obesity. This means that about 3.2 percent of all new cancers are linked to obesity.
It doesn’t sound as though such a huge percentage of new cancers is attributable to obesity after all. If you go through the article, it attempts to discuss for what specific types of cancer, and under what conditions, obesity affects cancer rates. Read it and you’ll see that the situation is astoundingly complex: different for men and women, different for type of cancer involved, different depending on estrogen status (pre- or post-menopausal, and whether replacement hormone therapy has been instituted), different for races and ages.
What’s more, the assumption that the act of losing weight (if people were able to do so; it’s notoriously difficult for the obese) would change things for the better is untested:
The most conclusive way to test if avoiding weight gain will decrease the risk of cancer is through a controlled clinical trial. At present, there have been no controlled clinical trials on the effect on cancer related to avoiding weight gain…
There is insufficient evidence that intentional weight loss will affect cancer risk for any cancer. A very limited number of observational studies have examined the effect of weight loss, and a few found some decreased risk for breast cancer among women who have lost weight. However, most of these studies have not been able to evaluate whether the weight loss was intentional or related to other health problems…
And then there are studies such as this, which focuses on overall mortality rather than specifically on cancer. It found that somewhat overweight people may have a lower death rate than normal weight people, underweight people a higher death rate, and the highest of all was in the extremely obese (over 35 BMI; to give you a rough idea what that means, a person of my height, 5’4″, would have to weigh in at over 205 pounds to have a BMI that high):
In our analysis, we did not find overweight (BMI 25 to 30) to be associated with increased mortality in any of the 3 surveys. Our results are similar to those of a previous analysis of NHANES I and II data that found little effect of overweight on life expectancy. Our finding is consistent with other results reported in the literature, although methodologic differences often preclude exact comparisons. In many studies, a plot of the relative risk of mortality against BMI follows a U-shaped curve, with the minimum mortality close to a BMI of 25; mortality increases both as BMI increases above 25 and as BMI decreases below 25, which may explain why risks in the overweight category are not much different from those in the normal weight category. Some studies have found that overweight was associated with a slightly increased risk of total mortality compared with the normal weight category. Other studies have suggested that overweight (BMI 25 to 30) is associated with no excess mortality, particularly in older age groups. Further investigation of the effects of overweight on mortality, particularly in the elderly, and of the possible role of confounding would be of interest.
Of interest, indeed.
And it would be particularly fascinating to know whether losing weight and keeping it off has any positive effect at all, other than looking better and feeling better. For example, I look and feel better when I’m less weighty, and when I eat fewer sweets. If that’s the way it is for you, it makes sense to try to keep your weight down. But this demonizing of the overweight is both tiresome and non-scientific.