Vegetables, fruit, and cancer. I. Epidemiology
Abstract
The epidemiologic literature on the relationship between vegetable and fruit consumption and human cancer at a variety of sites is reviewed systematically. A total of 13 ecologic studies, nine cohort studies, and 115 case-control studies are included. Cancer of all sites, cancers of lung, breast, colon, rectum, esophagus, larynx, oral cavity and pharynx, stomach, pancreas, prostate, bladder, ovary, endometrium, cervix, and thyroid, as well as mesothelioma and gestational trophoblastic disease, are considered. Relevant data from clinical trials, animal, and in vitro studies are included. It is concluded that consumption of higher levels of vegetables and fruit is associated consistently, although not universally, with a reduced risk of cancer at most sites. The association is most marked for epithelial cancers--particularly those of the alimentary and respiratory tracts--and, currently, is weak to nonexistent for hormone-related cancers. The association exists for a wide variety of vegetables and fruit with some suggestion that raw forms are associated most consistently with lower risk. Possible mechanisms by which vegetable and fruit intake might alter risk of cancer and possible adverse effects of vegetable and fruit consumption will be considered in Part II of this review.
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Populations with diets high in vegetables and fruits and low in animal fat, meat, and/or calories have a reduced risk of some of the most common types of cancer.
“epidemiological studies also have shown that populations with diets high in vegetables and fruits and low in animal fat, meat, and/or calories have a reduced risk of some of the most common types of cancer.[97][98][99][100]”
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- Authors
- Steinmetz, K. A., & Potter, J. D.
- Affiliations
- University of Minnesota (US)
- ORCID
- Potter, John D.
- Venue
- Cancer Causes and Control
- Published
- 1991-09
- Volume
- 2
- Issue
- 5
- Pages
- 325-357
- ISSN
- 0957-5243 (ISSN-L)
- 1573-7225
- OpenAlex
- W2052420233
- Cited by
- 1,118
- References
- 152
- Citations by year
- 2025: 2 · 2024: 8 · 2023: 7 · 2022: 12 · 2021: 13 · 2020: 11 · 2019: 7 · 2018: 8 · 2017: 18 · 2016: 15 · 2015: 12 · 2014: 17 · 2013: 18 · 2012: 27
- FWCI
- 9.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cancer Causes & Control (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5u01ca046618-03)
- National Cancer Institute (T32CA009607, P01CA050305, CA 46618, CA09607, CA50305)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
- Keywords
- vegetable consumption, fruit consumption, cancer risk, dietary cancer prevention, lung cancer, breast cancer, colon cancer, esophageal cancer, laryngeal cancer, oral cancer, gastric cancer, pancreatic cancer, prostate cancer, bladder cancer, ovarian cancer, endometrial cancer, cervical cancer, thyroid cancer, mesothelioma, gestational trophoblastic disease, epithelial cancers, hormone-dependent tumors, raw vegetables
- MeSH terms
- Animals, Clinical Trials as Topic, Diet Surveys, Fruit, Humans, Neoplasms, Risk Factors, Vegetables, Meta-Analysis as Topic, Cohort Studies, Incidence, Case-Control Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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