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19 October 2004

FINLAND: VITAMIN C MAY PROTECT AGAINST STOMACH CANCER

Further evidence shows that vitamin C intake and fruit

consumption may be linked to reduced risk of stomach cancer.

The study also shows that lycopene, an antioxidant found in

tomatoes, could have a protective effect against the cancer although the

researchers caution that this needs further research.

The team from the US National Cancer Institute and National Public

Health Institute of Finland assessed the association between fruit and

vegetable consumption and the risk of stomach cancer in approximately

29,000 male smoker participants aged 50 to 69, of the Alpha-Tocopherol,

Beta Carotene (ATBC) cancer prevention study in Finland.

This trial, initiated to test the effect of vitamin supplementation

on the prevention of lung and other cancers, ended in 1993 but ongoing

follow-up of the participants continues, offering new insights into the

causes and prevention of multiple diseases.

Speaking yesterday at this year's Frontiers in Cancer Prevention

Research conference (abstract 173), the US and Finnish scientists said they

had found fruit and vitamin C intake, but not vegetable consumption,

reduced risk of non-cardia cancer approximately 45 per cent.

Non-cardia cancer is the major form of stomach cancer in most parts

of the world. Stomach cancer is the second most frequent cause of cancer

deaths worldwide, with an estimated 776,000 deaths in 1996, and the fourth

most common cancer. In the UK stomach cancer is the sixth most common

cancer with 10,000 new cases each year.

"Since our findings are similar to the results found in several other

studies, fruit and vitamin C intake are likely to be useful for the

prevention of stomach cancer," said Farin Kamangar of the Cancer Prevention

Studies Branch at the National Cancer Institute, and one of the lead

investigators of the study.

Last year researchers at the San Francisco VA Medical Center found

that the lower the level of vitamin C in the blood the more likely a person

will become infected by Helicobacter pylori, the bacteria that can cause

peptic ulcers and stomach cancer. Although it was not clear whether the

presence of the bacteria lowered blood levels of the vitamin, or whether

vitamin C levels could protect against it, other studies have also seen low

blood levels of vitamin C in people with the cancer.

In Japan, where rates of the cancer are much higher than in the west,

researchers have linked a diet of highly salted food containing little

vitamin C, with a twofold risk of the cancer.

Another component of fruit, lycopene, which is already associated

with reduction of breast and prostate cancer risk, also appeared to lower

chances of stomach cancer by 34 per cent.

But the effect of lycopene on gastric cancer "needs further studies",

warned Dr Kamangar.

Recent research suggests that lycopene may reduce risk of cancer by

activating special cancer preventive enzymes, rather than through its

antioxidant effect.

When looking at cardia cancer (another part of the stomach),

consumption of retinol, a form of vitamin A, was associated with a reduced

risk, but the vitamin E forms alpha-tocopherol and gamma- tocopherol seemed

to be associated with an increased risk, reported the researchers.

 

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