Calcium
Supplements Protect Against Colorectal Cancer Calcium
supplements moderately reduce the risk of recurring polyp growth in the colon
and appear to reduce the risk of colon cancer, according to a new national study.
Most physicians already believe calcium supplements delay the age-related, bone-thinning
condition known as osteoporosis.
The
study involved a four-year follow-up of 832 patients who had polyps removed. Doctors
consider polyps in the colon, also called colorectal adenomas, a strong precursor
to cancer.
Researchers
found 31 percent of 409 patients randomly selected to receive 1200 milligrams
of calcium carbonate daily developed one or more polyps during the study. Thirty-eight
percent of 423 volunteers who received an inactive compound, or placebo, showed
new polyp growth.
"In
the treatment group, we found overall a 24 percent decrease in the number of polyps
and a 19 percent decrease in the risk of recurrence," said Dr. Robert Sandler,
professor of medicine at the University of North Carolina at Chapel Hill School
of Medicine. "This represents a significant, although moderate, reduction in the
risk of recurrent colon adenomas."
A
chief researcher in the study and co-director of UNC-CH’s Center for Gastrointestinal
Biology and Disease, Sandler praised calcium supplements as safe and probably
effective in preventing colon cancer and slowing osteoporosis.
"People
who have had adenomas in the past still need to have regular colon examinations
by their physicians," he said. "We need more research on preventing colon cancer
because this work is not the final answer."
Patients
were treated at six clinical centers at the Cleveland Clinic Foundation, the Dartmouth-Hitchcock
Medical Center, and the universities of Iowa, Southern California, Minnesota and
North Carolina. Dr. John Baron of Dartmouth-Hitchcock was overall study director.
"Colon cancer is a big
problem in the United States," Sandler said. "It is the second leading cause of
cancer deaths. This year we expect 67,000 new cases in women and 65,000 new cases
in men."
Physicians
believe 90 percent or more of colon cancers evolve from polyps, he said. Earlier
animal research and observational studies in humans suggested that calcium might
lower the risk of colon polyps and cancer. The new study did not directly address
the questions of whether calcium supplements affect polyps changing to invasive
cancer but is still good news.
Diets
rich in vegetables and fruits also have been associated with lower risks, while
diets high in animal fat and red meat seem to boost the chance of cancer.
Patients,
three-quarter of whom were men, averaged just over age 60. The National Institutes
of Health supported the new study.