SUO 2018: Influence of Food Intake on Metabolic Health and Cancer Risk in Humans - UroToday

Phoenix, Arizona (UroToday.com) At the meeting titled "The Interval of Fasting, Metabolism, and Cancer Risk," Dr. Marinac on the...

Phoenix, Arizona (UroToday.com) At the meeting titled "The Interval of Fasting, Metabolism, and Cancer Risk," Dr. Marinac on the clinical effects of food intake on metabolic health and the risk of cancer in humans. , The premise is that nocturnal fasting (FFT), which they call nocturnal fasting, may be associated with and relevant to several obesity-related cancers (see below), while it is poorly associated with others. like prostate cancer.


Can meals influence metabolic and cancer-related parameters in humans? The distribution of nocturnal fasting (in hours) of women in the NHANES study is listed below:
As a result, some patients are already fasting every night. A longer nocturnal fast is associated with better glycemic control and lower CRP levels.

He went on to talk about the women's nutrition and healthy living study, which was a randomized controlled intervention trial involving 3,088 breast cancer survivors. Patients were followed longitudinally and the measurements repeated at the beginning of the study, 1 and 4 years. The clinical outcomes were breast cancer (7.3 years follow-up) and mortality (cancer-specific and general).

  • The duration of the night fasting was estimated from food withdrawals with a timestamp.
  • The recurrence of breast cancer was significantly lower in patients with nocturnal fasting of> = 13 hours than in <13 hours.
  • HR for breast cancer-specific survival (fasting all night> = 13 hours versus <13 hours): HR 1.21, p = 0.19
  • There was also no difference in overall mortality
Most recently, they completed a study analyzing the viability of 12-hour night fattening. They prospectively evaluated 20 overweight postmenopausal women (50% Latina). Then they finished the following procedure:

After 1 month, they found the following results:

Although this was not planned (and the patients were not listed as potential benefit), they found a weight loss of 1 kg in one month regardless of the breed. The average nocturnal fast was 13-13.2 hours, based on 10.6-10.8 hours. There was no difference depending on the race.

More important:

  • 90% said fasting was easy
  • 90% said they could fast for more than 12 hours
  • 70% said they preferred SMS over the phone.
  • 90% found the fast something pleasant
Based on these studies, he concludes that prolonged nocturnal fasting is possible without any signs of harm to the patient. It can also improve the prognosis of cancer.

Takeaway statement: Prolonged nocturnal fasting may be a strategy to reduce cancer risk, as well as excessive morbidity and mortality in cancer survivors.

Submitted by: Catherine Marinac, PhD, Dana-Farber Cancer Institute, Boston

Written by: Dr. med. Thenappan Chandrasekar, clinical instructor, Thomas Jefferson University, Twitter: @tchandra_uromd at the Nineteenth Annual Meeting of the Urological Oncology Society (OUA), 28-30. November 2018, Phoenix, Arizona

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