If you want to have the best chance of detecting and treating deadly colorectal cancer, you might want to start getting regular screenings as soon as age 45.
Last year, the American College of Physicians recommended that average risk adults start colorectal cancer screenings at age 50.
Back then, we said, earlier is better. But it turns out that even earlier is even better.
A new study in the journal JAMA Network Open bolsters that recommendation.
In it, researchers reported a 46 percent increase in colorectal cancer rates between ages 49 and age 50.
This doesnt mean that between ages 49 and 50 theres a magical increase in colorectal cancer rates. Instead, it reflects the likelihood that the onset of colorectal cancer is happening in the years prior to the standard age 50 screening.
Generally, owing to a lack of screening, the incidence of colorectal cancer (CRC) among patients 49 years or younger reflects mainly diagnostically detected CRCs (owing to symptoms) or higher-risk screened groups (owing to family histories of cancer), in contrast to those 50 years or older, in whom CRCs are detected owing to both diagnostic testing and average-risk screening, the study authors wrote. Steeper [increases] from 49 to 50 years compared with earlier age transitions would support an excess of screening-related cases.
There are disagreements between various health organizations about when colorectal cancer screenings should begin.
The American College of Physicians recommends regular screenings at age 50 as does the U.S. Preventive Services Task Force.
However, the American Cancer Society has recommended screenings start at age 45 since 2018.
This [recommendation] was based on a complex model created by the Stanford School of Medicine that estimated that changing to screening at age 45 would save two lives in 1,000, Dr. Timothy Cannon, clinical director and moderator of the weekly molecular tumor board at the Inova Schar Cancer Institute, told Healthline. Though the incidence of colorectal cancer is fairly steady overall, it is occurring more frequently in younger people and I think screening earlier than age 50 is prudent.
But to get to earlier screenings, doctors and patient groups may have to convince the U.S. health insurance system first.
The reality of screenings between ages 45 and 50 is theyre dependent on what insurance companies agree to pay for, Dr. Glenn H. Englander, a gastroenterologist in Palm Beach, Florida, told Healthline. The incidence of colon cancer above age 50 has dropped because of colonoscopy screening. But to screen people under 45 would take a lot of resources with relatively little bang for the shrinking buck.
But that bang for the buck may be increasing, with a trend of increasing early colorectal cancer cases up five-fold in people younger than age 50, according to Dr. Anton Bilchik, surgical oncologist, professor of surgery, chief of gastrointestinal research, and chief of medicine at John Wayne Cancer Institute at Providence Saint Johns Health Center in California.
Bilchik points to Americans increased obesity rate as a potential culprit.
Obesity is one of the leading risk factors for colon cancer, he told Healthline. It starts with childhood obesity so there should be greater attention to diet and exercise at an early age.
But the reasons for this uptick in cancer risk might be muddier than that, according to Cannon.
Obesity and sedentary lifestyles are the most common reasons cited, but this doesnt seem consistent with my observations, he said. In fact, I have seen two ultramarathoners under 40 with colon cancer in my practice. There are a host of possible environmental causes and I suspect that some of this may be related to a changing microbiome as well.
But regardless of the reasons why, experts say the evidence seems to support increased screening for colorectal cancer at a younger age.
It is essential for the public to know that the increase in young people being diagnosed with colorectal cancer is way higher than any other cancer, Bilchik said. Since most colorectal cancer is preventable with early screening it is imperative that this is widely publicized.
Getting public buy-in will likely include a multi-pronged effort on behalf of doctors and others as well as having multiple ways to conduct screenings, Dr. Maen Abdelrahim, a colorectal oncologist with Houston Methodist in Texas, told Healthline.
Even though there is clear evidence showing the effectiveness of screening and the availability of a variety of test options (both visual examinations, performed at a healthcare facility, and stool-based tests, performed at home), screening utilization for CRC remains low, he said. Screening-related challenges include financial resources, no usual source of care, inadequate insurance coverage, lack of provider recommendation, logistical factors (e.g., transportation, scheduling, and language), fear, and lack of knowledge.
To combat this, Abdelrahim says we need to educate adults about the preventable nature of this disease and the importance of early screening within it.
Educate adult individuals that the slow course of growth from precancerous polyp to invasive cancer provides a crucial opportunity for the prevention and early detection, he said. Screening should be advertised as a procedure that can prevent cancer through the detection and removal of precancerous polyps/lesions and can detect cancer at an early stage when treatment is usually curative and successful.
- Detox Products Market Obesity and Alcohol Addiction to Drive Growth in the Market - TMR Research Blog - March 27th, 2020
- Leptin Levels are Associated with Subclinical Cardiac Dysfunction in O | DMSO - Dove Medical Press - March 27th, 2020
- Wisconsin organization seeks to combat increasing obesity rate - The Badger Herald - March 27th, 2020
- Obesity and stigma: A woman's journey to a healthy lifestyle - The New Times - March 26th, 2020
- COVID-19 Warning: Being Overweight Or Obese Ups Your Risk Of Dying From Coronavirus - International Business Times - March 26th, 2020
- Kallyope Gains $112M to Move Gut-Brain Axis Programs to the Clinic - Xconomy - March 26th, 2020
- America's Obesity Problem, By the Numbers - Oddee - March 26th, 2020
- OBESITY MANAGEMENT MARKET TRENDS, STRONG APPLICATION SCOPE, KEY PLAYERS, GROWTH OVERVIEW AND FORECAST BY 2027 - Packaging News 24 - March 26th, 2020
- Coronavirus and obesity: industry urged to act post-crisis - FoodNavigator.com - March 25th, 2020
- Microbial signatures identified in the liver, adipose tissue and blood of people with obesity and diabetes - Gut Microbiota for Health - March 25th, 2020
- Obesity Rates Increasing in India - Star of Mysore - March 25th, 2020
- Understanding and Solving the Problem of Childhood Obesity - Chiang Rai Times - March 25th, 2020
- Science Proved Drinking Coffee Helps Improve Brain Functioning and Slow Aging. Now Research Shows Coffee Can Also Help You Lose Weight and Body Fat -... - March 25th, 2020
- Disease Connection Answers May Exist within this Arizona Tribe - Michigan Medicine - March 25th, 2020
- Letter: Lets use this as an opportunity to fight obesity - Deseret News - March 25th, 2020
- Higher daily step count linked with lower all-cause mortality - National Institutes of Health - March 25th, 2020
- Your letters to the editor: Treat golf fairly like other activities - Madison.com - March 25th, 2020
- Neuropeptide Y knockdown in the dorsomedial hypothalamus improved basal and obesity-induced decrease in bone mass density. - Physician's Weekly - March 25th, 2020
- Excess Sugar Intake Increases Risk Of Death Irrespective Of Your Weight: Study - NDTV Food - March 25th, 2020
- Dr. HE Obesity Clinic: Weight loss clinic in Turkey - Treatment Abroad - March 25th, 2020
- Overcoming the influences of childhood obesity | Agriculture - Victoria Advocate - March 22nd, 2020
- Walking more linked with lower blood pressure - Medical News Today - March 22nd, 2020
- Heres Why You Should Be Drinking Plenty Of Water During The Coronavirus Lockdown - Forbes - March 22nd, 2020
- Obese Kids More Exposed to Anxiety And Depression - Read The Report - India.com - March 22nd, 2020
- Overweight and obesity among the boys of primary public schools of Baish City in Jazan Province, Saudi Arabia: A cross-sectional study. - Physician's... - March 21st, 2020
- New research links obesity in childhood to a higher risk of anxiety, depression, and early death - msnNOW - March 21st, 2020
- Technology Is Making Our Youth Stressed, Lonely, Narcissistic And Digitally Obese - Forbes - March 21st, 2020
- Excess sugar may kill you early whether you're obese or not - India New England - March 21st, 2020
- Spine Implant Industry Assessment 2020-2024 - Spike in Obese Population, Growing Number of Spinal Cord Injuries - Yahoo Finance - March 21st, 2020
- HTN-Related Mortality Particularly Dire in the Rural South - MedPage Today - March 21st, 2020
- Indian Food And Beverage Companies Showing Nutrition Commitment - Outlook India - March 21st, 2020
- Consumption of added sugar may lead to early death, but not because it causes obesity - Study - Times Now - March 21st, 2020
- With Dog Obesity Becoming More Prevalent Is A Whole Food Diet The Answer? - Forbes - March 19th, 2020
- Theres Still Only One Effective Treatment For Obesity, And Its Life-Saving - Forbes - March 19th, 2020
- What is the mechanism behind high blood pressure in obesity? - Medical News Today - March 19th, 2020
- Plans to open takeaway pizza shop in Whiston rejected over childhood obesity concerns - St Helens Reporter - March 19th, 2020
- Solving obesity: Could manipulating microbes offer an alternative to weight loss surgery? - ASU Now - March 19th, 2020
- New in bariatric surgery: Saint Anne's Hospital offers region's first robotic-assisted surgery option - Fall River Herald News - March 19th, 2020
- 16.03.2020 Exposure to ozone increases risk of obesity and diabetes - AirQualityNews - March 19th, 2020
- Coronavirus: Severely obese warned they are among people most 'at-risk' from infection - Mirror Online - March 19th, 2020
- TikTok reportedly buried posts from 'ugly, poor, obese and disabled users' - New York Post - March 19th, 2020
- From Starvation to Obesity: Charting the History of Nutrition in America - The Great Courses Daily News - March 19th, 2020
- The takeaway that wants to be healthy by stealth - The Guardian - March 19th, 2020
- The Exercise Training Modulatory Effects on the Obesity-Induced Immuno | DMSO - Dove Medical Press - March 19th, 2020
- Teen health is focus of new weight loss center at Tower Health - Reading Eagle - March 19th, 2020
- Discovered: Why obesity causes high blood pressure -- and potential ways to fix it - Newswise - March 12th, 2020
- Jeremy Clarkson Called Out For His Controversial Comments On Obesity In Column - Grand Tour Nation - March 12th, 2020
- Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey. -... - March 12th, 2020
- Researchers call for food education curriculum to combat childhood obesity - EducationHQ - March 12th, 2020
- Wonder Women: Rise of the Obesity Warriors - ETHealthworld.com - March 12th, 2020
- What Will Be the Most Costly Medical Conditions In 10 Years? - Managed Healthcare Executive - March 12th, 2020
- This Dietitian Wants to Burn Diet Culture to the Ground - Outside - March 12th, 2020
- Obesity: Reverse This Complex Disease By Having 2 Glasses Orange Juice Everyday - International Business Times - March 12th, 2020
- New app created to tackle child obesity - Derry Now - March 12th, 2020
- Pounds gained in mid-life could later weigh heavily on lungs - Reuters - March 12th, 2020
- Breathing dirty air could boost the risk of obesity, study - Tech Explorist - March 12th, 2020
- Can-Fite Says Preclinical Study Shows That Small Amounts Of CBD Can Help With Obesity - Benzinga - March 12th, 2020
- Loni Love Speaks Out After Backlash Over Comments On Black Womens Eating Habits - News One - March 12th, 2020
- Obesity rates on the rise in Eau Claire, statewide - WQOW TV News 18 - March 11th, 2020
- UVA Discovers Why Obesity Causes High Blood Pressure and Potential Ways to Stop It - University of Virginia - March 11th, 2020
- Free school dinners led to fall in childhood obesity rates - The Guardian - March 11th, 2020
- Miriams Big Fat Adventure review Margolyes chews the fat on obesity - The Guardian - March 11th, 2020
- Starting early is the key to easing the trajectory of childhood obesity, new study finds - The Sector - March 11th, 2020
- 10 Shameful Myths About Fat Women & Obesity You've Probably Always Believed Were True - YourTango - March 11th, 2020
- ANOTHER OPINION: Obesity rate remains long-term health concern - Goshen News - March 11th, 2020
- 'Helping no one': The role we all play in the obesity epidemic - Sydney Morning Herald - March 11th, 2020
- The Unequal Effect of Income on Risk of Overweight/Obesity of Whites and Blacks with Knee Osteoarthritis: the Osteoarthritis Initiative - DocWire News - March 11th, 2020
- Effects Of Obesity Mirrors That Of Aging - Anti Aging News - March 11th, 2020
- Donald Trump Shockingly At Risk For Coronavirus, Called Morbidly Obese Amid Health Fears - International Business Times - March 11th, 2020
- How Mason Jones Overcame Obesity To Nab SEC Co-Player of the Year Honors - Best of Arkansas Sports - March 11th, 2020
- How behavioral health is linked to obesity - WQOW TV News 18 - March 6th, 2020
- World Obesity Day - World Health Organization - March 6th, 2020
- Denver Among U.S. Cities With Lowest Obesity Rates, Study Finds - CBS Denver - March 6th, 2020
- Ending the obesity shame game - American Medical Association - March 6th, 2020
- CrossFit in China? Documentary explores growing trend all over Asia - South China Morning Post - March 6th, 2020
- article image Most overweight and obese cities in the US unveiled - Digital Journal - March 6th, 2020
- CDC: With Obesity Rising, Nearly Half of US Adults Now Obese - EthicsDaily.com - March 6th, 2020
- Opinion: Obesity should be viewed as a disease - Canada.com - March 6th, 2020
- LGBTQ Obesity: We Eat, Therefore We Die - Shepherd Express - March 6th, 2020
- Obesity rates to be tackled by council - Kent Online - March 6th, 2020