Mediterranean diet and colorectal cancer: A systematic review

Nutrition. 2017 Nov-Dec:43-44:83-88. doi: 10.1016/j.nut.2017.06.008. Epub 2017 Jul 8.

Abstract

Colorectal cancer is the third most common cancer worldwide, especially in developed countries where an estimated 60% of all cases occur. There is evidence of a higher risk for CRC in Western society, where people tend to eat more red and processed meat than those living along the Mediterranean coast, who have a decreased overall cancer mortality, which is correlated to their eating habits, such as Mediterranean diet. The aim of this review was to evaluate the correlation between three components of the Mediterranean diet (olive oil, red wine, and tomatoes) and incidence and progression of colorectal cancer. As such, we conducted a literature search using keywords "colorectal cancer," "dietary pattern," "Mediterranean diet," "olive oil," "protective effects," "resveratrol," and "lycopene." Olive oil polyphenols, red wine resveratrol, and tomato lycopene showed several characteristics in vitro that interfere with molecular cancer pathways. At the same time, many clinical studies have reported an association of these components with a reduction in cancer initiation and progression. More clinical studies are needed to identify the precise dose and administration of single agents or their combination to produce a coadjutant treatment to those already applied in chemoprevention and oncologic treatment.

Keywords: Colorectal cancer; Lycopene; Mediterranean diet; Polyphenols; Resveratrol.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Carotenoids / administration & dosage
  • Colorectal Neoplasms / epidemiology*
  • Colorectal Neoplasms / prevention & control*
  • Diet, Mediterranean*
  • Diet, Western
  • Fruit / chemistry
  • Humans
  • Lycopene
  • Olive Oil / chemistry
  • Red Meat
  • Resveratrol
  • Solanum lycopersicum / chemistry
  • Stilbenes / administration & dosage
  • Vitis / chemistry
  • Wine / analysis

Substances

  • Olive Oil
  • Stilbenes
  • Carotenoids
  • Resveratrol
  • Lycopene