A review of lifestyle and environment risk factors for pancreatic cancer

Eur J Cancer. 2021 Mar:145:53-70. doi: 10.1016/j.ejca.2020.11.040. Epub 2021 Jan 7.

Abstract

Pancreatic cancer (PaCa) is one of the deadliest cancers known and its incidence is increasing in the developed countries. Because of the lack of biomarkers that allow early detection and the tendency of the disease to be asymptomatic, the diagnosis comes often too late for effective surgical or chemotherapy intervention. Lifestyle factors, that may cause common genetic modifications occurring in the disease, interfere with pancreatic physiology or function, and play a role in PaCa development, have been of concern recently, since a strategy to prevent this severe cancer is needed. This review identifies the latest evidences related to increased risk of developing PaCa due to dietary habits such as high alcohol, fructose and red or processed meat intake, and pathological conditions such as diabetes, obesity and infections in addition to stress and smoking behaviour. It aims to highlight the importance of intervening on modifiable risk factors: the action on these factors could prevent a considerable number of new cases of PaCa.

Keywords: Alcohol intake; Environmental and synthetic toxins; Infectious diseases; Life style factors; Metabolic syndrome; Obesity; Pancreatic cancer; Red and processed meat; Tobacco smoking; Type 2 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology
  • Comorbidity
  • Diabetes Mellitus / epidemiology
  • Environmental Exposure / adverse effects*
  • Gene-Environment Interaction
  • Humans
  • Inflammation / epidemiology
  • Life Style*
  • Obesity / epidemiology
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / epidemiology*
  • Pancreatic Neoplasms / genetics
  • Red Meat / adverse effects
  • Risk Assessment
  • Risk Factors
  • Smoking / adverse effects
  • Smoking / epidemiology
  • Stress, Psychological / epidemiology