Evidence for the anti-cancer
effects of cereal foods has been reviewed by Dr Graeme McIntosh of the
CSIRO. He observes that reduction of colorectal cancer in the order of
30% to 40% has been found for people eating wholegrain or wholemeal
cereal foods as part of their regular diet (McIntosh, 2001). The
combined effects of fibre, phytate, beta-glucan, folate, vitamin E,
various phytosterols and other phytochemicals, along with Se and zinc
are likely to be responsible. Wheat is probably the most important
dietary source of Se for the Australian population (Lyons et al, 2003). A US study using rat models
of colon carcinogenesis found that high-Se wheat was more effective than
high-Se broccoli, selenite or selenomethionine at inhibiting colon
cancer precursors (Finley & Davis, 2001). [Tell me more about biofortification of cereals with Selenium]
Most cohort studies have found
an association between low Se status and increased risk of colorectal
cancer (Waters et al, 2004). Furthermore, as is the case for most
cancers, most published case-control studies have found cases to have
lower Se status than controls. Typical is the Carolina, USA study of
Russo et al (1997), who found mean plasma Se of 107
µg/l
for cases and 120 µg/l
for control. Individuals with plasma Se in the lowest 25% had four
times the risk of bowel cancer of those in the top 25% of plasma Se. A
similar finding came from a cross-sectional study of 101 individuals
undergoing sequential colonoscopies in Arizona (Clark et al, 1993).
References
Clark LC, Hixson LJ, Combs GF, Reid ME, Turnbull BW,
Sampliner RE 1993. Plasma selenium concentration predicts the prevalence
of colorectal adenomatous polyps. Cancer Epidemiol Biomarkers Prev
2: 41-46.
Finley JW, Davis CD 2001. Selenium (Se) from
high-selenium broccoli is utilized differently than selenite, selenate
and selenomethionine, but is more effective in inhibiting colon
carcinogenesis. Biofactors 14: 191-196.
Lyons G, Stangoulis J, Graham R 2003. High-selenium
wheat: biofortification for better health. Nutr Res Rev 16:
45-60.
McIntosh GH 2001. Cereal foods, fibres and the
prevention of cancers. Aust J Nutr Diet 58(Suppl 2):
S35-S48.
Russo MW, Murray SC, Wurzelmann JI, Woosley JT,
Sandler RS 1997. Plasma selenium levels and the risk of colorectal
adenomas. Nutr Cancer 28(2): 125-129.
Waters DJ, Chiang, Cooley DM, Morris JS 2004. Making
sense of sex and supplements: differences in the anticarcinogenic
effects of selenium in men and women. Mut Res 551(1-2):
91-107.
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