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Reduce Your Risk of Colorectal Cancer

February 13th, 2025 | 3 min. read

By Marathon Health

A patient and medical provider in conversation

Colorectal cancer is the second leading cause of cancer-related deaths in the U.S. The good news: 90% of colorectal cancer cases are curable when detected early.1

Understanding colorectal cancer

What is it?

Colorectal cancer is a disease that starts in the colon or the rectum. The rectum is the passageway that connects the colon to the anus. These cancers can also be called colon cancer or rectal cancer, depending on where they start.

How does colorectal cancer start?

Most colorectal cancer starts as a growth on the inner lining of the colon or rectum. These growths are called polyps. There are different types of polyps. Some types of polyps can change into cancer, but not all polyps become cancer. The chance of a polyp turning into
cancer depends on the type of polyp it is.

Factors that can make a polyp more likely to contain cancer or increase someone's risk of
developing colorectal cancer include:

  • If a polyp larger than 1cm is found
  • If more than 3 polyps are found
  • If the polyp looks abnormal under a microscope when analyzed by the pathologist
Risks factors of colorectal cancer
  • Increases with age, especially after the age of 45
  • A personal or family history of colorectal polyps or colorectal cancer
  • Having type 2 diabetes
Prevention is key

A polyp can take as many as 10-15 years to develop into cancer. Regular colorectal cancer screenings can help doctors find and remove precancerous polyps before they develop into cancer. Screenings can also find colorectal cancer early, when it's small, hasn't spread, and might be easier to treat.

Did you know? African Americans have the highest level of colorectal cancer of all racial groups in the United States.

Lifestyle choices to reduce colorectal cancer risk factors

There are several risk factors that might increase a person's chance of developing colorectal polyps or colorectal cancer. Eating habits, weight, and exercise are some of the strongest links to colorectal cancer risk. Making healthy lifestyle choices can help reduce colorectal cancer risks.

Maintain a healthy weight

If you are overweight or obese, your risk of developing colorectal cancer is higher, and the link seems to be stronger in men. Getting to and staying at a healthy weight may lower your risk.

Increase physical activity

Being more active lowers your risk of colorectal cancer and polyps. Increasing the amount and the intensity of physical activity can also lower your risk.

Limit alcohol

Your body breaks alcohol down into a chemical called acetaldehyde, which can damage your DNA and prevents your body from repairing the damage. When DNA is damaged, a cell can begin growing out of control and create a cancer tumor.

Stop using tobacco products

Tobacco can cause cancer almost anywhere in the body.

Smoking tobacco: Smoke from cigarettes, cigars, and pipes has at least 70 cancer causing chemicals, many of which can damage DNA.

Smokeless tobacco: These include dipping and chewing tobacco, which can cause cancers of the esophagus, mouth, throat, and pancreas.

Electronic cigarettes: These include e-cigs, vapes, vape pens, and electronic nicotine delivery systems (ENDS). Most contain nicotine, flavorings, and chemicals - many which are linked to lung disease and lung cancer.

Choose whole foods

Whole foods are high in fiber, provide essential vitamins and nutrients, and make it easier to maintain a healthy weight. Try these:

  • Fresh fruits and vegetables with their skin on

  • Whole grain breads and cereals such as oats or barley

  • Legumes and beans such as chickpeas or lentils

Eat fiber rich foods

The American Heart Association dietary fiber intake recommendation is 25-35 grams daily based on a 2,000-calorie diet for adults. Fiber intake should include both soluble and insoluble fiber.

Soluble fiber

  • A type of fiber that dissolves in water, forms a gel, and slows digestion to help you feel full

  • Found in oats, peas, beans, apples, citrus fruits, carrots, barley, and psyllium

Insoluble fiber

  • A type of fiber that isn't broken down by the gut and adds bulk to waste to help keep you regular

  • Found in whole-wheat flour, wheat bran, nuts, beans and vegetables, such as cauliflower, green beans, and potatoes

Choose healthy fats

  • Omega-3 fatty acids found in nuts, seeds, and fatty fish (such as salmon or mackerel)

  • Choose lean meats, such as fish and poultry without the skin

  • Use healthy cooking methods such as baking, broiling, or roasting

Want to learn more?

Contact your provider to discuss screening for colorectal cancer today

1Based on a 5-year survival rate

Sources:
Colorectal Cancer | American Cancer Society, accessed 01/27/2025
Cancer Stat Facts | NHI-NCI, accessed 01/27/2025
Colorectal Cancer | CDC, accessed 01/27/2025
Effects of Diet and Physical Activity on Risks for Certain Cancers | American Cancer Society, accessed 01/27/2025
Alcohol and Cancer | CDC, accessed 01/27/2025?
Tobacco and Cancer | CDC, accessed 01/27/2025