Curb Colon Cancer Risk With Calcium-Rich Foods

Foods high in calcium may help prevent colon cancer. However, calcium supplements may have adverse health effects, especially in high amounts.
Curb Colon Cancer Risk With Calcium-Rich Foods
YesPhotographers/Shutterstock
Updated:
0:00

Colon cancer rates are higher in high-income countries in North America and most of Europe, and lower in low-income countries in much of Africa and South Asia. Moreover, when people migrate from low- to high-income countries, their rates of colorectal cancer increase toward the rates of their new country. This suggests that environmental factors may play a role in cancer development. In particular, researchers found that one in particular—a calcium-rich diet—may lower the risk.

While the study did not evaluate whether calcium supplements may have the same effect, earlier research suggests they may have adverse health effects, especially in high amounts. In contrast, eating calcium-rich foods is associated with other health benefits.

Calcium Could Protect

In the study published in Nature Communications, researchers examined the effect of 97 dietary factors on the risk of colon cancer in more than 500,000 women over an average of 16 years.

Data analysis indicated that dairy products made of milk and yogurt—but not cheese and ice cream—help prevent colon cancer and that calcium is wholly or mostly responsible for the benefit. Based on the findings, eating an extra 300 milligrams (mg)—the content in a large glass of milk—may reduce the likelihood of colon cancer by 14 percent. Calcium intake from non-dairy sources, such as green, leafy vegetables, also showed a protective effect.

“This is the most comprehensive single study ever conducted into the relationship between diet and bowel cancer, and it highlights the potential protective role of calcium in the development of this disease,” Keren Papier, lead researcher of the study, told Cancer Research UK.

The statement added that more studies are needed before concluding that increasing dietary calcium is recommended for everyone.

While the study involved only women, the results should also apply to men, according to Chris Mohr, fitness and nutrition adviser at Garage Gym Reviews.

“Both genders have the same digestive systems, so they come with similar risk factors for colorectal cancer,” he told The Epoch Times in an email. “Their dietary influences have the same effect, and the mechanisms by which calcium offers some protection are not gender-dependent.”

Why Dietary Calcium May Offer Protection

“We have some idea on why calcium has this effect,” Papier said in the statement. “It’s suggested that calcium might protect against bowel cancer by binding to bile acids and free fatty acids to form a type of a harmless ‘soap,' which stops them from damaging the lining of our gut.”  She explained that this soap has a cleansing effect, removing the accumulation of bile and fatty acids, which decreases their likelihood of causing harm.

In addition to the above indirect effect, calcium may also have a direct protective effect on colon tissue. The researchers cited studies that suggest that it may reduce some mutations and other adverse changes in the colon that can lead to cancer.

“Other means of protection from dietary calcium may include improving the composition of gut microbiota through fermented dairy products like yogurt, which may enhance colon health,” Mohr said. “Non-dairy sources of calcium, such as kale and broccoli, also give us antioxidants and fiber, dietary elements that may further reduce cancer risk.”

He said that eating a variety of nutrient-dense foods is key to reducing the risk of colon and other types of cancer, as well as negative health outcomes.

Dietary Calcium Versus Calcium Supplements

Since calcium-rich foods can help, it raises the question of whether calcium supplements may also help.
A systematic review published in Nutrients suggests that calcium supplements may have the opposite effect of calcium foods on colon cancer. The authors found that a daily supplement dose of 1,200 mg has a negative effect on colon cancer protection. This was particularly observable in women and long-term smokers.

Calcium supplements are not advisable for other reasons as well, according to Catherine Gervacio, a registered nutritionist and diet consultant for WOWMD. These include a faster absorption rate of calcium and a propensity of calcium to cause kidney stones.

“Calcium from food is absorbed more gradually than calcium from supplements,” she told The Epoch Times in an email. “With supplements, calcium is released in large amounts into the bloodstream quickly. This sudden increase in calcium levels can possibly strain the kidneys or may contribute to calcium deposits in blood vessels, which increases the risk of kidney stones or heart disease.”

Indeed, a 2014 study published in Translational Andrology and Urology found that large doses of calcium supplements can likely cause kidney stone formation if taken apart from a meal. A meta-analysis published in Nutrients noted that daily supplemental calcium of 1,000 mg can increase the risk of heart disease.

Getting calcium naturally from food is better and provides an adequate daily mineral allowance when added to a healthy diet because it contains antioxidants and other beneficial compounds that help prevent chronic disease, according to Gervacio.

“Calcium from non-dairy foods has one limitation,” Natalie Reed, assistant professor of nutrition and the program director for California Baptist University’s master of science in integrative nutrition, said.

“These foods lack vitamin D, which is necessary for the absorption of calcium,” she told The Epoch Times in an email, noting that vitamin D is derived from sun exposure and from consuming fortified dairy products. This means that a person who relies solely on non-dairy foods for calcium intake should be sure to get enough sunlight exposure.

“Based on experience, people over consume calcium with supplements, especially if they eat calcium-rich foods on a daily basis,” Gervacio warned. “Excessive calcium, especially when done for a long time, may increase the risk of adverse effects. With food, it’s harder to reach such excessive amounts because you’re limited by appetite and the variety of your diet.”

Reed agreed, urging consumers to be aware that excess calcium supplementation may lead to calcium toxicity.

“The recommended dietary allowance for adult men and women is 1,000 mg daily,” she said. “Calcium supplements should be taken in cases of deficiency, but the need should be supported by abnormal laboratory values and directed by your primary medical provider. However, dietary recommendations from a registered dietitian may help increase oral intake of the nutrient in cases of deficiency.” For instance, three large glasses of milk contain 900 mg of calcium, which, when added to a healthy diet, would provide an adequate daily mineral allowance.

When a person is unable to get enough calcium in their diet and has to take a calcium supplement, the National Institutes of Health advises taking it with food and in doses of less than 500 mg at a time. The supplements can also interact with some medications, so one should ask a doctor for a schedule for when to take the supplements in relation to over-the-counter and prescription drugs.

Other Health Benefits of Dietary Calcium

Healthy foods rich in calcium have other wellness benefits.
“Calcium is critical for bone and teeth development and health,” Reed said. “Sufficient calcium is needed to protect the body against bone disorders such as rickets (weakened bones in children); osteomalacia (softened bones); and osteopenia (reduced bone mass). Beginning in pregnancy, the maternal body relies on sufficient calcium intake for fetal bone growth.” Her stance is consistent with recommendations of health authorities to include dairy and non-dairy calcium foods in the diet for increasing bone strength.

Calcium from dairy sources such as milk and yogurt may promote weight management, according to Mohr. Calcium foods may also help lower blood pressure because of their unique nutrient profiles, which include potassium and magnesium.

A review published in the International Journal of Molecular Science suggests that dietary calcium has an anti-obesity effect, probably stemming from the regulation of fat metabolism or decreased fat absorption and increased fat excretion.
Research published in Nutrients found that regular intake of calcium foods may help prevent and treat high blood pressure in people without a vitamin D deficiency.

“Vegetable based calcium rich foods are high in fiber,” Reed said. “Aside from fiber’s significant importance in decreasing the risk for colorectal cancer, it is most often a non-digestible substance that strengthens the intestinal wall through digestion. Fiber is also a prebiotic that feeds gut microbiota, making it necessary for optimal gut health.”

Mary West
Mary West
Author
Mary West is a freelance writer whose work has appeared in Medical News Today, Small Business Today Magazine, and other publications. She holds two bachelor of science degrees from the University of Louisiana at Monroe.