Antioxidant intake from foods (not supplements) is associated with lower cancer risk.
Food Antioxidants and Cancer
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
The USDA recently removed their online antioxidant database of foods, concerned that “ORAC values [were] routinely misused by food and dietary supplement manufacturing companies to promote their products.” Supplement manufacturers were getting into my-orac-is-bigger-than-your-orac pissing contests, comparing their pills to the antioxidant superfood du jour, like blueberries. And, we know there’s lots of bioactive compounds in whole plant foods that may help prevent and ameliorate chronic diseases in ways that have nothing to do with their antioxidant power. So, I understand their decision.
So, should we just eat lots of whole healthy plant foods, and not worry about which ones necessarily have more antioxidants? Or, does one’s dietary antioxidant intake matter? We have some new data to help answer that question. “Dietary total antioxidant capacity and [the risk of stomach cancer],” the world’s second leading cancer killer. A half-million people studied, and
“[d]ietary antioxidant capacity intake from different sources of plant foods [was] associated with a reduction in risk.” Note; they say dietary intake. They’re not talking about supplements.
Not only do antioxidant pills not seem to help; they “seem to increase overall mortality.” That’s like paying to live a shorter life. Just giving high doses of isolated vitamins may cause “disturbances” in our body’s own natural antioxidant network. There’s hundreds of different antioxidants in plant foods. They don’t “act in isolation.” They work synergistically. Mother Nature cannot be trapped in a bottle.
Similar results were recently reported with non-Hodgkin’s lymphoma. The more ORAC units in food we eat per day, the lower our cancer risk may drop—though, antioxidants or not, greens were particularly protective. Look at that. Going from eating like one serving of green leafy vegetables per week to more like a serving per day may cut our odds of lymphoma in half.
Should we be worried about antioxidant intake during cancer treatment, since that’s how most chemo drugs work—by creating free radicals? According to some of the latest reviews, there’s “no evidence of antioxidant interference with chemotherapy.” And, in fact, they may actually “improve [treatment] response [and] patient survival.”
Please consider volunteering to help out on the site.
- A. Negre-Salvayre, N. Auge, V. Ayala, H. Basaga, J. Boada, R. Brenke, S. Chapple, G. Cohen, J. Feher, T. Grune, G. Lengyel, G. E. Mann, R. Pamplona, G. Poli, M. Portero-Otin, Y. Riahi, R. Salvayre, S. Sasson, J. Serrano, O. Shamni, W. Siems, R. C. M. Siow, I. Wiswedel, K. Zarkovic, N. Zarkovic. Pathological aspects of lipid peroxidation. Free Radic. Res. 2010 44(10):1125 - 1171.
- B. Mohamed, I. Mohamed. The Effects of Residual Blood of Carcasses on Poultry Technological Quality. Food and Nutrition 2012 3(10):1382 - 1386.
- M. Serafini, P. Jakszyn, L. Luján-Barroso, A. Agudo, H. B. Bueno-de-Mesquita, F. J. B. van Duijnhoven, M. Jenab, C. Navarro, D. Palli, H. Boeing, P. Wallström, S. Regnér, M. E. Numans, F. Carneiro, M.-C. Boutron-Ruault, F. Clavel-Chapelon, S. Morois, S. Grioni, S. Panico, R. Tumino, C. Sacerdote, J. R. Quirós, E. Molina-Montes, J. M. H. Casta~no, A. Barricarte, P. Amiano, K.-T. Khaw, N. Wareham, N. E. Allen, T. J. Key, S. M. Jeurnink, P. H. M. Peeters, C. Bamia, E. Valanou, A. Trichopoulou, R. Kaaks, A. Lukanova, M. M. Bergmann, B. Lindkvist, R. Stenling, I. Johansson, C. C. Dahm, K. Overvad, M. Jensen, A. Olsen, A. Tjonneland, E. Lund, S. Rinaldi, D. Michaud, T. Mouw, E. Riboli, C. A. González. Dietary total antioxidant capacity and gastric cancer risk in the European prospective investigation into cancer and nutrition study. Int. J. Cancer 2012 131(4):E544 - 54.
- G. Bjelakovic, D. Nikolova, R. G. Simonetti, C. Gluud. Antioxidant supplements for prevention of gastrointestinal cancers: A systematic review and meta-analysis. The Lancet 2004 364(9441):1219 - 1228.
- S. G. Holtan, H. M. O'Connor, Z. S. Fredericksen, M. Liebow, C. A. Thompson, W. R. Macon, I. N. Micallef, A. H. Wang, S. L. Slager, T. M. Habermann, T. G. Call, J. R. Cerhan. Food-frequency questionnaire-based estimates of total antioxidant capacity and risk of non-Hodgkin lymphoma. Int. J. Cancer 2012 131(5):1158 - 1168.
- V. Fuchs-Tarlovsky. Role of antioxidants in cancer therapy. Nutrition 2013 29(1):15 - 21.
- S. Rautiainen, S. Larsson, J. Virtamo, A. Wolk. Total antioxidant capacity of diet and risk of stroke: A population-based prospective cohort of women. Stroke 2012 43(2):335 - 340.
- S. Rautiainen, E. B. Levitan, N. Orsini, A. AAkesson, R. Morgenstern, M. A. Mittleman, A. Wolk. Total antioxidant capacity from diet and risk of myocardial infarction: A prospective cohort of women. Am. J. Med. 2012 125(10):974 - 980.
- M. J. Thomson, V. Puntmann, J.-C. Kaski. Atherosclerosis and oxidant stress: The end of the road for antioxidant vitamin treatment? Cardiovasc Drugs Ther 2007 21(3):195 - 210.
- J. Vina, C. Borras, K. M. Abdelaziz, R. Garcia-Valles, M. C. Gomez-Cabrera. The free radical theory of aging revisited: The cell signaling disruption theory of aging. Antioxid. Redox Signal. 2013 19(8):779 - 787.
- J. Kanner, T. Lapidot. The stomach as a bioreactor: Dietary lipid peroxidation in the gastric fluid and the effects of plant-derived antioxidants. Free Radic. Biol. Med. 2001 31(11):1388 - 1395.
- M. J. Williams, W. H. Sutherland, M. P. McCormick, S. A. de Jong, R. J. Walker, G. T. Wilkins. Impaired endothelial function following a meal rich in used cooking fat. J. Am. Coll. Cardiol. 1999 33(4):1050 - 1055.
- C. Z. Alvarado, M. P. Richards, S. F. O'Keefe, H. Wang. The effect of blood removal on oxidation and shelf life of broiler breast meat. Poult. Sci. 2007 86(1):156 - 161.
- USDA. Oxygen Radical Absorbance Capacity (ORAC) of Selected Foods, Release 2 (2010). USDA 2012.
- J. Kanner. Oxidative processes in meat and meat products: Quality implications. Meat Sci. 1994 36(1 - 2):169 - 189.
Images thanks to Nicola since 1972 via flickr
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
The USDA recently removed their online antioxidant database of foods, concerned that “ORAC values [were] routinely misused by food and dietary supplement manufacturing companies to promote their products.” Supplement manufacturers were getting into my-orac-is-bigger-than-your-orac pissing contests, comparing their pills to the antioxidant superfood du jour, like blueberries. And, we know there’s lots of bioactive compounds in whole plant foods that may help prevent and ameliorate chronic diseases in ways that have nothing to do with their antioxidant power. So, I understand their decision.
So, should we just eat lots of whole healthy plant foods, and not worry about which ones necessarily have more antioxidants? Or, does one’s dietary antioxidant intake matter? We have some new data to help answer that question. “Dietary total antioxidant capacity and [the risk of stomach cancer],” the world’s second leading cancer killer. A half-million people studied, and
“[d]ietary antioxidant capacity intake from different sources of plant foods [was] associated with a reduction in risk.” Note; they say dietary intake. They’re not talking about supplements.
Not only do antioxidant pills not seem to help; they “seem to increase overall mortality.” That’s like paying to live a shorter life. Just giving high doses of isolated vitamins may cause “disturbances” in our body’s own natural antioxidant network. There’s hundreds of different antioxidants in plant foods. They don’t “act in isolation.” They work synergistically. Mother Nature cannot be trapped in a bottle.
Similar results were recently reported with non-Hodgkin’s lymphoma. The more ORAC units in food we eat per day, the lower our cancer risk may drop—though, antioxidants or not, greens were particularly protective. Look at that. Going from eating like one serving of green leafy vegetables per week to more like a serving per day may cut our odds of lymphoma in half.
Should we be worried about antioxidant intake during cancer treatment, since that’s how most chemo drugs work—by creating free radicals? According to some of the latest reviews, there’s “no evidence of antioxidant interference with chemotherapy.” And, in fact, they may actually “improve [treatment] response [and] patient survival.”
Please consider volunteering to help out on the site.
- A. Negre-Salvayre, N. Auge, V. Ayala, H. Basaga, J. Boada, R. Brenke, S. Chapple, G. Cohen, J. Feher, T. Grune, G. Lengyel, G. E. Mann, R. Pamplona, G. Poli, M. Portero-Otin, Y. Riahi, R. Salvayre, S. Sasson, J. Serrano, O. Shamni, W. Siems, R. C. M. Siow, I. Wiswedel, K. Zarkovic, N. Zarkovic. Pathological aspects of lipid peroxidation. Free Radic. Res. 2010 44(10):1125 - 1171.
- B. Mohamed, I. Mohamed. The Effects of Residual Blood of Carcasses on Poultry Technological Quality. Food and Nutrition 2012 3(10):1382 - 1386.
- M. Serafini, P. Jakszyn, L. Luján-Barroso, A. Agudo, H. B. Bueno-de-Mesquita, F. J. B. van Duijnhoven, M. Jenab, C. Navarro, D. Palli, H. Boeing, P. Wallström, S. Regnér, M. E. Numans, F. Carneiro, M.-C. Boutron-Ruault, F. Clavel-Chapelon, S. Morois, S. Grioni, S. Panico, R. Tumino, C. Sacerdote, J. R. Quirós, E. Molina-Montes, J. M. H. Casta~no, A. Barricarte, P. Amiano, K.-T. Khaw, N. Wareham, N. E. Allen, T. J. Key, S. M. Jeurnink, P. H. M. Peeters, C. Bamia, E. Valanou, A. Trichopoulou, R. Kaaks, A. Lukanova, M. M. Bergmann, B. Lindkvist, R. Stenling, I. Johansson, C. C. Dahm, K. Overvad, M. Jensen, A. Olsen, A. Tjonneland, E. Lund, S. Rinaldi, D. Michaud, T. Mouw, E. Riboli, C. A. González. Dietary total antioxidant capacity and gastric cancer risk in the European prospective investigation into cancer and nutrition study. Int. J. Cancer 2012 131(4):E544 - 54.
- G. Bjelakovic, D. Nikolova, R. G. Simonetti, C. Gluud. Antioxidant supplements for prevention of gastrointestinal cancers: A systematic review and meta-analysis. The Lancet 2004 364(9441):1219 - 1228.
- S. G. Holtan, H. M. O'Connor, Z. S. Fredericksen, M. Liebow, C. A. Thompson, W. R. Macon, I. N. Micallef, A. H. Wang, S. L. Slager, T. M. Habermann, T. G. Call, J. R. Cerhan. Food-frequency questionnaire-based estimates of total antioxidant capacity and risk of non-Hodgkin lymphoma. Int. J. Cancer 2012 131(5):1158 - 1168.
- V. Fuchs-Tarlovsky. Role of antioxidants in cancer therapy. Nutrition 2013 29(1):15 - 21.
- S. Rautiainen, S. Larsson, J. Virtamo, A. Wolk. Total antioxidant capacity of diet and risk of stroke: A population-based prospective cohort of women. Stroke 2012 43(2):335 - 340.
- S. Rautiainen, E. B. Levitan, N. Orsini, A. AAkesson, R. Morgenstern, M. A. Mittleman, A. Wolk. Total antioxidant capacity from diet and risk of myocardial infarction: A prospective cohort of women. Am. J. Med. 2012 125(10):974 - 980.
- M. J. Thomson, V. Puntmann, J.-C. Kaski. Atherosclerosis and oxidant stress: The end of the road for antioxidant vitamin treatment? Cardiovasc Drugs Ther 2007 21(3):195 - 210.
- J. Vina, C. Borras, K. M. Abdelaziz, R. Garcia-Valles, M. C. Gomez-Cabrera. The free radical theory of aging revisited: The cell signaling disruption theory of aging. Antioxid. Redox Signal. 2013 19(8):779 - 787.
- J. Kanner, T. Lapidot. The stomach as a bioreactor: Dietary lipid peroxidation in the gastric fluid and the effects of plant-derived antioxidants. Free Radic. Biol. Med. 2001 31(11):1388 - 1395.
- M. J. Williams, W. H. Sutherland, M. P. McCormick, S. A. de Jong, R. J. Walker, G. T. Wilkins. Impaired endothelial function following a meal rich in used cooking fat. J. Am. Coll. Cardiol. 1999 33(4):1050 - 1055.
- C. Z. Alvarado, M. P. Richards, S. F. O'Keefe, H. Wang. The effect of blood removal on oxidation and shelf life of broiler breast meat. Poult. Sci. 2007 86(1):156 - 161.
- USDA. Oxygen Radical Absorbance Capacity (ORAC) of Selected Foods, Release 2 (2010). USDA 2012.
- J. Kanner. Oxidative processes in meat and meat products: Quality implications. Meat Sci. 1994 36(1 - 2):169 - 189.
Images thanks to Nicola since 1972 via flickr
Republishing "Food Antioxidants and Cancer"
You may republish this material online or in print under our Creative Commons licence. You must attribute the article to NutritionFacts.org with a link back to our website in your republication.
If any changes are made to the original text or video, you must indicate, reasonably, what has changed about the article or video.
You may not use our material for commercial purposes.
You may not apply legal terms or technological measures that restrict others from doing anything permitted here.
If you have any questions, please Contact Us
Food Antioxidants and Cancer
LicenseCreative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Content URLDoctor's Note
But should we take a multivitamin? See Should We Take a Multivitamin?
What about fish oil supplements? See Is Fish Oil Just Snake Oil?
I recently covered how and why we should strive to eat antioxidants with every meal in an important three-part series:slow aging,
- Minimum “Recommended Daily Allowance” of Antioxidants
- How to Reach the Antioxidant “RDA”
- Antioxidant-Rich Foods with Every Meal
Preferentially getting one’s nutrients from produce, not pills is a common theme in the nutrition literature. See, for example:
- Produce, Not Pills to Increase Physical Attractiveness
- Greens vs. Glaucoma
- Cranberries vs. Cancer
- Prunes vs. Metamucil vs. Vegan Diet
- Optimal Phytosterol Source
Antioxidants may also reduce inflammation (see Anti-Inflammatory Antioxidants), improve digestion (see Bulking Up on Antioxidants), and help prevent COPD (see Preventing COPD with Diet).
So, where are antioxidants found? See my series that begins with Antioxidant Content of 3,139 Foods and Antioxidant Power of Plant Foods vs. Animal Foods.
What about the role of antioxidants in other leading causes of death? That’s the subject of my next video: Food Antioxidants, Stroke, & Heart Disease.
If you haven't yet, you can subscribe to our free newsletter. With your subscription, you'll also get notifications for just-released blogs and videos. Check out our information page about our translated resources.