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Moderate Exercise May Lower Prostate Cancer Risk

Tue Sep 29, 3:17 pm ET

NEW YORK (Reuters Health) - Ready for another reason to exercise? Men who exercise at even moderate levels may have a lower risk of prostate cancer than sedentary men, a new study suggests.

Exercise has been shown to have numerous health benefits, but studies have come to conflicting conclusions as to whether a lower risk of prostate cancer is one of them.

In this latest study, researchers found that among 190 men who underwent biopsies to detect possible prostate cancer, those who regularly exercised were less likely to be diagnosed with the disease.

Men who exercised moderately -- the equivalent of three or more hours of brisk walking per week -- were two-thirds less likely than their sedentary counterparts to have prostate cancer.

What's more, among men who did have cancer, those who reported as little as one hour of walking per week were less likely to have aggressive, faster-growing cancer.

Dr. Jodi A. Antonelli and colleagues at Duke University Medical Center in Durham, North Carolina, report the findings in the Journal of Urology.

There are a number of reasons to believe that exercise could help ward off prostate cancer. For one, physical activity tends to lower levels of testosterone and other hormones that help feed prostate tumor growth.

Exercise may also bolster the immune system, which, by killing off abnormal cells before tumors can develop, is one of the body's lines of defense against cancer.

But while the current findings add weight to the idea that exercise protects against prostate cancer, they do not prove that it does, the researchers stress.

"It is impossible to state that exercise alone was responsible for the benefits we observed because participants who exercised might also have engaged in other behaviors linked to better health, like adhering to good diet," Antonelli explained in a written statement.

The findings are based on 190 men who were referred for a prostate biopsy after screening suggested that they may have cancer. Biopsy confirmed cancer in 79 men, or 42 percent.

Most of the men were not getting enough exercise, with 58 percent considered sedentary. Meanwhile, 17 percent were considered highly active -- getting the equivalent of at least 6 hours of walking per week. The rest were mildly to moderately active.

Regular exercise remained linked to a lower risk of prostate cancer even after the researchers factored in a number of other variables -- including age, weight, race and the presence of any other medical conditions.

They call for more studies to answer the question of whether lower prostate cancer risk should be added to the list of health benefits from exercise.

SOURCE: Journal of Urology, online September 16, 2009.