Skip to content

Post-diagnosis serum insulin like growth factors in relation to dietary and lifestyle changes in the Prostate testing for cancer and Treatment (ProtecT) trial

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)877-888
Number of pages12
JournalCancer Causes and Control
Volume28
Issue number18
Early online date23 Jun 2017
DOIs
DateAccepted/In press - 17 Jun 2017
DateE-pub ahead of print - 23 Jun 2017
DatePublished (current) - Aug 2017

Abstract

Purpose
The insulin-like growth factor (IGF) system is modifiable by diet and lifestyle, and has been linked to prostate cancer development and progression.

Methods
We conducted a prospective cohort study of 621 men diagnosed with localized prostate cancer to investigate the associations of dietary and lifestyle changes with post-diagnosis circulating levels of IGF-I and IGFBP-3. We used analysis of covariance to estimate the associations, controlling for baseline IGF-I or IGFBP-3, respectively.

Results
Mean IGF-I levels were 6.5% (95% CI −12.8, −0.3%, p = 0.04) lower in men who decreased their protein intake after diagnosis compared to men who did not change. Men who changed their fruit and vegetable intake had lower IGF-I levels compared to non-changers [Decreased intake: −10.1%, 95% CI −18.4, −1.8%, p = 0.02; Increased intake: −12.0%, 95% CI −18.4, −1.8%, p = 0.002]. IGFBP-3 was 14.6% (95% CI −24.5, −4.8%, p = 0.004) lower in men who achieved a healthy body mass index after diagnosis. Men who became inactive had 9.5% higher average IGF-I levels (95% CI 0.1, 18.9%, p = 0.05).

Conclusions
Decreased protein intake and body mass index, and increased physical activity and fruit and vegetable intake, following a prostate cancer diagnosis were associated with reduced post-diagnosis serum IGF-I and IGFBP-3. Counterintuitively, reduced fruit and vegetable intake was also associated with reduced IGF-I, but with weak statistical support, possibly implicating chance. If confirmed in other studies, our findings may inform potential lifestyle interventions in prostate cancer. ProtecT was registered at International Standard Randomised Controlled Trial Registry, http://isrctn.org as ISRCTN20141297.

    Research areas

  • Prostatic neoplasms, Diet, Lifestyle, Insulin-like growth factors, Post-diagnosis

    Structured keywords

  • ICEP
  • BRTC
  • Centre for Surgical Research

Download statistics

No data available

Documents

Documents

  • Full-text PDF (final published version)

    Rights statement: This is the final published version of the article (version of record). It first appeared online via Springer at https://link.springer.com/article/10.1007%2Fs10552-017-0910-2. Please refer to any applicable terms of use of the publisher.

    Final published version, 490 KB, PDF document

    Licence: CC BY

DOI

View research connections

Related faculties, schools or groups