Health Buzz: Prostate Cancer Screening and Other Health News

The brain benefits of eating fish, MRIs and breast cancer, and bike commuting

By U.S. News Staff

Posted: August 5, 2008

Older Men Don't Need Prostate Cancer Screening

Men over age 75 don't need to get screened for prostate cancer, according to newly updated guidelines from the U.S. Preventive Services Task Force. "The time frame is that the benefit, if there is any, from screening, is 10 years," Michael L. LeFevre, a member of the U.S. Preventive Services Task Force, told HealthDay. "The average life expectancy for men over 75 years is less than 10 years, so screening them can do more harm than good." For the same reason, men under age 75 with serious health problems and a life expectancy of less than 10 years should not get screened either, the task force report said. Prostate cancer affects 1 in every 6 men and is the most common nonskin cancer in the United States. The updated guidelines were published today in Annals of Internal Medicine.

In July, U.S. News's Adam Voiland explored whether some prostate cancer patients can skip hormone therapy. Previously, he explained how to prevent prostate cancer and described the promise of proton beam therapy.

Eating Fish May Help Preserve Memory, Avoid Stroke

Eating nonfried fish may help older people avoid strokes and memory loss, according to a study published today in the journal Neurology. Those who ate broiled or baked tuna or other fish rich in omega-3 fatty acids three or more times a week were less likely to end up with silent brain lesions that can lead to vascular stroke or cognitive decline, WebMD reports. Previous research has shown that fish and fish oil may help ward off stroke, but this study is one of the first to determine how fish affects these brain lesions in healthy, older adults. The researchers performed magnetic resonance imaging scans on the brains of 3,600 adults 65 and older and later did follow-up scans on 2,313 of those people and asked how much fish they regularly consumed. The researchers observed a 26 percent lower risk of silent brain lesions in those who ate nonfried fish and other fish rich in omega-3 fatty acids at least three times per week, compared with study subjects who ate these foods less often.

Last week, U.S. News's Sarah Baldauf explained the right way to get omega-3s and -6s, and she listed 11 easy ways to load up on healthy omega-3 fats.

MRIs and Breast Cancer

Christina Applegate's breast cancer was detected, according to her publicist, using an MRI ordered by the 36-year-old's doctor. That order could prove lifesaving because the cancer was caught early and when it's most likely to be cured, Deborah Kotz reports. The exquisitely sensitive MRI is very good at detecting tumors in young women whose dense breast tissue often hides tumors on mammogram X-rays. But it's very expensive and all-too-frequently detects false abnormalities that necessitate biopsies. For this reason, the test is recommended only for those at increased risk of breast cancer.

Last year, Katherine Hobson explained that women at high risk of breast cancer are advised to get screened using MRIs.

Bike Commuting by the Numbers

Transportation planners in Germany, Denmark, and the Netherlands have invested heavily in bicycle paths and lanes, discouraged the use of cars, and gone to great efforts to protect the legal rights and safety of cyclists, Adam Voiland reports. Not surprisingly, bicycle use in these countries is much greater than in the United States. Only 1 percent of trips in the United States are made on a bicycle, compared with 10 percent in Germany, 18 percent in Denmark, and 27 percent in the Netherlands. In the Netherlands and Germany, even when cyclists are disobeying traffic rules, motorists are legally responsible for collisions with children and elderly cyclists. However, bicyclists do have some responsibility. Those who disobey the rules of the road there are more likely to be ticketed that those in the United States.

In June, Voiland reported on comfy new commuter bikes for getting around town.

—January W. Payne

To Screen or Not To Screen...

This week we heard that screening for prostate cancer may do more harm than good—particularly for older men. I understand that, I suppose. Prostate cancer tends to grow slowly, and the significance of test results is not entirely clear.

I worry that in a twist of logic we will generalize a very specific recommendation. I worry that the message will shift from “Men over 75 should not be screened for prostate cancer” to “No-one should be screened for prostate cancer” to (and this is the scariest part) “I shouldn’t be screened for any cancer.”

Every day in the United States more than 100 people die of colorectal cancer because they weren’t screened when they should have been. Every day.

Colorectal cancer is the second leading cause of cancer death in this country, yet a simple screening will reduce the risk of having this disease by 80% or more.

The debate about prostate cancer screening will go on for a long time. One thing is not debatable though—cancer screening in general, and screening for colon cancer in particular, saves lives.

Tim Turnham of DC @ Aug 07, 2008 14:49:52 PM

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