Zinc, omega-3 fatty acids, and prostate cancer survival

A study in Sweden examined the effects of zinc and the omega-3 fatty acid DHA on mortality in prostate cancer patients. Five-hundred twenty-five men with prostate cancer were followed for twenty years after being diagnosed with prostate cancer.  Baseline dietary habits, stage of cancer at diagnosis, and deaths over the twenty years were recorded and analyzed.1

The authors chose to investigate these two nutrients because zinc and omega-3s share the common action of attenuating the inflammatory response, and chronic systemic inflammation may fuel prostate cancer progression. Importantly, zinc and DHA are both difficult to obtain on a plant-based diet.

Zinc is especially concentrated in the prostate, but zinc levels become depleted in cancerous cells. Addition of zinc to cultured prostate cancer cells leads to cell death, possibly by suppressing the activity of inflammatory molecules. A previous study found that long-term zinc supplementation was associated with reduced risk of advanced prostate cancer.2

The researchers organized the study participants into quartiles according to their intakes of zinc and DHA. In men who were diagnosed with early stage cancers, the highest quartile of zinc intake (15.7 mg zinc daily or more) was associated with a 74% reduction in risk of death from prostate cancer compared to the lowest quartile (12.8 mg zinc daily or less). Absorption of zinc tends to be low on a vegan diet – beans, whole grains, nuts, and seeds have high zinc content, however these foods also contain substances that inhibit the aborption of zinc.3 A 2009 study of vegetarians found a high prevalence of zinc deficiency.4 To correct for bioavailability, the zinc requirement for vegans may be as much as 50% higher than that of omnivores.5

I recommend zinc supplementation with a multivitamin and mineral to ensure sufficient zinc intake in vegans or those who minimize animal foods.

The connection between omega-3 intake and prostate cancer is somewhat complex. For example, flaxseed oil was found to increase prostate cancer risk, whereas whole flaxseed, EPA, and DHA were found to be protective.6,7,8 EPA and DHA are known to have anti-cancer and anti-inflammatory properties.9 In this study, the highest quartile of DHA intake was associated with 30% reduced risk of overall prostate cancer mortality, and a 45% risk reduction in men diagnosed at early stages, supporting the idea that DHA is protective against prostate cancer. Plant foods contain ALA, which can be elongated to DHA, but the major food source of DHA is fish, which often contains pollutants and is not acceptable for vegetarians and vegans. For these reasons, I recommend a laboratory cultivated DHA supplement made from micro-algae, which is also a more environmentally sustainable option than fish or fish oil.

1. Meyer MS, Kasperzyk JL, Andren O, et al. Anti-inflammatory nutrients and prostate cancer survival in the Örebro Prostate Cancer Survivors Cohort. [Abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; 2010. Abstract nr 5747

MedPageToday. AACR: Zinc Linked to Prostate Cancer Survival. http://www.medpagetoday.com/MeetingCoverage/AACR/19685

2. Gonzalez A, Peters U, Lampe JW, White E. Zinc intake from supplements and diet and prostate cancer. Nutr Cancer. 2009;61(2):206-15.

3. Hunt JR. Bioavailability of iron, zinc, and other trace minerals from vegetarian diets. Am J Clin Nutr 2003;78(suppl):633S–9S.

4. de Bortoli MC, Cozzolino SM. Zinc and selenium nutritional status in vegetarians. Biol Trace Elem Res. 2009 Mar;127(3):228-33.

5. Frassinetti S, Bronzetti G, Caltavuturo L, et al. The role of zinc in life: a review. J Environ Pathol Toxicol Oncol. 2006;25(3):597-610.

6. Brouwer IA, Katan MB, Zock PL. Dietary alpha-linolenic acid is associated with reduced risk of fatal coronary heart disease, but increased prostate cancer risk: a meta-analysis. J Nutr 2004 Apr;134(4):919-22

7. Demark-Wahnefried W, Polascik TJ, George SL, et al. Flaxseed supplementation (not dietary fat restriction) reduces prostate cancer proliferation rates in men presurgery. Cancer Epidemiol Biomarkers Prev. 2008 Dec;17(12):3577-87.

8. Leitzmann MF, Stampfer MJ, Michaud DS, et al. Dietary intake of n-3 and n-6 fatty acids and the risk of prostate cancer. Am J Clin Nutr. 2004 Jul;80(1):204-16.

9. Spencer L, Mann C, Metcalfe M, et al. The effect of omega-3 FAs on tumour angiogenesis and their therapeutic potential. Eur J Cancer. 2009 Aug;45(12):2077-86. 

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Comments (5) Read through and enter the discussion with the form at the end
Jennifer - May 28, 2010 4:45 PM

Don Imus has been successfully treating his prostate cancer with a strict vegan diet for about a year and half. He frequently discusses it on his morning TV show on the Fox Business channel.

StephenMarkTurner - May 31, 2010 11:09 AM

Hi Emily
This is perhaps the one area where I find some small disagreement with DrF.

We are told that you cannot duplicate the health benefits of fruits and veggies in a pill (there are so many phyto nutrients known and unknown with all sorts of interactions). I accept this without reservation.

It seems though that animal products are not thought of in this way however, and we are told to make up possible nutritional deficiencies with supplemental zinc, DHA, B12.

For me, this kind of info just reinforces that I am not going 100% veggie, and will include perhaps 5-10% animal calories in my diet.


indah amisani - June 20, 2010 7:37 AM

thanks for the INFO, this article are helping me to conclude something about prostate cancer diet for my paper..once again thanks

mardiss mack - October 20, 2010 7:53 AM

what supplements should i take if i have been treated for prostate cancer(external beam radition) thanks in at advance for your help

anonymous - November 19, 2010 12:48 PM

I don't believe my vegan diet is lacking zinc. I don't use zinc pills and if I did, I'd certainly also take copper to avoid copper deficiency. I get plenty of zinc and copper from seeds, grains, nuts, legumes and other vegan foods. Too much zinc increases prostate cancer. Selenium is bad in excess also. I think all minerals can be risky in pill form, if taken on a regular basis, unless someone knows for sure, that they are indeed deficient. I think occasional use might be advisable for some people. Supposedly, most people here in the U.S. get enough minerals from the soil, if they eat real food, prepared properly. Absolutely no animal foods and no minerals for me.

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