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Alan A Jackson University of Southampton, UK NIHR Southampton Biomedical Research Unit in Nutrition IUNS 20 th International Congress of Nutrition “Joining Cultures Through Nutrition” RF/AICR: Continuous Update Project (CU Future Implications

Jackson Alan - 20th International Nutrition Congress 2013

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The 20th International Congress of Nutrition (ICN) hosted by the International Union of Nutritional Science (IUNS) took place on the 15th-20th September 2013, Granada, Spain. WCRF International held a 2-hour symposium on the Continuous Update Project (CUP) entitled ‘Food, Nutrition, Physical Activity and Cancer – Keeping the Evidence Current: WCRF/AICR Continuous Update Project (CUP).’ It included four presentations exploring the latest updates from the CUP.

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Page 1: Jackson Alan - 20th International Nutrition Congress 2013

Alan A Jackson

University of Southampton, UK

NIHR Southampton Biomedical Research Unit

in Nutrition

IUNS 20th International Congress of Nutrition

“Joining Cultures Through Nutrition”

WCRF/AICR: Continuous Update Project (CUP)

Future Implications

Page 2: Jackson Alan - 20th International Nutrition Congress 2013
Page 3: Jackson Alan - 20th International Nutrition Congress 2013
Page 4: Jackson Alan - 20th International Nutrition Congress 2013

http://www.dietandcancerreport.org/cancer_resource_center/cup_summaries.php

http://www.dietandcancerreport.org/cancer_resource_center/downloads/cu/Pancreatic-Cancer-2012-Report.pdf

http://www.dietandcancerreport.org/cancer_resource_center/downloads/cu/Colorectal-Cancer-2011-Report.pdf

http://www.dietandcancerreport.org/cancer_resource_center/downloads/cu/Breast-Cancer-2010-Report.pdf

http://www.wcrf.org/PDFs/CUP-reports-SLRs/Endometrial-Cancer-2013-Report.pdf

Page 5: Jackson Alan - 20th International Nutrition Congress 2013
Page 6: Jackson Alan - 20th International Nutrition Congress 2013

Breast cancer 2010

Evidence for all factors was consistent with the conclusions from the Second Expert Report

Page 7: Jackson Alan - 20th International Nutrition Congress 2013
Page 8: Jackson Alan - 20th International Nutrition Congress 2013

Colorectal cancer 2011

• Foods containing dietary fibre upgraded from probable to convincing

Page 9: Jackson Alan - 20th International Nutrition Congress 2013
Page 10: Jackson Alan - 20th International Nutrition Congress 2013

Pancreatic cancer 2012

Foods containing folate downgraded from probable decreases risk

Page 11: Jackson Alan - 20th International Nutrition Congress 2013
Page 12: Jackson Alan - 20th International Nutrition Congress 2013

Endometrial cancer 2013

New conclusions for coffee and glycaemic load

Page 13: Jackson Alan - 20th International Nutrition Congress 2013

Shift from exogenous toxins to endogenous factors

Page 14: Jackson Alan - 20th International Nutrition Congress 2013

External factors that act to produce cancer Toxins Infections

Structural Adiposity Adult achieved height

Previous mechanisms of carcinogenesis

Page 15: Jackson Alan - 20th International Nutrition Congress 2013

Current mechanisms of carcinogenesis

External exposures substantially reduced

Extremely efficient systems for protection

Failure of protection against cancer Internal control stressed beyond ability to

cope Resilience vs allostatic load

Page 16: Jackson Alan - 20th International Nutrition Congress 2013

More detailed consideration cellular level interactions

Obesity Energy macronutrients Other nutrients Regulate and control processes

Understanding the nature of processes DNA stability and repair Energy flux Inflammatory processes Oxidative damage Regulation of cell cycle

Need for more integrated information

Page 17: Jackson Alan - 20th International Nutrition Congress 2013

By 2015

CUP database complete and continually updated

By 2017

Review of Cancer Prevention Recommendations

Review of mechanisms

Review of breast cancer survivors

Implications for Policy

KEY CUP DATES