Prevention of kidney cancer incidence and recurrence: lifestyle, medication and nutrition

Curr Opin Urol. 2018 Jan;28(1):62-79. doi: 10.1097/MOU.0000000000000454.

Abstract

Purpose of review: The incidence of kidney cancer rises globally with the highest rates in developed countries. This demonstrates the impact of advanced diagnostic imaging but also rising prevalence of modifiable risk factors such as smoking, obesity and hypertension. A literature search was performed with focus on recent studies on risk factors related to lifestyle, medication and nutrition. Further we searched for the effect of cancer prevention strategies.

Recent findings: Overall, we included 76 studies of the past 5 years. Based on current evidence smoking tobacco, obesity and hypertension remain established risk factors for kidney cancer. Certain analgesics and consumption of processed meat have been linked to increase development of renal cell carcinoma, although data are limited. Fruits, fiber-rich vegetables, coffee and physical activity may have a protective effect against kidney cancer but causal conclusions are not yet supported. Significantly, there is an increasing evidence of inverse association between moderate alcohol consumption.

Summary: Overall evidence confirms an effective way to prevent the risk of kidney cancer is maintaining a healthy weight and avoid smoking. State policies should further ensure strategies to raise public awareness and support to adopt healthy lifestyles.

Publication types

  • Review

MeSH terms

  • Analgesics / adverse effects
  • Antihypertensive Agents / adverse effects
  • Carcinoma, Renal Cell / diet therapy
  • Carcinoma, Renal Cell / epidemiology
  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / prevention & control*
  • Exercise / physiology
  • Feeding Behavior / physiology
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology
  • Incidence
  • Kidney / drug effects
  • Kidney / pathology
  • Kidney Neoplasms / diet therapy
  • Kidney Neoplasms / epidemiology
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / prevention & control*
  • Life Style*
  • Neoplasm Recurrence, Local / diet therapy
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / prevention & control*
  • Obesity / epidemiology
  • Prevalence
  • Risk Factors
  • Risk Reduction Behavior
  • Smoking / epidemiology

Substances

  • Analgesics
  • Antihypertensive Agents