From Dr. Sanjay Gupta —
One big question that has come up after the news about former President Joe Biden’s new prostate cancer diagnosis is why it wasn’t spotted sooner.
About 300,000 people are diagnosed with prostate cancer in the US every year. And about 5% to 7% of them, the first time they’re diagnosed, will be diagnosed with a more aggressive form of cancer, like Biden was.
Part of the reason is that screening recommendations for prostate cancer are actually pretty nuanced.
One screening tool is a test that checks for levels of a protein called prostate-specific antigen, or PSA.
Although it can be useful, it’s by no means perfect. To give you a little bit of context, only about 25% of men who have a biopsy because the test finds elevated PSA levels actually end up having prostate cancer.
The risk of unnecessary treatments, plus the fact that the majority of prostate cancers are slow-growing, is why the US Preventive Services Task Force doesn’t recommend screening for men 70 and older (Biden is 82 years old and had his last known PSA test in 2014).
The American Cancer Society has even more nuanced guidelines that take risk factors into account (I talk about this in the video above).
Beyond screening, a lot of people want to know if there's anything else you can do to reduce your risk of prostate cancer, especially when it comes to diet.
Although studies about the effects of food on cancer risk are hard to do, there is some science to show that folate seems to be beneficial when it comes to reducing your risk of prostate cancer.
Foods like raw spinach, broccoli and black-eyed peas are good sources of folate.
Folate from food is really what you’re looking for here — not from folic acid supplements, which are often seen as a substitute for folate.
In fact, some studies have found that folic acid actually increases your risk, and that could be because you’re not eating folate, thinking you’re getting everything you need with folic acid. The point is, it’s best to get it from real food.
I hope this helps answer some of your questions.