Paper Summary:

This paper examines lifestyle and dietary habits as contributing factors to the development or prevention of CRC. The paper also points to a number of contributing factors to the development of CRC such as a diet high in red and processed meats, smoking, obesity, heavy alcohol usage and physical inactivity. On the other hand, a diet high in fruits and vegetables, daily intakes of calcium, folate, magnesium and vitamin D and physical activity decrease risk. In light of these factors, the paper contends that a comprehensive screening program designed to detect early noncancerous growths, such as colonoscopy or fecal occult blood test products, should also include nutrition and lifestyle information.

Outline:

The Prevalence of Colorectal Cancer
Partners for the Prevention of Colorectal Cancer in Lycoming County
Evidence for Program Intervention:
Concurrent Screening and Lifestyle Counseling
Hypothetical Program for Lifestyle Counseling in the Prevention of CRC

From the Paper:

"Public health in Pennsylvania has evolved over several decades, and has come to understand the importance of the community's involvement in several health programs. Stakeholders for a CRC prevention program would include medical personnel such as gastroenterologists, oncologists, surgeons and primary care physicians. Not-for-profit organizations may include the local Office for the Aging, Department of Health, and patient advocacy groups such as the American Cancer Society (ACS) and Susquehanna Health in Lycoming County. Other stakeholders to be considered are university students who can be offered paid incentives to perform relevant research, and health insurance companies. Finally, concerned individuals and the general public should be invited to volunteer time and support (including alternative health practitioners, psychologists, health clubs and other interested professionals. To begin a constituent search, Lycoming County's directory for health advocacy is the Lycoming County Health Improvement Coalition (LCHIC), an excellent resource for health professionals as well as the public)."

Sample of Sources Used:

• American Cancer Society (ACS). (2008). What causes colon and rectum cancer. Retrieved from,http://www.cancer.org/docroot/CRI/content/CRI_2_8_What_Causes_Colon_and_Rectum_Cancer.asp?sitearea
• Bio-Medicine. (2008). Lifestyle counseling reduces heart risk. Retrieved from, http://www.bio-medicine.org/medicine-news-1/Lifestyle-Counseling-Reduces-Heart-Risk-21823-1/
• Story, J. A., & Kritchevsky, D. (1994). Denis Parsons Burkitt (1911-1993). AmericanJournal of Nutrition, 124, 1551-4).
• Campbell, T. C., & Campbell II, T. M. (2005). The China study. Dallas, TX:BenbellaPublishers.
• Delaware Dept Health and Social Service (DHSS). (2008). Partners inprevention:Working to prevent colorectal cancer. Retrieved from, http://www.dhss.delaware.gov/dhss/dph/index.html

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