Simple sugars in fruit and the presence of colorectal cancers and polyps

Piotr Sikorski, Małgorzata Szamocka, Agnieszka Meder, Monika Anna Ameryk, Maciej Świątkowski


The current knowledge based on facts provides data regarding genetic and environmental factors relevant for malignancies, including colorectal cancer (CRC) which frequently occurs in well-developed countries. CRC carcinogenesis, a process often lasting 10 to 20 years, has been elucidated.                                                                                                                       The aim of the study was to evaluate the role of simple sugars contained in fruit in the development of colorectal cancer and polyps.                          The study group consisted of 106 people aged 66 years and older. Colonoscopy screening was used as an opportunistic examination. Among people not qualified for the examination were those with diagnosed disease organic disease of the large intestine, suspected CRC, and people with poor health status due to diagnosed advanced organic diseases of essential organs. Colonoscopy screening was conducted at the Clinic of Gastroenterology and Nutrition Disorders, Collegium Medicum in Bydgoszcz.                                                                                       The project demonstrated that in the group of 106 elderly people, in whom colonoscopy was conducted as an opportunistic examination under PBP, CRC was detected in 6 subjects, which is significantly more compared to 1 person in the control group. Apart from subjects with CRC, additional 8 subjects had histologically advanced adenomas that due to the high degree of dysplasia and/or presence of a villous component constituted a real risk of developing CRC in the future. In the control group, whose average age was 10 years younger, only one person was found to have cancer and other two had advanced adenomas, and while more adenomas were detected in the study group, they did not pose a significant risk of CRC.                                                                                               The results obtained in the study allow us to draw the conclusion that in order to reduce the likelihood of developing colorectal cancer in older age, proper lifestyle habits should be promoted from childhood and based on rational nutrition, safe and functional food products and, inseparably, physical activity, with colonoscopy screening conducted once in ten years starting from the age of 50. 


colorectal cancer, polyps, fruit, simple sugar

Full Text:



Winter P. et al.: Epigenetics and chromatin modifications. Short lectures. Genetics. editors, PWN. Warsaw, 2003; 374-81

Song M. et al.: Nutrients, Foods and Colorectal Cancer Prevention. Gastroenterology. 2015; 148(6): 1244-1260

Hamilton S. et al.: World Health Organisation Clasification of Tumours. Pathology and Genetics of Tumours of the Digestive Tract. IARC Press: Lyon. 2000:104

Orłowska J. i wsp.: Gruczolaki ząbkowane i polipowatość hyperplastyczna a rak jelita grubego. Borgis. postępy Nauk Medycznych. 2009 (2): 111-117

Jackson A.: Word Cancer Research Fund / American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Colorectal Cancer. Colorectal Cancer.2011. Report.

Calvert P.: The genetics of colorectal cancer. Ann Intern Med.; 2002; 137: 603-612

Chan A. et al.: Primary Prevention of Colorectal Cancer. Gastroenterology. 2010; 138(6): 2029-2043

Teixeira M. et al.: Primary prevention of Colorectal Cancer: Myth or reality. World J Gastroenterol. 2014; 20(41): 15060-15069

Kang H. et al.: Visceral Obesity and Insulin Resistance as Risk Factors for Colorectal Adenoma: A Cross-Sectional, Case – Control Study. Am. J. Gastroenterol. 2010; 105: 178–187.

Wolin K. et al.: Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer. 2009;100: 611-616

Reguła J.: Narodowy program zwalczania nowotworów: Program badań przesiewowych dla wczesnego wykrywania raka jelita grubego, w zakresie wykonywania badań kolonoskopowych w 2014 i 2015 r. w systemie zapraszanym;, Warszawa, 03.06.2014 r.

Świątkowski M i wsp. An analysis of quality in screening colonoscopy. Med.Sci.Tech.2013;54: 1–6.

Szamocka M i wsp.: Nawyki żywieniowe, a występowanie gruczolaków i raków w kolonoskopii przesiewowej u osób w wieku 65+. J. Educ. Health Sport.2017;5(7):76-94.

Burkitt D.: Related disease – related cause? Lancet. 1969; 2: 1229 – 1231

Fuchs C. et al.: Dietary fiber and the risk of colorectal cancer and adenoma in women. N Engl J Med. 1999; 340: 169 – 176

Pietinen P. et al.: Diet and risk of colorectal cancer in a cohort of Finnish men. Cancer Couses Control. 1999; 10: 387 – 396.

Aune D. et al.: Dietary fiber, whole grains, and risk of colorectal cancer: systematic review and dose-response meta-analysis of prospective studies. BMJ 2011; 343: d6617.

Park Y. at al.: Dietary fiber intake and risk of colorectal cancer: a pooled analysis of prospective cohort studies. JAMA. 2005; 294 (22): 2849–2857

Koushik A. et al.: Fruits, vegetables, and colon cancer risk in a pooled analysis of 14 cohort studies. J Natl Cancer Inst. 2007; 99: 1471-83

Jarosz M. i wsp.:Normy żywienia dla populacji Polski. Instytut Żywienia i Żywności.Warszawa.2017

Gnagnarella P. et al.: Glycemic index, glycemic load and cancer risk: a meta-analysis. Am J Clin Nutr. 2008; 87: 1793 – 180.



  • There are currently no refbacks.

Copyright (c) 2017 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski