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title: How to Prevent Cancer: Fitness and Workouts Protect Men Against Cancer
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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt5ce838f397a526e3/69877826524fc0941adebb7e/treadmill.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# How Men Can Protect Against Cancer

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<!-- video src="https://cdn.jwplayer.com/manifests/pAMu9cRG.m3u8" -->
## Video: TIME Explains: Cancer Screenings

[Watch (HLS stream): TIME Explains: Cancer Screenings](https://cdn.jwplayer.com/manifests/pAMu9cRG.m3u8) (1:51)

![TIME Explains: Cancer Screenings](https://cdn.jwplayer.com/v2/media/pAMu9cRG/poster.jpg?width=720)

_Published 2012-10-01. TIME's Alice Park explains how new cancer screening recommendations effect you_


![Mandy Oaklander](https://static.time.com/v3/assets/bltea6093859af6183b/bltf730b17db5c29309/698938c986f68e5af66ea012/m_oaklander-staff-portrait.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Mandy Oaklander](https://time.com/author/mandy-oaklander/)


![Mandy Oaklander](https://static.time.com/v3/assets/bltea6093859af6183b/bltf730b17db5c29309/698938c986f68e5af66ea012/m_oaklander-staff-portrait.jpg?branch=production&width=96&quality=75&auto=webp)

## Mandy Oaklander


Oaklander is a senior editor at TIME.

Mar 26, 2015 3:00 PM UTC

![man running on treadmill](https://static.time.com/v3/assets/bltea6093859af6183b/blt5ce838f397a526e3/69877826524fc0941adebb7e/treadmill.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Austria, Klagenfurt, man running on treadmill

Austria, Klagenfurt, man running on treadmill Getty Images

![Mandy Oaklander](https://static.time.com/v3/assets/bltea6093859af6183b/bltf730b17db5c29309/698938c986f68e5af66ea012/m_oaklander-staff-portrait.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Mandy Oaklander](https://time.com/author/mandy-oaklander/)


![Mandy Oaklander](https://static.time.com/v3/assets/bltea6093859af6183b/bltf730b17db5c29309/698938c986f68e5af66ea012/m_oaklander-staff-portrait.jpg?branch=production&width=96&quality=75&auto=webp)

## Mandy Oaklander


Oaklander is a senior editor at TIME.

Mar 26, 2015 3:00 PM UTC

It’s no surprise that being physically fit helps protect against heart disease, but a person’s level of fitness might also have a profound effect on cancer outcomes long before a diagnosis. According to a new [study](http://oncology.jamanetwork.com/article.aspx?doi=10.1001/jamaoncol.2015.0226) in _JAMA Oncology_, men who were very fit in middle age were 32% less likely to die from cancer after being diagnosed after age 65 than men who weren’t fit in midlife.

“It’s pretty remarkable that a fitness estimate 10-15 years before your actual cancer diagnosis can predict how long you’re going to live after you develop cancer,” says Dr. Susan Lakoski, one of the study’s authors and assistant professor of medicine at the University of Vermont, Burlington.

In the study, which was part of the Cooper Center Longitudinal Study based out of the Cooper Clinic in Dallas, Texas, Lakoski and her colleagues looked at fitness data, measured by a treadmill test, and cancer data—specifically prostate, lung and colorectal cancer—from about 14,000 men for 6.5 years. Men who were very fit at age 50 had a 55% lower risk of lung cancer and a 44% reduced risk of colorectal cancer compared to men who weren’t fit at 50.

**MORE**: [You Asked: Is Running On A Treadmill As Good As Running Outside?](http://time.com/3578343/exercise-treadmill-running/)

(The researchers did not see this association with prostate cancer. Though more research is need to figure out why, they hypothesize that it’s because men who are very physically fit tend to have better health behaviors like going to the doctor, which makes them more likely to be diagnosed than someone who doesn’t get screened as frequently as something like prostate cancer, which is common but often does not require treatment.)


The protective benefits of exercise didn’t stop there. Of the men who eventually were diagnosed with lung, prostate and colorectal cancer by age 65 or older, being very fit in midlife was associated with a 32% reduced risk of cancer-related death and a 68% lower risk of cardiovascular death compared to men who had low fitness in midlife.

Here’s the best part: it doesn’t take a lot of exercise to have a big health impact, Lakoski found. “Just a small improvement in fitness made a difference in survival of those that developed cancer,” she says. Compared to men who could run 12-minute miles on the treadmill at age 50, men who ran slightly faster 11.5-minute miles had an additional 10% decrease in cancer death and an extra 25% decrease in cardiovascular death among those who developed cancer in the study.

Lakoski hopes that clinicians will start using fitness measurements in their practices to help make preventive exercise plans for their patients. “We talk about personalized medicine a lot now in medicine when we think about genetics, but we don’t think about it in terms of healthy behaviors,” she says. Objective fitness measures are great ways to develop personalized exercise training regimens, she says, with real implications for lifespan. “It is a very robust marker of survival,” she says, “and we’re not using it enough in practice.”



## Transcript

In recent months, public health experts have said that not everyone should get screened for cancer, but that doesn't mean that you don't need to be screened. Here is what you need to know. [ MUSIC ] It used to be relatively straight forward that getting screened for cancer was a good way to prevent the disease. But a government group called the US Preventive Services Task Force has recently said that women, for example, Don't need to get mammograms until they're age 50, which is a full decade after previous recommendations had suggested that women get screened. And for men they now say that they don't need to get the blood test PSA which screens for prostate cancer at all.

What hasn't changed is the idea that getting screened can prevent cancer. What has changed is the fact that we're better at calculating the risks and benefits of that screening. Lets take breast cancer for example, mammograms are actually x- rays, and so therefore expose women to a small dose of radiation each time they get screened. In addition, not every screening test is 100 % perfect, so they'll pick up. Some false positives, which means cancers that aren't really there. And that can lead to additional procedures, tests, and even surgery, which comes with its own complications. This is particularly true in prostate cancer which is such a slow growing cancer that most men are likely to outlive it.

When the panel analyzed these costs and benefits They realized that the benefits did not outweigh the cost of having everyone screened. This doesn't mean that cancer screening is completely obsolete, however. The burden has really shifted to the patents to bring this up with their doctors and to talk about their individual risks for cancer.

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