This page is for men with prostate cancer who want to improve their health. Partners and family members may also find this information helpful. We describe how a healthy diet and regular physical activity may help you manage the effects of prostate cancer and its treatment. We don’t recommend a fixed diet or exercise programme but instead suggest sensible changes that may help with your prostate cancer as well as improve your overall health.
We do not cover eating problems caused by prostate cancer or its treatment. For information about this, ask your doctor to refer you to a dietitian or speak to our Specialist Nurses on our confidential helpline.
Updated December 2012
To be reviewed December 2014
How can my lifestyle affect my health and wellbeing?
By eating healthily and being physically active you can take more control of your health and do something to improve it. As well as the general benefits of a healthy diet, there are specific foods which might affect men with prostate cancer. We list the foods which might help reduce the chance of prostate cancer spreading to other parts of the body (advanced prostate cancer), as well as foods that might be harmful. We also explain how diet and physical activity might help with side effects.
If you would like to know more about living with prostate cancer, read our booklet: Living with and after prostate cancer. A guide to physical, emotional and practical issues.
A healthy diet will benefit your general health and reduce your risk of medical problems such as heart disease, diabetes and other cancers. There is also some evidence that certain foods may slow down the growth of prostate cancer or reduce the risk of it returning after treatment1. At the moment this evidence is limited and we need more research to show clearly how different foods can help.
It’s important to enjoy what you eat, so don’t worry about the occasional treat. But try to make sensible choices in your day-to-day life.
Physical activity is important for general health and wellbeing. It can help you stay a healthy weight by using spare energy that would otherwise be stored by the body as fat.2 Being a healthy weight may be important for reducing the risk of advanced prostate cancer (see below).3 Some research also shows that physical activity can help to slow down the growth of prostate cancer4,5, and help with some of the side effects of treatment6,7
There is more information about physical activity below. See the section below: How can diet and physical activity help with side effects of treatment?
A healthy weight
Keeping to a healthy weight can help reduce your risk of a variety of health problems, including diabetes, heart disease and some other cancers. Being overweight or obese has been linked to a higher risk of developing advanced prostate cancer.3,8–10
Being a healthy weight may mean that treatments such as surgery 8 and radiotherapy can have better results.3 For men who have surgery it may also lower the risk of problems like blood loss and urinary problems.11
Your body mass index (BMI) will give you an idea of whether you are a healthy weight. You can measure your BMI using the chart below.
- Mark your weight in stones or kilograms and draw a line from top to bottom.
- Then mark your height in feet or metres and draw a line from left to right.
- The point where the two lines cross will fall in one of the shaded areas, showing whether you are a healthy weight for your height.
As well as BMI, you can use your waist measurement to see if you are overweight. If your waist measures more than 94cm (37 inches) you are at a higher risk of health problems. If it measures more than 102 cm (40 inches) your risk is even higher.12
If you are overweight, eating a balanced diet, cutting down on fatty and sugary foods and being active will help you to lose weight gradually and healthily. It is not a good idea to go on a crash diet as you may not be eating all the nutrients you need, and many people quickly put the weight back on. There is more information in the sectionHow can I eat more healthily?below.
You can get help to lose weight. Ask your doctor to refer you to a dietitian or a weight loss programme. NHS Choices, the British Dietetic Association and British Nutrition Foundation also have information.
Being underweight can also affect your health, so it is important that you eat enough. Underweight men who are on hormone therapy have a higher risk of bone thinning. If you are losing weight without meaning to, or struggling to eat enough, you can ask your doctor to refer you to a dietitian.
We don’t know if alcohol has any specific effects on men with prostate cancer. But we do know that drinking too much alcohol can make you put on weight and causes health problems such as heart disease and some other cancers.13
The government advises that men should not regularly drink more than three to four units of alcohol a day.14
How many units are in a drink?
- A pint of lager, beer or cider contains 2.8 units
- A 175ml glass of wine contains 2.1 units
- A 25ml measure of 40 per cent single spirit with mixer contains 1 unit
Your doctor or nurse can tell you whether alcohol will affect your prostate cancer treatment. If you have urinary problems after treatment, try to cut down on alcohol as it can irritate the bladder and make the problems worse. You can find out more about managing how much you drink from NHS Choices.
In men with prostate cancer, some research shows that smoking increases the risk of the cancer growing and of advanced cancer.15,16 The more you smoke, the greater your risk.17,18 However, if you stop smoking your risk may gradually reduce, and 10 ten years it could be similar to men who have never smoked.16 If you smoke there is also a higher chance of prostate cancer coming back after surgery or radiotherapy.16
Stopping smoking can help to reduce the side effects of treatment for prostate cancer. For example, if you are on hormone therapy, stopping smoking can help to keep your bones from thinning.18 There is more information about this below. See section below:How can diet and physical activity help with side effects of treatment?
Smoking also puts you at risk of other health problems such as heart disease and stroke. NHS Choices has more information about stopping smoking.
There is little evidence to show that supplements are of any benefit for men with prostate cancer. Supplements may also interfere with some treatments for prostate cancer, so let your doctor or nurse know if you are taking, or plan to take, any supplements.
Taking high doses of some supplements could even be bad for your health.1,19 You should be able to get all the nutrients you need by eating a balanced diet, rather than taking supplements. If you do choose to take supplements, make sure you don’t take more than the recommended daily allowance (RDA) for each nutrient.
Sometimes you may need to take a specific supplement. For example, if you are on hormone therapy, your doctor might recommend calcium and vitamin D supplements. For more information, see the section below: How can diet and physical activity help with side effects of treatment?
Some men like to take herbal or complementary medicines to help manage their prostate cancer or the side effects of treatment. For example, some men drink sage tea to help with hot flushes which can be a side effect of hormone therapy. However, there is very little evidence that herbal remedies are effective for treating prostate cancer or managing side effects.1,20,21
Not all herbal remedies in the UK are licensed, and the quality varies a lot. Be particularly careful about buying herbal remedies over the internet. Many are manufactured outside the UK and may not be regulated. Many companies make claims that are not based on proper research, and there may be no real evidence that they work. Some may even contain harmful substances.22 Remember that a product is not necessarily safe simply because it is called ‘natural’.
Just as with conventional medicines, herbal remedies can interfere with your prostate cancer treatment. Some may artificially reduce your PSA levels, making PSA tests unreliable.
It’s vital that you tell your doctor if you are taking any kind of herbal remedy or complementary therapy – just as you would any normal medicine.
The Medicines and Healthcare products Regulatory Agency (MHRA) provides advice about how to use herbal remedies safely.
Reporting unusual side effects: The Yellow Card Scheme
If you think you are experiencing a side effect from any treatment – including a herbal remedy – that is not mentioned in the information leaflet that comes with it, then you can report it using the Yellow Card Scheme. This is run by the Medicines Healthcare products Regulatory Agency (MHRA). They will investigate and if they find a problem with a medication then the MHRA will take action to protect the public.
There are three ways you can report a side effect:
- Use the online Yellow Card form at http://yellowcard.mhra.gov.uk
- Ask for a Yellow Card form at your pharmacy or GP surgery
- Call the Yellow Card freephone on 0808 100 3352
How can I eat more healthily?
Food is an important and enjoyable part of everyday life and it’s important to remember this if you decide to make changes to your diet. Experiment and try new foods. Eating a varied diet will make sure you are eating a range of nutrients.
Set yourself realistic goals and make changes gradually. Trying to make too many changes at once may mean that you are less likely to stick to them. Start by making small changes that you feel comfortable with, for example eating more fruit and vegetables. Eat regular meals and include all the food groups (see below) – if you cut out any food group it’s harder to get all the nutrients you need.
Try to cut down on unhealthy foods, such as those high in sugar or saturated fat, although there is nothing wrong with the occasional treat. Check the labels on packaged foods for the calorie, fat, salt and sugar content. You can compare different products to make healthier choices. Be aware that some foods that claim to be low fat could still be high in sugar and calories. In general it’s best not to eat too much processed food.
Ask your doctor to refer you to a dietitian for help improving your diet or if you have any other medical conditions that could be affected by your diet, such as diabetes.
The picture below shows the main food groups and the proportions that you should aim to include in your diet23.
For a healthy diet:
- Eat at least five portions of fruit and vegetables each day (see the section below: Fruit and vegetables).
- About a third of your diet should be starchy foods like potatoes, bread, rice, pasta, plantain, sweet potato and yam. Choose wholegrain varieties where possible. These are high in fibre and also help you to feel full for longer.
- Include some protein, like fish, lean white meat, eggs, beans and pulses.
- Include some dairy foods and foods which contain calcium such as semi-skimmed milk, soy milk or yoghurts (see the section below: Which foods should I limit in my diet?).
- Eat foods that are low in fat, especially saturated fat (see the section below: Which foods should I limit in my diet?).
- Cut down on foods high in sugar such as sugary and fizzy drinks, cakes and biscuits.
- Cut down on salt. Eat less than 6g each day, which is equivalent to one rounded teaspoon. Most of the salt we eat is hidden in processed foods such as bread, some breakfast cereals, bacon, and takeaways. Avoid adding salt when cooking and try using herbs and spices to add flavour instead.
- Drink six to eight glasses (1.2 litres) of water or low sugar drinks each day. This does not include coffee, alcohol or sugary and fizzy drinks.
Fruits and vegetables
Fruit and vegetables are an important part of a healthy diet and a good source of vitamins, minerals and fibre. Eating plenty of fruit and vegetables helps to reduce your risk of heart disease, some cancers19 and other medical problems.24 Eating lots of fruit and vegetables and cutting down fat will also help you lose weight or stay a healthy weight.25
Scientists have highlighted a number of specific fruit and vegetables which may help to slow down the growth of prostate cancer. Read more in the sections below.
Aim to eat at least five portions of fruit and vegetables every day. They can be fresh, frozen, dried or tinned with no added sugar or salt. One portion is roughly one cupped handful or 80g in weight. One glass of unsweetened fruit juice also counts towards your five a day. Five a day may sound like a lot, but if you try to have one or two portions included in each meal, and fruit as snacks, you should find that you are eating enough. More information is available from NHS Choices.
Fruit and vegetables of different colours contain different nutrients. Try to eat a variety to increase your intake of vitamins and minerals.
Soy and other pulses
Pulses such as soy beans, kidney beans, chickpeas and lentils contain plant chemicals that are thought to be anti-cancerous. Pulses count as one of your five vegetables a day and are high in fibre. Three heaped tablespoons of pulses make up one portion.
Soy beans have particularly high levels of these plant chemicals and studies have suggested that soy products may slow down the growth of prostate cancer.26–29
Soy milk and tofu are good sources of soy. You could swap some of the cow’s milk you drink for soy milk. Frozen soy beans, soy yoghurts, soy bread, miso and tempeh and other soy products are all available in health food shops and supermarkets.
Green tea may protect against prostate cancer and advanced prostate cancer.30,31 For it to have an effect, you need to drink around six cups a day,32 so you may want to drink it in place of your usual hot drinks.
Brew the tea for 5 minutes for the beneficial nutrients to be released. This makes the flavour quite strong so you might want to add sweetener. You might want to choose a decaffeinated variety as caffeine can irritate the bladder, making you need the toilet more often.
Tomatoes and lycopene
Tomatoes contain a plant chemical called lycopene, which may slow down the growth of prostate cancer33,34. Cooked and processed tomatoes, such as tomato sauces, soups, purees and pastes, are a better source of lycopene than fresh tomatoes19. Some tomato products such as ketchup often contain hidden salt and sugar so choose low salt and sugar options where available35. Eat foods containing lycopene often, for example every couple of days, as it is not stored for long in the body35.
Lycopene is also found in watermelons, pink grapefruits, guava and papaya. You may need to avoid grapefruit if you are taking certain prescription drugs including statins to lower your cholesterol, drugs to treat erection problems (including PDE5 inhibitors such as Viagra®), or warfarin to thin your blood.36 Ask your doctor or pharmacist for advice.
There is evidence to suggest that selenium helps to protect against prostate cancer37,38 and advanced prostate cancer37. Most of us in the UK don’t have much selenium in our diet, but some foods are a good source of it. These include Brazil nuts, fish, seafood, liver, kidney and poultry. Taking selenium supplements doesn’t appear to have any benefit in protecting against prostate cancer.37,38
This is a group of vegetables that includes broccoli, cauliflower, cabbage, Brussels sprouts, bok choy, spinach and kale. Some studies suggest that cruciferous vegetables may help reduce the risk of advanced prostate cancer.39,40
Some recent research suggests that pomegranate juice may benefit men with prostate cancer.41–43 One small study found that drinking a glass of concentrated pomegranate juice every day slowed down the growth of cancer in men whose cancer had come back after their first treatment.44
It is better to drink concentrated pomegranate juice rather than eat the fruit itself. This is because the juice contains the whole fruit and so contains a lot more of the helpful nutrients. Choose a variety without added sugar if possible. You may need to avoid pomegranate if you are on certain prescription drugs. Ask your pharmacist for advice.
Fish and fish oils
Fish are an important part of a balanced diet. Some research suggests that eating fish may reduce the risk of advanced prostate cancer.45–47 However, this is not backed up by other studies46,48 so we can’t be sure of this effect.
The possible benefit of fish could be due to the fats which are found in oily fish, known as fish oils or long-chain omega-3 fatty acids. Examples of oily fish include salmon, mackerel, sardines, trout, herring and fresh tuna, but not canned tuna as the oils are lost in the canning process. As oily fish contain other nutrients, such as vitamin D and selenium, it is better to include fish in the diet rather than to take supplements of fish oils. It is also sensible to include other types of fish in a healthy balanced diet.
Try to eat at least two portions of fish a week. Include at least one, and up to four, portions of oily fish49 a week. Don’t eat more than four portions of oily fish as they can contain small amounts of harmful substances. A portion is around 140g when cooked. You might find oily fish a good alternative to red meat, if you are trying to reduce the amount of red meat in your diet (see section below: Meat).
Table: Which foods might help with my prostate cancer?
This table summarises the information above.
Dairy products and calcium
We don’t yet know what effect dairy and calcium have once you have been diagnosed with prostate cancer1. Some studies suggest that eating very high levels of calcium may increase the risk of advanced prostate cancer50, but others show no link.51 The increased risk has been seen in men who eat more than 2000mg of calcium per day, which is about 1.6 litres of milk (see below).
Dairy is high in calcium but scientists do not yet know whether it is the calcium in the dairy that is the problem, or something else such as the fat or dairy protein.
Eating normal amounts of calcium and dairy is healthy and not linked to a higher risk of prostate cancer or advanced cancer. Calcium is important for strong bones and overall health and you need to include some in your diet. Try to eat the recommended amount of 700mg a day.52 The bullet points below give you an idea of how much calcium is in different foods. Most people can get all of the calcium they need from food, rather than supplements.
If you are on hormone therapy you need more calcium because hormone therapy can cause bone thinning which can make your bones weaker and more likely to break (fracture).
To prevent this, you need more than the recommended amount and should aim for 1200-1500mg of calcium each day.1 This is still below the levels that have been linked to a higher risk of prostate cancer or advanced prostate cancer. Speak to your doctor or nurse about whether you should take calcium supplements.
The effect of red and processed meat on men who have prostate cancer is uncertain,53 but some studies have found that eating too much may raise your risk of aggressive and advanced prostate cancer.19,54,55 Some studies have suggested that a diet that is low in meat but high in fruit and vegetables helps to slow the growth of prostate cancer.30 Red meat includes beef, pork or lamb. Processed meat is meat that has been preserved by smoking, curing, or salting, or with preservatives. It includes ham, bacon, sausages and burgers.
Meat cooked at very high temperatures or very well done, such as barbequed or fried meat, might also increase your risk of advanced cancer,56 particularly if it’s red or processed meat.57–59 When meat is burnt it produces chemicals which can damage normal cells and cause cancer.
Try to eat no more than 300g cooked red meat (400-450g raw) a week, and try not to eat it every day.19 Avoid processed meat and cooking meat at high temperatures as much as possible. You could choose lean white meat such as chicken or fish instead. Remove the skin from poultry, such as chicken or turkey, as some studies suggest that eating the skin can increase the risk of prostate cancer growing.60
You need some fat in your diet for your body to function properly. However, eating too much fat can make you put on weight which may increase your risk of advanced prostate cancer (see the sectionA healthy weightabove).
Some studies have shown a link between fat1,4,61 and saturated fat found in red meat and dairy products and an increased risk of advanced prostate cancer.62–64 However, other studies have found that eating large amounts of fat does not affect prostate cancer.65–67
There are different types of fat. Unsaturated fats (known as monounsaturated and polyunsaturated fats) are generally considered healthier, and are found in olive oils, avocados, nuts, seeds, oily fish (see the sectionFish and fish oils above) and vegetable oils. Saturated fats are less healthy and are found in meat and meat products, dairy products such as butter and cheese, and many processed foods such as cakes, biscuits and pastries.
You need some fat in your diet for the body to function properly. But think about the type of fats that you eat and try to replace saturated fats with foods that are rich in monounsaturated and polyunsaturated fats.
The following tips can help you to cut down on fat and saturated fat.
- Choose tomato-based sauces instead of creamy ones.
- Replace fatty snacks like crisps and biscuits with healthier options such as fruit.
- Avoid processed meat such as ham, bacon, sausages and burgers.
- Eat less red meat and remove any visible fat. Try eating chicken or fish instead.
- Remove any skin from chicken or turkey. The skin is high in saturated fat.
- Use less fat in cooking. Grill, bake or steam food instead of frying.
- Choose olive oil or rapeseed oil for cooking and salad dressings
- Choose low fat or fat-free milk, cheese and yoghurt or replace these with dairy-free alternatives like soy products, rice milk or oat milk.
Vitamin E supplements
Previous research suggested that vitamin E supplements might help prevent prostate cancer and help protect against advanced cancer. More recent research has shown that it does not have this effect and might even be harmful.68 You do need vitamin E in your diet; like all vitamins it is vital for good health. The best way to get enough vitamin E is through a balanced diet, without taking supplements.
How much physical activity should I do?
Being physically active can improve your physical strength and fitness, reduce tiredness and improve your quality of life.69 Even if you don’t feel able to do a lot of physical activity, a small amount will still help.
Find an activity you enjoy, take things at your own pace and don’t overdo it. Make sure you rest when you feel you need to.
Aim to be physically active at least two to three times a week7. Start gently for short periods of time, such as 15 minutes, and gradually increase the amount you do as you become fitter. If you are able to, build up to include 30 minutes of moderate exercise three to five days a week.4 Your heart should beat faster but you should still be able to talk – about the level of a brisk walk.
What type of physical activity should I do?
Walking, swimming, cycling and gardening are all good exercise. You can do simple things such as getting off the bus one stop earlier, or walking upstairs rather than using the lift. There are also exercises that you can do from your chair or bed, such as lifting and stretching your arms and legs, which can help improve mobility and muscle strength.70
Gentle resistance exercise such as fast walking, swimming and using light weights are particularly good, especially for men who are on hormone therapy and so are at risk of bone thinning (see next section).6,7 If you are on hormone therapy or have cancer which has spread to the bones, check with your doctor before doing high impact exercises such as running and contact sports.
Try a variety of activities or sports so that you don’t get bored and set some goals to keep you motivated70. You might find it enjoyable to exercise in a group. Exercising with others may be better for reducing tiredness and improving fitness. 6,7
If you are trying to lose weight, an exercise programme such as walking 10,000 steps a day can be useful. You can get more information about this from NHS Choices.71
You should speak to your GP or doctor or nurse before you start any kind of exercise plan. They can give you advice about what type of activity is appropriate and safe for you and help you get started. They may be able to refer you to an exercise programme or a physiotherapist who can give you further advice and draw up an exercise programme for your individual needs. If you’ve got existing health problems such as heart disease or problems with your joints or muscles speak to your doctor before exercising.7
- Be careful to avoid falls, especially if you are on hormone therapy or have cancer that has spread to the bones as these can increase your risk of fractures. Wear properly fitting clothing and trainers, and do not exercise on uneven surfaces.
- Make sure you drink enough water and do not get dehydrated.
- Do not exercise if you feel unwell, have any pain, sickness or any other unusual symptoms. Stop if you experience any of these while exercising.
- If you are having radiotherapy and have any skin irritation, avoid swimming pools as the chlorine can make this worse.
How can diet and physical activity help with side effects of treatment?
Hormone therapy in particular can cause a number of side effects which diet and physical activity may be able to help with. They may also help to reduce the side effects of some other prostate cancer treatments. For more information on side effects, read our Tool Kit fact sheets.
If you are on hormone therapy, you may find that you put on weight, particularly around the waist. You may also be at a higher risk of heart disease and diabetes.72 A healthy diet and regular physical activity can help you to maintain70 your weight and reduce your risk of these complications6. If you find it difficult to lose weight, ask your doctor to refer you to a dietitian for advice.
Hormone therapy can increase your risk of bone thinning (osteoporosis). This happens after about six months on hormone therapy and increases your risk of bone fractures. Regular physical activity may help to keep you strong and prevent falls which could cause fractures.18,73 Gentle resistance exercise, which includes fast walking, swimming and using small weights, can be particularly helpful.
You should speak to your doctor or nurse before you start any exercise to reduce the risk of bone thinning. They may be able to refer you to a physiotherapist who can give advice and suggest a specific exercise programme for your needs.
Both calcium and vitamin D are important for strong bones, so you may also need to take calcium (see the sectionDairy products and calciumabove) and vitamin D supplements. Your doctor or nurse will advise you about this. The main source of vitamin D is exposure to sunlight. You can also get it from eating oily fish such as sardines, pilchards, mackerel and salmon, as well as foods fortified with vitamin D such as breakfast cereals.
Strength and muscle loss
Hormone therapy can cause muscle loss. Resistance exercise such as swimming and lifting light weights can help to reduce this and keep you stronger.6,7
Hormone therapy can cause hot flushes. Some men have found that the herbal remedies sage tea and black cohosh (a herb which can be bought as a supplement) help them to manage hot flushes.74 But there is no scientific evidence that these are effective.75 However there is evidence that black cohosh may cause liver damage. This is rare, but you should not take it if you have ever had liver or kidney disease.76 Tell your doctor if you are taking any herbal remedies for hot flushes, other side effects or any other conditions.
Tiredness and fatigue can be a side effect of some treatments including hormone therapy, radiotherapy and chemotherapy. Light to moderate exercise such as walking or cycling can help boost your energy levels.77 If you feel very tired because of your treatment, you might find it difficult to feel motivated to be active. Try to get into a routine of being active, and be active when you feel most able.78 If you feel particularly tired, try shorter periods of activity or exercise at a lower intensity and take regular breaks.
Anxiety and depression
Many men with prostate cancer feel anxious and worried at some point. For some, these feelings can develop into depression. Some treatments for prostate cancer, such as hormone therapy and chemotherapy, can also cause depression and mood swings. Regular physical activity can help you deal with feelings of anxiety and depression.79
Some men find that the side effects of treatment, such as weight gain and loss of physical strength, can change how they feel about their body. Eating a healthy diet and being active can help you feel more in control and improve the way you see yourself.
If you are having radiotherapy, you may have problems with loose and watery stools (diarrhoea) during and after treatment. During the course of treatment, follow the advice from your hospital regarding diet.
If you have had radiotherapy and experience diarrhoea afterwards, you may find that eating a low fibre diet for a short time helps with this. Low fibre foods include white rice, pasta and bread, potatoes (without the skins), cornmeal, eggs and lean white meat.
Pain-relieving tablets, which are given after surgery and to treat men with advanced prostate cancer, can make some men constipated (unable to have a bowel movement). To help prevent this, drink plenty of water and eat high fibre foods such as bran and fresh and dried fruit such as prunes. Gentle physical activity might also help. If the problem doesn’t improve, speak to your doctor. You may need a laxative, which is a medicine to help empty your bowels.
Some treatments for prostate cancer, particularly surgery, can cause problems with passing urine. You can help manage these problems by keeping to a healthy weight, staying active, and avoiding constipation by eating high fibre foods. Try to drink plenty of fluids (two litres or three to four pints a day), but cut down on fizzy drinks, alcohol and drinks high in caffeine (tea, coffee and cola), as these may irritate the bladder.
Many prostate cancer treatments can cause erection problems. Maintaining a healthy weight and being physically active may help with erection problems. For more information about treatments and support available, read our booklet, Prostate cancer and your sex life.
Questions to ask your doctor or nurse
You may find it helpful to keep a note of any questions you have to take to your next appointment.
- Are there any foods I should avoid with the medication I am taking?
- Are there any foods or supplements that might help with my side effects?
- Are there any complementary therapies I should avoid with my treatment?
- Are there any types of physical activity which will be particularly good for me?
- Are there any types of physical activity I should avoid with the treatments I’m having? Are there any activity groups I can join?
- What other support is available to me?
Other useful organisations
British Dietetic Association
Telephone: 0121 200 8080
Provides information on finding a registered dietitian and following a healthy diet.
British Nutrition Foundation
Telephone: 020 7557 7930
Provides information on a healthy diet and how diet may be linked to cancer.
Macmillan Cancer Support
Helpline: 0808 808 00 00 (Mon-Fri 9am-8pm)
Provides information on coping with cancer and treatment, including diet, recipes and exercise advice, for people with cancer, their family and friends.
Medicine and Healthcare products Regulatory Agency
Telephone: 020 3080 6000
Provides advice about how to use herbal remedies safely.
Provides medical information and advice, including information about how to eat healthily and exercise.
Penny Brohn Cancer Care
Helpline: 0845 123 23 10 (Mon-Fri 9.50am-5pm)
Supports people living with cancer through lifestyle information and self-management tools.
World Cancer Research Fund
Telephone: 020 7343 4205
Funds research and provides information on diet and exercise to reduce the risk of cancer.
- Wendy Burley, Lead Nutritional Therapist, Penny Brohn Cancer Care, Bristol
- Saira Chowdhury, Specialist Oncology Dietitian, Guy's & St. Thomas' NHS Foundation Trust, London
- John McLoughlin, Consultant Urologist, West Suffolk Hospital NHS Trust, Bury St Edmonds
- Liza Robinson, Physiotherapist, Specialist in Oncology and Palliative Rehabilitation, Oxshott, Surrey
- Nona Toothill, Clinical Nurse Specialist, Airedale NHS Foundation Trust, West Yorkshire
- Angela Lee, Uro-oncology Clinical Nurse Specialist, King George Hospital NHS Trust, Goodmayes
- Cathryn Woodward, Consultant Clinical Oncologist, West Suffolk Hospital NHS Trust, Bury St Edmunds
- Prostate Cancer UK Volunteers
- Prostate Cancer UK Specialist Nurses
Written and edited by: Prostate Cancer UK Information Team
- Hori S, Butler E, McLoughlin J. Prostate cancer and diet: food for thought? BJU Int. 2011 May;107(9):1348–59.
- Eight tips for healthy eating - Live Well - NHS Choices [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/Livewell/Goodfood/Pages/eight-tips-healthy-eating.aspx
- Cao Y, Ma J. Body mass index, prostate cancer-specific mortality, and biochemical recurrence: a systematic review and meta-analysis. Cancer Prev Res (Phila). 2011 Apr;4(4):486–501.
- Davies NJ, Batehup L, Thomas R. The role of diet and physical activity in breast, colorectal, and prostate cancer survivorship: a review of the literature. Br. J. Cancer. 2011 Nov 8;105 Suppl 1:S52–73.
- Richman EL, Kenfield SA, Stampfer MJ, Paciorek A, Carroll PR, Chan JM. Physical Activity after Diagnosis and Risk of Prostate Cancer Progression: Data from the Cancer of the Prostate Strategic Urologic Research Endeavor. Cancer Res [Internet]. 2011 May 24 [cited 2013 Jan 25]; Available from: http://cancerres.aacrjournals.org/content/early/2011/05/20/0008-5472.CAN-10-3932
- Baumann FT, Zopf EM, Bloch W. Clinical exercise interventions in prostate cancer patients--a systematic review of randomized controlled trials. Support Care Cancer. 2012 Feb;20(2):221–33.
- Keogh JWL, MacLeod RD. Body composition, physical fitness, functional performance, quality of life, and fatigue benefits of exercise for prostate cancer patients: a systematic review. J Pain Symptom Manage. 2012 Jan;43(1):96–110.
- Ho T, Gerber L, Aronson WJ, Terris MK, Presti JC, Kane CJ, et al. Obesity, prostate-specific antigen nadir, and biochemical recurrence after radical prostatectomy: biology or technique? Results from the SEARCH database. Eur. Urol. 2012 Nov;62(5):910–6.
- Discacciati A, Orsini N, Wolk A. Body mass index and incidence of localized and advanced prostate cancer--a dose-response meta-analysis of prospective studies. Ann. Oncol. 2012 Jul;23(7):1665–71.
- Häggström C, Stocks T, Ulmert D, Bjørge T, Ulmer H, Hallmans G, et al. Prospective study on metabolic factors and risk of prostate cancer. Cancer. 2012 Dec 15;118(24):6199–206.
- Murphy DG, Bjartell A, Ficarra V, Graefen M, Haese A, Montironi R, et al. Downsides of robot-assisted laparoscopic radical prostatectomy: limitations and complications. Eur. Urol. 2010 May;57(5):735–46.
- Why is my waist size important? - Health questions - NHS Choices [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/chq/Pages/849.aspx?CategoryID=51&SubCategoryID=165
- Rota M, Scotti L, Turati F, Tramacere I, Islami F, Bellocco R, et al. Alcohol consumption and prostate cancer risk: a meta-analysis of the dose-risk relation. Eur. J. Cancer Prev. 2012 Jul;21(4):350–9.
- The risks of drinking too much - Live Well - NHS Choices [Internet]. [cited 2013 Jan 28]. Available from: http://www.nhs.uk/Livewell/alcohol/Pages/Effectsofalcohol.aspx
- Zu K, Giovannucci E. Smoking and aggressive prostate cancer: a review of the epidemiologic evidence. Cancer Causes Control. 2009 Dec;20(10):1799–810.
- Kenfield SA SM. Smoking and prostate cancer survival and recurrence. JAMA. 2011 Jun 22;305(24):2548–55.
- Huncharek M, Haddock KS, Reid R, Kupelnick B. Smoking as a risk factor for prostate cancer: a meta-analysis of 24 prospective cohort studies. Am J Public Health. 2010 Apr;100(4):693–701.
- Grossmann M, Hamilton EJ, Gilfillan C, Bolton D, Joon DL, Zajac JD. Bone and metabolic health in patients with non-metastatic prostate cancer who are receiving androgen deprivation therapy. Med. J. Aust. [Internet]. 2011 [cited 2013 Jan 25];194(6). Available from: https://www.mja.com.au/journal/2011/194/6/bone-and-metabolic-health-patients-non-metastatic-prostate-cancer-who-are
- Marmot M, Atinmo T, Byers T, Chen J, Hirohata T, Jackson A, et al. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective [Internet]. 2007 [cited 2013 Jan 25]. Available from: http://discovery.ucl.ac.uk/4841/
- Von Löw EC, Perabo FGE, Siener R, Müller SC. Review. Facts and fiction of phytotherapy for prostate cancer: a critical assessment of preclinical and clinical data. In Vivo. 2007 Apr;21(2):189–204.
- Rackley JD, Clark PE, Hall MC. Complementary and alternative medicine for advanced prostate cancer. Urol. Clin. North Am. 2006 May;33(2):237–246, viii.
- Using herbal medicines safely : MHRA [Internet]. [cited 2013 Jan 25]. Available from: http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Herbalmedicines/Usingherbalmedicinessafely/index.htm
- Eatwell plate [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/Livewell/Goodfood/Pages/eatwell-plate.aspx
- Bazzano LA. Dietary intake of fruit and vegetables and risk of diabetes mellitus and cardiovascular diseases [Internet]. World Health Organisation; 2005. Available from: http://www.who.int/dietphysicalactivity/publications/f&v_cvd_diabetes.pdf
- Carlton Tohill B. Dietary intake of fruit and vegetables and management of body weight. World health Organisation; 2004.
- Trottier G, Boström PJ, Lawrentschuk N, Fleshner NE. Nutraceuticals and prostate cancer prevention: a current review. Nature Reviews Urology. 2010 Jan 1;7(1):21–30.
- Van Patten CL, De Boer JG, Tomlinson Guns ES. Diet and dietary supplement intervention trials for the prevention of prostate cancer recurrence: a review of the randomized controlled trial evidence. J. Urol. 2008 Dec;180(6):2314–2321; discussion 2721–2722.
- Vaishampayan U, Hussain M, Banerjee M, Seren S, Sarkar FH, Fontana J, et al. Lycopene and soy isoflavones in the treatment of prostate cancer. Nutr Cancer. 2007;59(1):1–7.
- Lazarevic B, Boezelijn G, Diep LM, Kvernrod K, Ogren O, Ramberg H, et al. Efficacy and safety of short-term genistein intervention in patients with localized prostate cancer prior to radical prostatectomy: a randomized, placebo-controlled, double-blind Phase 2 clinical trial. Nutr Cancer. 2011;63(6):889–98.
- Ma RW-L, Chapman K. A systematic review of the effect of diet in prostate cancer prevention and treatment. J Hum Nutr Diet. 2009 Jun;22(3):187–199; quiz 200–202.
- Henning SM, Wang P, Heber D. Chemopreventive effects of tea in prostate cancer: green tea versus black tea. Mol Nutr Food Res. 2011 Jun;55(6):905–20.
- Venkateswaran V, Klotz LH. Diet and prostate cancer: mechanisms of action and implications for chemoprevention. Nat Rev Urol. 2010 Aug;7(8):442–53.
- Ilic D, Misso M. Lycopene for the prevention and treatment of benign prostatic hyperplasia and prostate cancer: a systematic review. Maturitas. 2012 Aug;72(4):269–76.
- Haseen F, Cantwell MM, O’Sullivan JM, Murray LJ. Is there a benefit from lycopene supplementation in men with prostate cancer? A systematic review. Prostate Cancer Prostatic Dis. 2009;12(4):325–32.
- Wei MY, Giovannucci EL. Lycopene, Tomato Products, and Prostate Cancer Incidence: A Review and Reassessment in the PSA Screening Era. Journal of Oncology. 2012;2012:1–7.
- British National Formulary: Grapefruit Juice [Internet]. [cited 2013 Jan 25]. Available from: http://el.trc.gov.om:4000/htmlroot/MEDICAL/tcolon/pharmacology/Use%20of%20Drugs/Notes/Grapefruit%20Juice.htm
- Hurst R, Hooper L, Norat T, Lau R, Aune D, Greenwood DC, et al. Selenium and prostate cancer: systematic review and meta-analysis. Am. J. Clin. Nutr. 2012 Jul;96(1):111–22.
- Dennert G, Zwahlen M, Brinkman M, Vinceti M, Zeegers MPA, Horneber M. Selenium for preventing cancer. Cochrane Database Syst Rev. 2011;(5):CD005195.
- Liu B, Mao Q, Cao M, Xie L. Cruciferous vegetables intake and risk of prostate cancer: a meta-analysis. Int. J. Urol. 2012 Feb;19(2):134–41.
- Richman EL, Carroll PR, Chan JM. Vegetable and fruit intake after diagnosis and risk of prostate cancer progression. Int. J. Cancer. 2012 Jul 1;131(1):201–10.
- Bell C, Hawthorne S. Ellagic acid, pomegranate and prostate cancer -- a mini review. J. Pharm. Pharmacol. 2008 Feb;60(2):139–44.
- Santillo VM, Lowe FC. Role of vitamins, minerals and supplements in the prevention and management of prostate cancer. Int Braz J Urol. 2006 Feb;32(1):3–14.
- Paller CJ, Ye X, Wozniak PJ, Gillespie BK, Sieber PR, Greengold RH, et al. A randomized phase II study of pomegranate extract for men with rising PSA following initial therapy for localized prostate cancer. Prostate Cancer Prostatic Dis. 2012 Jun 12;
- Pantuck AJ, Leppert JT, Zomorodian N, Aronson W, Hong J, Barnard RJ, et al. Phase II study of pomegranate juice for men with rising prostate-specific antigen following surgery or radiation for prostate cancer. Clin. Cancer Res. 2006 Jul 1;12(13):4018–26.
- Szymanski KM, Wheeler DC, Mucci LA. Fish consumption and prostate cancer risk: a review and meta-analysis. Am. J. Clin. Nutr. 2010 Nov;92(5):1223–33.
- Sala-Vila A, Calder PC. Update on the relationship of fish intake with prostate, breast, and colorectal cancers. Crit Rev Food Sci Nutr. 2011 Nov;51(9):855–71.
- Epstein MM, Kasperzyk JL, Mucci LA, Giovannucci E, Price A, Wolk A, et al. Dietary fatty acid intake and prostate cancer survival in Örebro County, Sweden. Am. J. Epidemiol. 2012 Aug 1;176(3):240–52.
- Brasky TM, Till C, White E, Neuhouser ML, Song X, Goodman P, et al. Serum Phospholipid Fatty Acids and Prostate Cancer Risk: Results From the Prostate Cancer Prevention Trial. Am. J. Epidemiol. [Internet]. 2011 Apr 24 [cited 2013 Jan 25]; Available from: http://aje.oxfordjournals.org/content/early/2011/04/19/aje.kwr027
- Fish and shellfish - Live Well - NHS Choices [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/Livewell/Goodfood/Pages/fish-shellfish.aspx
- Wilson KM, Ma J, Giovannucci E. Abstract B99: Calcium and phosphorus intake and risk of prostate cancer: A 22-year follow-up study. Cancer Prevention Research. 2011 Oct 22;4(10 Supplement):B99–B99.
- Epstein MM, Smith-Warner SA. Abstract B104: Risk of prostate cancer with intake of dietary and total calcium: A pooled analysis of 14 prospective cohort studies. Cancer Prevention Research. 2011 Oct 22;4(10 Supplement):B104–B104.
- Vitamins and minerals - Calcium - NHS Choices [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/Conditions/vitamins-minerals/Pages/Calcium.aspx
- Alexander DD, Mink PJ, Cushing CA, Sceurman B. A review and meta-analysis of prospective studies of red and processed meat intake and prostate cancer. Nutrition Journal. 2010 Nov 2;9(1):50.
- Sinha R, Park Y, Graubard BI, Leitzmann MF, Hollenbeck A, Schatzkin A, et al. Meat and meat-related compounds and risk of prostate cancer in a large prospective cohort study in the United States. Am. J. Epidemiol. 2009 Nov 1;170(9):1165–77.
- Wright JL, Neuhouser ML, Lin DW, Kwon EM, Feng Z, Ostrander EA, et al. AMACR polymorphisms, dietary intake of red meat and dairy and prostate cancer risk. Prostate. 2011 Apr;71(5):498–506.
- Zheng W, Lee S-A. Well-done Meat Intake, Heterocyclic Amine Exposure, and Cancer Risk. Nutr Cancer. 2009;61(4):437–46.
- Punnen S, Hardin J, Cheng I, Klein EA, Witte JS. Impact of Meat Consumption, Preparation, and Mutagens on Aggressive Prostate Cancer. PLoS ONE. 2011 Nov 23;6(11):e27711.
- John EM, Stern MC, Sinha R, Koo J. Meat consumption, cooking practices, meat mutagens, and risk of prostate cancer. Nutr Cancer. 2011;63(4):525–37.
- Joshi AD, Corral R, Catsburg C, Lewinger JP, Koo J, John EM, et al. Red meat and poultry, cooking practices, genetic susceptibility and risk of prostate cancer: results from a multiethnic case-control study. Carcinogenesis. 2012 Nov;33(11):2108–18.
- Richman EL, Stampfer MJ, Paciorek A, Broering JM, Carroll PR, Chan JM. Intakes of meat, fish, poultry, and eggs and risk of prostate cancer progression. Am. J. Clin. Nutr. 2010 Mar;91(3):712–21.
- Heymach JV, Shackleford TJ, Tran HT, Yoo S-Y, Do K-A, Wergin M, et al. Effect of low-fat diets on plasma levels of NF-κB-regulated inflammatory cytokines and angiogenic factors in men with prostate cancer. Cancer Prev Res (Phila). 2011 Oct;4(10):1590–8.
- Buschemeyer WC 3rd, Freedland SJ. Obesity and prostate cancer: epidemiology and clinical implications. Eur. Urol. 2007 Aug;52(2):331–43.
- Strom SS, Yamamura Y, Forman MR, Pettaway CA, Barrera SL, DiGiovanni J. Saturated fat intake predicts biochemical failure after prostatectomy. Int. J. Cancer. 2008 Jun 1;122(11):2581–5.
- Hébert JR, Hurley TG, Harmon BE, Heiney S, Hebert CJ, Steck SE. A diet, physical activity, and stress reduction intervention in men with rising prostate-specific antigen after treatment for prostate cancer. Cancer Epidemiol. 2012 Apr;36(2):e128–136.
- Park S-Y, Murphy SP, Wilkens LR, Henderson BE, Kolonel LN. Fat and meat intake and prostate cancer risk: the multiethnic cohort study. Int. J. Cancer. 2007 Sep 15;121(6):1339–45.
- Crowe FL, Key TJ, Appleby PN, Travis RC, Overvad K, Jakobsen MU, et al. Dietary fat intake and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition. Am. J. Clin. Nutr. 2008 May;87(5):1405–13.
- Wallström P, Bjartell A, Gullberg B, Olsson H, Wirfält E. A prospective study on dietary fat and incidence of prostate cancer (Malmö, Sweden). Cancer Causes Control. 2007 Dec;18(10):1107–21.
- Klein EA TI. Vitamin e and the risk of prostate cancer: The selenium and vitamin e cancer prevention trial (select). JAMA. 2011 Oct 12;306(14):1549–56.
- Murphy R, Wassersug R, Dechman G. The role of exercise in managing the adverse effects of androgen deprivation therapy in men with prostate cancer. Physical Therapy Reviews. 2011;16(4):269–77.
- NHS TCNFT. A guide for exercising during and after treatment for cancer [Internet]. The Christie NHS Foundation Trust; 2011. Available from: http://www.christie.nhs.uk/booklets/540.pdf
- The 10,000 steps challenge - Live Well - NHS Choices [Internet]. [cited 2013 Jan 25]. Available from: http://www.nhs.uk/Livewell/loseweight/Pages/10000stepschallenge.aspx
- Galvão DA, Taaffe DR, Spry N, Joseph D, Newton RU. Cardiovascular and metabolic complications during androgen deprivation: exercise as a potential countermeasure. Prostate Cancer Prostatic Dis. 2009;12(3):233–40.
- Thorsen L, Courneya KS, Stevinson C, Fosså SD. A systematic review of physical activity in prostate cancer survivors: outcomes, prevalence, and determinants. Support Care Cancer. 2008 Sep 1;16(9):987–97.
- NICE. CG58 Prostate cancer: NICE guidance [Internet]. [cited 2013 Jan 9]. Available from: http://publications.nice.org.uk/prostate-cancer-cg58
- Morrow PKH, Mattair DN, Hortobagyi GN. Hot flashes: a review of pathophysiology and treatment modalities. Oncologist. 2011;16(11):1658–64.
- MHRA. Black Cohosh UK Public Assessment Report. MHRA;
- Cramp F, Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2008;(2):CD006145.
- Physical Activity and the Cancer Patient [Internet]. [cited 2013 Jan 28]. Available from: http://www.cancer.org/treatment/survivorshipduringandaftertreatment/stayingactive/physical-activity-and-the-cancer-patient
- Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health-related quality of life for people with cancer during active treatment. Cochrane Database Syst Rev. 2012;8:CD008465.