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John Knudson had never been very interested in regular exercise. "I played a little soccer and did a little cross-country skiing, but I never did enough in between to be in very good shape," he said.
But after undergoing a routine colonoscopy, Knudson's doctor told him about a Fred Hutchinson Cancer Research Center study examining whether exercise may lower the risk of developing colon polyps and colon cancer.
"It sounded interesting to me," Knudson said. "I have a family history of polyps. Plus the exercise program was a big attraction. It's hard to get out there and do it on your own on a regular basis."
The four-year study, led by Dr. Anne McTiernan, recruited healthy but sedentary men and women and randomly assigned them to an exercise group or a control group. The exercisers engaged in moderate to vigorous physical activity six days a week for one year. Those in the control group were asked to simply maintain their current activity level for a year.
Participants underwent flexible sigmoidoscopies at the start and end of the program to examine the balance of cell growth and cell death in the lining of the colon. The goal was to determine how exercise affects this balance since too much growth and too little death can result in polyps and/or cancer.
The study found that men who had an hour of aerobic exercise per day, six days a week for a year had a substantial decrease in a risk factor associated with colon polyps and colon cancer. Knudson said he is so pleased with his new exercise regimen, he's made it a routine part of his life. "I feel great," he said. "I lost 10 pounds, and I gained fitness, strength and confidence."
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