Tag Archive for: challenge

Exercise and Colon Cancer

Most research points to exercise being beneficial to prevent most types of cancer, including colon cancer. Does exercise help reduce the mortality of people who have had severe cases of colon cancer after surgery and chemotherapy? That was the question researchers in Canada asked, and they conducted the Colon Health and Lifelong Exercise Change (CHALLENGE) trial to test their hypothesis.

Researchers recruited subjects who met the criteria from 55 centers, mostly in Canada and Australia, but also included some in the U.K., U.S., and other countries; 889 subjects were selected for the three-year trial. All subjects were provided health education materials on exercise and nutrition. Half of the subjects were randomly assigned to the intervention group that was given exercise support in the form of mandatory exercise sessions and support from a certified exercise specialist. All subjects were tested every six months until the end of the trial.

The primary finding was that all subjects benefitted from the exercise program. The reduction in mortality over three years was about 17% for both groups. But was knowledge about exercise alone enough? I’ll let you know on Saturday.

In the meantime, are you due for a colonoscopy? Paula just had hers, and as always, the prep is worse than the procedure, but it feels so good to get that “all clear” verdict.

What are you prepared to do today?

        Dr. Chet

Reference: N Engl J Med 2025;393:13-25. DOI: 10.1056/NEJMoa2502760

How Did You Do in the Holiday Challenge?

Did you keep track of the fruits and veggies you ate over the holiday weekend (or July 4–7 for those of you outside the U.S.)? Remember to email me your results. Some people didn’t need reminding—I have already gotten replies.

I didn’t do as well as I would have liked. Here are my lists:

  • Vegetables: tomatoes (multiple varieties), lettuce, asparagus, artichokes, cucumber, red onion, shallots, avocado, mushrooms, prickly pear, basil.
  • Fruit: oranges, grapes, cherries, apples, blueberries, raspberries, watermelon, corn on the cob, potatoes, raisins, garlic.
  • Condiments: ketchup and mustard

I know that technically tomatoes and avocado are fruit, but savory is savory in my head. I bought a couple that I haven’t used before, fresh ginger and daikon radish, but then never worked them into the menu. Both last, so I’ll have them soon. That brings my total to 24 for the weekend. I’m guessing many of you are going to exceed my attempt—and that would be great.

Saturday I’m going to begin a three-Memo arc on statistics. This applies to the study on ultra-processed food as well as the recent one on multivitamins. Even though it’s about statistics, you’ll be able to understand it. It’s important for you to have this foundation to make sense of the studies that you hear about these days.

What are you prepared to do today?

        Dr. Chet

Start Your Lists!

A reminder that today is the beginning of the Holiday Fruit and Vegetable Challenge. There will be three prizes this time:

  • The most plant-based foods (but you have to exceed JB’s record of 28 vegetables, fruits, and herbs)
  • The greatest number of different vegetables
  • The greatest number of different fruits

Start keeping track this morning and keep going until bedtime Sunday. I’m keeping my list as well.

Winners can choose between a free six-month Insider membership or the digital Optimal Performance program.

What are you prepared to do today?

        Dr. Chet

The Holiday Challenge, Part 2

I enjoyed the Memorial Day Challenge so much, I want to see if you can do better. I want more of you to respond this time, so I’m going to make it a little more enticing for you by handing out more prizes. This time, I’m going to reward the person who eats the most plant-based foods, but because there is an extra day, you have to exceed the past winner’s record of 28 vegetables, fruits, and herbs. I’ll also reward the person with the greatest number of different vegetables as well as the greatest number of different fruits. Just start keeping track the morning of July 4th and keep going. It was almost all women who responded last time—men, you need to step up and get in the game.

Expand your horizons and try some new veggies. Challenge yourself to eat something other than Romaine or iceberg lettuce for salads, although they certainly count. Try arugula or bok choy, or switch it up and grill some peaches or eggplant. For this challenge, corn on the cob counts as a vegetable instead of a grain. Melon, tomatoes, berries of all types, as well as bananas and apples count.

The goal is to increase your phytonutrient intake by a massive amount. Vegetables and fruit all have some nutrients you need, and summer is the easiest time to get them. You can prepare them any way you want; grill watermelon or pineapple or caramelize onions for your burgers. Creamy coleslaw also works. Cooked or raw doesn’t matter; cooking may change the form of phytonutrients but doesn’t destroy them. Remember that condiments count. Ketchup, mustard, and relish—sweet or dill—all have specific phytonutrients in them. People are becoming obsessed with pickled veggies. They count, of course.

As for how much of each food counts, use common sense. You might reasonably count the sprinkling of chives on your eggs, but adding one leaf of basil isn’t how people cook (except for maybe the tweezer-wielding chefs on TV).

Using the honor system, send me a list of everything you ate with the total fruits and veggies, the number of vegetables, and the number of fruits. I’ll offer a free six-month Insider membership or the digital Optimal Performance program to the person with the highest total in each category. Have fun, be safe, and I’ll be back next week.

Stocking up on podcasts for this holiday weekend? You can binge my podcast Straight Talk on Health, available on Spotify and other podcast sites.

What are you prepared to do today?

        Dr. Chet

The Holiday Challenge

I hope you all have a safe Memorial Day weekend. Here in the northern hemisphere, it’s the official kickoff of the summer season that ends with Labor Day. I alluded to a challenge, so let me lay it out for you: I want you to keep track of all the vegetables and fruit you eat beginning today.

Expand your horizons and try some new veggies. Challenge yourself to eat something other than Romaine or iceberg lettuce for salads, although they certainly count. Try arugula or bok choy, or switch it up and grill some radicchio. For this challenge, corn on the cob counts as a vegetable instead of a grain. Melon, tomatoes, berries of all types, as well as bananas and apples count. I may even try grilling avocado for the first time.

Need some ideas? Paula found this intriguing recipe online, and we’re trying it this weekend.

The goal is to increase your phytonutrient intake by a massive amount. Vegetables and fruit all have some nutrients you need, and the summer is the easiest time to get them. You can prepare them any way you want; grill watermelon or pineapple or caramelize onions for your burgers. The method doesn’t matter because cooking may change the form of phytonutrients but doesn’t destroy them. As I said in Tuesday’s Memo, condiments count. Ketchup, mustard, and relish—sweet or dill—all have specific phytonutrients in them.

Using the honor system, send me a list of everything you ate from these groups—just the names, not the amounts. For the person who gets the most, I’ll offer a free six-month Insider membership or the digital Optimal Performance program. Have fun, be safe, and I’ll be back next Tuesday.

What are you prepared to do today?

        Dr. Chet