The #1 Food Category Linked To Colon Cancer In Women Under 50
Close Banner
Women's Health
The #1 Food Category Linked To Colon Cancer In Women Under 50
Author: Ava Durgin
May 03, 2026
Assistant Health Editor
By Ava Durgin
Assistant Health Editor
Ava Durgin is the former Assistant Health Editor at mindbodygreen. She holds a B.A. in Global Health and Psychology from Duke University.
Image by Danil Nevsky / Stocksy
May 03, 2026
Cancer cases in young adults have surged nearly 80% worldwide over the past three decades. And while population growth accounts for some of that increase, the trend is undeniable: more people in their 20s, 30s, and 40s are developing diseases we once thought of as problems for our parents' and grandparents' generations.
Gastrointestinal cancers, which include colorectal cancer, are growing faster than any other type of cancer in young people. One in 24 men and one in 26 women worldwide will develop colorectal cancer during their lifetime. But what's particularly alarming is who's getting diagnosed.
According to a recent report from the American Cancer Society, one in five people diagnosed with colorectal cancer are now under the age of 55. And with routine colorectal screening not beginning until age 45, many of these cancers are being caught late, when they're harder to treat.
For years, researchers have been scrambling to understand why. They've pointed to obesity, sedentary lifestyles, and smoking, but none of these factors fully explain the sharp uptick. Now, a first-of-its-kind study published in JAMA Oncology1 is zeroing in on a dietary culprit that's hiding in plain sight: ultra-processed foods.
And I'm not just talking about the usual suspects like candy and soda. I'm talking about the snack bar in your pantry, the sandwich bread you bought yesterday, and the bottled dressing in your fridge door.
Researchers tracked nearly 30,000 women for more than two decades
To examine whether diet quality might influence colorectal cancer risk before age 50, researchers turned to the well-known Nurses’ Health Study II, which has been tracking the health and lifestyle habits of tens of thousands of women since 1989.
For this analysis, they focused on 29,105 female participants under 50 who had:
- completed detailed food questionnaires
- undergone at least one lower endoscopy
- no prior history of cancer
- no history of inflammatory bowel disease or colorectal polyps at baseline
Every four years, the women reported how often they ate various foods. Researchers then categorized foods based on the level of industrial processing.
Ultra-processed foods (UPFs) include things like packaged breads, sweetened beverages, flavored yogurts, breakfast cereals, snack foods, and ready-to-eat meals, items that are often calorie-dense, nutrient-poor, and engineered with additives to improve taste, texture, or shelf life.
The findings reveal a clear relationship
Women consuming the highest amounts of ultra-processed foods (about 5.7 servings per day, or roughly one-third of their daily calories) had a 45% higher risk of developing precancerous polyps compared to those eating the least. And this wasn't a borderline finding. The relationship was clear and consistent: the more ultra-processed foods women ate, the higher their polyp risk climbed.
What's particularly interesting is that the link was specific to conventional adenomas, the type of polyp most likely to turn into colorectal cancer over time. Researchers didn't see the same association with serrated lesions, another type of polyp. This suggests ultra-processed foods may be triggering specific biological changes that set the stage for cancer development down the line.
The foods most strongly associated with increased risk included the usual suspects, sugar-sweetened beverages, ready-to-eat meals, processed meats like hot dogs and deli slices, but also breakfast cereals, packaged breads, and bottled condiments. You know, the stuff that fills most shopping carts every week.
These are the convenience foods we've built our routines around—the granola bars in the pantry for busy mornings, the frozen dinners that save us on exhausting nights, the deli turkey we genuinely thought was a decent protein choice.
RELATED READ: Many Colon Cancer Cases Are Preventable—6 Ways To Reduce Your Risk Today
Why ultra-processed foods might be driving precancerous changes
Scientists still can't say with certainty that ultra-processed foods directly cause colorectal cancer, but they have strong hypotheses about the mechanisms involved. Ultra-processed foods are known to trigger chronic low-grade inflammation throughout the body, including in the gastrointestinal tract. Inflammation creates an environment where cells are more likely to accumulate DNA damage and mutations, aka the first steps toward cancer.
These foods also disrupt the gut microbiome. Ultra-processed foods tend to be low in fiber and high in additives like emulsifiers and artificial sweeteners, which can reduce microbial diversity and p