March is Colorectal Cancer Awareness Month, a time to focus on the importance of education and screenings, especially those between the ages of 20 and 39, according to Abrazo Health.

While there is no one-size-fits-all explanation for why these individuals are at a higher risk, a combination of diet, obesity, sedentary lifestyles, genetics and environmental factors are likely contributing to the problem — risk factors for developing colorectal cancer, a press release explained.

Dr. Amir Esparza, board certified colon and rectal surgeon, emphasized the need for awareness in the release, stating that studies show that colorectal cancer cases in people under 40 have increased by about 2% annually.

“No matter your age, everyone should be aware of signs and symptoms,” Dr. Esparza said. “Screenings are important to detect problems, such as precancerous polyps, and intervene before these can become deadly.”

The American Cancer Society is now recommending screening colonoscopy starting at age 45, according to the release. Esparza says that addressing the risk factors and improving early detection might reduce the number of young adults diagnosed with colorectal cancer.

Colon cancer has no single cause, and some individuals have a higher risk of developing colon cancer due to family history, personal history of colorectal polyps or cancer, inflammatory bowel disease or certain inherited gene changes.

To reduce the risk of colon cancer, the ACS recommends the following lifestyle changes:

• Eat more servings of vegetables and fruits daily. Avoid a diet high in red and processed meats.
• Exercise regularly. The ACS recommends at least 30 minutes of moderate or vigorous physical activity for adults on five or more days of the week.
• Manage your weight. Being overweight or obese increases the risk for colon cancer, particularly in men.
• Don’t smoke. Substances from smoking can increase the risk of cancer developing in the digestive system, including the colon.