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Breast and Ovarian Cancer
  Can I Change My Lifestyle to Lower
My Risk?

By Kari Danziger, MS, CGC

Reviewed By Beth Crawford, MS, CGC
Last Updated September 23, 2000

 

Although there are many risk factors for breast cancer that you cannot control, such as genetic predisposition and increasing age, there are also some risk factors that you can change. The majority of these involve lifestyle, which means that by simply modifying certain behaviors, you may be able to decrease your risk for breast cancer.
 
 
 

Diet and Exercise

Researchers have linked high-fat diets with increased risk for a number of types of cancer, including cancer of the colon, rectum, prostate, and endometrium. The association between a high-fat diet and breast cancer, however, is less clear. What researchers do know is this:

  • US women are more likely to develop (and die from) breast cancer than are women who live in Asia and other regions where the populations consume less fat.

  • When Asian women move to the United States, their breast cancer risk begins to rise; within a few generations, it's the same as that for Americans who are not of Asian descent.

  • Women in countries with lower breast cancer rates consume more plant-based foods, such as vegetables, fruits, and grains. According to one study, such foods may protect against breast cancer.

For these reasons, it makes sense for women concerned about breast cancer to limit the fat content of their diets — especially in light of the fact that a woman's postmenopausal weight appears to be linked to breast cancer risk, and heavier women are at increased risk for breast cancer. Having more fat tissue can increase your blood estrogen levels, and one theory is that increased estrogen exposure is linked to breast cancer risk. A low-fat diet can help women reduce their weight and thus avoid this risk factor, as can a regular program of exercise.

Maintaining a normal weight is particularly important in women with BRCA mutations: A recent study has found that having a normal weight at the time when menstruation begins can protect women with BRCA mutations from developing breast cancer.

In addition to helping women maintain a healthy weight, exercise has been shown to protect against breast cancer — at least in part, scientists believe, because it alters a woman's hormone levels.

Recent findings about the link between exercise and breast cancer include the following:

  • In a study of 25,000 Norwegian women, those who exercised at least four hours a week were 37 percent less likely to develop breast cancer than were the sedentary women.

  • In a study of premenopausal women, those who exercised one to three hours a week were able to reduce their risk for breast cancer — a finding that was even more pronounced among women who exercised four or more hours a week.

For recent news about how exercise affects ovarian cancer risk, see Related News below.

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Alcohol Consumption

For women who consume more than two drinks a day, reducing alcohol consumption could be a good strategy for reducing breast cancer risk.
Studies have shown that women who have two to five alcoholic drinks each day have 1.5 times the risk of breast cancer as women who do not. However, studies for lower levels of consumption have been less clear (some find a relationship and others do not). For women who consume more than two drinks a day, reducing alcohol consumption could be a good strategy for reducing breast cancer risk. More studies are needed to confirm the relationship between breast cancer and alcohol consumption at lower levels. However, for women at high risk of developing the disease, limiting or reducing alcohol comsumption may be an additional strategy for reducing risk.

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Smoking

There are many health benefits from quitting smoking one of which may be reducing your risk of breast cancer.
Although smoking is clearly linked to overall cancer risk, scientists don't yet know how it affects breast cancer risk. An American Cancer Society study suggested that women who smoke may be more likely to die from breast cancer. However, scientists don't know whether this means that women who smoke are less likely to survive breast cancer or that smoking contributes to breast cancer risk. Whatever the case, there are many benefits to be gained from quitting smoking — one of which may be a reduced risk for breast cancer.
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Related News
In order to view these articles you will need to have a MyGeneticHealth account. If you are not already a member, selecting the article will automatically take you to a page where you can sign up.
Excess body weight increases risk of some cancers
Smoking ups risk for less favorable breast cancer
Exercise may cut ovarian cancer risk
Body size plays role in breast cancer risk

References

Bernstein, L. et al. (1994). Physical exercise and reduced risk of breast cancer in young women. J Natl Cancer Inst. 86(18):1403-8.

Calle, E.E. et al. (1994). Cigarette smoking and risk of fatal breast cancer. Am J Epidemiol. 139(10):1001-7.

Cleary, M. P. and Maihle, N.J. (1997). The role of body mass index in the relative risk of developing premenopausal versus postmenopausal breast cancer. Proc Soc Exp Biol Med. 216(1):28-43.

Colditz, G.A. (1990). A prospective assessment of moderate alcohol intake and major chronic diseases. Ann Epidemiol. 1(2):167-77.

Garfinkel, L. et al. (1988). Alcohol and breast cancer: a cohort study. Prev Med. 17(6):686-93.

Longnecker, M.P. et al. (1995). Risk of breast cancer in relation to lifetime alcohol consumption. J Natl Cancer Inst. 87(12):923-9.

Smith-Warner, S.A. et al. (1998). Alcohol and breast cancer in women: a pooled analysis of cohort studies. JAMA. 279(7):535-40.

Thune, T. et al. (1997). Physical activity and the risk of breast cancer. N Engl J Med. 336(18):1269-75.

Trichopoulou, A. et al. (1995). Consumption of olive oil and specific food groups in relation to breast cancer risk in Greece. J Natl Cancer Inst. 87(2):110-6.

Ziegler, R.G. et al. (1993). Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst. 85(22):1819-27.

 

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