Breast cancer

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Breast cancer is scary but there’s plenty you can do to reduce your risk.

What is breast cancer?

Breast cancer develops when abnormal cells in the breast start to grow and reproduce uncontrollably, creating a growth called a tumour. It is the second most common cancer in the UK, recently overtaken by prostate cancer, and although it mainly affects women, men can have it too; around 400 men are diagnosed each year in the UK compared to around 56,000 women.

Not every lump in the breast is a tumour – it’s normal for breast tissue to change throughout your cycle, from soft to lumpy, depending on hormone levels. Knowing your body is important so you can spot any irregular changes.

Most cases (70 to 80 per cent) of breast cancer are hormone-sensitive, which means their growth is stimulated by sex hormones. These are also called hormone receptor positive breast cancers. However, some breast cancers are hormone receptor negative and do not respond to hormones or the lack of.

Your risk of breast cancer

One in seven women in the UK will develop breast cancer during their lifetime and diet and lifestyle play a big role. Of course, genetics may increase your overall risk but even if you have the gene mutations that are considered high-risk, it doesn’t mean that you’ll develop breast cancer. Only five to 10 per cent of breast cancers are caused by faulty genes.

Breast Cancer UK estimates that at least 30 per cent of breast cancer cases in the UK could be prevented by making lifestyle changes. That includes a healthy diet, physical activity, not smoking, drinking alcohol only occasionally and maintaining a healthy weight.

Other factors that play a role include exposure to environmental pollutants, chemicals in personal care and household products, age and ethnicity – white and Ashkenazi people have a higher risk.

Foods that increase your risk

Diet plays a big role in your breast cancer risk and avoiding certain foods can significantly reduce it. See why you should cut these foods out of your diet.

1. Red and processed meat:

Research studies clearly show that red and processed meat increase your risk of breast cancer. That’s why all major breast cancer organisations actively discourage women from eating it.

The chemicals used to preserve processed meat, such as nitrates and nitrites, can create carcinogenic N-nitroso compounds, and haem iron from red and processed meats can damage your cells, cause DNA damage and gene mutations leading to cancer.

The industrial pesticides, polychlorinated biphenyls (PCBs), were banned worldwide more than 40 years ago because of their toxicity but they are still present in the environment. Once in the body, PCBs can cause cancer. These so-called persistent organic pollutants tend to accumulate in animal fat, which is why meat and meat products, fatty fish, milk and dairy products are among the most contaminated foods.

Cooking any meat at high temperatures produces dangerous compounds called polycyclic aromatic hydrocarbons (PAH) and heterocyclic amines (HCA), which may also cause cancer. It’s because they are mutagenic, that is, they cause changes in DNA that may lead to cancer. One HCA, called PhiP, also has strong hormone-stimulating effects, increasing the risk of hormone-sensitive cancers such as breast, ovarian and prostate cancer.

All these compounds, when consumed regularly over long periods of time, can contribute to cancer risk.

2. Milk and dairy products:

Cow’s milk contains insulin-like growth factor 1 (IGF-1) and also stimulates IGF-1’s production in the human body. It is a growth hormone and its increased levels can promote cancer cell growth –  so it doesn’t cause cancer but it stimulates the growth.

Another group of potentially dangerous hormones in cow’s milk are oestrogens – the same hormones that your own body produces. And because cows are pregnant most of the time they are milked or they’ve just given birth, the levels of oestrogens in their milk are higher and like IGF-1, are not affected by pasteurisation. According to some scientists, these oestrogens may trigger cancerous changes in the breast or promote the growth of existing breast cancer cells.

In a study of over 50,000 women, high milk consumption was linked to a 50 per cent greater risk of breast cancer. Some other studies also found a link between milk and high-fat dairy products and an increased risk of breast cancer. However, there’s also research that didn’t find strong associations. The links between dairy consumption and breast cancer remain complex and not fully understood, with studies showing mixed results, most likely because cancer risk also depends on many other factors but why take the risk when there are so many dairy-free alternatives to choose from?

3. Fast foods and ultra-processed foods:

According to scientific studies, ultra-processed foods (UPFs) and fast foods – those that have been modified in some way and contain processed ingredients and additives, usually high in fat, sugar or salt – increase your risk of breast cancer. Many additives have been linked to higher cancer risk but processed foods also tend to replace healthier foods and that is a problem in itself. Consuming fast foods and UPFs means you’re eating a lot of calories but you’re not getting many vital nutrients – and that undermines your health in a number of ways.

All three food groups mentioned above are an issue – as one study puts it, women who eat high-fat dairy products, red and processed meat, refined grains, sweets, caloric drinks, convenience food (processed, ready-made meals) and sauces, may have a higher risk of breast cancer than women who avoid these foods.

4. Alcohol:

Regular alcohol consumption increases your risk of breast cancer. Research shows that alcohol causes many undesirable reactions in your body, produces toxic by-products and causes cell damage, all of which may eventually lead to cancer. There are genetic differences in the way your body processes alcohol and these are also linked to your risk of breast cancer. Some, but not all, studies suggest that if you metabolise (burn) alcohol quickly and you drink regularly, your breast cancer risk may be higher than in women who metabolise it slowly.

However, compared to no intake, regular alcohol intake – even at very low levels – increases your risk of breast cancer regardless of your genes. In other words, if you don’t drink alcohol, you will have a lower risk of breast cancer than if you drink it regularly, even if you have the ‘lower risk’ genes.

5. Sugar and sugar-sweetened drinks:

Sugar causes a range of undesirable reactions in your body and its excessive and regular consumption has been linked to an increased risk of breast cancer. The risk rises from just one sugar-sweetened drink a day and the more sugar you eat, the higher your risk.

Diets rich in sugar trigger inflammatory reactions in the body, cause oxidative stress that may lead to cell damage and they also cause insulin spikes, which may negatively affect your body and lead to health problems.

It doesn’t mean that you should never eat any sugar but choose your treats wisely – a couple of squares of dark chocolate is much better for you than a pack of sweets; a slice of cake once a week is a better option than having a daily doughnut; a couple of digestive biscuits is better than a couple of cream-filled cookies. When it comes to drinks, such as tea or coffee, it’s best to drink them unsweetened. It may take time to get used to it but it’s worth it for your health.

Fruit contains natural sugars but it has not been linked to breast cancer at all – probably because it’s also rich in fibre and antioxidants resulting in an overall positive effect on your health. In fact, foods rich in fibre – such as plant wholefoods – reduce your risk of breast cancer.

Foods that lower your risk

Some foods can not only slash your risk of breast cancer but they also boost your overall health. See why these foods should be a part of your daily diet.

1. Wholegrains:

As opposed to refined grains (white flour), wholegrains offer an excellent nutrient bundle that includes fibre, antioxidants, vitamins and minerals and research shows they can substantially reduce your breast cancer risk. The reason is manifold and includes protecting cells from damage, reducing inflammation, preventing insulin spikes, improving gut health (directly linked to cancer risk), preventing cancer cells from multiplying and even binding oestrogens in the bowel helping to decrease their levels, which can also lower cancer risk. In addition, wholegrains contain a wide range of phytochemicals that have anti-cancer properties.

Best choices include wholemeal bread, wholewheat pasta, oats, brown rice, quinoa and millet.

2. Soya:

A healthy, breast cancer risk lowering diet should include soya foods, according to several studies. There’s a great deal of confusing information on the internet but if you look at scientific studies, they paint a much clearer picture – soya consumption lowers the risk of breast cancer!

The outdated concerns focused on isoflavones, natural compounds found in soya and other plant foods and doubts about their health effects. However, modern research is more than reassuring and shows that isoflavones actually lower breast cancer risk in both pre- and post-menopausal women. Soya should be on your daily menu!

There’s even a study that shows that each 10 grams of tofu daily lowers your breast cancer risk by 10 per cent. However, as breast cancer risk depends on other factors as well, eating tofu every day won’t make you 100 per cent cancer-proof.

Best choices include tofu, soya milk, calcium-fortified soya yoghurt, edamame, tempeh, tofu-based sausages and mock meats and burgers made with soya.

Find more information on soya and your health here.

3. Beans:

Beans share many qualities with soya because they’re closely related which means they are also a source of many health-protective compounds. One study found that women who regularly eat beans have a 45 per cent lower risk of breast cancer than women who never eat them.

A different study found virtually the same result but for all pulses combined (beans, lentils, soya, chickpeas) – high consumers had a 46 per cent reduced risk of breast cancer.

Best choices include any home cooked or tinned beans, including beans in tomato sauce, bean soup and bean salad. Lentils and chickpeas are also excellent choices.

4. Nuts:

Research is unclear on why exactly nuts lower your risk of breast cancer but as they contain vast numbers of health-protective compounds, it’s likely a combination of many factors. Several studies showed that daily consumption of nuts or nut butters, including peanut butter, is linked to a lower risk of the disease.

Best choices include: natural nuts, roasted nuts and nut butters

5. Green leafy vegetables:

By green leafy vegetables, we mean the cruciferous family, which includes bok choy, broccoli, Brussels sprouts, cabbage, cauliflower, spring greens, kale, rocket and watercress. It doesn’t include spinach, chard or lettuce – those are healthy too but not as amazing as cruciferous veggies.

All cruciferous vegetables contain very powerful natural compounds that have a strong cancer-fighting effect and have been studied specifically for their breast cancer prevention potential. These compounds are called glucosinolates and their breakdown products, such as isothiocyanates, are believed to be responsible for their health benefits.

To make the most of these compounds, you need an enzyme that’s in the veggies and helps the breakdown products to do their magic but it can get destroyed by heat. It’s best to eat some cruciferous vegetables raw (cabbage, kohlrabi, radish, rocket, watercress) or only steam them lightly (bok choy, broccoli, spring greens, kale).

Best choices include: any of the above eaten daily

6. Garlic:

Garlic contains several bioactive compounds that have anti-cancer effect and have been studied for their ability to prevent and inhibit breast cancer. In fact, research shows that garlic can inhibit all stages of cancer – initiation, promotion and progression.

It doesn’t mean that eating garlic daily is a magical cancer shield but it can considerably lower your risk. If you don’t like it, you can take garlic capsules.

Best choices include: fresh garlic used as an ingredient

7. Polyphenol-rich foods:

Polyphenols are antioxidants with anti-inflammatory and anti-cancer properties and are found in many plant foods. Scientific studies show that polyphenols may be able to prevent breast cancer and also inhibit its growth – and this applies to several different types of breast cancer.

A plant-based diet will provide a rich supply but there are certain foods that are superior polyphenol sources.

Best choices include: berries, red grapes, brightly coloured fruits and vegetables, turmeric, wholegrains, soya, beans, nuts with their skin on, flaxseed, tea (green and black), cocoa and dark chocolate

bowls of vegan food

Vegan diet reduces your breast cancer risk

A major review of studies on lifestyle and breast cancer concluded that to lower our breast cancer risk, we should eat a healthy diet rich in fruits, vegetables, wholegrains and cereals, avoid red and processed meat, alcohol and smoking – and try to maintain a healthy weight and be physically active.

Other research went a step further and highlighted that a healthy vegan diet can dramatically cut your risk of breast cancer because it hugely reduces your exposure to carcinogens (cancer-causing compounds) and, at the same time, is rich in antioxidants, phytochemicals and fibre, which protect your cells and DNA from damage, support your immune system and reduce inflammation – all these factors result in a lower risk of cancer.

One recent review summarised the positive impact of plant wholefoods – as their proportion in your diet increases, the risk of breast cancer decreases. On the other hand, the more animal products and processed foods you eat, the higher the risk. Whole plant-based foods include fruits, vegetables, wholegrains, pulses, nuts and seeds. It may seem too simple but other studies show the same results.

It’s important to note that a breast cancer risk-lowering vegan diet should be healthy – as science shows, a healthy vegan diet can truly reduce your risk, while an unhealthy vegan diet (based on junk foods, sugary and processed foods) may increase your risk.

Five food rules to lower your breast cancer risk

Now you know that a wholesome vegan diet can lower your breast cancer risk, you’re probably curious about what you should eat daily based on the recommendations above.

Here are your five simple guidelines to follow:

  1. Every day, eat at least two portions of wholegrains – wholemeal bread, oats, whole wheat pasta, brown rice or quinoa
  2. Have at least one soya, lentil, chickpea or bean-based meal daily – and season it with garlic (and turmeric if appropriate); think tofu, edamame, lentil soup, dhal, bean salad, bean dip, bean stew, falafel, hummus etc.
  3. Choose your fruit and veggies – eat a portion dark green leafy vegetables every day and some berries (frozen will do nicely); aim for at least five portions of fruit and veggies daily
  4. Snack on nuts or use nut butters – a handful of nuts or a tablespoon of nut butter daily is a smart choice but you can easily double that if it suits your needs
  5. Drink tea and treat yourself to quality dark chocolate – green and black tea are the best tea choices; your dark chocolate should be at least 70 per cent cocoa to supply a good dose of polyphenols

These guidelines are easy to stick to and still leave plenty of room to accommodate your individual preferences. Just make sure the rest of the foods you eat isn’t all processed and don’t wash it down with sugary drinks – that would undo most of the benefits!

See what a balanced vegan plate and a balanced vegan meal plan looks like.

woman eating at a table

Diet after a breast cancer diagnosis

If you or your loved one have been diagnosed with breast cancer and wonder if changing your diet can affect your outcome – there’s a good chance it could help. Of course, this depends on many factors and breast cancer stage but diet can play a big role and may improve your health and support your treatment.

Clinical trials show that a wholefood plant-based diet improves health of breast cancer patients in many ways and improves several major health markers. It is not a cure but it may help improve your quality of life and research suggests it may improve your prognosis.

When it comes to soya intake in breast cancer patients, it is considered safe and, according to scientific studies, may improve your treatment outcomes and may even lower the risk of cancer recurring.

A balanced vegan diet is certainly to be recommended to breast cancer patients – it may help but it certainly won’t cause any harm or negatively affect your outcome. Often, cancer patients are encouraged to ‘just eat’ because cancer treatment is harsh and can affect your appetite but a diet based on animal products, processed and sugary foods makes your body work harder and increases inflammation. Eating a healthy plant-based diet is always better than milkshakes and burgers.

Other factors that affect your breast cancer risk

Diet is important in reducing your cancer risk but there are other factors at play, too. Some of them increase your risk of the disease and you cannot change them, such as age, gender, starting your periods before the age of 12, late menopause (after the age of 55), family history, certain diseases and ethnicity.

However, there are other factors that you can change, so it’s best to focus on those. They include smoking, obesity and alcohol consumption. It may not be easy to change your habits but as this trio increases the risk of many diseases, including other major killers, such as heart disease, diabetes and cancer, don’t hesitate to ask for help and try your best to adopt a healthier lifestyle.

There’s also a small increase in breast cancer risk from taking contraceptive pills and combined hormone replacement therapy (oestrogen and progestogen) but it’s best to discuss this with your doctor.

Avoiding certain chemicals, often present in cosmetics, toiletries, household and industrial products and even children’s toys, can reduce your breast cancer risk. These chemicals include parabens (E215, E216, E218, E219), phthalates, triclosan, some UV filters (eg octocrylene), flame retardants, PFAS, PFOA and PTFE – they affect your hormones and are known as endocrine disrupting chemicals. For a detailed list of these chemicals, visit this page.

Nothing can shield you from breast cancer 100 per cent but there’s a lot you can do to minimise your risk. Eating a healthy vegan diet, being physically active, maintaining a healthy weight, drinking alcohol only occasionally (or not at all), avoiding certain chemicals and breastfeeding your child if possible are important factors that together may greatly lower your risk.

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