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We've all been warned over and over to avoid sunlight in order to avoid skin cancer, but... conflicting with that advice are studies linking higher sunlight exposure to lower levels of other cancers, health benefits (e.g. lower blood pressure), and early death (mortality). One such recent study found that higher sun exposure over the years is associated with a lower risk of breast cancer in women.

The Univ. of Buffalo and Univ. of Puerto Rico researchers conducted the study in Puerto Rico, where people live with high year round sun exposure. 635 women participated in the study.

From Medical Xpress: Study in Puerto Rico finds lower risk of breast cancer with more sun exposure

The sun is almost always shining during the day in San Juan, Puerto Rico, and that makes the findings of a new study on breast cancer and sun exposure particularly noteworthy.  ...continue reading "Study Finds Lower Risk of Breast Cancer With Higher Sunlight Exposure"

For years scientists have warned of breast cancer links to some pesticides, while the EPA and the chemical industry pooh-poohed these associations. Just a coincidence, not true, studies poorly done, and ignore or attack were their common responses. Seeing a mismatch between scientific evidence and what the EPA was saying led researchers at the respected Silent Spring Institute to examine EPA pesticide documents and studies.

The big question: was the EPA deliberately ignoring evidence that some pesticides can cause mammary tumors (the equivalent of breast cancer in humans)? In other words, was the EPA ignoring evidence of some pesticides being carcinogenic when they were determining how to classify a pesticide and its risk assessment?

Their finding: Yes, the EPA was ignoring evidence for a number of pesticides causing mammary tumors. And because of this some pesticides are not labeled as cancer-causing (carcinogenic) by the FDA. Another problem they (and others) found is that the EPA is ignoring evidence about endocrine disruptors, and evidence that some chemicals have a bigger effect at smaller doses than big doses. The old view: the dose makes the poison, but now we know that doesn’t apply to endocrine disruptors which may have a bigger effect at smaller doses.

The scientists identified 28 pesticides that produced mammary tumors in studies, but the EPA acknowledged tumors only in nine, and dismissed the rest. The scientists strongly suggested that the EPA reassess cancer risks for some commonly used pesticides, including malathion, triclopyr, atrazine, propylene oxide, and 3-iodo-2-propynyl butylcarbamate (IPBC).

Another concerning problem (and not addressed at all by the EPA) is that 10 pesticides had reported effects on the mammary gland (other than tumors). For five of these pesticides (atrazine, chlorpyrifos, malathion, methoxychlor, and parathion) exposure during pregnancy or early life altered mammary gland development. What does this mean long-term? Will there be effects on lactation (breast-feeding)? (Some research suggests yes).

From Medical Xpress: Dozens of pesticides linked with mammary gland tumors in animal studies

In an analysis of how regulators review pesticides for their potential to cause cancer, researchers at Silent Spring Institute identified more than two dozen registered pesticides that were linked with mammary gland tumors in animal studies. The new findings raise concerns about how the US Environmental Protection Agency (EPA) approves pesticides for use and the role of certain pesticides in the development of breast cancer.

Several years ago, a resident on Cape Cod in Massachusetts contacted researchers at Silent Spring looking for information on an herbicide called triclopyr. Utility companies were looking to spray the chemical below power lines on the Cape to control vegetation.  ...continue reading "EPA Needs to Look At Breast Cancer Risks From Pesticides"

Once again, a study found that the foods we eat are associated with our risk for breast cancer. Results from a long-running European study found that certain foods (alcohol, wine, beer) are associated with an increased risk of breast cancer, while other foods (foods high in fiber, certain fruits such as apples and pears, and higher carbohydrate intake) are associated with a lower risk of breast cancer.

This study used data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study, which enrolled 272,098 women (between 1992 and 2000) from 10 European countries. Women filled out an extensive nutritional questionnaire (to assess intake of 92 foods and nutrients) at the beginning, and then they were followed for about 15 years.

It has long been known that higher alcohol intake raises breast cancer risk, especially risk of postmenopausal breast cancer, and this study supports that. Fruits (esp. apples and pears) were associated with a lower risk of breast cancer - and they were also a main source of fiber foods, as well as carbohydrates.

What was not discussed in the study was that along with having many nutrients and high amounts of fiber, produce also contains multitudes of microbes. A recent study found that one apple alone has millions of bacteria! When we eat fresh fruits and vegetables, we are introducing microbes into the gut, as well as feeding beneficial gut microbes (and ultimately lowering chronic inflammation).

Unfortunately they only asked the women about foods one time at the beginning of the study. The women could have changed their dietary patterns over the next 15 years, especially since so many new foods have become popular and widely available. Also, looking at the food list - there was no mention of olive oil, which researchers view as anti-inflammatory, and lowering the risk of breast cancer.

Study by A.K.Heath et al. (in Breast Cancer Research). Excerpts from Medscape: Nutrient-Wide Association Study of 92 Foods and Nutrients and Breast Cancer Risk

Six foods and nutrients were identified as associated with risk of breast cancer in the EPIC study (10,979 cases). Higher intake of alcohol overall was associated with a higher risk of breast cancer, as was beer/cider intake and wine intake, whereas higher intakes of fiber, apple/pear, and carbohydrates were associated with a lower risk of breast cancer.   ...continue reading "The Foods We Eat and Breast Cancer"

A very interesting, but very preliminary study just came out about breast cancer and walnuts. Could follow up research really show this to be true - that eating walnuts has an anti-breast cancer effect?? Animal studies find that multiple ingredients in walnuts (e.g.alpha linolenic acid, beta-sitosterol, a number of antioxidants such as ellagic acid) reduce the risk of cancer or slow its growth, or even increase tumor cell death. Researchers think this is true for human breast cancer also, and so a study was done looking at "gene expression" of breast cancer tumors. The question asked by the Marshall University (West Virginia) researchers was: Would eating 2 oz (14 halves) of walnuts daily for 2 to 3 weeks have an effect on the breast cancer tumors?

10 post-menopausal women had diagnostic breast cancer tumor biopsies done and then were randomly divided into 2 groups: 1) 5 of the women ate 2 oz of walnuts daily for the 2 to 3 weeks until breast cancer surgery, and 2) the other 5 avoided eating walnuts in the 2 to 3 weeks prior to breast cancer surgery. Otherwise the women ate their normal diets - a Western style diet.

The researchers noted that in the walnut eating group: "gene expression in the tumor was modified in ways expected to slow proliferation, reduce inflammation, reduce metastasis and to increase cancer cell death". The researchers also felt that consuming walnuts would decrease risk for cancer recurrence, and that there may be benefit from walnuts against many cancer types.

The researchers point out that another study published in 2016 (which was a review and analysis of 20 studies) concluded that "nut consumption, including peanuts, was associated with reduced risk of cancer and reduced all-cause mortality" (meaning death from any cause) - which agrees with the results of this study. In the 2016 study the beneficial health effect was for at least 28 grams (1 serving) of nuts per day. Bottom line: Enjoy consuming some nuts daily!

From Medical Xpress: Scientists tie walnuts to gene expressions related to breast cancer

New research from Marshall University links walnut consumption as a contributing factor that could suppress growth and survival of breast cancers.  ...continue reading "Walnuts Have An Effect On Breast Cancer Tumors"

Some good news for women and breast cancer. We are all exposed to endocrine disruptors  around us - such as in personal care items, some household items, some medical devices and medications, plastic raincoats, and vinyl flooring. Phthalates, which are endocrine disruptors, are used as plasticizers in many of these products. We can lower our exposure to phthalates, but can't totally eliminate it. So a big question is: Is exposure to phthalates linked to breast cancer?

Animal and laboratory studies suggest that a number of phthalates have carcinogenic effects (cancer causing), but several retrospective studies of women had mixed results regarding whether higher phthalate levels are associated with breast cancer or not. But now a large study (the Women's Health Initiative) that followed postmenopausal women for 2 decades has found that phthalate levels are not associated with an increased risk of breast cancer.

The 1257 women (average age 62 1/2 years at the start) in the study gave either 2 or 3 urine samples (once a year) during the first 2 or 3 years of the study, and the urine was analyzed for a number of phthalates. Then the women were followed for 19 years. The researchers found some "suggestive associations", but nothing significant. Whew... We can breathe sigh of relief.

However, there are some real problems with the study. While it does not look likely that phthalates have a large effect, smaller associations are possible, which the researchers discuss.

1) One big problem is that phthalates are rapidly metabolized and excreted from the body, so that the levels can vary tremendously from one point in time to another. (Half of phthalate metabolites are excreted in urine within 12 to 24 hours of exposure.) And the researchers did find that "phthalate biomarker concentrations exhibited high within-person variability over a 3 year period".  More urine samples should have been taken from the women - not just one a year for 2 or 3 years. This study did not look at who routinely got exposed to high levels of phthalates and who wasn't. Half of phthalate metabolites are excreted in urine within 12 to 24 hours of exposure. Just having a week with lots of fast food could raise phthalate levels (the chemicals leach in from the packaging). See why only one measurement a year is inadequate?

2) Another big problem is that most of the postmenopausal women - whether with breast cancer or not, were using hormone therapy - in the past or during the study. As the researchers point out: "Because phthalates are far less estrogenic than hormone therapy formulations, it is possible that hormone therapy use may mask any true effect of phthalate exposure on breast cancer risk." 3) And the last big issue to think about is that this study did not look at early life exposures to phthalates, such as during puberty when the breasts are developing. Other studies suggest that exposure to endocrine disrupting chemicals are important during critical periods of life, especially earlier in life (e.g. adolescence). Looking just at phthalate exposure of postmenopausal women may be too late.

According to studies and the CDCalmost everyone in the United States is exposed to phthalates in varying degrees, especially by eating and drinking food and liquid that has come in contact with containers and products containing the chemicals, and by inhaling indoor air that has phthalates in the dust. Adult women tend to have higher exposure to certain phthalates (it's measured in the urine) that are used in soaps, body washes, shampoos, cosmetics, and similar personal care products.  ...continue reading "Breast Cancer and Endocrine Disruptors"

A recently published study was good news for those who eat organic foods. The large French study (about 69,000 people) found a  significantly lower risk of getting cancer (25% lower) in people who ate a lot of organic food - when compared to people who rarely or never ate organic food.

The participants in the study were followed for an average of 4.6 years. Cancers with the greatest decreased risk were breast cancer (especially in postmenopausal women) and all lymphomas, especially non-Hodgkin lymphoma.

The researchers summarized the findings as:  "In a population-based cohort study of 68 ,946 French adults, a significant reduction in the risk of cancer was observed among high consumers of organic food." and "...if the findings are confirmed, promoting organic food consumption in the general population could be a promising preventive strategy against cancer." This could be an easy way to cut cancer risk! (Other organic food benefits.)

Of course the pesticide and conventional agriculture industry went nuts attacking the study - this finding goes against their message that pesticides are fine and necessary, don't worry about pesticide residues in food, and that antibiotics and other medicines are safe when given routinely to animals.

Unfortunately, research finds that a number of pesticides used in conventional farming are considered carcinogenic (cancer causing), and pesticide residues are found in conventionally grown foods. Eating conventional foods every day results in chronic low-dose pesticide residue exposure. The researchers suspect the pesticide residues in foods is the reason for the higher cancer risk. [Note: those pesticides are not allowed to be used in organic farming.]

What foods did the researchers ask about? They asked people about the consumption of 16 types of labeled organic food products: fruits; vegetables; soy-based products; dairy products; meat and fish; eggs; grains and legumes; bread and cereals; flour; vegetable oils and condiments; ready-to-eat meals; coffee, tea, and herbal tea; wine; biscuits, chocolate, sugar, and marmalade; other foods; and dietary supplements. In other words, all the foods we eat daily.

But what I found really interesting was a review of the study by Dr. Charles Benbrook (Visiting Scholar in the Bloomberg School of Public Health, Johns Hopkins University, and a Visiting Professor at the Univ. of Newcastle in the UK). He correctly points out that the results are big news and a big deal.

Excerpts from Environmental Health News: Charles Benbrook: New study showing organic diets cut cancer risk is a big deal. Let’s treat it that way.      ...continue reading "Lower Cancer Risk By Eating Organic Food?"

There has been a lot of discussion in recent years about whether mammogram screening actually cuts the risk of death, with some studies finding that it does and others that it doesn't (here and here).  It's tricky to figure out because during the last few decades in which more women were screened, there have also been major improvements in breast cancer treatments.

A recent large Danish-Norwegian study came to the conclusion that breast cancer screening (mammograms) does not reduce mortality. Instead, the researchers found that there have been similar reductions in deaths from breast cancer in all women - from both unscreened women and those receiving mammograms (screening) - and this is due to better cancer treatments. From Science Daily:

Breast cancer screening does not reduce mortality

Fewer and fewer women die from breast cancer in recent years but, surprisingly, the decline is just as large in the age groups that are not screened. The decline is therefore due to better treatment and not screening for breast cancer.  ...continue reading "Study Finds Mammogram Screening Doesn’t Reduce Breast Cancer Deaths"

Is the Mediterranean style diet the future in breast cancer prevention? The following study was done in primates, but it makes sense that the results would also be true for humans: that the type of diet eaten influences the breast microbiome. This means the community of microbes that live in the breast. Yes, it's true - studies show that there is a breast microbiome and it varies between those who have breast cancer and those who don't (healthy breasts).

The study looked at macaque monkeys who were fed either a Mediterranean style diet or a Western style diet for 31 months, and then their breast tissue was examined. They found microbial differences in the breast tissue among the 2 groups, including  greater numbers (abundance) of Lactobacillus species in the primates that had been eating the Mediterranean diet.

Lactobacillus species are generally considered beneficial to humans (which is why they are added to many foods and supplements) and studies suggest they may have anti-tumor effects. Some research has found microbial differences between healthy and malignant (cancerous) human  breast tissue  - including lower Lactobacillus numbers or "abundance" in the malignant breast tissue (compared to those with benign breast lesions). Researchers say it suggests that microbial imbalances (dysbiosis) of breast tissue could be a possible driver of breast cancer .

Studies already show that a person's diet influences the gut microbiome. This study shows diet directly influences microbial communities far away from the gut - in the breasts. Unfortunately it is not stated in the study what Lactobacillus species increased in the breast tissue of primates fed a Mediterranean diet. There are many Lactobacillus species, and they are not equal in their effects (as our experiences with Lactobacillus sakei and sinusitis has shown).

Of course more studies are needed, but in the meantime - eat a diet rich in fruits, vegetables, whole grains, legumes (beans), nuts, and seeds. There are many other documented health benefits from a diet rich in those foods (frequently referred to as a Mediterranean diet). The diet is low in processed foods and high in fiber, and rich in "real foods". From Science Daily:

Diet affects the breast microbiome in mammals

Diet influences the composition of microbial populations in the mammary glands of nonhuman primates, researchers report October 2 in the journal Cell Reports. Specifically, a Mediterranean diet increased the abundance of probiotic bacteria previously shown to inhibit tumor growth in animals ...continue reading "Diet And The Breast Microbiome"

A decades long study (from the Harvard T.H. Chan School of Public Health) had results that many women may find reassuring - because there may be something they can do to increase their odds of preventing breast cancer. The study found that women who ate more than 5.5 servings of fruits and vegetables each day had an 11% lower risk of breast cancer than those who ate 2.5 or fewer servings daily.

While the findings support eating a variety of fruits and vegetables, they found that cruciferous (broccoli, cabbage, cauliflower) and yellow/orange vegetables (e.g. winter squash) appear to be especially beneficial in reducing the risk of breast cancer, especially those that are more aggressive tumors. The association between amount of fruits and vegetables eaten daily  and breast cancer appeared to be strongest 8 or more years before cancer diagnosis - meaning fruit and vegetable intake now appears to have effects many years later.

By the way, the researchers found in earlier research that a higher fiber intake (especially during adolescence and early adulthood) was also associated with a lower beast cancer risk. Now let's see if these findings hold up over time in other studies. From Science Daily:

High fruit and vegetable consumption may reduce risk of breast cancer

Women who eat a high amount of fruits and vegetables each day may have a lower risk of breast cancer, especially of aggressive tumors, than those who eat fewer fruits and vegetables, according to a new study led by researchers from Harvard T.H. Chan School of Public Health. In their findings, cruciferous vegetables such as broccoli, and yellow and orange vegetables, had a particularly significant association with lower breast cancer risk.  ...continue reading "Eating Lots of Fruits and Vegetables Associated With a Lower Breast Cancer Risk Years Later"

A recent study published in BMJ (British Medical Journal) found a link between high consumption of ultra-processed food and higher rates overall of cancer, but also a higher risk of breast cancer. Specifically, a 10% increase in the proportion of ultra-processed foods in the diet was associated with a greater than 10% increase of overall cancer and 11% increase of breast cancer during the 6+ years of the study.

Alarmingly (because of the health implications), several surveys (in Europe, the US, Canada, New Zealand, and Brazil) have suggested that ultra-processed food products are now between 25 to 50% of calories eaten every day.

Ultra-processed food is food that is highly processed. It is food that is mass produced and packaged, as well as foods that have manufactured substances in them - such as hydrogenated oils (also contains trans fats), protein isolates, additives, preservatives, artificial or natural flavors, colors, nitrites (in processed meat), titanium dioxide (nanoparticles), etc.

The food packaging can leach chemicals such as pthalates (endocrine disruptors). The list goes on and on and on. All of these things in ultra-processed foods may be involved in causing health problems, including cancer.

They are typically also poorer nutritionally and higher in salt than unprocessed or minimally processed foods. These ultra-processed foods that are so popular are all around us - in fast food, in mass produced desserts and breads, packaged snacks, soups, cold cuts, margarine, frozen or shelf stable ready to eat meals, instant foods, sodas and drinks, etc.

On the other hand, unprocessed or minimally processed foods are fresh, dried, ground, chilled, frozen, pasteurised, or fermented foods such as fruits, vegetables, legumes (beans), rice, pasta, eggs, meat, fish, or milk. There are also “processed culinary ingredients”  which are salt, vegetable oils, butter, sugar, and other substances extracted from foods and used in kitchens to transform unprocessed or minimally processed foods into "culinary preparations" (meals).

The study did NOT find any association with unprocessed, minimally processed, or processed culinary ingredients with cancer. Only with the ultra-processed food. Instead, the study found that higher consumption of “minimally/unprocessed foods” (and lower ultra-processed food) was associated with lower risks of overall cancer and breast cancer.

So an apple is unprocessed, and plain apple sauce made with just apples is minimally processed, while a packaged apple dessert with additives added is ultra-processed. Think of it as "transformed food". Also keep in mind that your beneficial gut microbes like unprocessed or minimally processed food - especially those high in fiber. You know - a diet rich in fruits, vegetables, whole grains, seeds, nuts, legumes (beans).  ...continue reading "Ultra-Processed Food and Risk of Cancer"