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    Frequently Asked Questions About Breast Cancer

    There is a history of breast cancer in my family. What steps should I take to protect myself?

    While there are genetic traits that make some women more vulnerable to breast cancer, there is much you can do to protect your health. One of the most important is routine medical care that includes screening for early detection of cancer. Breast self-examination should also be done monthly and you should feel confident in your technique. After early detection efforts are in place, your diet and lifestyle will play a big role in breast cancer protection. Keep your weight within ideal range. As mentioned many times below, eat a low fat diet rich in plant foods, especially vegetables, fruit, soy and legumes. Use lean meats, fish and poultry and nonfat dairy foods. Avoid alcohol, or keep it to very small amounts on occasion. Maintain good general health, get plenty of sleep, and practice your stress management skills. When menopause approaches, carefully discuss your medical options to manage symptom without increase your breast cancer risks with your physician.

    How does my diet affect my risk for breast cancer development?

    Good nutritional habits are important in preventing the development of several cancers, including cancer of the breast. Healthy food patterns help you limit carcinogenic effect of excess calories, and potential problems from alcohol and fat. Your diet also provides nutrients, antioxidants and phytochemicals that protect your health. Limiting fat, alcohol intake and watching your weight is a good place to begin. Select only leaner meats and dairy foods. Also, eat a diet rich in fruits, vegetables, legumes, and whole grains to provide you with the many components of food that help protect your health.

    If being overweight is associated with a higher risk for breast cancers, how much should I weigh?

    For post-menopausal women, it is statistically true that breast cancer rates are higher in those who are obese. Obesity is defined as a Body Mass Index score of 30 or above. The higher the score, the higher the risks. The exact cause of this relationship is still unclear. If your BMI score is 30 or higher, you can decrease your risk for breast cancer by losing weight in consultation with your physician, nutritionist, and/or exercise trainer. These experts can help you determine an appropriate and safe weight goal. Fad diets and yo-yo weight cycling are not recommended, so proceed with loss weight slowly and keep sustainable lifestyle change in mind as your goal.

    If antioxidants and phytochemicals in food have shown to be protective against cancer, is supplementing them better?

    There are numerous types of antioxidants and phytochemicals in foods. Phytochemicals are non-nutritives substances found in foods such as terpenoids, flavonoids, lignanes, and phenolic compounds. When supplementing your diet with a particular antioxidant, phytochemical or mix of the two, it is impossible to mimic the wide array found naturally in foods. Repeated studies show that consumption of 5 fruits and vegetables a day confer the most effective cancer protection. In addition, high doses of these supplements can interfere with some anticancer therapies.

    I've heard that one glass of wine per day is good for the heart but also that alcohol can increase your risk of breast cancer. What should I do?

    It's true that some studies have shown that one glass of wine per day may reduce the risk of heart disease in some people. It does this by increasing the HDL (good cholesterol). However, more is not better. Excess alcohol can raise blood pressure, blood triglycerides, weight, and increase your risk of breast cancer. For those with multiple risk factors for breast cancer, alcohol is not recommended. For others, don't start drinking alcohol just to lower heart disease risk. Remember, exercise also raises the HDL without the risks associated with alcohol. If you do drink, do so with moderation. Moderation is considered less than one drink per day for women and two for men. Check those "drink" serving sizes. They are surprisingly small.

    Does caffeine increase your risk for cancer?

    Despite the high amount of rodent carcinogens in cancer and purported links to human breast cancers, extensive research in humans have failed to show any connection between caffeine consumption and cancer. Both the American Cancer Society and National Academy of Sciences' National Research Council report that there is no indication that caffeine influences cancer risk. Caffeine is, however, a mild stimulant and when taken in doses of >350 milligrams per day (about 2 cups of strong coffee) can result in health problems including sleep disturbance, rapid or irregular heart beat, anxiety, nervousness, depression, headache and digestive problems.

    What about diets that promote higher protein intakes and lower amounts of carbohydrate. Do these diets help reduce cancer risk?

    Eating too much protein can easily turn into eating too much saturated fat and calories. High protein, low carbohydrate diets are not consistent with what has been outlined in the Anticancer Dietary Guidelines. A cancer preventative diet is rich in plant foods, most of which provide carbohydrate as a primary calorie source. These foods also contain most of the fiber, antioxidants and phytochemicals shown to be protective. Your best bet in diet advice is to eat vegetables, whole grains, dried beans, soy products and fresh fruits. Choose nonfat and low fat dairy products. Choose lean meats, in moderation. Reduce intakes of fats (especially saturated fats). And keep salt and sugary foods to a minimum.

    What information is available on dietary fat and its link to breast cancer?

    No studies within the United States have shown an increased incidence of breast cancer with high dietary fat intake. However, some foreign studies have shown this link. These studies did not exclude other factors known to contribute to cancer risk including overnutrition, alcohol, and hormone supplementation. The American Cancer Society recommends eating a diet limited in total fat and calories to maintain a desirable weight.



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