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Breast cancer

Americans have one of the highest breast cancer rates in the world. One’s risk for breast cancer is related to one's lifetime exposure to estrogen-like substances. These include any of the natural and man-made chemicals to which the body responds similarly (but sometimes much more strongly) than it would respond to estrogen.

While one out of eight American women develop breast cancer, the rate of breast cancer in Japan is about one-fifth of that in the United States. Researchers attribute much of this discrepancy to differences between the standard American diet and the low-fat, nutrient-dense native diet and of the traditional Japanese diet.

There is tremendous controversy regarding the role of dietary fats in the development and progression of breast cancer. However, evidence is building to show that the types of fats you eat and levels of other nutrients in your diet may greatly influence how your body processes estrogen-like substances, which clearly affect the risk for breast cancer.

Eat more

  • Cold water fish such as salmon, tuna, herring, mackerel and halibut for their beneficial omega 3 fatty acids
  • Olive oil
  • Soy foods
  • Flaxseeds
  • Legumes
  • Sea vegetables
  • Organically grown Brassica vegetables including broccoli, kale, mustard greens and Brussels sprouts.
  • Fresh fruit, especially cranberries

Avoid well done meat, polyunsaturated fats, caffeine-containing foods and beverages and alcohol.

Click for:
Food Sensitivities
Allergy Avoidance Diet


One out of eight American women will develop breast cancer. It is interesting to note that among Japanese women living in Japan, the rate of breast cancer is about one-fifth that in the United States.

However, among Japanese women who move to the West, the rate increases until by the third generation after immigration, the risk of breast cancer is almost equal. Researchers explain this rise by noting that most “westernized” Japanese adopt the standard American diet, thereby losing the advantages of their low-fat, nutrient-dense native diet and of their traditional lifestyle.

Related testing:

  • Breast self-examination (monthly)
  • Mammograms as recommended by your doctor
  • Sex hormone evaluation
  • Gene testing (uncommon but becoming more common)

Dietary Causes

The contents of your diet can exert profound daily effects on the way your body absorbs, responds to, transforms, recycles, and excretes estrogen-like substances.

In a recent population study, investigators explored diets from around the world to determine the components that most affect breast cancer risk. They found that dietary factors associated with a higher risk included:

  • Animal products
  • Meat
  • Total fat
  • Saturated fat
  • Dairy
  • Refined sugar
  • Total calories
  • Alcohol

Dietary factors associated with a lower risk included:

  • Fish
  • Olive oil
  • Whole grains
  • Soy and other legumes
  • Cabbage
  • Vegetables
  • Nuts
  • Fruits

Dietary Fat

There is tremendous controversy regarding the role of dietary fats in the development and progression of breast cancer. However, evidence is building to show that the types of fats you eat and levels of other nutrients in your diet may greatly influence how your body processes estrogen-like substances, which clearly affect the risk for breast cancer. Examples may include:

  • Excess intake of non-essential fats in relation to essential omega-3 fatty acid intake
  • Excess intake of non-essential fats in relation to dietary fiber intake
  • Excess intake of non-essential fats in addition to excess alcohol intake
  • Excess intake of non-essential fats in relation to antioxidant intake
  • Excess intake of non-essential fats in relation to phytoestrogen intake

Coffee, tea, and chocolate

These enjoyable and addictive substances have unfortunate effects on estrogen metabolism. The stimulants in these foods compete with estrogen for removal from the body; the more coffee, tea, or chocolate you consume, the harder it is for your body to excrete estrogens!


Estrogen levels and the risk for breast cancer increase as alcohol intake increases, especially with aging. These effects may be related to reductions in normal detoxification and excretion or even deeper changes in cell function.

Non-organic foods

Another very controversial topic! There is increasing concern over the use of certain agricultural chemicals, including:

  • Hormones that encourage livestock growth but may leave residues in animal flesh
  • Pesticides and herbicides, some of which act as "environmental estrogens"
  • Fertilizers that may contain high levels of heavy metals
  • Antibiotics that may leave residues in animal flesh

Well-done meats

Studies have shown that the consumption of well-done meats (such as burgers, steak, bacon) may increase risk of developing breast cancer by almost 5 times.

Nutrient Needs

Cold-water fish and omega-3 essential fats

One of the most interesting aspects of the population study (mentioned in Dietary Causes section) was the tremendous protective effect of fish consumption. Fish, particularly cold-water fish such as salmon, mackerel, halibut, and herring, are rich sources of the omega-3 fatty acids . These essential fats have shown tremendous anticancer effects and are especially important in protection against breast cancer.

In contrast, the omega-6 fatty acids found in most animal products and in common vegetable oils (such as corn, safflower, and sunflower) are positively associated with breast cancer. In a study of 121 women with breast cancer, the single most significant difference between the women whose cancer spread (metastasized) and those whose hadn’t was their levels of a particular essential fatty acid commonly found in flaxseeds and flaxseed oil.

In another study, breast cancer cells that were exposed to another particular essential fatty acid showed increases in their contents of “good” estrogen and decreases in their levels of “bad” estrogen. Such findings are extremely important, since the main cause of death in breast cancer patients is metastasis to other tissues. Recent in vitro (test tube) evidence suggests that this beneficial effect is related to the fact that when omega-3s are consumed in the diet, they are incorporated into cell membranes where they promote cancer cell apoptosis via several mechanisms including: inhibiting a pro-inflammatory enzyme called cyclooxygenase 2 (COX 2), which promotes breast cancer; activating a type of receptor in cell membranes called peroxisome proliferator-activated receptor (PPAR)-, which can shut down proliferative activity in a variety of cells including breast cells; and, increasing the expression of BRCA1 and BRCA2, tumor suppressor genes that, when functioning normally, help repair damage to DNA, thus helping to prevent cancer development.

Oleic acid, the primary fatty acid in olive oil

Olive oil may be the key reason that eating a Mediterranean diet reduces breast cancer risk, suggests a laboratory study published in the January 2005 issue of the Annals of Oncology. Oleic acid, the main monounsaturated fatty acid in olive oil, has been shown to reduce the expression of the Her-2/neu oncogene, which is associated with the aggressive growth of breast cancer tumors. High levels of Her-2/neu are found in one-fifth of breast cancers, especially those that are resistant to treatment. In this study, when Menendez and his colleagues from Northwestern University in Chicago exposed two strains of aggressive breast cancer cells to oleic acid, levels of Her-2/neu dropped 46%. When they combined oleic acid with lower levels than are normally used of Herceptin, a drug used to treat breast cancer, oleic acid greatly enhanced the effectiveness of the drug, dropping Her-2/neu expression as much as 70%. The end result: oleic acid promoted the apoptotic cell death (suicide) of aggressive, treatment resistant breast cancer cells.

Vitamin C

A high intake of vitamin C has been shown to reduce the risks for virtually all forms of cancer, including leukemia, lymphoma, and lung, colorectal, and pancreatic cancers as well as sex hormone-related cancers like breast, prostate, cervix, and ovarian cancers.

Vitamin C is your body’s first and most effective line of antioxidant protection. Vitamin C protects cell structures like DNA from damage, it helps the body deal with environmental pollution and toxic chemicals, it enhances immune function, and it inhibits the formation of cancer-causing compounds in the body (such as nitrosamines).

Vitamin C functions in the body’s watery environments, which complements vitamin E’s protection of the body’s fatty environments. Vitamin C is also responsible for regenerating damaged (oxidized) vitamin E in the body. In a sense, these nutrients are like policemen that patrol different neighborhoods. Most of the scientific evidence supporting vitamin C is based on a high vitamin C intake from foods that are also rich in carotenoids and other nutrients that protect against cancer.

Vitamin E

Vitamin E, also known as alpha-tocopherol, is one of the most important fat-soluble antioxidants in the human body. Without the protection of vitamin E, your cells (and especially their delicate membranes) would suffer severe damage. As with vitamin C, studies have shown that a high vitamin E intake appears to offer significant protection against cancer.

Over a dozen such studies have shown that low levels of vitamin E (especially when selenium levels are also low) are associated with an increased risk of certain types of cancer, particularly colon, prostate, breast, and lung cancer. In contrast, higher levels of vitamin E appear to exert considerable immune enhancing and anti-tumor effects.

One of the key anticancer effects of vitamin E may be its positive impact on the immune system. As we age, immune function tends to decline, partly due to accumulated damage to the membranes of white blood cells, especially the type called “T cells.” Age-related decline in T cell function appears to be a factor in many diseases, including cancer, arthritis, autoimmune diseases, and infections. Several studies have shown that antioxidants are crucial for preserving T cell function and for keeping the immune system humming.


Selenium, a trace mineral, is a vital antioxidant that works closely with vitamin E and vitamin C to prevent free radical damage to cell membranes. Low levels of selenium have been linked to a higher risk for virtually all cancers. In contrast, high intakes of selenium may offer significant protection against several cancers, especially cancers of the lung, colon, prostate, stomach, esophagus, and liver, and appear to lower the rate of cancer-related death. Selenium supports all components of the immune system, and deficiency lowers resistance to infection, whereas high intakes stimulate immune cell function.


Pigments known as carotenoids are responsible for giving foods their red, orange, and yellow hues. (The word “carrot” is derived from the word “carotene.”) Carotenoids occur naturally in the cell membranes of organisms that convert sunlight into energy. In fact, without carotenoid protection, these organisms would be destroyed by the oxidative damage that results during the process of photosynthesis.

In humans, carotenoids act as antioxidants. Our bodies also convert certain carotenoids into vitamin A. Of the over 600 known carotenoids, about 30 to 50 (such as beta-carotene and alpha-carotene) are believed to have some degree of vitamin A activity. Other carotenoids (such as lutein and lycopene) lack vitamin A activity yet are very powerful antioxidants.

Food sources of a variety of carotenoids include leafy greens, carrots, sweet potatoes, squash, spinach, apricots, red, yellow and green peppers, corn, watermelon, potatoes, apples, peaches, tomatoes, apricots, yeast, cherries, persimmons, papayas, lemons, oranges, prunes, paprika, pink grapefruit, mushrooms, and saffron.

Folate (Folic Acid)

This nutrient from the B-vitamin family is necessary for controlling normal cell growth and division. Women who have a high intake of folate have a lower risk for breast cancer, and women with a lower intake have a higher risk, particularly if they consume an average of one-half of an alcoholic drink daily.

Yet another finding to come out of the Nurses’ Health Study indicates that eating enough folate- and vitamin B6-rich foods may significantly reduce the risk of developing breast cancer. Folate, in particular, may be especially important for women at higher risk of developing breast cancer because of higher alcohol consumption.

In this study, published in the March 2003 issue of the Journal of the National Cancer Institute, a possible association between blood levels of folate and other vitamins and breast cancer was investigated in almost 33,000 women, who were followed for 17 years. In general, women consuming the most folate had a 27% lower risk of developing breast cancer compared to those eating the least folate-rich foods. In women who consumed approximately 1 alcoholic drink per day, folate consumption was highly protective, reducing their risk by 89% compared to women consuming alcohol daily but eating the fewest folate-rich foods. Eating foods rich in vitamin B6 was also protective, reducing risk of breast cancer by 30% in women consuming the most vitamin B6-rich foods compared to those consuming the least.

In another study also appearing in the March 2004 issue of the Journal of the National Cancer Institute, folate from foods was also shown to reduce the risk of ovarian cancer. Researchers analyzed data on 61,084 Swedish women, aged 38 to 76 years, who were followed from 1987 through June 2003. Overall, women consuming the most folate-rich foods were found to have a 33% lower risk of epithelial ovarian cancer, but if they were consuming more than two drinks of alcohol per week, those also eating the most folate-rich foods were 74% less likely to develop ovarian cancer compared to women drinking this amount but consuming the least folate in their diets.

Excellent sources of folate include: spinach, parsley, broccoli, beets,turnip greens, asparagus, romaine lettuce, lentils, and calf’s liver.

Excellent sources of vitamin B6 include: bell peppers, turnip greens, and spinach.

Dietary Fiber

Certain types of dietary fiber (such as that found in whole grains, legumes, nuts, and seeds) bind to estrogen-like substances in the digestive tract and prevent them from re-entering and re-affecting the body. These kinds of fiber also promote the formation of a blood protein (called sex hormone binding globulin, or SHBG) that helps keep estrogen-like substances in a less-active form in the blood and help the body excrete metabolized estrogens.

Phytoestrogens—Soyfoods, Flaxseeds, and More

Phytoestrogens are naturally occurring food nutrients that seem to mitigate some of the effects of estrogen-like substances on hormone-sensitive areas of the body (such as the breasts). Food phytoestrogens include:

  • Isoflavones (like genistein and daidzein), which come from soy, beans, peas, clover, licorice root, alfalfa, and kudzu
  • Lignans, which come from flaxseed, rye, wheat, and sea vegetables
  • Some types of flavonoids (like rutin, quercetin, and resveratrol), which are especially plentiful in citrus fruits, grapes, black and green teas, nut skins, and onions

Special note on soyfoods

Since the 1970s, there has been a marked increase in the consumption of traditional soy foods such as tofu, tempeh, and miso and in the development of innovative soyfoods like soymilk, soy hotdogs, soy sausage, soy cheese, and soy frozen desserts.

One reason for the increase in soy consumption is considerable evidence indicating possible anticancer effects of soyfoods, particularly in relation to hormone-sensitive cancers like breast and prostate cancer. Isoflavones have been shown to act as antioxidants, reduce high estrogen levels, prevent the growth of new blood vessels around tumors, prevent tumor cells from growing and dividing. Population studies have found that soy consumption may help reduce a woman’s risk of developing breast cancer. Women in Asian countries traditionally consume more soy than most women in Western countries and have a lower incidence of breast cancer (and almost no menopausal symptoms). Other studies show that when healthy women add soy products to their diets, their levels of estrogen and other hormones fall.

Recently published research involving nearly 22,000 Japanese women—the Japan Public Health Center-Based Prospective Study on Cancer and Cardiovascular Diseases—has led further support to the relationship between a diet high in isoflavone-rich soy foods, particularly miso, and a significantly lower risk of breast cancer. The women, who ranged in age from 40 to 59 years, filled out a dietary questionnaire that included questions about soy consumption and were followed for 10 years. Whether pre- or postmenopausal, women who reported eating three or more cups of miso soup per day had a 40% lower risk of developing breast cancer compared to women who reported consuming less than one cup per day. Women with the highest intakes of isoflavones—compounds in soyfoods that can bind to estrogen receptors in the body and block out human estrogen, thus lessening its effects—had a 54% lower risk of developing breast cancer compared to those whose intake of isoflavones was lowest. A variety of soyfoods commonly eaten in the Asian diet contain isoflavones including tofu, miso, soymilk, soy sauce, soy flour, green or dried soybeans, soybean sprouts and a fermented soy food called natto. Almost 75% of the women reported eating miso soup daily, and of these 34% ate three or more cups of miso soup per day. More than 45% reported eating soy foods other than miso daily. The average intake of isoflavones among participants in this study was calculated to be about 700 times higher than that of Caucasians in the United States. In addition to isoflavones, soyfoods contain other nutrients (such as the special protein, fibers, and fats in soy) that may provide additional protection against breast cancer, heart disease, and other diseases. With the abundance of convenient modern soyfoods, adding soy to your menus is an easy and delicious way to replace animal proteins and saturated fats in your diet.

For Cancer Protection, Eat Whole Soy Foods, Not Purified Soy Products

A study published in the June 2004 issue of Carcinogenesis suggests that not only is the cancer-preventive ability of soy foods markedly reduced in highly purified soy products and supplements, but that such processed foods can stimulate the growth of pre-existing estrogen-dependent breast tumors.

Soy foods contain complex mixtures of bioactive compounds that interact with one another to promote health, while the partially purified isoflavone-containing products consumed in the U.S. may have lost many of the biologically active components in whole soy foods. "These partially purified isoflavone-containing products may not have the same health benefits as whole soy foods," noted William G. Helferich, professor of food science and human nutrition at the University of Illinois at Urbana-Champaign and one of the study's primary authors.

In the study, mice were divided into four groups, one of which received no soy and served as the control group, while the others were given either whole soy flour, soy extract, a mixture of isoflavones, or genistin in pure form. Despite the fact that all groups, except the control group, received an equal amount of the soy isoflavone genistein, "as bioactive compounds were removed, we observed an increase in estrogen-dependent tumor growth," said Helferich.

In the mice given minimally processed soy flour, a form of soy comparable to the whole soy foods consumed in the Asian diet, tumors neither grew nor regressed. But in the mice given dietary soy products containing isoflavones in more purified forms, the tumors grew. "These products are similar to the materials used in isoflavone-containing dietary supplements, which is how many Americans consume these compounds," Helferich noted.

The take-home message for women, especially postmenopausal women with estrogen-responsive breast cancers who are looking for alternatives to HRT: Avoid processed soy products and supplements that contain isoflavones in more purified forms. Choose minimally processed whole soy foods such as endamame, whole soy flour, tofu or tempeh.

PLEASE NOTE: Our support of soy foods in the case of breast cancer is focused on prevention rather than treatment. While there is little debate about soy’s ability to help prevent breast cancer, it's use in treatment of the disease is still a matter of much debate. We haven’t seen any organizations recommending unrestricted intake of soy in treatment of breast cancer, and we have seen several suggestions that soy be consumed only in its natural food forms (versus supplemental forms) if being consumed at all by persons with breast cancer. Level of soy intake prior to the onset of breast cancer, and specific details involving estrogen metabolism and hormonal balance can be important factors in determining the usefulness of soyfoods in breast cancer treatment - a determination that needs to be made by a qualified member of a cancer treatment team.

Special note on flaxseeds

Besides providing high levels of essential fats, flaxseeds are also among the most abundant sources of lignans. These are specialized fibers that may help block the cancer-promoting effects of estrogens on breasts. And, like fiber, they also promote the formation of SHBG and keep estrogen-like substances in a less active form in the blood and help the body excrete metabolized estrogens.

In one recent study, researchers followed 28 postmenopausal nuns for a year and tracked blood levels of two cancer-related estrogens. In addition to their normal diets, the nuns consumed flaxseed daily. Levels of “bad” estrogens fell in the women taking ground flaxseed but remained stable in the women not taking flaxseed.

In a study published in the February 2004 issue of the American Journal of Clinical Nutrition, when postmenopausal women ate a daily muffin containing either 25 grams (a little less than 1 ounce) of soy protein, 25 grams of ground flaxseed, or a placebo muffin containing neither for 16 weeks, the estrogen metabolism of those eating flaxseed, but not soy or placebo, was altered in several important protective ways:

  • Levels of 2-hydroxyestrone, a less biologically active estrogen metabolite thought to be protective against breast cancer, increased significantly.
  • The ratio of 2 hydroxyestrone (the protective estrogen metabolite) to 16alpha-hydroxyestrone (an estrogen metabolite thought to promote cancer) increased.
  • Blood levels of the estrogen fractions (estradiol, estrone, and estrone sulfate) did not change significantly—which is important since estradiol is involved in maintaining bone mass.
So what does this mean in plain English? Eating about an ounce of ground flaxseed each day will affect the way estrogen is handled in postmenopausal women in such a way that offers protection against breast cancer but will not interfere with estrogen’s role in normal bone maintenance.

Because flaxseeds are so hard, ground flaxseed provides more nutritional benefits than whole flaxseeed, and is easier to digest, as well. Flaxseed is easily ground in a coffee grinder, food processor, or blender, and may be added to foods such as hot cereals, salads, or smoothies.

Brassica family vegetables

The members of the Brassica family vegetables (including broccoli, kale, cauliflower, cabbage, mustard, horseradish, Brussels sprouts, and broccoli sprouts) provide unique nutrients that support your body’s production of “good” estrogens while decreasing the “bad” ones. These fabulous vegetables also potently stimulate the detoxification systems of the body and act as antioxidants. It is necessary to eat significant amounts of mustard family vegetables to get all of these benefits. Fortunately, broccoli sprouts are particularly rich in these nutrients, containing 40 times as much as mature broccoli!

Cabbage may also be especially beneficial. A recent case control study published in the journal Cancer Research found that women who eat more Brassica family vegetables have a much lower risk of breast cancer. In this study of 337 women in Shanghai, China (where Brassica vegetables such as Chinese cabbage are frequently consumed), the women’s urinary levels of isothiocyanates (a type of beneficial compound found in Brassica vegetables) directly correlated with their breast cancer risk. Those women with the highest isothicyanate levels (i.e., those women consuming the most Brassica vegetables) had a 45% lower risk for breast cancer compared to those with the lowest levels of isothiocyanates.

This significant protective effect is not all that surprising considering that the isothiocyanates provided by Brassica vegetables, such as cabbage, are capable of numerous breast cancer-inhibiting actions including:

  • inducing the production of Phase II enzymes in the liver, which bind to potential carcinogens and remove them from the body
  • inducing apoptosis, the self-destruct sequence the body uses to eliminate old or cancerous cells
  • beneficially affecting the way in which steroid hormones, including estrogen, are metabolized and the way in which the estrogen receptors on cells respond to the hormone
  • and preventing excessive cellular proliferation.

Another beneficial compound in Brassica vegetables, called sulforaphane, which is formed when these vegetables are chopped or chewed, is also known to trigger the liver to produce enzymes that detoxify cancer-causing chemicals, inhibit chemically-induced breast cancers in animal studies, and induce colon cancer cells to commit suicide.

Now, a study published in the September 2004 issue of the Journal of Nutrition shows sulforaphane also helps stop the proliferation of breast cancer cells, even in the later stages of their growth. If you don't love Brassica vegetables, one easy way to receive the protection provided by sulforaphane is to top salads and sandwiches with broccoli sprouts. Just a single tablespoon of broccoli sprouts contains as much sulforaphane as is found in a whole pound of adult broccoli.

Fresh Fruit

Fresh fruit should definitely be part of your healthy whole foods way of eating, suggests a Japanese study published in the November 2003 issue of the International Journal of Cancer. This study, which involved 2,385 breast cancer patients and 19,013 women who were cancer-free, found reductions in breast cancer risk associated with a high intake of milk and green leafy vegetables, carrots and pumpkins among pre- and postmenopausal women. Consuming fish (5 or more times per week versus less than 3 times per month) was even more protective, conferring a 25% reduction in breast cancer risk, but the most significant decrease in risk was noted among women who ate the highest amount of fresh fruit. Those eating fruit daily had a 39% lower risk of breast cancer compared to those who rarely ate fruit.

Cranberries, in particular, should be enjoyed often, and not just cranberry juice, but whole cranberries. Cranberry presscake (the material remaining after squeezing juice from the berries), when fed to mice bearing human breast cancer cells, has previously been shown to decrease the growth and metastasis of tumors, and a new study published in the June 2004 issue of the Journal of Nutrition suggests compounds in whole cranberries also inhibit prostate, skin, lung and brain cancer cells as well.

Androgen-dependent prostate cancer cells were inhibited the most (just 10 mg of a warm water extract of cranberry presscake inhibited their growth by 50%). With androgen-independent prostate cancer cells and estrogen-independent breast cancer cells, a larger amount was needed but produced the same beneficial effect (250 mg of cranberry presscake extract inhibited their growth by 50%). Researchers concluded that the active compounds in whole cranberry prevent cancer by blocking cell cycle progression and inducing cells to undergo apoptosis (programmed cell death).

Nutrient Excesses

Dietary Fat / Dietary Fiber Ratio

In postmenopausal women, an excess of dietary fat in relation to dietary fiber is associated with higher levels of “bad” estrogens, which increase the risk for breast cancer. This association is strongest for high levels of saturated fats (such as animal fats) and for low levels of soluble fibers (such as oats).

This relationship reflects the importance of how nutrients interact in the body - illustrating that fiber can influence the way your body metabolizes fats. It shows that a “lifestyle approach” to eating is probably more effective than just trying to cut down on fat or make other single dietary changes.


One of the most consistent findings in studies looking at diet and cancer is the positive correlation between meat consumption and the rate of cancer. In other words, the higher the intake of meat and other animal products, the higher the rate of cancer.

There are several obvious reasons for this association. Meat lacks many of the antioxidant and phytochemicals that protect us from cancer, while it contains more saturated fat and potentially carcinogenic compounds that can actually increase the risk of developing cancer.

These compounds are not a natural part of meat, but occur from the non-organic feeding of cattle and from particular ways of cooking. From non-organic feed can come pesticides, and from grilling, frying, or broiling can come heterocyclic amines and polycyclic aromatic hydrocarbons. Intake of red meat should be limited to three ounces per day, and well-done, charbroiled, cured, and fatty meats should be avoided.

Polyunsaturated fats

In a recent breast cancer study, women who consumed highly polyunsaturated fats such as sunflower oil, safflower oil, or corn oil were 20 percent more likely to develop breast cancer. In this study, the heating of cooking oil to a high temperature was associated with a 1.64 fold increased risk of lung cancer as well.


As noted before, caffeine-containing beverages and foods like coffee, black tea, and even chocolate can interfere with your body’s normal efforts to excrete estrogen-like substances.


Alcohol intake is positively associated with breast cancer risk, particularly with aging and with a low intake of folic acid. Regular consumption of alcohol makes it more difficult for the liver (the body’s main organ of chemical detoxification) to break down and metabolize hormones in a healthy manner.

Excess weight

Very obese people have almost twice the risk of death from breast cancer as do non-obese people.

Recommended Diet

Dietary guidelines for breast health:

  • Eat fresh and organic foods whenever possible
  • If you eat meat, focus on fish and organic game and poultry rather than red meats
  • Do eat fish, especially cold-water fish
  • Eat whole-grain rice, pastas, cereals, breads, and crackers
  • Enjoy dark berries and naturally sweetened dark berry juices
  • Eat legumes regularly, especially soyfoods
  • Eat whole, unroasted nuts and seeds regularly, especially flaxseed
  • Limit your intake of dairy foods
  • Eat fresh vegetables every day
  • Eat at least one serving of mustard family vegetables (broccoli, cauliflower, kale, cabbage, and Brussels sprouts) daily
  • Explore the world of sea vegetables. It's a great time to become friends with sushi!
  • Have fresh fruit for dessert
  • Use olive oil instead of butter, margarine, or vegetable oils (olive oil consumption is inversely related to breast cancer risk)
  • Use spices every day, especially rosemary, ginger, turmeric, horseradish, basil, sage, thyme, oregano, saffron, paprika, and curry spice (these spices and others from their families seem to facilitate the metabolism of estrogen-like substances)
  • Eat garlic and onions regularly
  • Enjoy no more than one glass of wine daily, and preferably red wine

A five year study evaluating the dietary habits of nearly 9,000 women in northern Italy underscores the importance of healthy eating habits. This study, published in the April 2004 issue of Cancer Epidemiology, Biomarkers and Prevention identified four dietary patterns: salad vegetables (mainly consisting of raw vegetables and olive oil); western (mainly consisting of potatoes, red meat, eggs and butter); canteen (pasta and tomato sauce); and prudent (cooked vegetables, pulses, and fish, with negative loading on wines and spirits).

Only the women whose diet included lots of salad vegetables and olive oil had a reduced risk of breast cancer, and their reduction in risk was significant: 34-35%. Slender women (with a body mass index or BMI of <25) had an even greater 39% reduction in risk, whereas women whose BMI was > or =25 had no protective effect from consuming salad vegetables. The take home message: you can help protect yourself against breast cancer. Just enjoy lots of fresh vegetables dressed with olive oil and maintain a healthy weight—a goal that happens naturally when following the George Mateljan Healthy Way of Eating.

If you're still worrying that cancer is inevitable or "in the genes," research published in the July 2004 issue of Cancer Epidemiology, Biomarkers & Prevention clearly shows that this is simply not the case. The everyday choices we make about the foods we eat can significantly reduce our cancer risk.

As Melanie Polk of the American Institute for Cancer Research said in a recent interview: "Every time we sit down to a meal we are presented with a fresh opportunity to bolster our bodies' natural defenses. The overwhelming majority of us routinely squander that opportunity.”

Want to seize your chance to lower your risk not just of breast cancer but of all types of cancer?

The data published in Cancer Epidemiology, Biomarkers & Prevention from the Iowa Women's Health Study, in which 29,564 women were followed for 13 years, shows that those whose diet and lifestyle practices met American Institute for Cancer Research (AICR) guidelines had the lowest risk for all forms of cancer.

The AICR's 9 recommendations are:

  • Eat five or more servings of vegetables and fruits each day.
  • Eat 7 or more portions of complex carbohydrates such as whole grains and legumes each day, and restrict intake of processed foods and refined sugars.
  • Limit red meat to no more than 3 ounces daily.
  • Limit intake of fatty foods, particularly of animal origin.
  • Limit intake of salted foods and use of salt in cooking.
  • Limit alcoholic drinks to one (women) or two (men) daily.
  • Keep BMI (body mass index) under 25 and limit adult weight gain to no more than 11 pounds.
  • Engage in daily moderate and weekly vigorous physical activity.
  • Do not smoke.

Study data revealed that women who followed only one or none of AICR's diet and lifestyle recommendations had a 35% higher risk of developing cancer and a 43% higher risk of dying from cancer compared to women following most AICR recommendations.

Dr. James Cerhan, lead author of the study and head of the Mayo Clinic’s Genetic Epidemiology and Risk Assessment Program, noted, “Furthermore, we estimate that if all the women in this study group had followed six or more of the guidelines and never smoked, approximately 30 percent of their new cancers and cancer deaths could have been prevented or delayed.” Our mission at the World's Healthiest Foods is to make it simple, practical, and easy for you enjoy the World's Healthiest Foods, and in doing so, you'll be following all the food-related AICR guidelines. If you haven't already, sign up for our Weekly Bulletin highlighting a different food at the peak of its season. Each week, you'll be inspired with new ideas and new recipes that meet AICR guidelines. We even send you a list of the groceries you'll need for the featured quick and easy recipe.

The Condition Specific Meal Planner for Breast Cancer has menus that cover the nutritional needs of this condition over a four day period.


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