Nutrition and Breast Cancer
by Jessica Iannotta, MS, RD, CSO, CDN
Women facing a new diagnosis of breast cancer, as well as breast cancer survivors, often seek to make healthy changes in order to help prevent recurrence. Other women who have a family history of breast cancer may also seek to maintain a healthy preventative diet and lifestyle. Healthy diet, healthy body weight, and regular exercise all work together to help reduce breast cancer risk.
Healthy Body Weight
Studies
suggest that weight gain during adulthood
can increase risk of breast cancer,
especially before or after menopause.
It is known that women with a higher
BMI, or body mass index, can have
a higher risk of breast cancer recurrence.
A healthy BMI is considered
less than 25.
Physical Activity
Regular physical
activity can help reduce risk of breast
cancer by maintaining healthy levels
of hormones, such as estrogen and insulin.
The American Cancer Society
recommends at least 30 minutes of moderate
to vigorous physical activity five
or more days of the week.
Healthy Diet
Many studies have
linked the benefits of a plant-based
diet to reduced breast cancer risk.
Recent research suggests that women
who consume a Mediterranean diet
rich in fiber, fruits, vegetables, fish,
and unsaturated fats have a lower risk
of breast cancer. It is also important
to choose more healthy fats from fish,
nuts, and plant oils.
Alcohol
Research suggests that alcohol
consumption may be linked to breast
cancer risk. It is important to talk with
your healthcare team about how you
should appropriately limit your alcohol
consumption. The American Institute for
Cancer Research recommends limiting
alcohol to one serving or less per day
(one serving equals 12 oz. beer, 1-1.5 oz.
hard liquor, or 5 oz. wine) for cancer
prevention. If alcohol is consumed, you
should also add folate-rich foods such as
beans, whole grains, and leafy greens.
Recent research suggests that women who consume a Mediterranean diet rich in fiber, fruits, vegetables, fish, and unsaturated fats have a lower risk of breast cancer.
The Soy Debate
Soy has received
much attention related to breast cancer.
Soy contains
phytochemicals
called phytoestrogens,
which
have similar
chemical structures
to human
estrogen, yet
there is controversy
as to
whether or not
they have similar
effects in the body. In relation to breast
cancer risk, research suggests that initiating
soy consumption during childhood
and adolescence may be beneficial. However,
research of soy consumption in
adulthood has revealed mixed results,
likely because there are many complex
factors that can affect phytoestrogen
action in the body, such as metabolism,
menopausal status, and age.
Be sure to speak to your healthcare team regarding soy intake. Women with a history of hormone-related cancers should limit processed soy foods, soy supplements, vegetarian soy-based meat alternatives, soy chips, and soy-fortified cereals. Processed soy does not contain a proper balance of nutrients, and often contains preservatives, colorings, and excessive sodium. Natural whole soy foods like tofu, soybeans, and soy milk are a more healthful choice.
Sample Meal Plan
Breakfast:
Add ½ cup berries to hot or
cold cereal
Morning Snack:
Fruit with low fat or non-fat
yogurt or cottage cheese
Lunch:
Salad with Romaine lettuce and
at least three other vegetables that
you enjoy (example: carrots, tomatoes,
and cucumber), topped with
beans or nuts
Afternoon Snack:
Carrots dipped in hummus
Dinner:
Stir-fry made with chicken and
red, yellow, and green peppers
over brown rice
Evening Snack:
Homemade fruit smoothie made
with banana, strawberries, and
skim milk or non-fat yogurt
How can you translate this information into a practical application for your daily meals? Check out this handy healthful shopping list:
Berries
Buy fresh or frozen blueberries,
blackberries, cranberries,
raspberries, and strawberries.
Citrus fruits
Buy lemons, oranges,
and tangerines. Grapefruit may interfere
with certain medications.
Apples
Buy any color you like. Apples
have a healthy fiber called pectin.
Cruciferous vegetables
Buy broccoli,
Brussels sprouts, cabbage,
cauliflower, or kale.
Brightly colored vegetables with
yellow, orange, or red colors
Peppers,
carrots, squash, and leafy green vegetables
are rich in carotenoids.
Fish
Sardines, mackerel, wild
salmon, and tuna are high in omega-3s.
Legumes
Buy lentils, dried beans,
and peas. Canned legumes are an acceptable
alternative; rinse well.
Nuts
Examples include Brazil nuts,
walnuts, and almonds. Make sure to buy
the nuts that are not roasted or salted.
Whole grains
Buy grain products
that are ideally 100-percent whole grain
or list a whole grain ingredient first.
Yogurt
Select a low fat or non-fat
yogurt with a variety of active cultures.
Olive oil or Canola oil
These oils
are good sources of healthy unsaturated
fats. Extra virgin oils have a lighter
flavor but have the same fat content.
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Jessica Iannotta is an oncology nutritionist at the North Shore – Long Island Jewish Health System’s Monter Cancer Center in Lake Success, NY.
This article was published in Coping® with Cancer magazine, March/April 2011.


