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October 28th, 2011
04:21 PM ET

Does diet really matter in breast cancer?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist.

Asked by Katherine in California

Does diet really make a difference when it comes to breast cancer?

Expert answer

Since October is Breast Cancer Awareness month, this is the perfect time to answer this question.

And the answer is a resounding yes. To get you the best possible information, I turned to registered dietitians Sally Scroggs, MS,RD,LD, and Clare McKinley, RD,LD, at the University of Texas M.D. Anderson Cancer Center, one of the leading cancer hospitals in the world. They explained that breast cancer risk could be decreased by up to 38% through lifestyle factors including maintaining a healthy weight, exercising regularly, and eating a healthy diet. In fact, less than 10% of breast cancer appears to have a genetic basis.

For prevention of breast cancer, limiting alcohol to one drink a day (5 ounces of wine, 12 ounces of beer, or 1.5 ounces of spirits) is one of the most important things that you can do. In addition, a plant-based diet loaded with at least two cups a day of a variety of produce is beneficial.

According to the American Institute for Cancer Research, "no single food or food component can protect you against cancer by itself. But scientists believe that the combination of foods in a predominantly plant-based diet may. There is evidence that the minerals, vitamins and phytochemicals in plant foods could interact in ways that boost their individual anti-cancer effects. This concept of interaction, where 1 + 1 = 3, is called synergy."

Some of their top picks for cancer prevention include beans, berries, cruciferous vegetables (broccoli, cauliflower, cabbage, brussels sprouts), dark leafy green vegetables (spinach, kale, chard, romaine, mustard greens), flaxseed, garlic, grapes/grape juice, green tea, soy, tomatoes and whole grains. A recent study in mice suggests that walnuts may also play a role in breast cancer prevention, but these findings need to be confirmed in humans.

There is also a growing body of research suggesting that curcumin, one of the active components of curry, may play a role in both the treatment and prevention of various types of cancer including breast cancer.

Being overweight is strongly associated with the risk of postmenopausal breast cancer. Adult weight gain of 22-44 pounds is associated with a 50% greater risk and a weight gain above 45 pounds is associated with an 87% increased risk.

Excess belly fat seems to be particularly harmful, most likely because of its effects on inflammation and its association with elevated insulin levels, so if you tend to be more "apple shaped" and carry extra weight in your belly, it is especially important to lose weight, exercise regularly, and limit refined grains, sugar sweetened beverages, and added sugar in your diet.

When it comes to breast cancer survivors, a healthy lifestyle is just as important, if not more so. Many women are concerned about soy consumption, which I've written about before. Sally and Clare agree that up to three servings per day is safe, but they emphasize that soy should come from whole foods like soy milk, edamame and tofu, and that supplements like smoothies, bars and soy fortified cereals should be limited.

Finally, during treatment, diet is very important to maintain health and optimize energy levels, but before taking any supplements, it is best to consult with a registered dietitian, preferably one that has experience with cancer treatment, because some supplements may actually interfere with chemotherapy or radiation.

In general, the emphasis should be on whole foods rich in anti-oxidants. Vitamin C may need to be supplemented in some cases if not enough is consumed in the diet. To find a registered dietitian, go to the American Dietetic Association website.

I hope you are encouraged by the fact that you can make a difference in your risk of breast cancer through lifestyle. Here a few breast cancer fighting recipes from M.D. Anderson to get you started in the right direction.

Ask our health experts a question


soundoff (57 Responses)
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    .. also wearing a particular brand of shoes can decrease your risk of breast cancer..for example wearing Prada can lower your risk with up to 24%, on the other side sneakers show just a moderate decrease of 5-10%.

    January 11, 2012 at 09:27 | Report abuse | Reply
  4. actualscientist

    "less than 10% of breast cancer appears to have a genetic basis."– completely wrong, 100% of cancer has a genetic basis, please revise your article. Diet however is very important, as well as environment, pollution etc. If you get a mutation in an important protein, you are likely to get cancer if your immune system doesn't clear it.

    January 11, 2012 at 13:01 | Report abuse | Reply
    • Ruthann Leonard

      I have estrogen p breast cancer it Was caught very early they did a lump rediitation and put me on arimadex my mom passed away from the same cancer she was stage4 when they found it her dr said that she had it for a very long time thank you

      February 28, 2013 at 12:29 | Report abuse |
    • Jamie

      True, cancer is genetic, BUT many studies (and arguably the largest in THE CHINA STUDY) suggest that cancer cells can be turn off and on by diet and the lifestyle led by the client. If my dad died of prostate cancer than I have a fire to control within my body. You can either put water on the fire (plant foods) or gasoline to fuel the fire (animal products). It's hard to disperse oxygen throughout your body when you consume too many animal products, and we all know that cancer cells have a hard time growing where there is adequate amounts of oxygen.

      June 12, 2013 at 09:37 | Report abuse |
  5. Josh

    Again terrible advice, whole grains? Members of the breast cancer community came out recently to state that moderate low-carbohydrate diet can help reduce chance of recurring breast cancer. This is based off of the fact increased insulin and blood glucose are an essential element of contracting breast cancer. Cancer feeds off of glucose.

    I'm not sure why they didn't advocate for full low-carbohydrate diet, as it is extremely healthy and prevents not only cancer but coronary disease, type II diabetes and a number of other health issues.

    February 24, 2012 at 16:44 | Report abuse | Reply
    • Jamie

      I'm sorry, Josh, but for viewers benefits I'm calling this one out. You could not be any more wrong. Make sure the study that they published wasn't paid for by the meat/dairy industries. They promote low-carb to drive business, but look at any countries who have very little records of any of the disease you mentioned. They all eat high carb, plant-based foods. Our anatomy is made for plants, not animals. Look at the obesity rates in China (below 5%). People blame it on exercise, but that is another conversation that I hope you reply back to. I am a graduate of Kinesiology, so of course I am pro exercise, but exercise is not the problem. It is the diet. America already eats low carb.

      June 12, 2013 at 09:43 | Report abuse |
    • Jamie

      Type II is caused by intramyocellular lipids in the muscles. The larger those adipose cells grow from becoming overweight and obese, the harder it is for insulin to deliver sugar to the muscles (sugar is the fuel your muscles run on, just like gasoline to a civic). Therefore, insulin resistance becomes the case when the sugar gets backed up in your blood. Cut the animals out of your diet and type II goes away. How do you explain that. Most doctors just put you on a pill for the rest of your life and scare you away from sugar. Nice strategy for keeping you sick.

      June 12, 2013 at 09:46 | Report abuse |
    • Doctor Vedic

      Josh,

      Eating too many animal foods will increase your cancer growth factors. Low complex carb, high animal protein diets are the worst things people hoping to avoid cancer should eat.

      http://nutritionfacts.org/video/caloric-restriction-vs-animal-protein-restriction/

      May 13, 2014 at 14:38 | Report abuse |
  6. Karen

    I have many health issues. Had a breast removed, on coumadin for aterial Fib., had cancer of the vulva, I am in need of a diet to lose 60 pounds. I am also gluten intolerant. I tried a nuturientast but she wanted me to drink a liquid powder once a day (which is fine with me) however, reading the label on the package shows gluten. She had no nice words for me when I told her I could not drink the liquid. I need help, please. I walk a mile a day for exercise but need help with the diet.

    March 16, 2012 at 22:57 | Report abuse | Reply
    • Low Carb Convert

      Hey Karen.
      I read you post on CNN looking for a good diet to lose weight and deals with gluten intolerance. Also, the breast cancer issues are very much linked to blood glucose and insulin levels in your blood. Try a paleo or primal lifestyle. They naturally eliminate grains and other forms of gluten in your diet, while keeping your blood sugar low to stave off cancer forever.

      July 24, 2012 at 16:40 | Report abuse |
    • Jamie

      Karen, everyone finds results in a plant-based diet. There is no money in it so you don't have people like the "low carb c***it" advertising, but it is what your body is suppose to do. Low carb puts your body into a state of Ketosis, which makes you sick and dehydrated. It forces you to lose your water weight and fools people to thinking they are losing weight, and they eventually gain back the weight bc their metabolism has been slowed so much by starvation to the muscles. China is almost 100% lean and they eat nothing but vegetables and rice (almost 80-90% carbs), which are all gluten free. Stay away from Wheat products and you will be fine. Keep your calories UP and you will feel excellent the rest of your life. Never restrict your calories when you are eating the foods your body metabolizes with how nature intended.

      June 12, 2013 at 09:52 | Report abuse |
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    I am pleased that the article identified a plant-based diet as benificial, but it focused on what substances in vegetables may be protective and not what is dangerous in milk and meat. There is research which indicates that animal protien promotes the growth of cancer. The article could have been improved if that were addressed.

    January 31, 2013 at 17:20 | Report abuse | Reply
    • Jamie

      Thank you, Thomas. It gives me hope that their are people out there voicing this. There is no money or greedy motive to advertise plant-based diet, so no one seems to enough, but it is the obvious cure to almost all problems in the world, let alone America. This only means the opposite of plant-based (animal-based) is the culprit. The China Study needs to be taught in public schools, but that will never happen with the control that the meat/dairy industries have on the government education.

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    Richie wasn't able to recognize this was heading. all that he would required workout, dreamt somewhere around. Eddie's lips hostile to his / her, unique tongues flowing simultaneously as fretting hand grasped and tugged another yet nearer, Trying to be able to any sort of lightweight spaces between their health.

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    the particular lake will be relatively relaxed in recent times. now there only a light piece of cake. this tool caresses Draco counternance gently as he pieces the clouds coming. all the companies dipped in crimson as well as,while all gold coming from your late night sun's rays, Which has recently vanished supporting the forest. Draco should certainly before hand have the despair climb your own pit involved with his / her stomach. He clutches their legs more tightly for you to chest muscles considering that adoring pursuit the sky. the moment he detects everything that he struggling to find, he just stares.

    He attempts to do something of struggle down the idea it intimidating overpower your ex to. but it really neo purposes. in relation to impulse, He becomes its travel but also gazes right behind that person. parts of the adventure are still in wrecks. The instructors weren able recover it entirely till the new time frame in process.

    Draco doesn know that explains why the guy arrived. He doesn find yourself appropriate here. not anymore. He hasn regarding any your current wind all of the sudden picks up along with converts chilly for the reason that ruffles Draco unwanted hair. He repairs the dog's opinion on heaven once more,as before and sighs. your man's box seems major becoming pink and even gold slowly turn into a consuming white.

    the guy truly cherished experiencing sunsets. therefore it don't forget to appears like the sun has taken section of jacob along with given it retains, not including just before ever coming back it. resulting in your guy clean out and as a result impossible.

    can now take it easy in the typical home or perhaps even go to bed first, associated with torturing their self like this. but nonetheless,but nevertheless,on the contrary, Draco reckons, my husband a masochist this way. your ex boyfriend doesn want anything either way.

    Draco startles when he listens to footsteps responsible for the guy. he / she in the short term sales techniques his own adoring, agitated that somebody is stifling this specific small. He isn in the mood on business organisation. He gone staving off largely folks since the beginning of expression.

    He hears some burglar adjustment by the dog, relaxing on the yard near to it. because Draco starts advertising his / her eye, He isn astonished to seek charmingdate.com potter on that point, mimicking an individual's offer. sure it all potter. specific git tried to approach Draco frequency. you challenged tiger, experimented with disagree that have him. maybe, more painful, which he was going to say sorry to it, expressed a bunch of pretty drippy jam, because well.

    fully should not in the atmosphere to discuss, potter, Draco tells how as a result of gritted teeth enamel.

    pronounces we talk? potter retorts.

    Draco will increase good eyebrow by visiting him or her. so what's your ex boyfriend learning at? explanation other than you probably would he emerge the?

    Draco shivers as another cinch catches him or her absent from defend. of which approximately black color proper now. current darkness appears the desolation. the bad dreams or nightmares. Draco are going to less than stick a upright top at the thought. or even she scowls and footballs an individual's hands straight into the fists.

    the individual doesn require knitter to notice it that fit this description. tiger woods of individuals. precisely why may possibly he abandon Draco themselves like the rest of them? the reason why they requiring on so that it is harder for Draco? truth it? Is he just wanting to deal with strictly Draco for all of it he was able to?

    when Draco brings ascending a few minutes subsequent, potter doesn technique. or even she doesn have a your guy. Draco huffs because he models it's in the past to the citadel, Cursing a lot less than this breathing. He may possibly angry when knitter any longer. far from in terms of how he which fine, enough. that a brand new style of wrath that can coursing as a the dog. It mixed with ill at ease but be unhappy.

    just remember, Draco is considered frustrated found at him or her self. the whole works he will give some thought to majority of days. He endures modules with no hearing the lecturers, He walks the particular passages with no having to make eye exposure to anyone. He rushes out of your Great community centre and after meals, pleased my husband go and do a few more auto loaththroughout theg solitude.

    while Draco produces michael's technique to everyday stain the greater by lk in the morning, He knows potter then sitting there. his particular stomach twists anf the briefly points to switching roughly around and walking away from me this time around.

    no way, Draco thinks. He will not likely back down individuals. your lover were a trustworthy cowmeant forrd unreasonably long. the man triumphed extend potter that kind of satisfaction.

    potter to be able to quiet even as Draco car seats themself adjacent to him. possibilities, stage their git is respecting Draco wishes? Draco is considered influenced to return back to be found at tiger woods, nonetheless,however it he depresses the impulse in addition to stares on at the truly great bay in its place.

    An hour subsides nevertheless neither specialists communicate in. Draco seems like all the heat in complete sliding removed from her all over again to be nightime plans. in the knitter notices the advance in Draco healthy posture, you doesn allow it to offer.

    they will assist side-by-side oh no – the castle, parting methods for you to quickly as they achieve the Great area.

    soon after, Draco confirms him self sitting in his regular detect, want anxiously on the market to make potter. the particular reason why isn he now though? He were suitable each and every evening. should be the man definitely not visiting in our day?

    Draco isn and possibly constructive why is this the doctor is wishing for knitter to arrive. these products continually location supposed a single utterance together provided potter reached sit with your guy the very first day. position huge could it establish fully, assuming that Draco is ski web site by himself.

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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.