role of alcohol in breast cancer development and recurrence
Comments
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Hi...Has anyone read statistics regarding European women and breast cancer? They have always consumed a large quanity of alcohol?
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I am not, never been much of a drinker. In fact for the most part think the taste of hard liquor, beer and wine pretty disgusting tasting. Give me a creamy milkshake any day! By the way milk is implicated in developing BC also. So I guess damned if you do, damned if you don't.
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Thank you spacebrit for bringing that up. Being of European decent I have thought of that alot. Americans are quite conservative when it comes to alcohol. In many European countries it is a common practice and acceptable to drink very heavily according to American standards on a regular basis. Depending on which area of Europe you come from the alcohol can range from Vodka (Russia, Poland, Czek Republic) to wine(Italy and France) on a daily basis. One of my Italian oncologists during a visit made a comment that it would be interesting to do a study in Italy on Italian women who consume wine regularly and if their breast cancer rates are higher than those that don't. If I ever attend any type of social gathering for ex. a wedding or a holiday party of which guests are primarily from Europe (Polish or Russian) usually there is a bottle of high grade vodka and a bottle of high grade scotch sitting on each guests table along with open bar. The parties are usually very lavish and of course there is plenty of food to go along with the alcohol. I personally have not heard of breast cancer rates being higher among Europen women (with the exception of Jewish women) despite the alcohol consumption. Has anyone heard to breast cancer rates being higher among European women verses American women? Very curious if any studies have been done.
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An Interesting thread. I dont play the blame game & wonder what I did to get bc. I think that would drive me crazy. I do wonder why I got it though. If I look at all the things that increase ones risks...Vs all the things My Sister would fall into- she should have gotten bc not me. (Im glad she didnt) Shes 2.5 years older then me
I quit drinking when I was 20. - I drank alot before I quit. I did not drink again until I was 38. Then I had 2 drinks about 2 times a week when I went out (vodka), Now I have 2 drinks a month.
She smoked for at least 20 years, I never have- except 2nd hand smoke.
She had her 1st kid at age 29, Mine was at 25. (we both breast fed)
She has been over weight about 18 years, I have always been a good weight.
She has drank all her adult life- Though not in excess. She drinks beer when she is with friends, or on the weekend- Did that more when she was younger.
She has a Highly stressful Job & Homelife, Mine isnt stress free- but it doesnt compare to hers.
We have lived in the same or similar suburbs most of our lifes.
I have exercised for the last 8 years, She hasnt- Though shes physically active.
About the only thing different going against me is I like sweets- I loved them most of my life...Now I dont eat them like I used to.
(shes a Coffee drinker- I have never drank a cup in my life-not that I have heard coffee is bad)
Just kind of Interesting
Pam
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I wrote my earlier posting because lately there seems to be more studies indicating that alcohol consumption increases breast cancer risk dramatically. If this is true, then in countries and in ethnic groups where alcohol consumption is higher are these women getting breast cancer too? One thing I do know is that in most European countries the food is not as processed as it is in the US and most meals are made from scratch not from a box or the frozen section of the grocery store.
I have an occasional glass of wine or beer but not every day( sometimes a couple times a week or sometimes only 2-3 times a month). If I have my wine or beer it's with dinner or on a special occasion. I can't do hard alcohol because it gives me a headache instantly.
I have witnessed many women (European and Amerian) drinking heavily and regularly and not getting breast cancer but I who have the occasionl glass of wine or beer end up with breast cancer....
I have always exercised, ate organic, I'm not into junk food, not been over weight but have always had alot of stress in my life and this started from my childhood. Sleep deprived and not a good sleeper since childhood. May be the later 2 caught up with me and is what caused my immune system to break down.
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I can't remember where, but I do remember reading a study that European women have about the same rate of BC as American women. Something like 1 in 9 to our 1 in 8. Even though our food is more processed, they stated alcohol use could be a factor because it breaks down the same way sugars do and sugars feed the estrogens. They also tend to eat a lot of cheese, butter, white flour, which are all estrogen linked. I talked to a nutritionist who is a 10 year survivor and she totally gave up alcohol and sweets. I have too. I just feel it is better to be safe than sorry. I know some people think I am crazy for giving up all this stuff, but if it makes me feel good so what he heck. Liz, I was really mad at first when I looked around me and saw that people who did not take care of themselves as I tried to who did not get BC, but I did. Then I had to stop myself because I know that they will have their own cross to bear someday. Our bodies cannot be abused forever and be expected to fight off everything. IF ithey do not get cancer, chances are they will get heart disease or diabetes so changing my lifestyle will at least keep me from getting those. I am not saying I am a martyr, I still eat too much chocolate, but I really do not miss most of the stuff and the rewards of feeling and looking better keep me motivated.
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I felt equally shocked and angry at my doctors for not warning me that being overweight increased my risk of BC - I read a study saying that if your weight at menopause is 30 pounds more than when you were 18, your risk increases significantly!
http://www.msnbc.msn.com/id/17598137/
I rarely drink alcohol - stopped around the age of 28 - prior to that, I had my "party" weekends - but I was never a daily consumer of alcohol. I was always in shape - but after skipping my periods, I steadily put on weight. Being tall, my doctors never said anything to me - so I became very casual about my weight. Now I'd like to yell it from the mountaintops to women - excess weight = excess estrogen = increased breast cancer risk.
What surprises me still is how women who don't have breast cancer act so surprised when I give them this news.......which means, their doctors aren't telling them the relationship between weight gain and BC.
SO - the question remains - WHY aren't our doctors being more proactive warning women about the dangers of alcohol and excessive weight with regard to breast cancer risk??
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I watched Dr. 90210 tonight and noticed the lady that (seemed to me to be anorexic) did not recover from implant surgery nearly as well as the lady that had implant surgery, facial peels, and botox, and tummy tuck at the same time. Really it was obvious who was healthier. I am sure the ps noted the health risks with the anorexic patient as well.
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I have never drank alcoholic beverages. I did drink a lot of diet coke. Never smoked. No family history.
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It appears that alchol and excess weight increases Estrogen levels in our bodies so therefore increases our change of breast cancer. How about if your hormonally negative?
Linda- you're right everyone has a cross to bare.
Swimangel- most doctor's don't inform women who are overweight about the risks. It's really too bad. I'm a researcher and always research things, sometimes too much and drive my doctors crazy with questions but I know most patients trust their doctors and leave it at that.
Summer- how we recover is definitely related to how healthy we are. It's important to keep ourselves as healthy as we can through proper diet and exercise. After I finished treatment, I went to see a naturalpath who specializes in women's health and has alot of BC survivors as patients. I had to do a food diary and exercise log for her. She was impressed with my diet and exercise and then said lets not try to figure out what caused my bc but do everything we can to prevent it.
DFOnt- I hear what your saying...go figure...I too have absolutely no family history and have only an occasional glass of wine or beer but an avid water drinker, I'm the youngest of 6 girls. There is longevity in my family since I have an aunt that 103 and healthy and others in their late 80's and 90's and healthy too.
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I am happy to see this thread bumped up but sorry to see the focus it's taken. The decision to drink is a personal choice that all of us as adults are entitled to make. However, alcohol use, even at moderate levels has been directly linked to increased risk of breast cancer. Alcohol use is particularly a concern for women with ER+ cancers, as alcohol raises levels of blood estrogen, especially in post-menopausal women. I would encourage any woman reading this to do her homework on this matter. While everyone has the right to choose their own path regarding this matter it a HUGE and well documented public health issue and not something to be made light of.
If you wish to discuss favorite wines, etc. perhaps it would be appropriate to start a new thread on that topic. The purpose of this thread is to help women make an informed choice about whether or not to drink.
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Allyson,
I am totally with you on this one. I have done tons of research on alcohol use and hormone receptor positive breast cancer and all research indicates that even moderate use can increase risk, especially recurrence risk. I also drank a daily glass of wine before diaganosis and pretty much quit the day I was diagnosed because I had also read before I was diagnosed about the link between alcohol and breast cancer. I now have a glass of wine (more like a few sips) on special occasions only (at most 8 times a year). I also exercise at least 30 minutes a day which research also indicates reduces estrogen levels and may help lower risk of recurrence.
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It's not just environment, it's environment and genes. Why is it in sets of twins, one person gets cancer and the other doesn't? That's because identical twins are not 100% genetically identical.
It has been blamed so far on the environmental factors, but a new study made on 19 pairs of monozygotic twins detected differences in copy number variations (CNVs) of the DNA. These differences occur when a set of coding nucleotide bases in DNA are missing or when extra copies appear. In the moment of the conception, the identical twins may have 100 % the same DNA, but during subsequent DNA replications during the cell divisions, mutations may occur; they add or steal one to several nucleotide bases in the DNA copies of a particular bit. Most of these mutations may not impact health or development, but some can increase the risk of cancer or other diseases.
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My daughter had to go to the endocrinologist - and he told me they are just beginning to understand the relationship between insulin and estrogen. It makes sense to me - how too much sugar and excess weight puts a strain on insulin which can lead to excess estrogen. My cousin is a nurse - and a ten year "survivor"......... after she finished chemo and rads for BC, she had her stomach stapled and lost over 100 pounds. She's gorgeous now - and she's convinced it's why she has remained NED for so long. Does anyone have more information about insulin and it's relationship to estrogen and BC??
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http://www.webmd.com/breast-cancer/news/20000525/insulin-levels-linked-breast-cancer-death
swimangel- Here are a few links to articles on the topic. The weight seems to be as important as the alcohol issue. Like you I can't believe no one ever talked to me about this, especially when the evidence suggests that exercise and maintaining healthy body weight can cut recurrence by 50% (actually that might just be exercise alone). 50% reduction in recurrence is more than radiation and chemo supposedly gave me (based on adjuvant stats). Interesting what our doctors choose to emphasize and what they seem to ignore.
http://www.sciencedaily.com/releases/2007/06/070604090259.htm
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Most nsulin Insulin makes you hungry and fat and it can also cause breast cells to grow and become cancerous. Since one in seven women who live to ninety will develop breast cancer, all women should try to lower high insulin levels. Women with a family history of diabetes, and those who store fat primarily in their bellies, those with acne and excess hair on their bodies are ones most likely to have high insulin levels.
All lifestyle measures to lower insulin levels are healthful, and they can help prolong a woman's life by more than just preventing breast cancer. High insulin levels are caused by high blood sugar levels after meals. You lower insulin levels by losing weight, restricting refined carbohydrates such as sugar, bakery products and pastas and exercising.
Exercise lowers insulin levels because sugar goes from your intestines into the blood and then need insulin, unless it can be stored in empty liver and muscle cells. You empty liver and muscle cells by exercising.
I found this info on a website.
Dx 10/12/2001, IDC, 1cm, Stage I, Grade 3, 0/8 nodes, ER-/PR-, HER2-
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Here is a link to an article. Swimangel I think you are onto something here.
http://findarticles.com/p/articles/mi_qa3958/is_200305/ai_n9267963
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So what about women with triple negative BC? Any advice for us?
Thanks,
Annie Wine Hump
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Yes, I wish there were studies on alcohol with women who are er-/pr- and have had mastectomies
Are we at risk with a wine a day?
Questions to ask.,
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Annie and Estepp- As far as I know alcohol does not play the same role in ER- breast cancers. The good news is that moderate drinking may be okay for you in terms of breast cancer recurrence. The article below addresses the topic of alcohol use and increased risk of different breast cancers, and also the topic of risks vs benefits of moderate drinking by women who have had breast cancer. Maybe there are women on the Triple Negative board who have more information on lifestyle advice that would be helpful to you.
http://www.webmd.com/breast-cancer/news/20051101/alcohol-raises-risk-of-specific-breast-cancers
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Allyson and Summer, those were great links that you found. It still makes me mad when we find this info, that we are not getting it from our doctors. Why aren't they being more proactive. I don't just mean, for us with bc but for women in general. I had high insulin levels in the past, and no one ever told me to lose weight, cut out the sugars,and exercise more. All I got was, "Oh, your insulin is a bit high, we will need to monitor that". I was thinking diabetes, not BC. And when they told me to take arimidex, no one explained to me how it works. No one explained to me that it would only help recurrance in my case by 5% since my bc was caught early. I was just told it would reduce your chances of recurrance by 50%. I had to figure out on my own that it was only 5 % in my case. I had to find out on my own the value of weight loss, and the link with diet and exercise. Just last week, we heard that exercise reduces your risk by 50%. Isn't that the same as arimidex. I just wish they would give us the whole story. Maybe they think that we will not take their advice and truly change our lifestyle, but they do not even tell us there is an option. I think the reason I do not miss the wine, the cakes, the breads, etc. is because I have a real incentive not to consume this stuff: it raises my risk of recurrance! Duh! Why can't doctors give us the whole story. I had to find all this out on my own. I am so happy I did, but I still am not getting support from my doctors that this is a safe path for me to be on. How I wish doctors were more proactive, not just reactive.
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