Breast cancer protective factors
This page tells you about factors that can help to protect people against breast cancer. There is information about
Possible breast cancer protective factors
Some things lower the risk of breast cancer such as having a generally healthy lifestyle, including being physically active, and maintaining a healthy body weight. Statistically, if you breastfeed you are at less risk of developing breast cancer, particularly if you have your children when you are younger.
Some research suggests that people with coeliac disease have a lower risk of getting breast cancer.
Drugs to prevent breast cancer
There is research into using drugs to prevent breast cancer. Trials show that the drug tamoxifen can lower breast cancer risk in women at high risk. But there are concerns about side effects for women who are otherwise healthy. We know from other research that women taking aspirin or other non steroid anti inflammatories (such as ibuprofen) have a small reduction in risk of breast cancer. But you shouldn’t start taking these medicines without talking to your GP as they can cause other health problems.
You can view and print the quick guides for all the pages in the About breast cancer section.
We know from research that physical activity can help to prevent breast cancer. Studies have found a protective effect of about 15 to 20% in women who take half an hour of exercise 5 times a week. So being active may lower your risk of breast cancer by about a fifth. This is probably because physical activity lowers oestrogen and testosterone levels and can delay the start of periods.
Statistics show that if you breastfeed you are less at risk of developing breast cancer, particularly if you have your children when you are younger. The longer you breastfeed your baby, the more you lower your risk. We don't know exactly why this is. It may be because your ovaries don't produce eggs so often when you are breastfeeding. Or it may be because breastfeeding changes the cells in the breast and may make them more resistant to the changes that lead to cancer.
Research has shown that women regularly using aspirin or other non steroidal anti inflammatory medicines probably have a small reduction in their risk of breast cancer. Remember though that aspirin can irritate the lining of your stomach and cause bleeding. So you should talk to your own GP before starting to take it regularly. You shouldn't take it if you have any history of stomach ulcers.
Research is looking into drugs that may prevent breast cancer. Tamoxifen is a drug that has been used to treat breast cancer for more than 35 years. It works by stopping oestrogen from triggering hormone receptors in breast cancer cells. Some women who are at high risk of breast cancer took tamoxifen for 5 years as part of trials to see if it reduced their risk of developing it. In 2013 Cancer Research UK looked at the results of all these trials together. They showed that tamoxifen can lower your risk of breast cancer if you are at high risk. The benefits of tamoxifen in preventing breast cancer seem to last for at least another 5 years after the treatment has ended.
The researchers estimate that 1 breast cancer would be prevented for every 42 women who took the drug for 5 years. The researchers also looked at other drugs similar to tamoxifen that are used to treat bone thinning (osteoporosis). These were raloxifene, arzoxifene, and lasofoxifene. These drugs also reduced the number of women who developed breast cancer. The drugs have side effects though and they increase the risk of blood clots and strokes. Tamoxifen also slightly increases the risk of womb cancer.
Tamoxifen is not currently approved in the UK as a drug to prevent breast cancer. But the National Institute for Health and Care Excellence (NICE) recommends that women at high or moderate risk of developing breast cancer should talk to their doctor about taking either tamoxifen or raloxifene for 5 years along with their other options. They do not recommend them if you have had a blood clot or are at risk of developing one.
Other hormone drugs are being investigated for preventing breast cancer. Doctors hope that these drugs may have fewer side effects than tamoxifen. These are raloxifene (Evista), exemestane (Aromasin), anastrozole (Arimidex) and tibilone (Livial). An American systematic review in September 2009 found that tamoxifen, raloxifene and tibilone did reduce the risk of breast cancer in women at high risk.
You can find information about UK trials into preventing breast cancer on our clinical trials database. Choose 'breast' from the dropdown menu.
Coeliac disease is a disease of the small bowel. In people with coeliac disease, their body has an immune reaction to gluten, a protein found in rye, wheat and barley. This causes inflammation, which over time can damage the lining of the small bowel. This makes it difficult for the bowel to absorb the nutrients we need from our food. Symptoms of coeliac disease include bloating and discomfort in the tummy (abdomen), diarrhoea, a low red blood cell count (anaemia) and tiredness. People with coeliac disease have to stick to a gluten free diet.
Some research suggests that people with coeliac disease have a lower risk of getting breast cancer. There is a study looking into why this might be the case.
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