Can I prevent breast cancer?

What does 'preventable' actually mean?

Can I prevent breast cancer? 

Studies tell us that at least 30% of breast cancers are preventable through simple lifestyle changes, such as improved diet, drinking less alcohol, being active, managing your weight and reducing exposure to harmful chemicals.  

We're here to show you how. 

What does 'preventable' actually mean? 

Scientists around the world have done hundreds of studies on breast cancer risk. But here’s the tricky part: not all studies measure risk in the same way or look at the same groups of people.  

That makes it hard to pin down an exact number of cases that could be prevented. To solve this, researchers use a tool called the Population Attributable Fraction (PAF) a measure endorsed by the World Health Organisation (WHO). Think of it as a way of asking: 

“If we could remove this risk factor, how much of the disease could we prevent in the whole population?” 

In other words, the PAF tells us how big a role each risk factor plays in breast cancer. It combines the relative risk of the exposure with its prevalence in the population to quantify the disease burden attributable to that factor.  

For example, a PAF of 64% for smoking and lung cancer means that 64% of lung cancer cases could be attributed to smoking. 

Why 30%? Why not more? 

We say 'at least 30%' to reflect what we can confidently say based on current evidence: 

Why it matters.

Knowing this empowers individuals, communities, and policymakers to act: 

How have we estimated ‘at least 30%’?

At Breast Cancer UK, we have taken an estimate based on the population attributable fractions (as defined by The World Health Organisation – WHO) of diverse studies from around the world, as noted in the table below.

From the studies noted in the table below we estimate that at least 30% of breast cancer cases may be preventable. In our estimate, we have accounted for the limitation that many studies look at some risk factors and not others, as well as the fact that none of the studies incorporate an analysis of how chemical exposures may increase risk.

Study Reference Country Estimated population attributable fraction (PAF) of potentially modifiable breast cancer risk factors Modifiable Risk Factors that contribute to risk
Parkin 2011 UK 27%
  • Alcohol 
  • Overweight and obesity 
  • Physical exercise 
  • Postmenopausal hormones
  • Ionising radiation 
  • Occupation
  • Breast feeding
Brown et al., 2018 UK 23%
  • Alcohol
  • Overweight and obesity
  • Ionising radiation
  • Not breastfeeding
  • Postmenopausal hormones
  • Oral contraceptives
Poirier et al., 2019  Canada 27%
  • Active and passive smoking
  • Physical inactivity
  • Excess weight
  • Sedentary behaviour
  • Alcohol intake
  • Low fruit consumption
Tamimi et al., 2016 USA 35% (post-menopausal breast cancers, nurses health study data) 
  • Weight change since age 18
  • Alcohol consumption
  • Physical activity
  • Breastfeeding
  • Use of menopausal hormone therapy
Colditz & Bohlke, 2014 USA 19% premenopausal and 30% postmenopausal (taken as average from possible risk reduction figures noted in modifiable risk column)
  • Alcohol intake
  • Weight
  • Physical activity
  • Healthy diet
  • Breastfeeding
Islami et al., 2018 USA 29%
  • Excess body weight
  • Alcohol intake
  • Physical inactivity
Arthur et al., 2020 UK

22% premenopausal 

31% postmenopausal 

  • Diet
  • Alcohol consumption
  • Physical activity
  • BMI
  • Waist circumference
  • Smoking
Turati et al., 2020

 

Italy and Switzerland

 

30%
  • Weight
  • Physical activity
  • Consumption of wholegrains/vegetables/fruit/beans
  • Processed foods high in fat including fast foods
  • Red and processed meat
  • Sugar-sweetened drinks
  • Alcohol
  • Breastfeeding
Masala et al., 2017 Italy 30% postmenopausal
  • Physical activity
  • BMI
  • Alcohol (post-menopausal BC risk)
Lee et al., 2018 Korea 34%
  • Age at first birth
  • Total period of breastfeeding
  • Obesity
  • Alcohol drinking
  • Oral contraceptive use
  • Hormone replacement therapy use
van Gemert et al., 2015

 

Netherlands

 

26% postmenopausal
  • BMI
  • Physical inactivity
  • Alcohol
  • Smoking
  • Dietary fibre
Catsburg et al., 2014

Canada

31%
  • Weight
  • Physical activity
  • Red and processed meat intake
  • Fruit and vegetable intake
  • Whole grains
  • Alcohol

 

Find out your risk: take the quiz 

Ready to take charge of your health? Our short quiz will help you understand your personal breast cancer risk and give you personalised tips to help you on your prevention journey.

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