Maintaining a healthy weight may help reduce the risk of breast cancer coming back. In a 2005 study, researchers found that women who gained weight after their breast cancer diagnosis had an increased risk of recurrence.
Studies on maintaining a healthy weight and lowering the risk of a first-time breast cancer suggest that overweight women have an increased risk of breast cancer after menopause compared to women at a healthy weight.
If you're not sure what your healthy weight should be, use some of the tips and tools available on the Assess Your Weight page. A healthy eating plan should include some physical activity. Aim for three to four hours of walking per week to start. If you're having treatment right now, you may need to start slowly and work up to this.
Low-fat Diet May Reduce Risk of Recurrence and First-time Breast Cancer
Sticking to a low-fat diet may help reduce the risk of breast cancer coming back. One study in which women got only about 25% of their daily calories from fat found a lower risk of recurrence, mostly in women with a prior estrogen-receptor-negative breast cancer. It will take more than this one study to know who is most likely to get the biggest benefit from specific dietary changes. But no matter what kind of cancer you've had, you might get significant benefit from lowering the amount of fat in your diet. Plus, other healthy choices are more likely to come with a low-fat diet, such as eating more fruits and vegetables and losing weight. All these changes together may help lower your risk of recurrence.
The Women's Health Initiative Trial compared the breast cancer risk of post-menopausal women who ate a low-fat diet to those who continued to eat their regular diet. The researchers didn't find any significant differences in breast cancer risk between the two groups. But the study did suggest that a low-fat diet may reduce the risk of first-time breast cancer for women whose diets are very high in fat to begin with. More research is needed to determine if this relationship becomes stronger over time. And reducing fat and increasing fruits and vegetables and whole grains in your diet will ensure your body is getting enough nutrients and contribute to your overall health. Also, a low-fat diet will probably help you lose weight, if you are trying to do that.
No Foods or Supplements Are Linked Specifically to Breast Cancer
There is no strong evidence that any specific foods or supplements will lower the risk of getting breast cancer or reduce the risk of recurrence.
Research has shown that getting the nutrients you need from a variety of foods, especially fruits, vegetables, and whole grains, can make you feel your best and give your body the energy it needs. You can get many of the nutrients you need from the food you eat. If you're considering taking supplements, it's a good idea to have a registered dietitian evaluate your diet. You may need a bit more of a specific nutrient like folate or vitamin A. That's why women both with or without a prior breast cancer often take a multiple vitamin and mineral supplement. Many women also need calcium supplements to meet their daily calcium requirements.
Research on Diet and Breast Cancer Is Ongoing
Studies are looking at the relationship between diet and breast cancer risk and the risk of recurrence. The Women's Health Initiative Trial suggested that a diet very low in fat may reduce the risk of breast cancer.
In the Women's Healthy Eating and Living (WHEL) study, women diagnosed with breast cancer were asked to adopt a diet that was rich in vegetables and fiber and low in fat to see if it could increase survival and reduce the risk of the cancer coming back. While the diet didn't seem to have any effect on survival or recurrence risk, it could be because the women in the study didn't meet the targets for vegetable and fiber consumption or fat reduction.
More research is needed in this important area for women who are interested in eating well to reduce their risk of ever getting breast cancer or the breast cancer coming back.
In the meantime, here's what dietitians suggest:
Keep your body weight in a healthy range for your height and frame. Body mass index, though not a perfect measurement, can help you estimate your healthy weight.
Eat plenty of vegetables and fruit (more than five cups a day).
Try to limit your fat intake to less than 20% of your total calories per day. This is an extremely small amount of fat to eat (an average amount is about 30 to 35% of total calories per day). Start by eliminating some foods with the highest fat content (like fried foods and margarine) and gradually lower the amount of fat you eat.
Eat foods high in omega-3 fatty acids.
Avoid trans fats, red meats, and charred or smoked foods.
You'll find that processed foods generally don't fit in this type of diet as well as fresh foods do.
To develop a healthy diet that meets your needs, seek advice from a registered dietitian. He or she will thoroughly evaluate your medical, diet, and weight history. Then the registered dietitian will work with you on an individualized plan to meet all your goals:
keep your risk of breast cancer as low as possible
provide you with good nutrition
keep you as healthy as possible
