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  Exercise reduces the risk of Breast Cancer




This is widespread belief amongst health care professionals that a lack of activity may be a risk factor for some cancers. The International Agency for Research on Cancer have stated that possibly up to a quarter of cancer cases may have been associated with no exercise (particularly when coupled with obesity).

Regular exercise and healthy lifestyle offers many health advantages and those who do exercise on a regular basis have a lower incidence of various chronic diseases, they have lower stress levels and are reported as having a better quality of life than those do no exercise. However, any direct relationship between frequent exercise and cancer is not particularly well understood and this article looks at a recent Canadian study (1) between increased activitiy in post-menopausal women and breast cancer risk factors.

The lack of exercise may increase the chance of developing cancer through a number of different mechanisms. These include having increased levels of oestrogens and testosterone through lack of exercise and a suppressed immune function. Research studies have been carried out that have shown that physical activity and diet interventions can change biomarkers of cancer risk.

In a 2010 Canadian study (1), 320 postmenopausal women were divided randomally into an exercise group and a control group. The exercise group were asked to perform a structured exercise program of at least 45 minutes of aerobic exercise 5 days a week for a year (at around 70% of maximum heart rate). The control group were just asked to continue at their usual level of activity.

When the data was analysed, the researchers found that there were statistically significant reductions in levels of estradiol and free estradiol, as well as increases in sex hormone-binding globulin (SHBG), among the exercising women compared to the control group. Although these hormonal changes were modest, the researchers stated:

"This trial found that previously sedentary postmenopausal women can adhere to a moderate- to vigorous-intensity exercise program that results in changes in estradiol and SHBG concentrations that are consistent with a lower risk for postmenopausal breast cancer."

However, the results and conclusions from this study may need to be tempered a little as the lower oestrogen levels, whilst statistically significantly different, may not be enough to greatly reduce the risk of breast cancer. Some doctors argue that taking suitable oestrogen lowering prescription drugs would have more of an impact on the risk of developing breast cancer. That, however, should not provide an excuse for not exercising (although whenever commencing a new exercise programme then please consult your health care professional). Frequent exercise will provide health benefits to your heart, your bones and your stress levels. Any reduction in the risk of breast cancer can just be considered as a free bonus.

(1) Friedenreich CM, Woolcoot CG, et al. Alberta Physical Activity and Breast Cancer Prevention Trial: Sex hormone changes in a year-long exercise intervention among postmenopausal women. J Clin Oncol 28 1458-1466. (2010)

By Richard Lane





By Richard Lane

Any information, advice, recommendations, statements or otherwise contained herein, or in any other communication whether oral or in writing, is not intended to replace or to be a substitute for medical advice trained by a trained physician or healthcare practitioner.
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