The Link Between Obesity and Breast Cancer

Medically Reviewed by Vered Stearns, MD, FASCO and Qinghua Yao, MD
Written by Vanessa LeongJan 15, 20245 min read
Doctor Measuring Female Patient Waist Size

Source: Shutterstock

Obesity and weight-related issues are often a concern for many, especially when they become a risk factor for diseases such as breast cancer. If you find yourself struggling with weight management and are concerned about its associations with breast cancer, do not be too worried. While obesity has indeed been established as a risk factor for breast cancer, being aware of the issue and how it can affect your breast cancer risk is a great first step to living a healthier life.

Several studies have shown a clear link between obesity and an increased risk of developing breast cancer, particularly in postmenopausal women. According to an International Agency for Research on Cancer (IARC) working group, postmenopausal women who are obese or overweight are 1.2 to 1.4 times more likely to get breast cancer as compared to women who aren’t and premenopausal women who are obese or overweight are 0.8 times more likely to get breast cancer as compared to women who aren’t. Here are some key points that highlight the relationship between obesity and breast cancer:

  • Hormonal Imbalance

Adipose tissue (fat cells) produces hormones, including estrogen, which can promote the growth of hormone receptor-positive breast cancer cells. Higher levels of estrogen in obese individuals may contribute to the development and progression of certain types of breast cancer.

  • Inflammation

Obesity is associated with chronic low-grade inflammation in the body. Inflammation can play a role in cancer development and progression by promoting tumor growth and spread. Chronic inflammatory conditions can cause oxidative stress, which leads to DNA damage and increases the risk of cancers.

  • Insulin Resistance

Obese individuals are more likely to develop insulin resistance, leading to higher insulin levels in the blood. Elevated insulin levels may stimulate cell growth and proliferation, potentially increasing the risk of cancer. High levels of insulin may also lead to the development of type 2 diabetes which is also another risk factor for breast cancer.

  • Altered Immune Response

Obesity can impair the immune system's ability to detect and eliminate cancer cells, making it easier for tumors to grow and spread.

It is important to note that while obesity is a risk factor for breast cancer, it does not mean that all obese individuals will develop breast cancer, nor does it mean that breast cancer cannot occur in individuals of normal weight. Breast cancer is a complex disease influenced by a combination of genetic, environmental, and lifestyle factors.

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