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Invasive breast carcinoma - IARC

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Rapid growth and greater adult height,<br />

reflecting in part, the total food intake in<br />

early years, are associated with an<br />

increased risk {674}. Similarly a high<br />

body mass, also linked to a high total<br />

caloric intake, or intake not counterbalanced<br />

by caloric expenditure, is a risk<br />

factor for postmenopausal <strong>breast</strong> cancer.<br />

Total fat, as well as saturated animal fat,<br />

also possibly increases the risk {674,<br />

3153}.<br />

Meat consumption is possibly associated<br />

with an increased risk. Red meat was<br />

more frequently cited as a risk factor and<br />

diets rich in poultry possibly have no<br />

links {3153}. In countries with different<br />

meat consumption levels within the population,<br />

higher risks were associated with<br />

higher total meat, red meat or processed<br />

meat intake in most studies, although this<br />

was not always statistically significant. In<br />

conclusion there is considerable consistent<br />

evidence that higher meat consumption,<br />

particularly red or fried/bro w n e d<br />

meat is associated with a higher risk of<br />

<strong>breast</strong> cancer {674}.<br />

Recent studies, however, tend to suggest<br />

that several associations, either<br />

p reventive for vegetables and fruit, or<br />

risk for fat may have been overstated<br />

{ 8 0 4 , 8 1 5 , 8 1 7 } .<br />

Other questions remaining unsolved<br />

include the long term cumulative effects<br />

of exposure to contaminants, either<br />

formed during cooking, such as heterocyclic<br />

amines in well-done meat or pesticide<br />

residues.<br />

Alcohol<br />

The consumption of alcohol has been relatively<br />

consistently found to be associated<br />

with a mild increase in risk of <strong>breast</strong><br />

cancer {2729,3153}. A dose-re s p o n s e<br />

Fig. 1.05 Breast cancer risk by increasing levels<br />

of circulating insulin-like growth factor (IGF-1) in<br />

women

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