A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer
Alex A Daly,1 Rachel Rolph,2 Ramsey I Cutress,1 Ellen R Copson1 1Cancer Sciences Academic Unit, Faculty of Medicine, University of Southampton, Southampton, SO16 6YD, UK; 2Department of Breast Surgery, Royal Marsden Hospital, London, SW3 6JJ, UKCorrespondence: Ellen R CopsonSomers Cancer Sciences Bu...
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Dove Medical Press
2021
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oai:doaj.org-article:d86273517bba4b7cbcdf264ab01a17042021-12-02T14:38:14ZA Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer1179-1314https://doaj.org/article/d86273517bba4b7cbcdf264ab01a17042021-04-01T00:00:00Zhttps://www.dovepress.com/a-review-of-modifiable-risk-factors-in-young-women-for-the-prevention--peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Alex A Daly,1 Rachel Rolph,2 Ramsey I Cutress,1 Ellen R Copson1 1Cancer Sciences Academic Unit, Faculty of Medicine, University of Southampton, Southampton, SO16 6YD, UK; 2Department of Breast Surgery, Royal Marsden Hospital, London, SW3 6JJ, UKCorrespondence: Ellen R CopsonSomers Cancer Sciences Building, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKTel +44 23 8120 5170Fax +44 23 8120 5152Email E.Copson@soton.ac.ukAbstract: Breast cancer is the most common cancer diagnosis in women aged less than 40 years and the second most common cause of cancer death in this age group. Global rates of young onset breast cancer have risen steadily over the last twenty years. Although young women with breast cancer have a higher frequency of underlying pathogenic mutations in high penetrance breast cancer susceptibility genes (CSG) than older women, the vast majority of young breast cancer patients are not found to have a germline CSG mutation. There is therefore a need to inform young women regarding non-genetic breast cancer risk factors which have the potential to be influenced by changes in individual behaviour. A Pubmed search was performed using the search terms “young” or “early onset”, and “breast cancer” and “modifiable risk”. Titles and abstracts from peer-reviewed publications were screened for relevance. This review presents evidence for potentially modifiable risk factors of breast cancer risk in young women, including lifestyle factors (physical activity, body habitus, alcohol use, smoking, shift work and socioeconomic factors), reproductive and hormonal factors and iatrogenic risks. The extent to which these factors are truly modifiable is discussed and interactions between genetic and non-genetic risk factors are also addressed. Health care professionals have an opportunity to inform young women about breast health and risk when presenting at a “teachable moment”, including the benefits of physical activity and alcohol habits as risk factor. More focussed discussions regarding individual personal risk and benefit should accompany conversations regarding reproductive health and take into consideration both non-modifiable and iatrogenic BC risk factors.Keywords: modifiable, risk factors, lifestyle, breast cancer, prevention, youngDaly AARolph RCutress RICopson ERDove Medical Pressarticlemodifiablerisk factorslifestylebreast cancerpreventionyoung running header: modifiable risk factors for young onset breast cancerNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 13, Pp 241-257 (2021) |
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modifiable risk factors lifestyle breast cancer prevention young running header: modifiable risk factors for young onset breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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modifiable risk factors lifestyle breast cancer prevention young running header: modifiable risk factors for young onset breast cancer Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Daly AA Rolph R Cutress RI Copson ER A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
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Alex A Daly,1 Rachel Rolph,2 Ramsey I Cutress,1 Ellen R Copson1 1Cancer Sciences Academic Unit, Faculty of Medicine, University of Southampton, Southampton, SO16 6YD, UK; 2Department of Breast Surgery, Royal Marsden Hospital, London, SW3 6JJ, UKCorrespondence: Ellen R CopsonSomers Cancer Sciences Building, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKTel +44 23 8120 5170Fax +44 23 8120 5152Email E.Copson@soton.ac.ukAbstract: Breast cancer is the most common cancer diagnosis in women aged less than 40 years and the second most common cause of cancer death in this age group. Global rates of young onset breast cancer have risen steadily over the last twenty years. Although young women with breast cancer have a higher frequency of underlying pathogenic mutations in high penetrance breast cancer susceptibility genes (CSG) than older women, the vast majority of young breast cancer patients are not found to have a germline CSG mutation. There is therefore a need to inform young women regarding non-genetic breast cancer risk factors which have the potential to be influenced by changes in individual behaviour. A Pubmed search was performed using the search terms “young” or “early onset”, and “breast cancer” and “modifiable risk”. Titles and abstracts from peer-reviewed publications were screened for relevance. This review presents evidence for potentially modifiable risk factors of breast cancer risk in young women, including lifestyle factors (physical activity, body habitus, alcohol use, smoking, shift work and socioeconomic factors), reproductive and hormonal factors and iatrogenic risks. The extent to which these factors are truly modifiable is discussed and interactions between genetic and non-genetic risk factors are also addressed. Health care professionals have an opportunity to inform young women about breast health and risk when presenting at a “teachable moment”, including the benefits of physical activity and alcohol habits as risk factor. More focussed discussions regarding individual personal risk and benefit should accompany conversations regarding reproductive health and take into consideration both non-modifiable and iatrogenic BC risk factors.Keywords: modifiable, risk factors, lifestyle, breast cancer, prevention, young |
format |
article |
author |
Daly AA Rolph R Cutress RI Copson ER |
author_facet |
Daly AA Rolph R Cutress RI Copson ER |
author_sort |
Daly AA |
title |
A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
title_short |
A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
title_full |
A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
title_fullStr |
A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
title_full_unstemmed |
A Review of Modifiable Risk Factors in Young Women for the Prevention of Breast Cancer |
title_sort |
review of modifiable risk factors in young women for the prevention of breast cancer |
publisher |
Dove Medical Press |
publishDate |
2021 |
url |
https://doaj.org/article/d86273517bba4b7cbcdf264ab01a1704 |
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