BREASTFEEDING AND REDUCED RISK OF BREAST CANCER

Reproductive risk factors associated with breast cancer risk include age of menarche, number of pregnancies, age at first birth, lifetime duration of breastfeeding, age at menopause, and use of menopausal hormone therapy;

However, research has found that these factors are differentially associated with each subtype.

Breastfeeding is of particular interest for breast cancer prevention because it is a modifiable risk factor.

Breastfeeding not only reduces breast cancer risk but also confers other health benefits to the mother including reduced risk for endometrial and ovarian cancers and reduced risk for chronic conditions that are also risk factors for cancer, such as hypertension and diabetes.

Additionally, breastfeeding provides many benefits to the infant, including fewer episodes of diarrhea, ear infections, and lower respiratory infections and a lower risk of sudden infant death, diabetes, asthma, and childhood obesity.

The literature linking breastfeeding to reduced breast cancer risk is growing. A 2002 landmark study that pooled approximately 50,000 breast cancer cases from 47 epidemiologic studies in 30 countries found that the relative risk for breast cancer in parous women is reduced by 4.3% for every 12 months a woman breastfeeds and is reduced by 7% for each birth independently.

Similarly, a 2013 review of 32 studies concluded that the risk of having breast cancer was 14% lower among parous women who had ever breastfed compared with parous women who never breastfed. The protective effect of breastfeeding persisted regardless of the number of births and was even greater for women who had cumulatively breastfed for 12 months or longer; they had a 28% lower risk of breast cancer. 

Victora and colleagues estimated that existing global breastfeeding rates prevent almost 20,000 annual deaths from breast cancer and that an additional 20,000 could be prevented by increasing breastfeeding duration to 12 months per child in high-income countries such as the U.S. and to 2 years per child in low- and middle-income countries.

-Dr.Wasim Phoplunkar 
President KDA
Director-Dept of Oncology International Oncology Dr. LH Hiranandani Hospital 
Apollo Hospital, Belapur
Reliance Hospital, Koparkhairne 
Health Care Global
Lady Ratan Tata Hospital, Churchgate