Fitness May Lower Breast Cancer Risk

Sep 06, 2017 · 55 comments
Sharon (Miami Beach)
So does this mean that if you are not naturally athletic, just give up? I mean, I work hard to overcome my genetic predisposition to inertia and unathletic-ness. I've exercised daily from the age of 18, but is it all for naught because I come from bad genetic stock?
keb (new york)
What is the definition of fitness?
Beth (Birmingham, AL)
This study was in RATS! The headline needs to state that instead of suggesting that these results directly apply to humans. The advice to exercise is great - we know it has many health benefits. But health/medical reporters need to do a better job of keeping these studies in perspective.
paul (brooklyn)
Let's bottom line it gang. The more healthy a life you live up to a certain point will make it more like you will live longer. Ditto on the opposite extreme re a less healthy life. This has been known since modern history has become i.e.like with the Olympic Games in Athens.
Janice J (Ohio)
Curious as to what is the “chemical known to be potent breast cancer trigger “. Anyone?
DoPDJ (N42W71)
If I read one more syllable about exercise and breast cancer I will just scream. A non-smoker, non-drinker, runner of 6-7 miles daily for 32 years, never once heavier than the light side of normal on the BMI, I got triple-negative breast cancer at age 58. So pink yourselves silly.
KFC (Cutchogue NY)
Research like this makes me nuts. It's not telling us anything new and I doubt it will prevent anyone from getting breast cancer. I am 43, exercise 4+ hours a week with cardio, interval training and running. I weigh 115 lbs; my diet is 100% organic, lean proteins, and zero refined sugars. I've never smoked, I don't have the BRCA genes, and have zero family history of any type of cancer. Despite all of this, I was diagnosed with Stage 2 breast cancer last year, had bilateral mastectomies, chemo and tamoxifen. Yes, you can say I'm an anomaly but I know far too many "healthy" women who have BC. Instead of focusing on stuff like this, why not figure out why healthy people get cancer and more importantly how to prevent it in everyone? It breaks my heart that one more person on this planet has to go through a BC diagnosis but unfortunately, statistics show a huge percentage of women will and no amount of exercise can avoid that.
W (Phl)
Folks, this is how science is done. It's slow. It's incremental. A lot of studies with questionable applicability to your daily life. But over time, and with persistence, there are major breakthroughs. There are no short cuts. If we knew what they are, we would have taken them by now, and solved all the world's problems. Many important studies would not be news to you (although don't know if this one will end up being one.)
JA (MI)
by now haven't we seen that fitness pretty much lowers risk of any disease? why these one off micro-studies. there really are other more effective ways to leverage shrinking research dollars- I say this having spent my entire adulthood at academic institutions, and still there.
maya (Manhattan)
I know the NYT has to fill its Health pages every week but that doesn't mean it has to publish pieces that only infuriate. Next week, there will be an article about how exercise really doesn't alter cancer risk factors. What's next? A healthy diet is good for you?
paul (brooklyn)
Agreed Maya, what I would love to see Gretchen and the other staff members at Well do is to come out with a series every week on what to expect in senior yrs. and what to do about them...ie can even set up a template for them. Ages 60-70...expect beginning of eye issues, dry eyes from drugs, cats, etc. Here are simple things you can do to alleviate the issues and only go to a doctor if this occurs. Expect more aches and pains in feet, knees, glut muscles, back muscles...here are simple stretching exercises you can do to help and only go to a doctor if this happens. Etc. Etc.
aarti (hyderabad)
I work for a Hospice and Palliative care center in Hyderabad, India. Perhaps, the largest group which benefits from our services are terminally ill cancer patients. In my 3 years stint, I have come across breast cancer patients of all age groups with healthy, not so healthy and very unhealthy lifestyle. In my observations, exercise, no exercise can never be a 100% preventive mechanism for cancer or any disease. It depends largely on the genes, environment and other unknown factors. However, the occurrence of Breast Cancer in our hospice is more prominent among single, unmarried women without any children. I am not sure if its backed by any scientific evidence or not but this should be one of the areas of research in future cancer studies.
Arun (Phoenix)
Whatever reasons one may agree or disagree with this research one thing for sure that exercise is good for you. Any motivation to exercise is good. I sent this to my wife. I am sure risk of cancer is so scary that this will definitely motivate her to go for a run on daily basis. Thanks
paul (brooklyn)
Partially agree Arun....yes some exercise is good for you to feel better in general but too much can cause more problems later in life with knee, foot, back etc. problems. Also it is a trade off, if you want to lead a general healthy life with moderate exercise and weight control, you start to miss out on the bad things in life, like hot fudge sundaes and greasy fries.
Midwesterner (Toronto)
Right now I can only laugh at this. I'm a a serious athlete and and spend 10-12 hours a week working out. Just diagnosed with breast cancer this week. So, you haven't convinced me.
boo (me)
I'm sorry about your diagnosis. :-(
SteveRR (CA)
A cancer diagnosis is binary but the probability of getting cancer in not binary but probabilistic. Anything that can be done to lower the probability of getting that binary diagnosis is positive. I am sorry for your diagnosis but we should encourage all men and women to undertake personal responsibility for reducing those probabilities within their control and not simply throwing up their hands.
Jean (Westerner)
Ditto, although diagnosis was last year.
Liesl (Boston)
I am naturally fit and was diagnosed with breast cancer in my 30's and love the research. It's confusing to think through the multiple variables at play and try to guess which should be my focus (alcohol, stress, sugar, exercise). While initially willing to make huge lifestyle changes, now 40, I'm also not ready to be entirely without vice (perhaps due to cautious optimism regarding how long I would be giving things up for....) There can be a reaction when told you can't have something that makes you want it more. The behavioral psychology aspects to long term behavior change warrant as much attention as the drivers of cell mutation themselves.
deburrito (Winston-Salem, NC)
I was diagnosed with breast cancer in June 2014. It had been found on a mammogram back in 1999. I declined a biopsy at that time, & went back to living my life, which includes a strong a daily yoga practice. By June 2014, it had eaten it's way out of my body & onto the skin of the breast. You may say I'm an idiot, however, I believe that yoga has kept my cancer from going into my lymph nodes. Once again, I declined PET scan, biopsy, & surgery. Last thing my oncologist said to me at the end of that first visit: Keep up the exercise. We think it can change the DNA. Heard and done. I also meditate daily and haven't touched soy in 2-1/2 years.
Martha (NYC)
Please see nutritionfacts.org. Research shows that avoiding ALL animal products may help reduce tumors. This site is based on world wide data. Best wishes!
weary traveller (USA)
I love the way we use the word "MAY" lower. Having a breast cancel survivor in my family makes me real angry that we understand how the break cancer spreads without any scientific proof. we know more but does the knowledge provide us with answers to preempt it .. definitely not. Please stop selling wares and services totally unrelated and giving false hopes to our women, its really cruel.
Kathleen Kay (New Mexico)
As a breast cancer survivor, I resent these studies. Of course fitness is good for health but I don't buy the correlation. When I was diagnosed with breast cancer at age 42, I swam an three days per week for an your and walked four days per week for 3.5 miles plus had a daily yoga regimen. Certainly it helped me manage chemo, but that's it folks.
Sallie McKenna (San Francisco, Calif.)
A study result isn't about individual experience...it is about an overall statistical result. If everything were personal and individual, we couldn't really ever make medical progress. Please reconsider resenting an advance in knowledge....which may or may not hold up over time, but we'll know that too because science keeps looking.
Midwesterner (Toronto)
I am a survivor, who was recently diagnosed with recurrent breast cancer. Like you, I'm a serious athlete and I still managed to get breast cancer twice. I remember some guy telling me if I had eaten correctly that I wouldn't have gotten cancer. It doesn't quite work that way, does it.
ElleninCA (Bay Area, CA)
I was a broccoli-eating 104-pound runner who had breastfed two babies when I was diagnosed with breast cancer at age 44. I thought I had no risk factors. I had a second breast cancer diagnosed when I was 71. This time, genetic studies showed I have a little-studied inherited genetic mutation that is estimated to double my risk of breast cancer, along with other cancers. I chose to have a double mastectomy.
Lesson to be drawn: no single risk factor, or even cluster of risk factors, tells the whole story.
kay (san diego)
There always seems to be backlash when these studies are published. Maybe because the study is trying to isolate specific 'healthy lifestyle' traits. But - for me - the takeaway is healthy all the way around.. mental and physical health. A well rounded lifestyle that has moderate exercise, social support and stimulation, rest, healthy foods.. It's not one thing.. I always say.. try to use your body in the way it was intended.. and that body has a brain and muscles, and organs..etc. And stay away from chemicals as much as possible. That's my takeaway. Typically these studies get met with people who have followed A and B (let's say, slim and fit).. but possibly they are stressed out from a bad relationship or something. The body is complicated.. And then people use the term 'victim shaming' OMG.. I think the takeaway is that generally it pays to take care of this wonderful body we've been given.
renee hack (New Paltz, New York)
Remember when the thinking was depression was correlated with breast cancer? That has been debunked, I think, and this doesn't sound much better. I know too many people who have had breast cancer and were perfectly fit. J am not a scientist and can only go by my guesses. So, I wait for something more conclusive.
Wordsmith (Buenos Aires)
This was not a "Aha!" moment. It was a "Duh!" comment by the medical community. EXERCISE REDUCES THE CHANCE OF ANY PHYSICAL OR MENTAL MALADY.
Anon (Brooklyn)
What my old teacher called "mental flosss".
Madeleine Berg (Woodbury)
Being fit is not a magic bullet, but it sure beats the alternative.
Anon (Brooklyn)
People who want to avoid this disease should be tested for Brca1 and Brca2.
CB (NY)
I have a consultation scheduled for next month regarding brca genetic testing. I don’t have cancer but my mom is a survivor and she thinks her long-deceased relatives may have had it too.

My biggest concern about this is - if I test positive, and I have run the test through my insurance, I will have uncovered what will be considered a preexisting condition. If I pay out of pocket and don’t run it through insurance, it will cost way more out of pocket for the test, but I’ve heard the result can be kept confidential from insurance companies since the insurance didn’t pay. I shouldn’t have to be so worried about how I’ll pay for the test or if I’ll be insurable with a positive result, but here we are.
Broussca (NH)
Reading all the complaints in the comments of nearly every article I read makes me tired. I realize this study leaves more questions than it answers, but as a breast cancer survivor, the daughter a mother than didn't survive breast cancer, and a scientist, I'll do most anything to that has the potential of lowering my risk of recurrence. After cancer, I took up training for marathons and have completed 96 marathons and ultra-marathons since 2008. While I can't be sure marathon training will lower my risk, I am sure that it has introduced me to a new world of fun, new friends, good health, and the list goes on. I wish readers would these article for what they are worth to their personal lives and be sparer with the negative comments.
boo (me)
Thank you for sharing your inspiring response!
CL (Miami)
I logged in just to recommend this comment. Well said!
Arif (Toronto, Canada)
"Most of us are likely to be able to raise our particular innate fitness capacity with exercise," says the lead author of the study. Is this why I did not seem to have any symptoms of asbestos related cancer as I, a fresh engineer, stood next to the sheets of corrugated asbestos sheets as labourers cut it to different shapes and sized on the construction sites in Pakistan in the sixties when the material was considered as harmless as smoking.

Physical activity helps in amyriad of ways, let's just do it because it FEELS good. The health is the bonus!
DLK (Exeter, New Hampshire)
I've been a runner/regular exerciser for most of my 50 years (multiple marathons, half marathons, a few ultra marathons, lift weights, practice yoga, etc). I was diagnosed with Stage 1 breast cancer 3 years ago. No family history, never smoked, eat pretty well and maintain a decent diet. None of my doctors have been able to point to one "cause." However, my lifestyle my have prevented me from a higher stage, more aggressive cancer. There are so many unknowns -- bottom line, do what you can to minimoze risk but there are no guarantees.
Pearl (Washington, DC)
Other than identifying a possible nonmodifiable risk factor for cancer this study seems to have little utility.
Elyse Shafarman (San Francisco)
While it's certainly a good idea for all of us to exercise, the conclusions of this article are misleading. The cited study "Inherent aerobic capacity-dependent differences in breast carcinogenesis " asked whether cancer risk is mediated by hereditary fitness - and found, for rats exposed to an environmental carcinogen, the answer was yes. However, there is no indication that if the hereditary low fitness rats had adopted a treadmill habit their cancer risk would have decreased. Although it might have, all we can conclude from this study is that the low fitness rats should have chosen better parents.
Katheryn Doran (Clinton, NY)
Exactly! My comments are:

1. Wait, what? to: "Even without exercise, the pups born with high fitness were remarkably resistant to breast cancer in this study, he says, and showed fine-tuned cell function." WELL, YA, SINCE THE STUDY WAS DONE ENTIRELY ON RATS BRED FOR INNATE FITNESS (OR LACK THEREOF).
AND
2. "Most of us are likely to be able to raise our particular innate fitness capacity with exercise, he says." Say what? We might be able to increase fitness with exercise, but exercise will have 0 effect on *innate* fitness. Moreover, see point #1; no one studied the effect of exercise on breast cancer prevention, in this study, at least -- it looked at fitness one is born to. The headline and photo are also of course misleading. and not just because the runner is a human and not a rat.
Wind Surfer (Florida)
Unfortunately mTOR pathway Ms. Reynolds wrote about is the downstream event like other nuclear gene expressions (mainstream theory) after damage to mitochondria by many carcinogens, though excess intake of ananimal protein also triggers mTOR pathway (Dr. Mercola, book "Fat for Fuel" and Dr. Gundry, a book "Plant Paradox"), as mentioned here by Dr. D'Agostino, a colleague of Dr. Thomas Seyfield of Boston College, "Cancer is the mitochondrial metabolic disease, not gene mutation disease".
https://www.youtube.com/watch?v=5LDc5TxOcvA
However, exercise, calorie restriction or high-fat and low-cabs diet will lower high level of insulin and also high level of blood sugar, No.1 cause of many mitochondrial metabolic diseases like cancer, type 2 diabetes, Alzheimer's https://www.youtube.com/watch?v=p6lkRXaQKwk&t=2369satherosclerosis, rheumatoid arthritis, obese, fat liver, atherosclerosis etc. High level of insulin and blood sugar cause chronic inflammation all over of our body. (Dr. Hyman, Dr. Perlmutter and many other functional medicine doctors)
Sara (Nj)
Most important question - how do you know your innate fitness level??
person (planet)
What about all the hormone disruptors around us? Imbibed from a young age? In plastics? Hormones in diary?
Wind Surfer (Florida)
As long as current fatalistic dogma that cancer is caused by gene mutation continues, it is difficult for the general public to go into the cancer prevention efforts. Instead, new theory, "cancer is caused by mitochondrial metabolic impairment" may help the general public to enter into cancer prevention. This is one of the reasons why many readers are put off by the article like written by Ms. Reynolds. Please listen to Dr. Thomas Seyfried, researcher at Boston College, saying, "Cancer is the mitochondrial metabolic disease, not the fatalistic gene disease."
https://www.youtube.com/watch?v=fXWE8vQB0eA
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941741/

As Ms. Reynolds writes, exercise will make us healthy. Dr. David Perlmutter, a neurologist, says, exercise lowers our insulin resistance level as well as blood glucose level. It also triggers Nrf2 pathway to produce more antioxidants to trap excess free radicals that damage mitochondria, cells, tissues and organs.
We have to make our mitochondria healthy in order to prevent excess free radical production. Other than exercise, vitamin C, E, A, D,vegetables/ berries & fruits with lower glycemic load, omega-3 fats, coconut oil, olive oil, low-carbs and high-fat diet, prebiotic foods like taro, yucca or plantain, probiotic supplements, sulfur containing vegetables, alkali foods will all help. In order to minimize inflammation, we had better be careful about environmental contamination, plant toxins, excess taking of medicines.
Leesa Forklyft (Portland OR)
"Of course, this study involved rats, which are not people."

Of course, people who are fit are at a lower risk for breast cancer . . . and cardiovascular disease, obesity, diabetes, gout, ingrown hairs, EVERY malady - seriously, people who take care of themselves, who act and eat mindfully, respect and love their bodies, are typically the ones who live the longest.

Just ask any rat!
Nan S (Takoma Park, MD)
Boy is this a misleading headline. The study says if rats are born with genes that naturally make them fit WITHOUT EXERCISE, they are less likely to get breast cancer.

There is one line in the article that says working out could raise your fitness, but in the study exercise was not a factor. So while exercise certainly can raise your fitness, the article cites no evidence that raising your fitness through exercise could lower your breast cancer risk. In fact, to me it seems to suggest otherwise.

I myself adore working out, I'm not arguing against exercise, just potentially misleading broad causal conclusions extrapolating beyond a simple correlation in a study.
MDB (Indiana)
How much longer before another study comes along to contradict this one?

By all means, do what you can to minimize your own risk, but at the same time recognize that the risk will always be there -- because of genetics, environment, and other factors beyond one's control. These types of stories, to me, are the equivalents of the magical thinking that "If I do this, this, and this, I won't get cancer." If only that were so.
Broussca (NH)
Actually, I keep up with the cancer literature because I've been to CancerWorld and don't want to go back; It's highly unlikely that studies will contradict the importance of exercise in avoiding cancer (and other diseases)...
Sally (Ontario)
I am so tired of all these studies that focus on drinking and exercise, which are the visible, tangible inputs that people latch on to to try and explain cancer. THEY DON'T. Or at most they explain such a tiny fraction of why cancer begins and develops.

Can't we put our efforts and dollars onto understanding the complex cellular, genetic and chemical interactions that result in cancer? And what was the known carcinogen that these rats were "blasted" with - that was the cause of their cancer, not their innate fitness levels.
Dr. J (CT)
There is no downside to eating well and exercising, that I know of. All of the results appear to be positive. And not in just one part of our lives, but in many. In my opinion, the more articles, the better, because it still seems that too many people have missed this message. Meanwhile, cancer is extremely complex; it's not just one disease, and it's not just the cells themselves, but also the environments in which they find themselves. It now appears to be a matter of the relationships between cancer cells and the rest of the body's cells, tissues, and organs. Fascinating but frustrating, too. ("Cancer's Invasive Equation" by Siddartha Mukerjee in the New Yorker, Sep 11, 2017)
faith (dc)
One of my fittest friends - healthy eater, long-time distance runner - has had breast cancer not once but 3 times, reinforcing Sally's comment that these factors are only a small part of the cancer equation.
reader (Chicago, IL)
I think this article did what you're saying it should have done. The innate fitness was a genetic component - not a result of exercise. They looked at it at a cellular level.
Jan (NJ)
I know several women who never smoked anything and rarely drank and who ate well and eliminated sugar from their diets. They both had cystic breasts and had state 1 breast cancer which was treated. These slender women patronized the daily gym; I do not believe in the fitness theory. I think it is environmental in many cases where there is no familial history of breast cancer.
Dr. J (CT)
Sadly, the risk never goes to zero. And some folks never develop cancer, despite abysmal lifestyle habits. But current research suggests that we can all improve our odds by eating a healthy diet and exercising. And not just for cancer, either, but for all sorts of chronic diseases. And even familial history may be a matter of familial eating habits, or other habits, or other exposures to environmental toxins, as you mention.