It’s
been a long day at work, you’re tired, and nothing beats an ice-cold drink to
wash away all of life’s stresses. Sound familiar? Many in today’s world love to
unwind by having a drink or two at the end of their evening.
We
commonly refer to this as casual or social drinking, being a light drinker, or
drinking in moderation. Whatever you label it, there are some serious health risks
that go along with this type of drinking. Namely, cancer.
Yes,
I just said the ‘C’ word. While we’ve known for decades that heavy, chronic
alcohol consumption leads to liver disease, including cirrhosis of the liver, our
society is not as familiar with the fact that even light drinking* can lead to severe
health consequences too.1
To
put this in perspective, we’re going to take a look at nine types of cancers with
a direct link to alcohol consumption. Please note, while many factors come into
play as to whether or not an individual acquires cancer, alcohol consumption
may be responsible, at least in part, for the following cancers.
*Light drinking is
equivalent to less than or equal to one alcoholic drink per day
9 Types of Cancers Attributable to Alcohol Consumption
1)
Liver
Cancer
Ø Alcohol use is one of
the primary risk factors in developing liver cancer. Liver cancer is found most
frequently (80%-90%) in patients with liver cirrhosis, which is caused most
often by hepatitis B and C or chronic alcohol consumption.3 In
total, 3%-15% of individuals with alcoholic liver disease will end up developing
liver cancer.
2)
Oral/Esophageal
Cancers (mouth, throat, larynx, pharynx, esophagus)
Ø One of the strongest
correlations with alcohol use and cancer risk lies with this group. All forms
of alcohol intake (heavy and light) increase the risk of oral and esophageal
cancers:4-6
- Oral cavity and pharynx (upper throat) cancer is increased by 21% in light drinkers. Heavy drinkers (4 or more drinks/day) have five times the risk of mouth and pharynx cancers compared to people who never drink or drink only occasionally.
- Squamous cell carcinoma (SCC) of the esophagus is increased by 30% in light drinkers. Heavy drinkers (3 or more drinks/day) have over a two-fold increase in SCC of the esophagus compared to nondrinkers.
- It is estimated that light drinking causes 5,000 deaths from oropharyngeal cancer and 24,000 deaths from esophageal SCC worldwide each year.
Ø Stomach cancer also
falls victim to alcohol consumption. A 7% increase in gastric cancer is seen
among individuals consuming alcohol in any amount, and heavy drinking (4 or
more drinks/day) resulted in a 39% increase.4
4)
Breast
Cancer
Ø All forms of drinking
increase breast cancer, even light drinkers experience up to a 5% increase in
breast cancer risk.4,6 For each additional 10 grams of alcohol
consumed per day breast cancer risk is increased by 10%. Ten grams of alcohol
is equivalent to just under one additional drink.
Ø A total of 5,000
deaths worldwide from breast cancer were attributable to light drinking in
2004.6
5)
Colorectal
Cancer
Ø Moderate to heavy
drinking is closely linked to colorectal cancer. A total of 2-3 drinks/day
increases one’s risk of colorectal cancer by 21%.4 Consume 4 or more
drinks/day and you’re looking at a 52% increase in colorectal cancer risk.
Ø Light drinking has
also been shown to increase the odds of colorectal cancer. The EPIC study found
a 9% increased risk of bowel cancer for every two units (less than a pint of
premium lager or a large glass of wine) per day of alcohol consumed.7
6)
Prostate
Cancer
Ø A 2012 meta-analysis
study in the European Journal of Cancer
Prevention found a dose-dependent related risk for prostate cancer and
alcohol consumption.8 Light drinking (less than or equal to 1
drink/day) increased risk by 5%, moderate drinking (1-4 drinks/day) increased
risk by 6%, and heavy drinking (more than 4 drinks/day) increased risk by 8%.
7)
Pancreatic
Cancer
Ø Two separate
meta-analysis studies (2010 and 2013) on alcohol consumption and the risk of
pancreatic cancer show a clear link between moderate/heavy drinking (3 or more
drinks/day) and cancer incidence.4,9 There was a 22%-23% increased
risk of cancer in these group of drinkers compared to non-drinkers.
8)
Skin
Cancer (non-melanoma skin cancer and melanoma cancers)
Ø A 2014
ten-year-follow-up study on women found a significant relationship between
alcohol consumption and the risk of non-melanoma skin cancer (NMSC) and
melanoma skin cancers (MM).10 For those drinking 7 or more drinks per week (average of 1 or more
drinks/day) there was a 64% increased risk in MM and 23% increased risk in
NMSC. White wine and liquor showed the strongest correlation in these risk
categories.
9)
Brain
Cancer
Ø A 2013 meta-analysis study
in the Annals of Oncology looked at
the relationship between alcohol consumption and brain cancer. Investigators
found a 35% increased risk of brain cancer in people drinking 2 or more
drinks/day.11
The Take-Home Message on Alcohol
Alcohol
is not a health food. It is a drug. Like many other drugs on the market, it has
side effects. The main side effect is cancer. While some may argue that
moderate drinking is favorable for promoting heart health, this approach still
comes with the potential side effect of cancer.
Cardiovascular
disease can be prevented without alcohol
consumption, but cancer is never
prevented with it. For a much safer way of preventing heart disease
(without alcohol consumption) please see my article, The Secret to Becoming Heart Attack Proof.
As
always, you are allowed to make your own decisions life. This pertains to what
you choose to eat or drink as well. I will never ever tell anyone they can or
cannot eat or drink a particular food or beverage item. However, I will always tell
others about the potential risks that come along with consuming particular foods
or beverages. That way, you have the ability to make an informed decision
regarding your health and what is best for you.
Thank
you for stopping by and reading my article. I wish you many years of great
health!
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by Dustin Rudolph, PharmD Clinical Pharmacist |
Check out Dustin Rudolph's book The Empty Medicine Cabinet to start your journey towards better health. This step-by-step guide leads you through many of today's common chronic diseases (heart disease, obesity, diabetes, cancer, and more), giving you the facts on foods versus medications in treating these medical conditions. The book also contains an easy-to-follow guide on how to adopt a whole foods, plant-based diet as a part of an overall lifestyle change, producing the best possible health outcomes for you and your family. Hurry and get your copy today!
We'd love for you to join us in spreading the good word about plant-based nutrition and lifestyle medicine by telling your family and friends about our website at www.PlantBasedPharmacist.com.
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References:
1
Bruha R, Dvorak K, Petrtyl J. Alcoholic liver disease. World J Hepatol. 2012
Mar 27;4(3):81-90.
2
American Institute for Cancer Research. Recommendations for Cancer Prevention.
Published 2011 April 17. Available: http://www.aicr.org. Accessed 2014 May 14.
3
Feher J, Lengyle G. [Hepatocellular carcinoma: occurrence, risk factors,
biomarkers]. Orv Hetil. 2010 Jun 6;151(23):933-40.
4
de Menezes RF, Bergmann A, Thuler LC. Alcohol consumption and risk of cancer: a
systemic literature review. Asian Pac J Cancer Prev. 2013;14(9):4965-72.
5
Tramacere I, Negri E, Bagnardi V, et al. A meta-analysis of alcohol drinking
and oral and pharyngeal cancers. Part 1: overall results and dose-risk
relation. Oral Oncol. 2010 Jul;46(7):497-503.
6
Bagnardi V, Rota M, Botteri E, et al. Light alchohol drinking and cancer: a
meta-analysis. Ann Oncol. 2013 Feb;24(2):301-8.
7
Ferrari P, Jenab M, Norat T, et al. Lifetime and baseline alcohol intake and
risk of colon and rectal cancers in the European prospective investigation into
cancer and nutrition (EPIC). Int J Cancer. 2007 Nov 1;121(9):2065-72.
8
Rota M, Scotti L, Turati F, et al. Alcohol consumption and prostate cancer
risk: a meta-analysis of the dose-risk relation. Eur J Cancer Prev. 2012
Jul;21(4):350-9.
9
Tramacere I, Scotti L, Jenab M, et al. Alcohol drinking and pancreatic cancer risk:
a meta-analysis of the dose-risk relation. Int J Cancer. 2010 Mar
15;126(6):1474-86.
10
Kubo JT, Henderson MT, Desai M, et al. Alcohol consumption and risk of melanoma
and non-melanoma skin cancer in the Women’s Health Initiative. Cancer Causes
Control. 2014 Jan;25(1):1-10.
11 Galeone C, Malerba S, Rota M, et al. A meta-analysis of alcohol consumption and
the risk of brain tumours. Ann Oncol. 2013 Feb;24(2):514-23.
According to Lemasters, Madhavan, Sambamoorthi, Kurian (2014), "Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol..."
ReplyDeleteReference:
Lemasters, T. J., Madhavan, S. S., Sambamoorthi, U., Kurian, S. (2014) Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender. J Cancer Surviv. [Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed/24532045