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Breast Cancer More Likely in Post-Menopausal Women With High Insulin LevelsBy Daniel H. RasoltPosted: Saturday, January 10, 2009
(Defeat Diabetes® News) -- Obesity is known to increase the risk of breast cancer in postmenopausal
women, but the reason for this has remained greatly unknown. A recent study has
found that in postmenopausal women, high insulin levels greatly increased breast
cancer incidence, and it's speculated that obesity might be a leading
contributor to high insulin levels.
Breast cancer, which kills more than 40,000 women in the United States each
year, occurs the vast majority of the time in postmenopausal women. Obesity too,
is more prevalent with age, though the obesity epidemic has extended in large
amounts over past decades to all age groups.
While the specific link between obesity and breast cancer is unknown,
researchers have speculated that hormonal imbalance that results from obesity,
is likely the cause of increased breast cancer incidence. It was previously
believed that raised estrogen levels in obese women was responsible for the
higher occurrence of breast cancer, but the current researchers have found that
raised insulin levels could be even more important. High insulin levels have the
effect of "stimulating the growth of breast cells," which could raise the risk
of breast cancer in postmenopausal women.
Blood samples of 1,651 women, 835 having known breast cancer, and 816
randomly selected controls, were analyzed in the study. Among other things, BMI
(body mass index, an obesity indicator), estrogen and insulin levels, were
determined for each individual. It was then determined that women with the
highest insulin levels (the top 25%), were 50% more likely to develop breast
cancer than normal insulin patients. According to Dr. Marc Gunter, "women with
the highest insulin levels in their blood were more than two times more likely
to develop breast cancer than women with the lowest insulin levels."
So how did the obesity-breast cancer relationship fit into this study? Dr
Gunter expresses that "when we controlled for insulin, the association between
obesity and breast cancer became much weaker. This means that a large component
of that obesity-cancer relationship may be mediated by insulin levels."
If correct, this is a major finding that could lessen the suspected impact
of high estrogen levels on the development of breast cancer. In addition, it
lays the foundations for new treatments and preventions of breast cancer in
postmenopausal women. A possible treatment, which is not yet developed, would
target insulin in breast cancer patients, potentially reducing breast cell
growth. As a preventative technique, postmenopausal women should be more closely
screened for high insulin levels, which if present, could be treated in order to
help limit the risk of breast cancer development. Unfortunately, these
techniques will likely only be applicable to non-diabetic women, because with
diabetes, comes irregular insulin production and balance, characterized by
decreased insulin sensitivity. Concludes fellow researcher Dr. Howard Strickler,
"tt is also possible that screening non-diabetic postmenopausal women for high
insulin levels could prove useful in identifying individuals at high risk for
breast cancer."
Source: Defeat Diabetes Foundation: Gunter, Marc. Strickler, Howard. Heller, Michael. Journal of the National Cancer Institute news release. January 2008. Daniel H. Rasolt writes for Defeat Diabetes® News. Read more of his original content articles. |
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