Chapter J1. Mexican Women 'Maul' BC with Milk A 1996 study reported that Mexican women who breastfeed their babies 3-5 years (total for all babies) reduced their BC risk by 67%. This was reported by the very well regarded American Journal of Epidemiolgy. (Breast Cancer and Lactation History in Mexican Women, AJE, Isabelle Romieu, et al, 1996; 143:543-552) Those who breastfed 13-24 months had a 48% reduced risk. These durations are totals for ALL babies (not each baby). If a woman only had one birth, would she be denied substantial BC protection via breastfeeding? Not according to this study: BF (months) during Per cent reduction FIRST live birth in Breast Cancer risk -------------------------------------------- 4-12 38% (95% CI=0.42-0.91) over 12 72% (95% CI=0.17-0.47) -------------------------------------------- If this was the only study reporting that breastfeeding cut BC risk, then it could be slighted. This Mexican study is simply confirmation of other reports (see breastfeeding in chapter R). Are Mexican women smarter than 'Gringo' women? - In the area of preventing BC, Mexican women have been smarter. However, "Because of changes in women's lifestyles, lactation is decreasing in Mexico, and young women tend not to breast-feed or to shorten the duration of lactation." In Mexico, poor women (low 'Socio-Economic Status') are more likely to initiate and more likely to do long-term 'nursing' than affluent women. This is the opposite to the situation in the U.S.; how- ever, affluent U.S. women average a later age of first birth than poor women. 'Short and Sweet' - Can women do everything possible to slash BC risk? Some can not. However, if a woman can do the following two, she has helped herself 'bigtime': 1. 'Early' first full-term birth (before age 24 very good; before 20 even better); see chapter F1 2. Breastfeed that 'early' first birth baby a minimum of 24 months (exclusively breastfeeding for at least 6 months, if possible) The longer you breastfeed your baby, the stronger 'her' immune system will be. There is some evidence that breastfed girls will have a reduced BC risk themselves (about 26%). Thus, if your long-term breast- fed baby is a girl, your are 'fighting' BC for two. With a stronger immune system, your baby is likely to have fewer illnesses and when she is ill, shorter durations (on average). Breast milk, according to medical researchers, is by far the best food your baby can receive ('Breast is Best'). If you are a vegetarian, your breast milk will likely be much 'cleaner' (lower toxin levels) than if you had been eating red meat (or pork). "The prolonged low levels of breast fluid estrogens following full-term birth and lactation [breastfeeding] may, in part provide a mechanism by which parity [birth] reduces breast cancer risk." (International Journal of Cancer, Petrakis, et al., 1987;40:587-591) copyright Brent Rooney ( [email protected] )