Health
Alcohol linked to cancer risk in US surgeon general's new advisory
The U.S. surgeon general has released a new advisory warning of alcohol-related cancer risk.
Dr. Vivek Murthy issued the guidance on Friday following research that has linked alcohol to at least seven types of cancer.
In particular, the advisory notes that alcohol can increase the risk of throat, liver, esophageal, mouth, larynx (voice box), colon and rectal cancers.
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Alcohol consumption has been named as the “third leading preventable cause of cancer” in the country, the advisory noted, with tobacco and obesity taking the top two spots.
The U.S. surgeon general has released a new advisory warning of alcohol-related cancer risk. (iStock)
“Alcohol is a well-established, preventable cause of cancer responsible for about 100,000 cases of cancer and 20,000 cancer deaths annually in the United States — greater than the 13,500 alcohol-associated traffic crash fatalities per year in the U.S. — yet the majority of Americans are unaware of this risk,” said Murthy in the advisory.
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“This Advisory lays out steps we can all take to increase awareness of alcohol’s cancer risk and minimize harm.”
4 ways alcohol increases cancer risk
The advisory breaks down four different ways in which cancer can increase cancer risk.
In one mechanism, the alcohol breaks down into a chemical called acetaldehyde, which damages DNA and increases cancer risk.
Dr. Vivek Murthy issued the guidance on Friday following research that has linked alcohol to at least seven types of cancer. (Valerie Plesch/Bloomberg via Getty Images)
Alcohol also induces “oxidative stress,” the advisory warns, which damages protein, DNA and cells, and also causes inflammation.
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In a third mechanism, alcohol changes hormone levels, namely estrogen, which can increase the risk of breast cancer. More than 16% of all breast cancer cases have been linked to alcohol, the advisory states.
Finally, cancer creates conditions in which alcohol is more easily absorbed into the body.
“Alcohol is a well-established, preventable cause of cancer responsible for about 100,000 cases of cancer and 20,000 cancer deaths annually in the United States — greater than the 13,500 alcohol-associated traffic crash fatalities per year in the U.S. — yet the majority of Americans are unaware of this risk,” according to an advisory from the U.S. surgeon general. (iStock)
Individual risk for alcohol-related cancers will also depend on “a complex interaction of biological, environmental, social and economic factors,” the same source stated.
Recommendations for reducing risk
In the new advisory, Murthy calls for a warning label to be placed on alcoholic beverages stating that they may increase cancer risk.
“Too many Americans are living with an outdated assumption that some amount of alcohol is not only harmless, but also good for you.”
The advisory also calls for a “reassessment of the guideline limits” for alcohol consumption and encourages people to be cognizant of the risk when deciding how much to consume.
The surgeon general also calls for doctors, health professionals and community groups to emphasize the link between alcohol and cancer to help raise awareness of the risk.
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, applauded Murthy’s advisory.
“Too many Americans are living with an outdated assumption that some amount of alcohol is not only harmless, but also good for you,” he told Fox News Digital. “Increasing evidence shows that isn’t true.”
More than 16% of all breast cancer cases have been linked to alcohol, the advisory states. (iStock)
Though wine and other alcoholic beverages may relieve stress and dilate arteries in the short term, the doctor warned that alcohol is a “proven toxin” with direct links to liver, heart and brain disease.
“Even though traditional advice has been up to one drink a day for women and two drinks per day for men, in fact, no amount of alcohol is healthy,” Siegel said.
Multiple studies have shown that 25% of people increased their alcohol use during the pandemic, according to Siegel.
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“This was in part because of stress and also because of social isolation — and the numbers have persisted since the pandemic ended,” he said.
“The timing of this advisory is right on the mark.”
Health
Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people
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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group
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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)
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SCREENING DEBATE — A new study questions whether annual mammograms are necessary for most women
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Health
Aging-related joint disorder increasingly affects people under 40, study finds
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Cases of gout are rising in younger individuals, according to a global study.
The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.
Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.
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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.
The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.
Gout is expected to continue rising in young people through 2035. (iStock)
Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.
Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.
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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.
The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.
The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.
What is gout?
Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.
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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.
A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.
Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)
Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.
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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.
Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.
Experts urge patients to seek medical attention for gout flare-ups. (iStock)
Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.
A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.
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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.
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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.
Fox News Digital reached out to the researchers for comment.
Health
New study questions whether annual mammograms are necessary for most women
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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.
The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.
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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors.
A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.
Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.
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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.
Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)
“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”
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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.
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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)
More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.
The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.
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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”
The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.
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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”
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