Is er een verband tussen alcoholgebruik en kanker? |DRINKiQ NL

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data-polltype="motivation"> <section class="article-item pb-0"> <div class="container-fluid"> <div class="article-item-content column-start-1 column-end-13 pb-24"> <p class="article-category mb-16"> Alcoholgebruik en je lichaam </p> <h1 class="article-item-title h1-lg text-black fw-800 " data-id="{8575C2FC-0AD0-4FC3-A4A4-17F0D6585E9D}" data-title='Is er een verband tussen alcoholgebruik en kanker?'> Is er een verband tussen alcoholgebruik en kanker? </h1> <div class="article-description fw-300"> Alcohol drinken kan het risico op kanker op de volgende manier beïnvloeden. </div> </div> </div> <div class="share-icons page-share "> <a href="javascript:;" class="share-on-facebook icon icon-facebook d-flex justify-content-center align-items-center facebook-icon position-relative"><span class="invisible">Facebook</span></a> <a href="javascript:;" class="share-on-whatsapp icon icon-whatsapp d-flex justify-content-center align-items-center whatsapp-icon position-relative"><span class="invisible">Whatsapp</span></a> <a href="javascript:;" class="share-on-email icon icon-email d-flex justify-content-center align-items-center mail-icon position-relative"><span class="invisible">Mail</span></a> </div> <section class="image-with-caption-wrapper pb-0"> <div class="container-fluid"> <div class="image-with-caption column-start-1 column-end-13 pb-48"> <div class="image-caption-image column-start-1 column-end-13"> <picture data-animate data-animation="fade-in"> <source data-srcset='/~/media/Images/D/drinkiq/Universal/drinkiq--images/in-english/banner-module-images/drinking-and-your-body/alcohol-and-cancer-ill.webp' media="(min-width: 992px)"> <source data-srcset='/~/media/Images/D/drinkiq/Universal/drinkiq--images/in-english/banner-module-images/drinking-and-your-body/alcohol-and-cancer-ill.webp' media="(min-width: 767px)"> <img class="lazy w-100" data-src='/~/media/Images/D/drinkiq/Universal/drinkiq--images/in-english/banner-module-images/drinking-and-your-body/alcohol-and-cancer-ill.webp' alt='Is er een verband tussen alcoholgebruik en kanker?'> <noscript> <img src='/~/media/Images/D/drinkiq/Universal/drinkiq--images/in-english/banner-module-images/drinking-and-your-body/alcohol-and-cancer-ill.webp' alt='Is er een verband tussen alcoholgebruik en kanker?' /> </noscript> </picture> </div> <figcaption class="caption column-start-1 column-end-13 text-caption"> Is er een verband tussen alcoholgebruik en kanker? </figcaption> </div> </div> </section> <section class="config-text pt-0 pb-16"> <div class="container-fluid"> <div class="config-text-content column-start-1 column-end-13"> <p>Kanker is een complexe ziekte die veel oorzaken heeft en door veel factoren wordt beïnvloed <a href="#refs1"><sup>(1)</sup></a>. Alcoholgebruik, of het nu bier, wijn of sterke drank is, valt hieronder. Veel kankerrisico's kunnen niet worden veranderd; ze zijn gebaseerd op genetica en familiegeschiedenis, je leeftijd en je lichaamsgrootte, evenals enkele omgevingsfactoren zoals straling en virale infecties <a href="#refs2"><sup>(2)</sup></a>.</p> <p>Levensstijlfactoren spelen ook een belangrijke rol en kunnen worden aangepast om het risico te verminderen. <a href="#refs2"><sup>(2)</sup></a>. Roken is de belangrijkste risicofactor op het gebied van levensstijl voor de meeste soorten kanker <a href="#refs3"><sup>(3)</sup></a>. Je drinkgedrag en hoeveel je drinkt kan ook het risico op kanker beïnvloeden <a href="#refs4"><sup>(4)</sup></a>.</p> <p>Uit onderzoek blijkt dat zwaar of overmatig drinken een risicofactor is voor kanker in de mond, keel en strottenhoofd, of kanker van het bovenste deel van de spijsvertering <a href="#refs5"><sup>(5, 6, 7)</sup></a>. Dit geldt vooral voor mensen die ook roken of tabaksproducten gebruiken <a href="#refs7"><sup>(7, 8, 9)</sup></a>. Het risico op het ontwikkelen van deze vormen van kanker is hetzelfde voor mannen en vrouwen, ongeacht of ze bier, wijn of sterke drank drinken <a href="#refs4"><sup>(4, 7)</sup></a>.</p> <ul> <li> <p>Mensen die zwaar of overmatig drinken, hebben ook een verhoogd risico op leverkanker <a href="#refs5">(5, 10)</a>. Levercirrose, het resultaat van langdurig zwaar en overmatig drinken, is gerelateerd aan het ontstaan van leverkanker. Andere onafhankelijke risicofactoren zijn onder meer het roken van tabak <a href="#refs11">(11)</a> en obesitas <a href="#refs12">(12, 13)</a>, evenals een hepatitis B-infectie <a href="#refs10">(10)</a>.</p> </li> <li> <p>Zwaar of overmatig drinken verhoogt ook het risico op colorectale kanker <a href="#refs4">(4, 5, 14)</a>. Uit bepaalde onderzoeken blijkt tevens een toename van het risico op colorectale kanker bij matige drankgebruik <a href="#refs15">(15, 16)</a>, vooral bij mannen <a href="#refs17">(17)</a>.</p> </li> <li> <p>Uit onderzoek is ook gebleken dat het risico op borstkanker voor vrouwen kan toenemen, zelfs als ze matig drinken <a href="#refs5">(5)</a>. Vergeleken met vrouwen die geen alcohol drinken, neemt <a href="/nl-nl/drinking-and-your-body/understanding-absolute-and-relative-risk-with-alcohol" title="Understanding Absolute and Relative Risk with Alcohol">het relatieve risico</a> op het ontwikkelen van borstkanker toe naarmate een vrouw meer drinkt. Maar om de werkelijke toename van het risico te bepalen, is het belangrijk om ook te weten wat het <a title="Understanding Absolute and Relative Risk with Alcohol" href="https://www.drinkiq.com/nl-nl/drinking-and-your-body/understanding-absolute-and-relative-risk-with-alcohol">absolute risico</a> is van het ontwikkelen van borstkanker.</p> </li> <li> <p>Een voorbeeld: in Nederland worden ongeveer 1 op de 7 vrouwen tijdens hun leven gediagnosticeerd met borstkanker. Dit betekent dat een vrouw in het Nederland een kans van 14,3% heeft om de diagnose borstkanker te krijgen.</p> </li> </ul> <p>Vergeleken met helemaal geen alcohol drinken:</p> <ul> <li> <p>Het drinken van maximaal 12,5 gram alcohol per dag of, aangezien één Nederlandse eenheid 10 gram ethanol bevat, het equivalent van iets meer dan een Nederlandse eenheid, verhoogt het relatieve risico op borstkanker voor vrouwen met 4%. Dit betekent dat met dit drinkgedrag het absolute risico toeneemt van 14,3% naar 12,1%.</p> </li> <li> <p>Het drinken van 12,5 tot 50 gram alcohol per dag, of tussen iets meer dan één en vijf Nederlandse eenheden, verhoogt het relatieve risico op borstkanker voor vrouwen met 23%. Daarom neemt met dit drinkgedrag het absolute risico toe van 11,6% naar 14,3%.</p> </li> <li> Het drinken van meer dan 50 gram alcohol per dag, of meer dan vijf Nederlandse eenheden, verhoogt het relatieve risico op borstkanker voor vrouwen met 61%. Met dit drinkgedrag neemt het absolute risico toe van 11,6% naar 18,7%.<br>Bron: <a href="#refs5">(5)</a> </li> </ul> <p>De relatie tussen drinken en borstkanker hangt af van de hoeveelheid die een vrouw drinkt, en neemt toe bij zwaarder en overmatig drankgebruik. Het risico op borstkanker wordt ook beïnvloed door verschillende andere factoren, waaronder of ze zwaarlijvig is, haar voortplantingsgeschiedenis, of ze rookt en of er gevallen van borstkanker in haar directe familie voorkomen <a href="#refs2"><sup>(2, 18, 19)</sup></a>.</p> <p>Risicofactoren voor kanker hebben een wisselwerking met elkaar en hoe dit gebeurt, verschilt per persoon <a href="#refs1"><sup>(1)</sup></a>. Nieuwe behandelmethoden maken in toenemende mate gebruik van deze verschillen om individuele, op elke patiënt aangepaste therapieën te creëren <a href="#refs20"><sup>(20)</sup></a>.</p> <p>Sommige veranderingen in levensstijl kunnen je helpen het risico op kanker te verminderen, waaronder je drankgebruik binnen de aanbevolen <a href="/nl-nl/about-alcohol/what-are-drinking-guidelines-and-why-are-they-important" title="What are drinking guidelines and why are they important?">richtlijnen van de overheid houden</a>. Voor sommige mensen is het beter om helemaal niet te drinken. Om echter je specifieke vragen te beantwoorden en het beste advies voor jouw omstandigheden te krijgen, moet je met een zorgverlener praten om je te helpen een weloverwogen beslissing te nemen over je alcoholgebruik.</p> </div> </div> </section> <section class="module-link-box pt-0 pb-0"> <div class="container-fluid"> <div class="link-box column-start-1 column-end-13 "> <a class="link-wrapper d-flex" href='https://www.wkof.nl/nl/over-ons/voor-de-pers/persberichten/alcohol-vergroot-de-kans-op-borstkanker' target='_blank' title='Opent in een nieuw venster' data-linktype='external' aria-label="Ga voor meer informatie naar:"> <div class="link-icon"> <span class="external-link white"></span> </div> <div class="link-content"> <div class="link-text fw-800"> Ga voor meer informatie naar: </div> <span class=""> https://www.wkof.nl/ </span> <span class="small-link-icon external-link"> </span> </div> </a> </div> <div class="link-box column-start-1 column-end-13 "> <a class="link-wrapper d-flex" href='https://www.gezondheidsraad.nl/documenten/adviezen/2015/11/04/alcohol-achtergronddocument-bij-richtlijnen-goede-voeding-2015' target='_blank' title='Opent in een nieuw venster' data-linktype='external' aria-label="Richtlijn voor alcoholgebruik van de Nationale Gezondheidsraad"> <div class="link-icon"> <span class="external-link white"></span> </div> <div class="link-content"> <div class="link-text fw-800"> Richtlijn voor alcoholgebruik van de Nationale Gezondheidsraad </div> <span class=""> https://www.gezondheidsraad.nl/ </span> <span class="small-link-icon external-link"> </span> </div> </a> </div> </div> </section> <section class="accordion pb-0"> <div class="container-fluid"> <div class="accordion-item column-start-1 column-end-13 pt-20 pb-20"> <a href="javascript:void(0);" class="accordion-heading accordion-heading-js"> <span class="accordion-title fw-800">References</span> <span class="accordion-icon accordion-icon-js"> <svg width="20" height="20" viewBox="0 0 20 20" preserveAspectRatio="xMidYMid meet" fill="#2314a7" xmlns="http://www.w3.org/2000/svg"><path fill-rule="evenodd" clip-rule="evenodd" d="M11 9H20V11H11V20H9V11H0V9H9V0H11V9Z"></path></svg> </span> </a> <div class="accordion-content accordion-content-js "><ol> <li><a href="https://www.cancer.gov/about-cancer/causes-prevention/risk" title="Opent in nieuw venster" target="_blank" rel="noopener noreferrer" class="Article_typography_link__s55T6">National Cancer Institute (NCI). Risk factors for cancer. 2015; Available from: </a></li> <li>World Cancer Research Fund International (WCRFI), Diet, Nutrition, Physical Activity and Cancer: a Global Perspective. . 2018, WCRFI: London.</li> <li>Sasco, A.J., M.B. Secretan, and K. Straif, Tobacco smoking and cancer: a brief review of recent epidemiological evidence. Lung Cancer, 2004. 45 Suppl 2: p. S3-9.</li> <li>International Agency for Research on Cancer (IARC), Alcohol Consumption and Ethyl Carbamate, in IARC Monographs on the Identification of Carcinogenic Hazards to Humans. 2010, IARC: Lyon.</li> <li>Bagnardi, V., et al., Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer, 2015. 112(3): p. 580-93.</li> <li>de Menezes, R.F., A. Bergmann, and L.C. Thuler, Alcohol consumption and risk of cancer: a systematic literature review. Asian Pac J Cancer Prev, 2013. 14(9): p. 4965-72.</li> <li>Turati, F., W. Garavello, I. Tramacere, V. Bagnardi, M. Rota, L. Scotti, F. Islami, G. Corrao, P. Boffetta, C. La Vecchia and E. Negri (2010). "A meta-analysis of alcohol drinking and oral and pharyngeal cancers. Part 2: results by subsites." Oral Oncol 46(10): 720-726.</li> <li>Pelucchi, C., S. Gallus, W. Garavello, C. Bosetti and C. La Vecchia (2008). "Alcohol and tobacco use, and cancer risk for upper aerodigestive tract and liver." Eur J Cancer Prev 17(4): 340-344.</li> <li>Hashibe, M., et al., Interaction between tobacco and alcohol use and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Cancer Epidemiol Biomarkers Prev, 2009. 18(2): p. 541-50.</li> <li>Zakhari, S., Chronic alcohol drinking: Liver and pancreatic cancer? Clin Res Hepatol Gastroenterol, 2015. 39 Suppl 1: p. S86-91.</li> <li>Baecker, A., X. Liu, C. La Vecchia and Z. F. Zhang (2018). "Worldwide incidence of hepatocellular carcinoma cases attributable to major risk factors." Eur J Cancer Prev 27(3): 205-212.</li> <li>Vanni, E. and E. Bugianesi (2014). "Obesity and liver cancer." Clin Liver Dis 18(1): 191-203.</li> <li>Marengo, A., C. Rosso and E. Bugianesi (2016). "Liver Cancer: Connections with Obesity, Fatty Liver, and Cirrhosis." Annu Rev Med 67: 103-117.</li> <li>Cai, S., et al., Alcohol drinking and the risk of colorectal cancer death: a meta-analysis. Eur J Cancer Prev, 2014. 23(6): p. 532-9.</li> <li>Vieira, A. R., L. Abar, D. S. M. Chan, S. Vingeliene, E. Polemiti, C. Stevens, D. Greenwood and T. Norat (2017). "Foods and beverages and colorectal cancer risk: a systematic review and meta-analysis of cohort studies, an update of the evidence of the WCRF-AICR Continuous Update Project." Ann Oncol 28(8): 1788-1802.</li> <li>Rossi, M., M. Jahanzaib Anwar, A. Usman, A. Keshavarzian and F. Bishehsari (2018). "Colorectal Cancer and Alcohol Consumption-Populations to Molecules." Cancers (Basel)</li> <li>Choi, Y. J., S. K. Myung and J. H. Lee (2018). "Light Alcohol Drinking and Risk of Cancer: A Meta-Analysis of Cohort Studies." Cancer Res Treat 50(2): 474-487.</li> <li>Rojas, K. and A. Stuckey, Breast Cancer Epidemiology and Risk Factors. Clin Obstet Gynecol, 2016. 59(4): p. 651-672.</li> <li>Tamimi, R.M., et al., Population Attributable Risk of Modifiable and Nonmodifiable Breast Cancer Risk Factors in Postmenopausal Breast Cancer. Am J Epidemiol, 2016. 184(12): p. 884-893.</li> <li>American Association for Cancer Research (AACR), AACR Cancer Progress Report 2019: Transforming Lives Through Innovative Cancer Science. 2019, AACR: Philadelphia, PA.</li> </ol></div> </div> </div> </section> <section id="module---two-column-text-with-link" class="two-column-text-with-link pb-0"> <div class="container-fluid"> <div class="test-and-help-block-wrapper column-start-1 column-end-13"> <div class="container-fluid p-0"> <div class="test-and-help-block column-start-1 column-end-13"> <div class="test-link-block-title column-start-1 column-end-13"> <h2 class="pt-40 mb-16">Maak je je zorgen over de gevolgen van alcoholgebruik?</h2> </div> <div class="test-link-block column-start-1 column-end-13"> <div> <p class="fw-300 mb-0">Of het nu over jezelf of iemand anders gaat, gebruik onze zelftest over alcoholgebruik om de risico's te begrijpen.</p> <div> <a class="d-flex justify-content-space-between align-items-center pt-20 pb-20 test-link" href=/nl-nl/audit data-linktype='internal' aria-label="Doe de test"> <span>Doe de test</span> <span class="cta cta-round"> </span> </a> </div> </div> <div class="help-section"> <p class="help-section-title mb-0 fw-300">Als je zelf een drankprobleem hebt of je iemand met een drankprobleem kent, dan is deze lijst met ondersteunende instanties een goede plek om te beginnen.</p> <div> <a class="d-flex justify-content-space-between align-items-center pt-20 pb-20 test-link help-link" href=/nl-nl/get-help data-linktype='internal'> <span>Nu hulp zoeken</span> <span class="cta cta-round"> </span> </a></div> </div> </div> </div> </div> </div> </div> </section> <section class="article-link-wrapper"> <div class="container-fluid"> <div class="content-wrapper column-start-1 column-end-13"> <div class="main-title"> <h2 class="title m-0 fw-800">Verder lezen</h2> </div> <div class="article-items-wrapper"> <div> <a href="/nl-nl/drinking-and-your-body/how-does-drinking-affect-general-health" class="article-item-wrapper" aria-label="Welke invloed heeft alcoholgebruik op de algemene gezondheid?"> <div class="article-content"> <p class="article-category"> Alcoholgebruik en je lichaam </p> <p class="article-title"> Welke invloed heeft alcoholgebruik op de algemene gezondheid? </p> </div> <div class="article-card-image-wrapper position-relative"> <picture> <img class="lazy" data-src="/~/media/Images/D/drinkiq/Universal/drinkiq--images/nl-nl/drinking-and-your-body/drinking-and-health.webp" alt="Welke invloed heeft alcoholgebruik op de algemene gezondheid?"> <noscript> <img src="/~/media/Images/D/drinkiq/Universal/drinkiq--images/nl-nl/drinking-and-your-body/drinking-and-health.webp" alt="Welke invloed heeft alcoholgebruik op de algemene gezondheid?" data-source="/sitecore/content/D/drinkiq/Universal/drinkiq/Home/drinking-and-your-body/how-does-drinking-affect-general-health" /> </noscript> </picture> </div> </a> </div> <div> <a href="/nl-nl/drinking-and-your-body/what-do-family-and-medical-histories-mean-for-how-drinking-affects-you" class="article-item-wrapper" aria-label="Wat betekenen de familie- en medische geschiedenis voor hoe alcoholgebruik je beïnvloedt?"> <div class="article-content"> <p class="article-category"> Alcoholgebruik en je lichaam </p> <p class="article-title"> Wat betekenen de familie- en medische geschiedenis voor hoe alcoholgebruik je beïnvloedt? </p> </div> <div class="article-card-image-wrapper position-relative"> <picture> <img class="lazy" data-src="/~/media/Images/D/drinkiq/Universal/drinkiq--images/nl-nl/drinking-and-your-body/medical-and-family-history.webp" alt="Wat betekenen de familie- en medische geschiedenis voor hoe alcoholgebruik je beïnvloedt?"> <noscript> <img src="/~/media/Images/D/drinkiq/Universal/drinkiq--images/nl-nl/drinking-and-your-body/medical-and-family-history.webp" alt="Wat betekenen de familie- en medische geschiedenis voor hoe alcoholgebruik je beïnvloedt?" data-source="/sitecore/content/D/drinkiq/Universal/drinkiq/Home/drinking-and-your-body/what-do-family-and-medical-histories-mean-for-how-drinking-affects-you" /> </noscript> </picture> </div> </a> </div> <div> <a href="/nl-nl/drinking-and-your-body/how-does-drinking-affect-the-brain-liver-and-heart" class="article-item-wrapper" aria-label="Welke invloed heeft alcoholgebruik op de hersenen, de lever en het hart?"> <div class="article-content"> <p class="article-category"> Alcoholgebruik en je lichaam </p> <p class="article-title"> Welke invloed heeft alcoholgebruik op de hersenen, de lever en het hart? 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