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Risk Factors for Cancer
Cancer develops when certain cells acquire abnormalities that disrupt their functioning. These abnormalities can be influenced by factors specific to the individual, as well as by exposures related to lifestyle and/or the environment1,2.
What is a risk factor?
A risk factor is a factor associated with a higher probability of developing a disease. It does not allow us to predict with certainty whether cancer will develop. Conversely, cancer can also develop in a person without any clearly identified risk factors.³,⁴
Key Points
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Some risk factors are modifiable: it is possible to take action regarding tobacco use, alcohol consumption, diet, being overweight, obesity, exposure to ultraviolet rays, certain infections, and certain occupational exposures.
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Other factors are not modifiable, such as age, genetic predisposition, or certain family history.
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Even when a risk factor is not modifiable, it can help guide screening, medical monitoring, or referral to a specialist.
40%
Some cancers could be prevented by addressing modifiable risk factors.
Modifiable risk factors
Tobacco is the leading preventable risk factor for cancer. It is primarily associated with lung cancer, but it also increases the risk of cancers of the mouth, pharynx, larynx, esophagus, bladder, kidney, pancreas, cervix, and certain blood cancers, that is, cancers of the blood cells.⁵ The risk depends on the duration of smoking, the amount smoked, and the age at which smoking began.
You can take action:
Quit smoking.
Support from a healthcare professional is available.
Alcohol consumption increases the risk of several cancers, including cancers of the mouth, pharynx, larynx, esophagus, liver, colon and rectum, and breast6. No level of alcohol consumption can be considered risk-free with regard to cancer. When combined with tobacco, alcohol significantly increases the risk of cancers of the upper aerodigestive tract—that is, the organs involved in the passage of air and food.
You can take action:
Reduce your alcohol consumption.
If you’re having trouble cutting back or quitting, a healthcare professional can help you.
Diet may play a role in the risk of certain cancers. The evidence is particularly strong for processed meats, such as deli meats, which are associated with an increased risk of colorectal cancer. Red meat is also considered to be probably associated with this risk when consumed in excess.⁷
A diet that is too high in calories and low in fiber can promote weight gain. Being overweight or obese is associated with a higher risk of several cancers, including postmenopausal breast cancer, colorectal cancer, endometrial cancer, kidney cancer, liver cancer, pancreatic cancer, and esophageal cancer⁸.
Here’s what you can do:
Eat a varied diet rich in fiber and plant-based foods.
Limit red meat and processed meats.
Engage in regular physical activity.
Reduce sedentary behavior.
Ultraviolet (UV) rays come from the sun and tanning beds. They can cause DNA damage in skin cells. Excessive exposure, especially when intense or repeated, increases the risk of skin cancers, particularly carcinomas and melanoma. Tanning beds expose users to artificial UV radiation classified as carcinogenic to humans.9
Here’s what you can do:
Reduce exposure: seek shade, wear protective clothing.
Use appropriate sunscreen.
Avoid using tanning beds.
Certain viruses or bacteria can contribute to the development of cancer. HPV (human papillomavirus) is implicated in cervical cancer and in some cases of anal, vulvar, vaginal, penile, and oropharyngeal cancer. Hepatitis B and C viruses increase the risk of liver cancer, while Helicobacter pylori is associated with certain types of stomach cancer.¹⁰
You can take action:
Get vaccinated against HPV and hepatitis B.
Participate in screening (cervical cancer).
Treat infections.
Other exposures can contribute to cancer risk: air pollution, radon, asbestos, ionizing radiation, pesticides, or certain chemicals encountered in the workplace.⁴ The level of risk varies depending on the nature of the exposure, its intensity, its duration, and the individual’s circumstances.
You can take action:
Follow collective or individual protective measures.
Consult your primary care physician or an occupational health physician to assess your risk.
Non-modifiable risk factors
Age is one of the main risk factors for cancer. Over time, cells can accumulate DNA changes, which partly explains why many cancers are more common after age 60.¹
You can take action:
Follow the recommended screening guidelines for your age group.
Adjust your medical monitoring to your age.
Some people have a hereditary predisposition to cancer, linked to a genetic variation present from birth. This is the case, for example, with certain mutations in the BRCA1 and BRCA2 genes, which are associated with a higher risk of breast, ovarian, prostate, or pancreatic cancer.¹¹
You can take action:
If your personal or family history suggests it, request a genetic counseling consultation.
Interception
a program for people at increased risk
Gustave Roussy has developed Interception, a prevention and screening program designed for people at increased risk of cancer. It aims to identify these individuals earlier so that they can be offered personalized prevention strategies.
This program is not intended for the general population but for individuals with a hereditary predisposition, a suggestive family history, certain precancerous lesions, or specific exposures.
Summary table:
|
Risk Factor |
What You Can Do |
| Tobacco | Quit smoking. |
| Alcohol | Reduce your alcohol intake. |
| Diet, Overweight, and Obesity |
Eat a varied diet rich in fiber and plant-based foods. Limit your intake of red meat and processed meats. Get regular physical activity. Reduce sedentary behavior. |
| Ultraviolet Rays |
Limit sun exposure, seek shade, wear protective clothing, and use appropriate sunscreen. Do not use tanning beds. |
| Infectious agents |
Get vaccinated against HPV and hepatitis B. Participate in cervical cancer screening. Treat infections. |
| Environmental and occupational exposures |
Follow collective or individual protective measures. Consult with your primary care physician or an occupational health physician in the event of known or suspected exposure. |
| Age |
Follow the recommended screening guidelines based on your age. Adjust your medical monitoring accordingly. |
| Genetic and Family Factors | Request an oncogenetic consultation if your personal or family history suggests it. |
Bibliography
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[1] White MC, Holman DM, Boehm JE, Peipins LA, Grossman M, Henley SJ. Age and Cancer Risk: A Potentially Modifiable Relationship. Am J Prev Med. 2014;46(3 Suppl 1):S7-S15.
https://pubmed.ncbi.nlm.nih.gov/24512933/ -
[2] Takeshima H, Ushijima T. Accumulation of genetic and epigenetic alterations in normal cells and cancer risk. NPJ Precision Oncology. 2019;3:7.
https://www.nature.com/articles/s41698-019-0079-0 -
[3] National Cancer Institute. The relative importance of major risk factors.
https://www.cancer.fr/professionnels-de-sante/prevention-et-depistages/prevention/hierarchie-des-risques -
[4] International Agency for Research on Cancer. Cancers attributable to lifestyle and environmental factors in metropolitan France. Lyon: IARC; 2018.
https://gco.iarc.who.int/includes/PAF/PAF_FR_report.pdf -
[5] Jacob L, Freyn M, Kalder M, Dinas K, Kostev K. Impact of tobacco smoking on the risk of developing 25 different cancers. Cancer Causes Control. 2018;29(2):195-205.
https://pubmed.ncbi.nlm.nih.gov/29707117/ -
[6] Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer. 2015;112(3):580-593.
https://pubmed.ncbi.nlm.nih.gov/25422909/ -
[7] International Agency for Research on Cancer. IARC Monographs evaluate consumption of red meat and processed meat. Press release no. 240. 2015.
https://www.iarc.who.int/wp-content/uploads/2018/07/pr240_E.pdf -
[8] Lauby-Secretan B, Scoccianti C, Loomis D, et al. Body Fatness and Cancer: Viewpoint of the IARC Working Group. N Engl J Med. 2016;375(8):794-798.
https://pubmed.ncbi.nlm.nih.gov/27557308/ -
[9] Sample A, He YY. Mechanisms and prevention of UV-induced melanoma. Photodermatol Photoimmunol Photomed. 2018;34(1):13-24.
https://pmc.ncbi.nlm.nih.gov/articles/PMC5760354/ -
[10] de Martel C, Georges D, Bray F, Ferlay J, Clifford GM. Global burden of cancer attributable to infections in 2018: a worldwide incidence analysis. Lancet Glob Health. 2020;8(2):e180-e190.
https://pubmed.ncbi.nlm.nih.gov/31862245/ -
[11] Petrucelli N, Daly MB, Pal T. BRCA1- and BRCA2-Associated Hereditary Breast and Ovarian Cancer. GeneReviews. NCBI Bookshelf. Updated 2025.
https://www.ncbi.nlm.nih.gov/books/NBK1247/