How Plant-Based Eating Can Reduce Your Cancer Risk — and Easy Ways to Start

My path to plant-based nutrition began when I first learned of my BRCA1 genetic mutation, and how it carried an 87 percent lifetime risk of breast cancer and a 50 to 60 percent risk of ovarian cancer for me. I started eating a plant-based diet with the goal to reduce my risk, but it has since become a cornerstone of my health and a powerful narrative I wish to share — especially because I didn't learn anything about it in medical school or from my own medical team.
February was Cancer Prevention Month, or as I like to call it, Cancer Risk Reduction Month. I call it that because it's important to know that nothing we do can prevent cancer 100 percent, but we can focus on what is in our control to reduce our risk. Now, as March — which is National Nutrition Month — rolls in, I thought it would be the perfect time to talk about plant-based nutrition for cancer risk reduction.
We are living in a time where "plant-based" and "vegan" are buzzwords. It's important to know that it's not just a fad but a scientifically backed dietary pattern that can significantly reduce cancer risk and improve quality of life for those living with cancer. Let’s dive into what “plant-based” means and the benefits of a plant-based diet in cancer risk reduction.
What Is a Plant-Based Diet?
First things first: Not all plant-based diets are created equal. In the most basic terms, a predominantly whole-food, plant-based dietary pattern is one that focuses on consuming mostly whole, unprocessed plants such as fruits, vegetables, whole grains, legumes, nuts, and seeds. It also includes minimizing or eliminating animal products such as meat, dairy, and eggs.
An important distinction is that while a vegan diet can be healthy, it’s not necessarily the same as a whole-food, plant-based diet. A vegan diet can be made up of mostly faux meats and other highly processed foods (such as Oreos and French fries), which can actually increase risk for chronic diseases, similar to the highly processed standard American diet. This is why it's important to focus on consuming whole, unprocessed plant foods in order to reap the health benefits.
Note: You don't have to go completely plant-based to enjoy the health benefits plant foods offer. Even adding a few more plant-based meals each week can improve your health in ways you may not expect.
More Phytonutrients and Fiber Lead to Lower Cancer Risk
It's not just about what you're cutting out, but what you're adding in. The abundance of nutrient-dense compounds in plants, including phytonutrients and fiber, play a key role in reducing cancer risk. Here’s how.
How Phytonutrients Prevent Cell Damage
Environmental and lifestyle factors such as pollution, smoking, stress, and just the process of being alive lead to the production of something called oxidative stress, which can damage your cells, proteins, and DNA over time. Free radicals are the unstable molecules in your body that trigger oxidative stress, which can then lead to chronic diseases such as cancer.
Phytonutrients, also known as phytochemicals, are natural compounds found in plants that have a variety of functions. They serve as antioxidants, combat inflammation, and even play a role in boosting our immune system. Antioxidants live up to their name by neutralizing these harmful free radicals that cause oxidation in molecules, preventing cell damage.
Phytonutrients are also responsible for giving fruits and vegetables their vibrant colors, which is why you often hear the phrase "Eat the rainbow." Plant foods contain many antioxidants, while animal products don't have any.
Here are examples of foods with different types of phytochemicals and antioxidants:
- Red, orange, and yellow foods like carrots, sweet potatoes, and pumpkins have carotenoids, including beta-carotene.
- Green foods like leafy greens and broccoli contain chlorophyll and isothiocyanates.
- Purple and blue foods like red grapes and berries have anthocyanins and resveratrol.
How Fiber Lowers Cancer Risk
Fiber is a type of carbohydrate found in plant foods that the body cannot digest. A plant-based diet is high in both soluble and insoluble fiber, which provide many health benefits for cancer risk reduction and heart and gut health. Increased fiber intake has been linked to a decreased risk of many cancers, including gastric, colorectal, breast, ovarian, prostate, and pancreatic cancers.
Fiber can lower cancer risk in a variety of ways, such as:
- Helping to maintain a healthy weight
- Fostering beneficial gut bacteria that produce cancer-fighting compounds
- Ensuring bowel regularity
- Regulating blood sugar and insulin levels to reduce chronic inflammation
- Controlling the reabsorption of excess hormones like estrogen
The American Institute for Cancer Research recommends eating at least 30 grams (g) of fiber daily from whole, plant-based foods. Currently, the average American eats about 15 g of fiber per day. Remember, animal foods don’t contain any fiber.
Try This Plant-Based Eating Challenge
If you are looking to get an extra 10 to 15 g of fiber per day to get you to the minimum goal of 30 g, consider a few of these simple swaps:
- Breakfast Swap your bowl of cereal or toast for 1 cup of cooked old-fashioned oats, ½ cup raspberries, and 2 tablespoons (tbsp) of ground flaxseed. This swap will give you approximately 20 g of fiber to start your day.
- Snack Skip the chips and have a couple of handfuls of mixed nuts. This will give you about 4 g of fiber compared with 0 g in a traditional bag of chips.
- Lunch or Dinner Try a Meatless Monday. Swap the meat on your plate for a cup of cooked chickpeas, ½ cup whole-grain rice, and ½ cup of steamed vegetables. This will give you about 17.5 g of fiber.
If you do all of the above, that’s already 41.5 g of fiber for the day, way above the recommended limit. Note: If you are not used to eating a lot of fiber, start slowly and gradually increase your daily intake.
In comparison, the standard American diet is highly processed with refined sugars and grains. It’s high in saturated fat and cholesterol while being low in fruit and vegetable intake and fiber. Plant-based diets are naturally low in saturated fat and cholesterol, while being high in fiber, plant protein, vitamins, and minerals. This in turn can help maintain a healthy weight, which is crucial for cancer risk reduction, because excess weight and obesity are associated with 13 different types of cancers.
Benefits of a Plant-Based Diet While Living With Cancer
Lastly, focusing on plant-predominant dietary patterns for those already diagnosed with cancer may ease the side effects of treatment, improve recovery, and increase quality of life by boosting energy levels, mood, and sleep. A plant-based diet that is anti-inflammatory and rich in phytonutrients can enhance brain and gut health by balancing neurotransmitters, including serotonin and dopamine (our "happy hormones"), which influence mood and sleep patterns.
Note that this dietary pattern is meant to work alongside your treatment plan and not meant to be a replacement. And it will look different for everyone depending on what you can or cannot tolerate during treatment.
Last Thoughts
The evidence is clear: A predominantly whole-food, plant-based dietary pattern can significantly reduce cancer risk and improve overall health and quality of life. The American Cancer Society, the American Institute for Cancer Research, and other major research organizations recommend this way of eating. It's important to note that this is not a "cure" for cancer, but a powerful tool to help reduce our risk. I highly recommend reading the book How Not to Die, by Michael Greger, MD, which really dives into the research and benefits of plant-based nutrition in cancer risk reduction.
I've learned that it's in our moments of vulnerability that we seek out sources of strength. For me, that source of strength was as simple as the food at the end of my fork.
Important: The views and opinions expressed in this article are those of the author and not Everyday Health.

Simran Malhotra, MD
Author
Dr. Malhotra completed her internal medicine residency at Medstar Franklin Square Medical Center, where she also served as chief resident in 2015. She completed her fellowship in hospice and palliative medicine at Johns Hopkins Hospital in 2016. She was named Top Doc in Palliative Medicine in 2019 and 2020 by Baltimore Magazine.
On a personal note, she is a BRCA1 previvor with a strong family history of breast and female reproductive cancers, and underwent a risk-reducing bilateral mastectomy and total hysterectomy in 2020 at 32 years old. After learning about her own genetic risk of cancer, and grounded in her professional experiences in palliative care, she founded Wellness By LifestyleMD, a platform where she works with and educates women at high risk for cancer with or without genetic mutations on the powerful impact that positive lifestyle changes can have on their quality of life and even longevity.
In addition to being a diplomate of the American College of Lifestyle Medicine, she completed the T. Colin Campbell plant-based nutrition certification in 2019, the CHEF culinary coaching certification in 2020, and the WellCoaches health and wellness coaching certification in 2022. She is a member of the ACLM women’s health member interest group and serves as the co-chair of the breast cancer subcommittee.
Malhotra has been featured on several blogs and podcasts, where she has shared her unique perspectives and experiences from palliative care as well as from being a genetic mutation carrier who is passionate about using lifestyle as medicine.
- The Benefits of Plant-Based Nutrition. American College of Lifestyle Medicine.
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- Hu J et al. Use of Dietary Fibers in Reducing the Risk of Several Cancer Types: An Umbrella Review. Nutrients. June 2023.
- FoodData Central. U.S. Department of Agriculture.
- Obesity and Cancer. Centers for Disease Control and Prevention. August 9, 2023.
- American Cancer Society Guideline for Diet and Physical Activity. American Cancer Society. June 9, 2020.
- Using Healthy Eating to Lower Cancer Risk. American Institute for Cancer Research.