Aluminium – and breast cancer?
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What is it?
Aluminium is a metallic element found naturally in Earth’s crust. Aluminium is most commonly found in the ore bauxite, from where it is extracted.
There are many aluminium-containing products and compounds that have a range of uses and chemical properties.
Aluminium ('you can call me Al') Leaderboard
1st Metal: Most common metal in Earth’s crust
3rd Element: Third most common element in Earth’s crust
What's the myth?
You might have heard that aluminium-containing deodorant and antiperspirant products increase the risk of breast cancer. And that the risk is increased by underarm shaving.
Aluminium-based compounds are the active ingredients in antiperspirants. They work by temporarily blocking your sweat ducts, preventing sweat from flowing to your skin’s surface. Because antiperspirants prevent you from perspiring, it has been suggested that they prevent your body from sweating out toxic substances.
It has also been suggested that aluminium-containing compounds may be absorbed by the skin and cause oestrogen-like (hormone-mimicking) effects in the body. It is known that oestrogen can promote the growth of breast cancer tissue.
Nope – authorities agree there is no evidence that aluminium causes breast cancer. Read more below.
What are the facts?
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Sweating is not the main way your body removes toxins
How does your remove toxic compounds? Mainly by excreting them with other waste products, via urine or faeces. Your liver and kidneys do most of this work, with the kidneys eliminating more than 95% of aluminium from the body in healthy people.
Plus, although antiperspirants reduce the amount of sweat, they do not completely prevent sweating.1
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Humans have widespread exposure to aluminium
Aluminium occurs naturally in soil, water and air.
You will always have some exposure to low levels of aluminium from eating food, drinking water and breathing air. Some medicines also contain aluminium.
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Not much aluminium is absorbed from antiperspirants
The National Kidney Foundation (NKF) says that skin absorption of aluminium from antiperspirants is minimal and not harmful.2
'Unless you eat your stick or spray it into your mouth, your body can't absorb that much aluminium'.
Dr Leslie Spry, Kidney expert & NKF spokespersonFor example, a preliminary 2001 study3 found that only 0.012% of the aluminium in common antiperspirant ingredient aluminium chlorohydrate was absorbed through the skin.
A small 2018 study found that underarm use of an antiperspirant containing the same ingredient resulted in even less aluminium absorption through the skin (0.0094%)4, as did a follow-up study (0.00052%)5. The follow-up study also demonstrated that most of the aluminium in the formulation stayed on the external skin layers.
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Authorities agree there is no evidence of a breast cancer–deodorant link
Studies have not found an association between deodorant or antiperspirant use and breast cancer risk.
According to the Australian Cancer Council, ‘there is no evidence to support the claim that deodorants or antiperspirants cause cancer. This link was first suggested in an email hoax, and rumours have circulated ever since.’6
An often-cited 2002 study of over 1600 women, half with breast cancer and half without, found no overall difference in the use of underarm products (or shaving practices) between the two groups.7
A 2008 review by a group of clinical cancer experts on whether there is evidence for a link between use of deodorants and antiperspirants was titled ‘The use of deodorants/antiperspirants does not constitute a risk factor for breast cancer’.8 The group concluded that ‘this question does not constitute a public health problem and that it therefore appears unnecessary to continue research on the subject’.
AICIS, the Australian regulator, evaluated the human health impacts of aluminium in antiperspirants in 2022. AICIS reviewed existing data and concluded that ‘the risk to the public from using aluminium in antiperspirants is considered to be low’.9 Other reputable organisations agree. The US National Cancer Institute, American Cancer Society and Cancer Research UK, to name just a few. And, of course, the US National Kidney Foundation.
And, the American Cancer Society states that there is no established evidence that using antiperspirant after shaving allows chemicals to enter the body from the armpit and increase.
‘Deodorants and antiperspirants may contain chemicals such as parabens and aluminium compounds and are applied close to where breast cancer develops... However, studies have not found an association between these chemicals and breast cancer risk.’
Cancer Australia10
The bottom line?
You can continue to use underarm deodorants and antiperspirants with confidence. There is no evidence to suggest that these products increase the risk of developing breast cancer…with or without shaving.
No need to…
be stinky and sweaty…or limit yourself to aluminium-free products.
But please do...
lower your breast cancer risk by minimising known lifestyle risk factors and having regular breast screening, according to the guidelines for your situation (e.g., age, family history, genetic susceptibility, ethnic background, etc).11
Sources
- Rahimzadeh, M et al. (2022), ‘Aluminum Poisoning with Emphasis on Its Mechanism and Treatment of Intoxication’, Emerg Med Int.
- www.kidney.org/kidney-topics/antiperspirants
- Flarend R, Bin T, Elmore D, Hem SL, 'A preliminary study of the dermal absorption of aluminium from antiperspirants using aluminium-26', Food Chem Toxicol. 2001 Feb; 39(2):163-8.
- de Ligt R, van Duijn E, Grossouw D, Bosgra S, Burggraaf J, Windhorst A, Peeters PAM, van der Luijt GA, Alexander-White C, Vaes WHJ. 'Assessment of Dermal Absorption of Aluminum from a Representative Antiperspirant Formulation Using a 26 Al Microtracer Approach'. Clin Transl Sci. 2018 Nov;11(6):573-581
- de Ligt R, Westerhout J, Grossouw D, Buters TP, Rissmann R, Burggraaf J, Windhorst AD, Tozer S, Pappa G, Wall B, Bury D, Mason DR, Vaes WHJ. 'Assessment of dermal absorption of aluminium from a representative antiperspirant formulation using a (26Al)Al microtracer approach: a follow-up study in humans'. Toxicol Res (Camb). 2022 May 31;11(3):511-519
- Cancer Council, iHeard ‘Can deodorants and antiperspirants with aluminium cause cancer?’
- Mirick, D., Davis, S. and Thomas, D. (2002), 'Antiperspirant use and the risk of breast cancer', Journal of the National Cancer Institute, 94(20), pp 1578-80
- Namer, M., Luporsi, E., Gligorov, J. Lokiek, F. and Spielmann, M. 2008, 'The use of deodorants/antiperspirants does not constitute a risk factor for breast cancer', Bulletin du Cancer, 95(9):871-80
- Australian Industrial Chemical Introduction Scheme, 2022, ‘Use of Aluminium in Antiperspirants Evaluation statement’
- www.canceraustralia.gov.au/breast-cancer-risk-factors/unproven-or-unlikely-factors/environmental-factors
- See Breastscreen Australia for more information