
But classic risk factors do not seem to fully explain the recent rise in early-onset cancers, says Dr. Cathy Eng, director of the Young Adult Cancers Program at Vanderbilt University’s Ingram Cancer Center in Tennessee. Some of the trends are baffling; young, nonsmoking women, for example, are being diagnosed with lung cancer in strangely high numbers. Many times, Eng’s patients were extremely healthy: vegetarians, marathon runners, avid swimmers. “That’s why I really believe there’s other risk factors to account for this,” she says.
There’s no shortage of theories about what those may be. Many scientists point to modern diets, which tend to be heavy on potentially carcinogenic products—including ultra-processed foods, red meat, and alcohol—and may also contribute to weight gain, another cancer risk factor. The foods we eat can also affect the gut microbiome, the colony of microbes that lives in the digestive system and appears linked to overall health. Alterations to the gut microbiome via diet, or perhaps exposure to drugs like antibiotics, have also been implicated.
Other researchers blame the microplastics littering our environment and leaching into our food and water supplies, some of which, according to a 2024 study, have even shown up in cancer patients’ tumors. Other environmental factors could also be to blame, given that everything from cosmetics to food packaging contains substances that many researchers aren’t convinced are safe. Even our near constant exposure to artificial light could be messing with normal biological rhythms in ways that have profound health consequences, some research suggests.