Cancer is often seen as a disease that primarily affects older individuals. After all, the average age of diagnosis is 66, and the risk of developing cancer rises steadily with age. However, a disturbing trend is emerging: more young adults are being diagnosed with cancer before the age of 50. This article explores this shift, its potential causes, and the types of cancers that are rising in younger populations.
In the United States, cancer is diagnosed in fewer than 25 out of every 100,000 people under the age of 20, and it accounts for just 1 percent of all cancer diagnoses, according to the National Cancer Institute (NCI). By the time individuals reach the ages of 45 to 49, the incidence of cancer jumps to about 350 cases per 100,000 people. This rate almost triples to 1,000 cases per 100,000 in people 60 and above. Nevertheless, researchers now notice a concerning trend—a rise in the number of cancer cases being diagnosed in young adults, especially those below 50.
A new research by the NCI shows an in-depth analysis of early-onset cancers in the US. The research, which spanned over 2 million cases diagnosed between 2010 and 2019, revealed substantial increases in certain forms of cancer among younger individuals. Breast, colorectal, kidney, and uterine cancers were identified as the top drivers of this increase. Of the 33 cancers examined, 14 had increasing rates in at least one younger age group, with 63% of these early-onset cancers being in women.
The NCI's report compared cancer incidence in 2019 with what could have been anticipated from the rates in 2010. The results are worrisome:
Breast Cancer: The biggest proportion of the increase was seen in breast cancer, with approximately 4,800 extra cases in young adults compared to what could have been anticipated.
Colorectal Cancer: There were 2,000 more than anticipated cases of colorectal cancer.
Kidney Cancer: 1,800 more cases of kidney cancer were diagnosed.
Uterine Cancer: Uterine cancer diagnoses went up by 1,200 cases.
Interestingly, even as the diagnosis is on the increase, the mortality rates for the majority of cancers among young people have not actually increased. There were, however, sharp increases in the mortality rates for colorectal, uterine, and testicular cancers among the young population.
The causes of this rise in early-onset cancer are multifaceted and complex. Although more study is required, a number of theories have been put forward by specialists in the field:
Obesity: Obesity has been associated with a heightened risk of various cancers, including uterine and colorectal cancers, for many years. As obesity continues to increase, it could account for some of the rises in cancer diagnoses among young individuals.
Advances in Detection of Cancer: Enhanced screening techniques and shifts in guidelines for early detection may be contributing. These advances have resulted in increasing numbers of cancers being detected at an earlier stage, which may be contributing to the increase in diagnoses.
Delayed Childbearing: For women, delayed childbearing is linked with an increased risk of breast cancer. Pregnancy and lactation have been shown to decrease the risk of breast cancer, therefore delayed pregnancies might be adding to the increase in cases among younger women.
Environmental and Lifestyle Factors: Greater exposure to carcinogens, either through pollution, chemicals, or lifestyle choices, may also be affecting cancer rates among young people.
While the rate of cancer for some cancers in older individuals is decreasing, young people are experiencing more cases of certain cancers. The greatest increases have been seen in the following:
This cancer is among the most prevalent cancers of younger women, especially those under the age of 50. A concerning trend that has been seen is an increase in more aggressive subtypes of breast cancer, including triple-negative and HER2-positive breast cancers. These cancers are harder to treat and have poorer prognoses.
Previously viewed as a disease of predominantly older individuals, colorectal cancer is becoming more prevalent among young people. Early-onset colorectal cancer is specifically of concern because it is often diagnosed at later stages when it is more difficult to treat.
This form of cancer is increasingly found in younger women. Similar to colorectal cancer, the increasing uterine cancer may be a result of the escalating obesity epidemic.
Kidney cancer diagnoses have similarly increased in young adults. While the causes of this are unknown, it is believed that obesity and other lifestyle-related issues may be to blame.
While there has been an increase in early-onset cancers, it must be added that cancer incidence is falling for various forms in younger age groups. The most significant falls have been observed in lung cancer and prostate cancer.
Lung Cancer: The decrease in lung cancer is, in large part, due to the substantial reduction in cigarette smoking prevalence during the last decades. This has resulted in a commensurate reduction in the incidence of young adults with lung cancer.
Prostate Cancer: The reduction in prostate cancer incidence can be attributed to revised screening recommendations that discourage the routine use of prostate-specific antigen (PSA) testing in young men. This has lowered the rate of unnecessary diagnoses and treatments.
The most glaring distinction between early-onset cancers and those that are diagnosed later in life is age. Yet, the aggressiveness of some cancers, particularly breast cancer, is a major consideration. Younger patients tend to have more aggressive types of cancer, which tend to be treated with more aggressive and invasive therapies.
In breast cancer, for instance, younger women will tend to carry genetically caused cancers, like the ones related to BRCA mutation. But again, these genes only explain only 20% of early-onset breast cancer, which points to other genetic or environmental exposures as well.
Although it is not possible for anybody to avoid the risk of cancer entirely, some lifestyle choices will minimize the chance of cancer occurrence. According to experts, they include the following:
Although the increase in early-onset cancers is distressing, it is also an urgent call for more research. Researchers need to work towards establishing the root cause of this surge, especially for cancers such as breast, colorectal, and uterine cancers. Through the discovery of the drivers behind these trends, we can then create better prevention methods and treatment options, improving the prognosis of younger cancer patients.
The growing number of cancers occurring before the age of 50 is an important public health issue that must be addressed now. Although certain cancers are decreasing, others are increasing, and it is imperative to keep monitoring and studying these trends to promote a healthier tomorrow for everyone.
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Gemma Illingworth was only 31 when she died from a rare and aggressive type of dementia. A bright, independent artist who painted, traveled the world, and valued life's creative liberties, Gemma's life is not only tragic — it's a valuable lesson in the crucial need to recognize subtle neurological symptoms early on. Diagnosed at 28 with posterior cortical atrophy (PCA), a rare dementia that attacks the brain's visual processing area, Gemma's condition worsened quickly.
Her premature death highlights an increasing public health issue: overlooked early warning signs of cognitive and neurodegenerative impairment. For policymakers, healthcare professionals, and family members, her tale is both a warning and a reminder.
Posterior Cortical Atrophy (PCA) is a rare, progressive neurodegenerative illness usually regarded as a subtype of Alzheimer's disease. In contrast to normal Alzheimer's, which first compromises memory, PCA attacks the rear portion of the brain — the occipital and parietal lobes — that are involved in visual and spatial processing. Some of the symptoms are:
Because of its atypical presentation, PCA often goes misdiagnosed as depression, anxiety, or even ophthalmological issues. This diagnostic challenge delayed Gemma’s care for years, despite her early struggles with sight, time perception, and coordination — red flags that now, in hindsight, point clearly to the disease’s onset.
Gemma's family recalls her as "ditsy," a girl who was unusual but self-reliant. From an early age, she had difficulty with her eyesight, telling the time, and coordination. Her difficulties were attributed to her character and not taken as possible signs of a neurological disorder.
It was not until 2020, during the COVID-19 lockdown, that her condition progressed quickly. She was no longer able to process visual information on her computer screen, and she had to cease working. Her symptoms were first blamed on anxiety and depression. It was not until thorough neurological testing in 2021 that PCA was diagnosed. By this time, the disease had progressed significantly.
This delay in diagnosis had a devastating impact — and it serves as a powerful reminder that even subtle neurological symptoms should not be ignored or dismissed.
Once diagnosed, Gemma's ability to live independently quickly declined. She began needing help with basic tasks: dressing, using the stove, managing appointments. She would call her mother up to 20 times a day. Eventually, she returned home, requiring full-time care.
Her sister Jess remembered, "She didn't know what [PCA] really meant, but that was obviously a blessing in disguise." Even with the dire prognosis, Gemma was relieved at first, believing she could now "fix" whatever was amiss.
But there was no cure. Her illness affected her ability to eat, swallow, talk, and walk. Her family took care of her at home until she died in November 2023, surrounded by loved ones. Her sense of humor, they reported, never left her — one of the few things the disease couldn't steal.
In Gemma's memory, her best friend and siblings completed the 2024 London Marathon, raising more than $47,000 for the National Brain Appeal and Rare Dementia Support (RDS).
"RDS couldn't cure Gemma, but they supported us through it the best way possible," her brother Ben explained. Their aim now is not to let other families endure the same suffering.
The funds raised support research, education, and family care for those with rare dementias — a community frequently ignored in popular discussions of memory decline and aging.
Dementia is commonly regarded as an old person's disease. Gemma's experience shatters the stereotype. Although PCA is uncommon, dementias in younger people are increasingly being diagnosed by neurologists globally.
Cognitive decline does not necessarily begin with memory loss. It may begin subtly — in the guise of visual problems, coordination problems, repeated disorientation, or even mood swings. That's why it's important that clinicians, educators, and families realize early symptoms can be disguised as behavioral idiosyncrasies or psychological problems. Early diagnosis can:
Give time for appropriate care planning and lifestyle changes
Halt progression with cognitive therapies or medications (where indicated)
Provide emotional relief and clarity for patients and families
Although prevention of dementia is not always possible, early identification can dramatically enhance quality of life. Following are the preventive steps anyone can take:
Observe sudden or progressive change in visual-spatial awareness, particularly in young adults. Difficulty judging distances, recognizing objects, or maneuvering in familiar spaces may require neurological assessment.
When symptoms occur, push for full testing. This should involve neuroimaging (MRI or CT), cognitive screening, and — if necessary — spinal fluid analysis.
Work with experts like neuropsychologists, neurologists, and occupational therapists early on. They can offer tools and coping strategies to deal with daily activities.
A diet high in antioxidants (berries, greens), exercise, mental stimulation, and adequate sleep all help improve brain function and lower the risk of cognitive impairment.
Certain dementias are linked to genetics. If family history exists, don't wait on neurological evaluation if symptoms develop.
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Sleep isn't simply a nightly routine, it's an important pillar of health that dictates everything from mood and energy levels to memory and brain structure. Although the risks of short sleep are well-known, increasing research indicates that sleeping too much is equally, if not more, troubling when it comes to the long-term health of your brain.
A recent study by Professor Jianfeng Feng at the University of Warwick has put forward a new understanding of the sleep-health connection: short and long sleep durations are both biologically different patterns with differing, but significant, risks to mental, emotional, and physical health. The results are a wake-up call for the way we consider our sleep behaviors—not only how much we're lacking, but how much we might be overdoing it.
The study team looked at data from about 500,000 UK Biobank adults aged 38 to 73 and measured how their sleep time corresponded to brain structure and function. Study participants were divided into short sleepers (fewer than 7 hours) and long sleepers (longer than 7 hours), with their brain imaging, genetic information, and health outcomes compared.
Short sleepers had less brain matter in areas of emotional regulation and complained of more depression symptoms, tiredness, and muscle-skeletal complaints.
Long sleepers, on the other hand, exhibited signs of more loss of brain matter in areas of memory, worse metabolic health, increased inflammation, and more risk markers for cognitive decline, Alzheimer's disease, and schizophrenia.
Professor Feng said, "Short sleep is usually an underlying cause of illness, while long sleep tends to be indicative of pre-existing conditions." Simply put, long sleep won't necessarily lead to disease—it could be an early warning sign for them.
Sleeping nine or more hours a night on a regular basis—and still feeling tired—is medically referred to as hypersomnia. Unlike occasional weekend lie-ins, hypersomnia signals something deeper. Individuals often report hitting snooze repeatedly, waking up unrefreshed, and struggling with concentration or memory throughout the day.
As per recent evidence in JAMA Neurology, long sleepers scored significantly worse on cognitive assessments such as the Digit Symbol Substitution Test (DSST) and self-reported lower cognitive abilities. The relationship was strongest in older populations, where sleep for more than 10 hours per night was associated with increased risks for dementia and cognitive disorders.
This inverted U-shaped relationship between sleep length and brain functioning—where too little and too much sleep are both associated with worse results—is repeatedly confirmed by various studies.
Oversleeping isn't only a sign of cognitive problems—it's also associated with mental health. Hypersomnia and depression tend to go hand in hand. About 15% of people with major depressive disorder describe oversleeping as a symptom. Others use excessive sleep as a defense against emotional pain, but it boomerangs. Prolonged sleep worsens depressive symptoms and impairs daytime functioning, creating a vicious cycle.
One big study of more than 24,000 U.S. adults discovered that those who slept more than 10 hours a day had a greater incidence of psychiatric disorders and higher psychological distress. These individuals also had higher rates of early life trauma and unhealed emotional wounds, indicating more profound psychological underpinnings for chronic oversleeping.
The physical health consequences of excessive sleeping are just as disturbing. The American Heart Association research published in Circulation reported that long sleepers had as much as a 50% increased risk of cardiovascular mortality, especially among patients with coronary artery disease.
Oversleeping also leads to:
Dr. Arshed Quyymi, director of Emory Clinical Cardiovascular Research Institute, highlights the risk: "There is almost a 40 to 50% higher risk of dying if you are sleeping too little or too much."
Many meta-analyses reproduce the U-shaped relation between sleep and cognition. Severe durations at both extremes of the curve have been related to increased brain aging. More sophisticated findings, however, indicate that short and long sleep may have an impact on various cognitive abilities. For instance:
Short sleep has a damaging effect on attention, emotional processing, and working memory
Long sleep is related to impairment of decision-making, processing speed, and executive function
These observations highlight the need for individually tailored sleep advice, considering both patient-specific genetic, psychological, and physiological factors.
So, what can you do if you think you're sleeping too much? Begin by assessing whether this habit has continued for longer than 6-8 weeks and whether you continually feel un-rested after "enough" hours. Prolonged hypersomnia should trigger a visit to a sleep specialist or healthcare provider to exclude underlying causes such as sleep apnea, depression, or thyroid disease.
At-home remedies to reset your sleep habit are:
Sleep is a keystone of mental and physical well-being, but moderation is required. While chronic sleep loss can impair emotional control and cardiovascular health, routine sleeping too much can herald early neurological deterioration, inflammation, and concealed psychological anguish.
Health professionals are now urging us to shift our way of speaking about sleep—not just about avoiding too little, but about recognizing the dangers of too much. Individualized sleep profiles, according to age, lifestyle, and medical conditions, could provide the best way forward.
If you’re waking up tired every day despite long hours of sleep, it may not be rest your body is craving—it may be time for a deeper health check-in.
Credit: Canva
India launched massive strikes on terror camps in Pakistan and PoK late night yesterday. The aerial operation came in response to the Pahalgam terror attacks that resulted in 26 people getting killed and several others getting injured last month. As tensions continue to rise in both countries, people in India have been asked to participate in mock drills to prepare for possible emergencies.
While people on both sides of the border prepare for a possible war, mental health experts have raised concerns about the psychological cost of such a situation. They opined that it could result in escalated stress, anxiety and fear. A recent study published in the International Journal of Mental Health Systems earlier this year aunderscored the escalating mental health crisis in Ukraine, exacerbated by the ongoing conflict. The study reveals that prior to the full-scale invasion, approximately 30% of Ukrainians had experienced mental health disorders, with depressive disorders surpassing the EU average. The conflict has severely strained the nation’s mental health infrastructure, underscoring the urgent need for comprehensive reforms and targeted interventions to address the rising rates of anxiety, PTSD, and depression among civilians and displaced populations.
Dr Shilpi Saraswat, Clinical Psychologist at Sakra World Hospital, Bengaluru, recommends avoiding unnecessary exposure to news and staying in a supportive social circle when stuck in such situations. Here are a few steps you should follow:
1. Limit news exposure: Set boundaries on news consumption to avoid excessive exposure.
2. Stay informed, not overwhelmed: Focus on credible sources and updates rather than constant coverage.
3. Practice self-care: Engage in activities that promote relaxation and stress reduction, such as exercise, meditation, or hobbies.
4. Social support: Connect with loved ones, friends, or support groups to share feelings and concerns.
5. Grounding techniques: Use mindfulness exercises, deep breathing, or physical activity to stay present and focused.
If you are someone who resides with the elderly and children, Dr Saraswat recommends having an open discussion with them on the current situation. "Encourage honest discussions about feelings and concerns," he said. Moreover, you must provide reassurance and comfort to them. To avoid anxieties, it is also advised to maintain regular routines and activities to provide a sense of stability. You should also acknowledge and validate children's feelings, helping them process emotions. Moreover, monitor and limit children's exposure to news and media coverage.
1. Normal stress responses: Anxiety, worry, and fear are common reactions to stressful situations.
2. Signs of more serious concerns: Persistent symptoms, such as intrusive thoughts, nightmares, or avoidance behaviours, may indicate PTSD or other mental health concerns.
3. Panic disorders: Recurring panic attacks, persistent fear of having attacks, or avoidance behaviours may indicate a panic disorder.
4. Seek professional help: If symptoms persist or interfere with daily life, consult a mental health professional for guidance and support.
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