Linked to more cancer, including breast cancer, in a large French study
In 2026 the NutriNet-Santé study reported that French adults who ate more potassium nitrate had 13% more cancer overall and 22% more breast cancer. These are observational studies.
Among 105,260 French adults followed for an average of 7.5 years, higher intake of potassium nitrate was linked to a 13% higher risk of cancer overall and a 22% higher risk of breast cancer.
2026Observational study in peopleHasenböhler et al., The BMJ, NutriNet-Santé cohort
Processed meat causes bowel cancer
IARC, the WHO's cancer agency, classed processed meat as causing bowel cancer in humans (Group 1) in 2015, based on studies in people. One reason it gives is the N-nitroso compounds formed when nitrite reacts with protein in the gut. Every 50g of processed meat a day was linked to an 18% higher risk. For the full picture on cured meat, see our page on sodium nitrite (E250).
IARC classed processed meat as causing cancer in humans (Group 1), with sufficient evidence from human studies for bowel cancer. N-nitroso compounds from nitrite are one of the explanations of how.
2015EstablishedIARC Monographs Volume 114
Pooling the studies, each extra 50g of processed meat a day was linked to a 16% higher risk of bowel cancer.
2017Review of many studiesWorld Cancer Research Fund International, Continuous Update Project
How nitrite becomes nitrosamines
Potassium nitrate turns into nitrite during curing. Nitrite reacts with parts of meat protein in acidic conditions, such as in the stomach, to form N-nitroso compounds, including nitrosamines. Several of the nitrosamines formed this way are classed by IARC as probably causing cancer (Group 2A). More form when meat is cooked at high heat.
N-nitrosodimethylamine (NDMA) and several related nitrosamines formed in nitrite-treated meat are classed as probably causing cancer in humans (Group 2A).
Regulator reviewIARC Monographs
A review of animal and human evidence found a consistent link between nitrite from processed meat and bowel cancer, with N-nitroso compounds a plausible route.
2019ObservationalGilchrist et al., Nutrients, PMC6893523
Nitrate from all sources can go over the limit
European reviewers looked at sodium and potassium nitrate again in 2017, kept them approved and kept the daily limit for nitrate at 3.7mg per kg of body weight. They noted that nitrate from additives plus the nitrate in vegetables and water can go over that limit in people who eat the most, particularly children.
Reviewers kept a daily limit for nitrate of 3.7mg per kg of body weight and kept added nitrates allowed at current levels, but noted that nitrate from all food sources together can pass the limit in high-intake groups.
2017Regulator reviewEFSA Journal, re-evaluation of sodium nitrate (E251) and potassium nitrate (E252)