Are Nitrates and Nitrites Bad for You?

There’s cause for concern but no need to panic.

Monica Reinagel, MS, LD/N, CNS
4-minute read
Episode #68

Today’s article is on nitrates and nitrites, compounds that have been linked to cancer in both lab animals and humans. As you may know, nitrates and nitrites are found in cured meats such as ham, bacon, hot dogs, sausages, and cold cuts.

Do Hot Dogs Cause Cancer?

There have been a lot of studies over the years. Some have found an association between cured meat consumption and certain types of cancers in adults, whereas others have found no link. But just this year, there was a study finding that kids who eat three or more hot dogs a week have a higher than normal rate of leukemia. Other studies found that eating hot dogs during pregnancy can increase the risk of brain tumors in the babies.

Understandably, there are now calls to ban the use of nitrites and nitrates in processed foods. But the truth is that unless you eat cold cuts at every single meal, cured meats are probably not the biggest source of nitrates and nitrites in your diet. You know what is? (You’re not going to believe this.) Vegetables account for most of the nitrates and nitrites in a typical diet.

That’s right: the more vegetables you eat, the higher your intake of nitrates and nitrites. Nevertheless, eating more vegetables reduces your risk of cancer. Obviously, it’s an over-simplification to say that these compounds cause cancer.

How Nitrites and Nitrates Become Harmful

Nitrates and nitrites are both naturally occurring substances found in food and water, and are produced by living cells. They’re involved in many important chemical reactions in the body. In fact, you could argue that nitrates and nitrites are essential to health.

However, they can also react with other compounds—either in a food or in your body—to form cancer-causing substances. These reactions are more likely to occur in the presence of protein. Meat is, of course, mostly protein.

But nitrites are much less likely to be converted into harmful chemicals in the presence of vitamin C and other antioxidants.

Nitrites are much less likely to be converted into harmful chemicals in the presence of vitamin C and other antioxidants.

In most of the studies that found a link between cured meats and cancer, the link was only observed in people who ate the most cured meat and the least vitamin C. People who ate a lot of cured meat but also got plenty of vitamin C had no increase in cancer rates.

Vegetables contain vitamin C. And that’s why eating a lot of vegetables doesn’t increase your risk of cancer, even though vegetables contain a lot of nitrates. In fact, eating vegetables lowers your cancer risk because of all the other cancer-fighting compounds they contain.

Are There Nitrates in Your Water?

For some people, the question is not what’s in your food but what’s in your water. Nitrates are used extensively as fertilizer in non-organic farming operations and the run-off often contaminates groundwater. If you live on or near a farm, you might want to have your water tested because that’s likely to be the most significant source of your nitrate exposure. (See also episode # 67, "Is Your Drinking Water Safe?"

How to Minimize Your Cancer Risk

So, my advice about nitrites and nitrates is this: Don’t panic. Although there is cause for concern, you can minimize the health risks with these quick and dirty tips

  1. Be especially careful during pregnancy: Developing fetuses are by far the most vulnerable to the carcinogenic effects of nitrosamines. Avoid cured meats such as hot dogs, bacon, and ham during pregnancy. Also, if you live on or near a farm, be sure to have your water tested and/or drink bottled water during your pregnancy.

  2. Limit your consumption of cured meat: Don’t eat cured meats every day. Try sliced turkey or roast beef instead of salami or baloney in your sandwiches. Save the ham for the holidays

  3. Cook your bacon slowly: Cook your bacon slowly over low heat (or in the microwave) and be very careful not to burn it. When you cook bacon quickly over high heat, it produces tons of nitrosamines. When you cook it gently, it produces much less. 

  4. Eat more vegetables: Eat your vegetables—especially when you are eating cured meats. (C’mon, it’s been at least three weeks since I worked that into an episode!) The antioxidants in vegetables inhibit the conversion of nitrites into harmful compounds.


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Have a great day and eat something good for me!


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Nitrate in Meat

Food sources of nitrates and nitrites: harmful or healthy?

Hot Dogs and Nitrites

Hot Dog image courtesy of Shutterstock

About the Author

Monica Reinagel, MS, LD/N, CNS

Monica Reinagel is a board-certified licensed nutritionist, author, and the creator of one of iTunes' most highly ranked health and fitness podcasts. Her advice is regularly featured on the TODAY show, Dr. Oz, NPR, and in the nation's leading newspapers, magazines, and websites. Do you have a nutrition question? Call the Nutrition Diva listener line at 443-961-6206. Your question could be featured on the show.