Diet & Lifestyle for Cancer Survivors by 63h775


									Diet & Lifestyle for Cancer
    Nancy Steedman, RD, CD
  Franciscan Oncology Services
                                                     Cancer survivorship
                                                     research is still in its

Scientists suspect that the same dietary changes
recommended for cancer prevention may also help
fend off both recurrent and secondary cancers.
“Food, Nutrition, Physical Activity and the Prevention of Cancer: a Global Perspective”
The World Cancer Research Fund/American Institute of Cancer Research 2008 Update
AICR Diet & Lifestyle Guidelines
   Achieve a healthy          Select foods that are
    weight                      low in fat and salt

   Be physically active       Drink alcohol in
                                moderation, if at all
   Choose a diet rich in
    plant based foods          Aim to meet you
                                nutritional needs with
                                whole foods

All cancer survivors should receive nutritional care
from a trained professional (Registered Dietitian)
           What’s Your Number?
          BMI = Body Mass Index
                              Ideal = 19 to 25

                              Underweight = < 18

                           * Overweight = 25-30

                           * Obese = 30+
* A weight loss of as little as 10% of your current weight
     will improve your health & reduce your risk!
    Alarming Health Epidemic
 Nearly 60% of the       40
  adult population is     35
  overweight or obese     30

 Obesity levels in our   25
  state have doubled in   20           County
  the last 10 years                    WA State
 Rapid increase          10
  childhood obesity and   5
  related illness         0
         Causes of Weight Gain
   Aging
   Loss of lean body mass
   Increasing portion sizes
   Treatment related fatigue
   Psychological
   Poor body image
   Sedentary lifestyle
   Calories In > Calories Out

What are your roadblocks?
               Stay Hydrated
 Even mild dehydration can increase fatigue!

DO            Drink clean water!!!!!
              Drink tea & coffee, in moderation
              Drink 100% fruit juice, in moderation
              Drink low fat dairy/milk alternatives

                Drink sugary drinks like soda
                Drink Juice flavored beverages

                Drink beverages that contain high fructose corn

   Phytochemicals =
“Phyto” = Greek for plant

             How to recognize?
             1. Color
             2. Odor
             3. Flavor
   Plants develop these “protective chemicals” to
             protect themselves from:
 Sunshine/Rain/Drought
 Bacteria/bolds/viruses
 Temperature extremes
 Insects and other predators
 Attract insects for pollination

   They can pass this protection on to YOU!!!
            Mix it UP & Live it UP!!!

   Purple, Red, Yellow, Orange
    & Green Fruits and
   Cruciferous Vegetables
   Leafy Green Vegetables
   Mushrooms, Garlic & Onions
   Whole Grains
   Dry Beans and Peas
   Nuts & Sees
   Herbs & Spices
      Arsenal of Protection
 Whole food with Fiber = Immune Boosting
(80% of your immunity starts in your GUT!)
      Eat Like Your Ancestors
    Japanese        Mediterranean

Native Americans        African
      Practical Tips for Increasing
       Phytochemicals and Fiber
  Eat the colors of the rainbow every day
  Eat fruits and vegetables at every meal and
   snack (Clean and prep once a week)
 Try something new for meals (see handout)
 Clean out your cupboards – start FRESH
 Stock up on herbs and spices
 Shop for seasonal produce (Farmer’s Markets, U-Pick)
   or start a small garden
 Combine the “best and most affordable” of fresh, frozen,
  canned in its own juice, dried
 Keep a record of your Daily Choices & compare to goals
        “FAB” FOUR
   Fitness
   Phytochemicals
   Fiber
   Healthy Fats
                 FAT FACTS
            (Concentrated Calories)
   Disease Promoting               Disease Protective
    (high in Saturated fat and       (high in Omega 3 and
    Omega 6 fat)                     monounsaturated fat)

•   Have legs and a mother       •   Fats from Plants (even more
•   Tropical Oils                    phytochemicals!)
•   Trans Fatty Acids            •   Wild, cold water fish
•   Omega 6 Vegetable Oils
      Cooking & Serving Meats
 Avoid high temperatures
 If you must BBQ, marinade
  meats or grill vegetables/fruit
 Stew meats at low
  temperatures (crock-pot              “Double Whammy!”
    cooking or poaching)
   Practice portion control
    3 oz = size of computer mouse or
    deck of cards and use meat as a
Drink alcohol in moderation, if at all.

                  1 regular beer =   5 oz wine
1 cocktail =
1.5 oz 80 proof   12 oz.
                                     *resveratrol =
                                      grape juice
    Aim to meet you nutritional needs
         primarily through diet
   Unless you are diagnosed with a nutrient deficiency by a trained
    professional, dietary supplements are NOT currently recommended
    for cancer prevention or survivors

   A multivitamin/mineral supplement with 100% RDI is acceptable

Studies of individual vitamin and mineral
supplements for cancer protection have
been disappointing so far!

•See handout on “Site Specific Diet
Recommendations for Survivors”
              Beware of “Miracle” or
              “Breakthrough” Cures

Research keeps coming back
     to the same key. . .

1. Variety of Plant Foods
2. Balance & Moderation
3. Scientific Consensus
  (see Reputable References
 These are general guidelines but
         Celebrate every day and give thanks for the
        gifts of family, friends, faith and healthy food

AICR Final Guideline:

“All cancer survivors should
receive nutritional care from
a trained professional.”

To top