Nutrition and Breast Cancer by 01dGd1AR

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									NUTRITION AND BREAST
       CANCER
    MICHELLE BRATTON RD
   ARIZONA CANCER CENTER
     mbratton@umcaz.edu
          694-1826
           Introduction


EATING HEALTHY
  FOODS AND
  LIFESTYLE CHANGES
  CAN PREVENT 30%
  OF ALL CANCERS
NUTRITION AND BREAST CANCER


• GOOD NUTRITION CAN HELP PREVENT
 BREAST CANCER

• IMPORTANT FACTOR THAT MAY REDUCE
 THE RISK OF RECURRENCE
        AREAS OF INTEREST

• WEIGHT          • SOY

• FAT             • VITAMINS/MINERALS

• ALCOHOL         • PLANT FOODS

• EXERCISE
 WEIGHT AND BREAST CANCER

• BEING OVERWEIGHT
 OR OBESE
 INCREASES THE RISK
 OF POST-
 MENOPAUSAL
 BREAST CANCER
 WEIGHT AND BREAST CANCER


• ONCE DIAGNOSED,
 BEING OVERWEIGHT
 OR OBESE
 INCREASES THE RISK
 OF RECURRENCE
 AND DECREASES
 SURVIVAL TIME
   WHAT SHOULD I WEIGH?

• IDEAL BODY WEIGHT
  – FOR WOMEN, 100 POUNDS FOR THE FIRST 5
    FEET
  – ADD 5 POUNDS FOR EVERY INCH OVER 5’
  – PLUS OR MINUS 10%
  – GREATER THAN 10% ABOVE IBW IS
    OVERWEIGHT
  – BEING 30# OR MORE ABOVE IBW IS OBESE
   WHAT SHOULD I WEIGH?

• BODY MASS INDEX
  – CALCULATION OF WEIGHT DIVIDED BY
    METERS SQUARED
  – WEBSITES
     • WWW.CARING4CANCER.COM
  – HEALTHY WEIGHT 19 - 24
  – OVERWEIGHT        25 – 30
  – OBESE            GREATER THAN 30
      HEALTHY APPROACHES TO
       WEIGHT MANAGEMENT
• WEIGHT LOSS IS        • ACCEPT SETBACKS
    NOT EASY                AND MOVE ON
•   SET REALISTIC       •   REWARD YOURSELF
    GOALS                   FOR SMALL
•   LIFESTYLE CHANGES       SUCCESSES
    INSTEAD OF DIET     •   ENLIST HELP
•   MAKE GOALS HEALTH       – Registered Dietitian
    RELATED                    • Cancer Clinic
                               • www.eatright.org
                            – Weight Watchers
        WEIGHT GAIN DURING
          TREATMENT
• OVER 50% OF WOMEN WILL GAIN 1.5 TO
  3 KG
• WHY???
  – Hormonal changes?
  – Increased intake of higher calorie foods?
  – Decreased metabolic rate?
  – Decreased activity during treatment?
• WHAT SHOULD A WOMAN DO?
       DOES FAT PLAY A ROLE?
• TYPE OF FAT

• HEALTHY FATS
  –   FISH
  –   FLAX SEEDS
  –   CANOLA OIL
  –   NUTS AND SEEDS


• REMEMBER TO WATCH
  CALORIES
   DOES TOTAL FAT MATTER?
• WINS SAYS YES
• DECREASING FAT REDUCED RISK OF
 RECURRENCE IN POST MENOPAUSAL WOMEN
  – GREATEST BENEFIT SEEN IN ER NEGATIVE GROUP
• INTERVENTION GROUP: LIMIT FAT INTAKE TO
 15% OF TOTAL CALORIES
  – FROM 50 GRAMS TO 33 GRAMS OF FAT PER DAY
        FRUITS AND VEGETABLES
• INCREASED F/V
• INCREASED WHOLE
    GRAINS
•   LOWER IN ANIMAL
    FAT
    –   COLON CANCER
    –   STOMACH
    –   ESOPHAGEAL
    –   BREAST?
 MORE FRUITS AND VEGETABLES!

• GOAL: AT LEAST 5
 SERVINGS A DAY;
 7-9 EVEN BETTER!

• 1-2 SERVINGS WITH
 EACH MEAL

• EAT THE RAINBOW!
         WHAT IS A SERVING?
• ½ CUP JUICE
• 1 CUP OF FRESH
    FRUIT OR
    VEGETABLE
•   ½ CUP COOKED
    VEGETABLE
•   1 PIECE OF FRUIT
    (BASEBALL SIZE)
      WHAT ABOUT ALCOHOL?
• ALCOHOL CAN
    INCREASE CANCER
    RISK
•   1 DRINK EQUALS:
    – 12 OUNCES BEER
    – 1.5 OUNCES OF HARD
      LIQUOR
    – 5 OUNCES OF WINE
      IF YOU CHOOSE TO DRINK
• LIMIT AMOUNTS
• ENSURE ADEQUATE
 FOLATE INTAKE
  –   SPINACH
  –   ORANGE JUICE
  –   LEGUMES
  –   ASPARAGUS
  –   BROCCOLI
  –   F ORTIFIED CEREALS
• CHOOSE RED WINE
         WHAT ABOUT SOY?
• MAY BE PROTECTIVE WHEN USED PRE-
    MENOPAUSAL AND THROUGHOUT CHILDHOOD
•   SOY IS A PHYTO- OR PLANT ESTROGEN
•   ANIMAL STUDIES SHOWED A POTENTIAL
    INTERFERENCE WITH TAMOXIFEN
•   ADA: SOY FOODS APPEAR TO BE SAFE IN
    MODERATION
•   ACS: BREAST CANCER SURVIVORS CAN
    CONSUME MODERATE AMOUNTS
             EXERCISE
• VITAL FOR WEIGHT
 CONTROL

• METABOLIC EFFECTS

• ALWAYS DISCUSS
 WITH YOUR DOCTOR
          Prevention of Frailty in
          Breast Cancer Survivors
The goal of the study is to determine if muscle health and physical
  function can be improved with weight bearing exercise in breast
  cancer survivors.

Intervention
• Group based flexibility, balance, and muscle strength training 2 days per week at
   UMC Health and Wellness Center
• Home based aerobic training 3-5 days per week

Who Is Eligible?
• Overweight breast cancer survivors with stage I, II, IIIa cancer
• Post-menopausal (naturally, surgically, or via prescribed hormone suppression)
• Currently inactive to minimally active (<120min low intensity per week)
• Willing to maintain current eating habits and no more than 10lbs lost in last 3months
• Willing to perform moderate exercise most days of the week for 8 weeks
• Willing to come to UMC Health and Wellness Center 2 days per week

Contact: Jennifer W. Bea, PhD at 520-626-0912 or
  jwright@azcc.arizona.edu
               VITAMIN D
• WOMEN WITH
    LOWER SERUM
    LEVELS ARE AT
    HIGHER RISK OF
    BREAST CANCER
•   RDA TO BE
    INCREASED
•   LIMITED FOOD
    SOURCES
                    FINAL NOTE
•   ENJOY HEALTHY FOODS
•   FOCUS ON PLANT FOODS
•   WATCH YOUR WEIGHT
•   EXERCISE
•   RESOURCES
    – www.eatright.org
    – www.aicr.org

								
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