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Learn about the dietary and lifestyle changes that may help prevent recurrent and secondary cancers in cancer survivors. This guide provides tips on achieving a healthy weight, being physically active, choosing a plant-based diet, and meeting nutritional needs with whole foods. Get expert advice from a Registered Dietitian.
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Diet & Lifestyle for Cancer Survivors Nancy Steedman, RD, CD Franciscan Oncology Services
Cancer survivorship research is still in its infancy! 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
Achieve a healthy weight Be physically active Choose a diet rich in plant based foods Select foods that are low in fat and salt Drink alcohol in moderation, if at all Aim to meet you nutritional needs with whole foods AICR Diet & Lifestyle Guidelines 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 adult population is overweight or obese • Obesity levels in our state have doubled in the last 10 years • Rapid increase childhood obesity and related illness
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 HydratedEven mild dehydration can increase fatigue! • Drink clean water!!!!! • Drink tea & coffee, in moderation • Drink 100% fruit juice, in moderation • Drink low fat dairy/milk alternatives DO DON’T • Drink sugary drinks like soda • Drink Juice flavored beverages • Drink beverages that contain high fructose corn syrup
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 Vegetables • Cruciferous Vegetables • Leafy Green Vegetables • Mushrooms, Garlic & Onions • Whole Grains • Dry Beans and Peas • Nuts & Sees • Herbs & Spices
Arsenal of ProtectionWhole food with Fiber = Immune Boosting(80% of your immunity starts in your GUT!)
Eat Like Your Ancestors Mediterranean Japanese 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
Disease Promoting (high in Saturated fat and Omega 6 fat) Have legs and a mother Tropical Oils Trans Fatty Acids Omega 6 Vegetable Oils Disease Protective (high in Omega 3 and monounsaturated fat) Fats from Plants (even more phytochemicals!) Wild, cold water fish FAT FACTS(Concentrated Calories)
Cooking & Serving Meats • Avoid high temperatures • If you must BBQ, marinade meats or grill vegetables/fruit • Stew meats at low temperatures (crock-pot cooking or poaching) • Practice portion control 3 oz = size of computer mouse or deck of cards and use meat as a garnish “Double Whammy!”
Drink alcohol in moderation, if at all. 5 oz wine *resveratrol = grape juice 1 regular beer = 12 oz. 1 cocktail = 1.5 oz 80 proof spirits
Aim to meet you nutritional needs primarilythrough 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 • There is NO ONE MIRACLE FOOD • There are NO PROVEN PILLS OR POWDERS • Research keeps coming back to the same key. . . • 1. Variety of Plant Foods • 2. Balance & Moderation • Scientific Consensus • (see Reputable References handout)
These are general guidelines but YOU ARE A UNIQUE INDIVIDUAL! 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.”