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Empowering Your Body after a Cancer Diagnosis Dr. Rob Rutledge, Oncologist Associate Professor of Medicine HealingandCancer.org Empowering Your Body: Main Points ● You can make a tremendous difference in your health and happiness ● Start with the attitude of loving your body HealingandCancer.org What is Complete Cancer Care? (Integrative Medicine) ● Understanding what’s happening ● Getting the best from the medical system ● Empowering body with healthy lifestyle – Exercise, diet, maintaining reasonable weight, sleep, relaxation techniques ● Healing skills – training your mind ● Nurturing a spiritual life / perspective HealingandCancer.org What Causes Cancer? ● Cancer occurs when the normal cells in your body begin to grow in an uncontrolled way ● It requires dozens of mistakes in the cell before a cell becomes cancerous ● The mistakes are caused by -Genetics (rare) -Mutations during replication (old age) -Damaging substances (carcinogens) HealingandCancer.org Normal Cells Transform To Cancer Cells Over Decades HealingandCancer.org Carcinogens and inflammation ● Smoking, alcohol, sunlight ● Viruses ● Unhealthy diet -Smoked meats, nitrates, inflammatory foods ● Carrying too much weight ● Spikes in blood sugar HealingandCancer.org Don’t Turn Slow-Growing Cancer Cells into Fast Growing Cells ● It’s damage to the normal cells that cause cancer in the first place ● It’s damage to slow growing cells that cause them to become fast growing cells ● What’s good for preventing your type of cancer is good after a diagnosis ● Stop doing what’s known to increase risk of your type of cancer ● CHANGE THE SOUP! HealingandCancer.org HealingandCancer.org HealingandCancer.org Why Empower Your Body? ● A healthy soup decreases further mutations to cancer cells ● Decrease risk of developing a new and different cancer ● You can get through treatments more easily -Decrease complications / side effects ● Recover faster – and function better! ● You will be happier!! HealingandCancer.org Exercise! Exercise! Exercise! HealingandCancer.org Nutrition HealingandCancer.org Nutrition – Main Points ● Eating is meant to be pleasurable ● Maintain a balanced diet – Micronutrients from multiple food groups at each meal ● Choose vegetables and healthy fats ● Increase fiber greater than 30g / day ● Find a happy balance for you – What will work in the long term? HealingandCancer.org Does a Poor Diet Cause Cancer? ● Multiple factors contribute to developing cancer cells ● Lab tests - cancer cells grow faster on fatty diets ● People with healthy diets also get cancer HealingandCancer.org The Healthy Eating Plan ● Eat fresh unrefined natural food - Whole grains ● Variety from each food group each day ● Choose lower-fat foods more often -Avoid diet high in animal fat ● Grains (5 servings) - wheat, oats, rye, rice, barley, millet, tapioca and buckwheat ● Vegetables/Fruit (5-10 servings) ● Avoid refined sugars HealingandCancer.org Plant Foods wcrf.org ● Eat more grains, vegetables, fruit and beans ● Eat relatively unprocessed cereals (grains) and/or pulses (legumes) at every meal ● Limit refined starchy foods ● Eat at least five portions/servings (at least 400 g or 14 oz) of a variety of non-starchy vegetables and fruits every day ● Different colours including red, green, yellow, white, purple, and orange, including tomatobased products and allium vegetables, such as garlic HealingandCancer.org Meat and Protein ● Meat/Alternatives (2-3 servings) ● Choose leaner meats, poultry, and fish and dried peas, beans and lentils ● Avoiding processed meats ● Cutting back on red meats – consume less than 500 g (18 oz) of red meat a week – Beef, pork, lamb, and goat HealingandCancer.org Preservation, Processing, Preparation wcrf.org ● Limit consumption of salty foods and foods processed with salt (sodium) ● Avoid mouldy cereals (grains) or pulses (legumes) ● Limit consumption of processed foods with added salt to ensure an intake of less than 6g (2.4g sodium) a day ● Methods of preservation that do not or need not use salt include refrigeration, freezing, drying, bottling, canning, and fermentation HealingandCancer.org The Fat Issue ● Polyunsaturated fats are good – vegetable oils (other than coconut and palm) – seeds and nuts – fatty fishes such as salmon and trout ● Omega 3 and 6 fatty acids are polyunsaturates that our body cannot make ● Omega 3 found in flaxseed, canola and soybeans, fatty fish and wheatgerm HealingandCancer.org How To Choose Healthy Fat ● Read the labels ● Choose less saturated fats (<5% of calories) and more monounsaturated fats, ie: vegetable oils (canola, peanut, olive oils), nuts like almonds, hazelnuts and macadamia nuts HealingandCancer.org The Vegetarian Alternative ● Lower in fat and higher in fiber ● With milk products – vegetarians still need to watch iron intake ● If vegan (no animal products) watch your intake of protein, calcium, zinc and vitamin B12 ● Takes time and planning HealingandCancer.org Alcoholic Drinks wcrf.org ● For cancer prevention, it’s best not to drink alcohol • Daily limit: Women one drink, men two drinks HealingandCancer.org Antioxidants ● Oxidants - fat, smoking, lack of exercise ... damage the cell’s control center ● Anti-oxidants prevent damage ● Phytochemicals (from plants) – apples and onions and red wine ● Isoflavones ie. soy and genestein ● Nutrients - vitamin A, C, E, beta carotene, selenium HealingandCancer.org Suggested Vitamins ● Vitamin D 800 IU / day ● Calcium 1600 mg/ day ● For cancer prevention, don’t rely on supplements ● This may not always be feasible. In some situations of illness or dietary inadequacy, supplements may be valuable HealingandCancer.org www.inspirehealth.ca/resources/recipes/ HealingandCancer.org Food To Eat On A Daily Basis ● ● ● ● Berries Brazil nuts Citrus Cruciferous Vegetables ● Fish ● Flax ● ● ● ● ● Legumes Tea Tomatoes Yogurt Vegetables – dark, orange, red, green HealingandCancer.org Nutrition Summary ●Effective way to improve our health ●Do your research / see an expert ●Enjoy - let food be a source of joy HealingandCancer.org Maintaining A Reasonable Weight HealingandCancer.org Calculate Your Body Mass Index BMI > 20 22 24 26 28 30 32 34 36 38 Height 60 inches 62 in 64 in 66 in 68 in 70 in 72 in 74 in 102 112 123 133 143 153 164 174 184 195 109 120 131 142 153 164 175 186 196 207 116 128 140 151 163 174 186 197 209 221 124 136 148 161 173 186 198 210 223 236 131 144 158 171 184 197 210 223 236 249 139 153 167 181 195 209 223 236 250 264 147 162 177 191 206 221 235 250 264 279 155 171 186 202 218 233 249 264 280 296 Weight in Pounds HealingandCancer.org Body Fatness wcrf.org ● Research shows that weight gain, overweight and obesity increases the risk of 11 cancers ● Maintaining a healthy weight - through a balanced diet and regular physical activity helps reduce the risk of developing cancer ● Aim for BMI between 21-23 ● Avoid weight gain and increases in waist circumference throughout adulthood HealingandCancer.org Foods and Drinks That Promote Weight Gain wcrf.org ● Limit consumption of energy-dense foods (foods high in fats and/or added sugars and/or low in fibre) and avoid sugary drinks ● Consume fast food sparingly, if at all HealingandCancer.org Sleep HealingandCancer.org Relaxation HealingandCancer.org Questions HealingandCancer.org Diet and Nutrition ● ● ● ● ● Eat a predominantly plant-based diet Concentrate on fruits and vegetables Eat whole grain rice, breads, cereals Limit consumption of red meat Lighten up on fat, sugar, salt and alcohol (1 drink/day for women; 2 drinks/day for men) ● Select low fat milk products ● Eat small portions ● Maintain healthy body weight Aim to meet nutritional needs through diet alone! AICR (2007). Food, nutrition, physical activity and the prevention of cancer: Global perspectives. www.dietandcancerreport.org HealingandCancer.org Diet and Nutrition ● ● ● ● ● Eat a predominantly plant-based diet Concentrate on fruits and vegetables Eat whole grain rice, breads, cereals Limit consumption of red meat Lighten up on fat, sugar, salt and alcohol – 1 drink/day for women; 2 drinks/day for men ● ● ● ● Select low fat milk products Eat small portions Maintain healthy body weight Aim to meet nutritional needs through diet alone HealingandCancer.org ● Olive oil and canola are best as higher monounsaturates ● Omega 3 – two to three servings per week. ● Ca++ /vit D for everyone ● Quack watch then medline HealingandCancer.org