Dr Rob Rutledge Oncologist Associate Professor of Medicine Empowering Your Body Main Points You can make a tremendous difference in your health and happiness Start with the attitude of loving your body ID: 686227
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Slide1
Empowering
Your Body after a Cancer Diagnosis
Dr. Rob Rutledge, OncologistAssociate Professor of MedicineSlide2
Empowering Your
Body: Main Points
You can make a tremendous difference in your health and happinessStart with the attitude of loving your bodySlide3
What is Complete Cancer Care?
(Integrative Medicine)Understanding what’s happening
Getting the best from the medical systemEmpowering body with healthy lifestyleExercise, diet, maintaining reasonable weight, sleep, relaxation techniquesHealing skills –
training your
mind
Nurturing a spiritual life / perspectiveSlide4
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 cancerousThe mistakes are caused by -Genetics (rare) -Mutations
during replication (old
age)
-Damaging
substances (carcinogens)Slide5
Normal Cells Transform To Cancer Cells Over DecadesSlide6
Carcinogens and inflammation
Smoking, alcohol, sunlight
VirusesUnhealthy diet -Smoked meats, nitrates, inflammatory foods
Carrying
too much
weight
Spikes in blood sugarSlide7
Don’t Turn Slow-Growing Cancer Cells into Fast Growing Cells
It’s damage to the normal cells that cause cancer in the first placeIt’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 diagnosisStop doing what’s known to increase risk of your type of cancerCHANGE THE SOUP!Slide8Slide9Slide10
Why Empower Your Body?
A healthy soup decreases further mutations to cancer cellsDecrease risk of developing a new and different cancer
You can get through treatments more easily -Decrease complications / side effectsRecover faster – and function better!You
wi
ll
be happier!!Slide11
Exercise! Exercise! Exercise!Slide12
NutritionSlide13
Nutrition – Main Points
Eating is meant to be pleasurableMaintain a balanced diet
Micronutrients from multiple food groups at each mealChoose vegetables and healthy fatsIncrease fiber greater than 30g / day
Find a happy balance for you
What will work in the long term?Slide14
Does a Poor Diet Cause Cancer?
Multiple factors contribute to developing cancer cellsLab tests - cancer cells grow faster on fatty diets
People with healthy diets also get cancerSlide15
The Healthy Eating Plan
Eat fresh unrefined natural food
- Whole grainsVariety from each food group each dayChoose 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 sugarsSlide16
Plant Foodswcrf.org
Eat more grains, vegetables, fruit and beans
Eat relatively unprocessed cereals (grains) and/or pulses (legumes) at every mealLimit refined starchy foodsEat at least five portions/servings (at least 400 g or 14 oz) of a variety of non-starchy vegetables and fruits every dayD
ifferent
colours
including red, green, yellow, white, purple, and orange, including tomato- based products and allium vegetables, such as garlicSlide17
Meat and Protein
Meat/Alternatives (2-3 servings)Choose leaner meats, poultry, and fish and dried peas, beans and lentilsAvoiding processed meatsCutting back on red meats
consume less than 500 g (18 oz) of red meat a weekBeef, pork, lamb, and goatSlide18
Preservation, Processing, Preparation
wcrf.orgLimit 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 fermentationSlide19
The Fat Issue
Polyunsaturated fats are goodvegetable oils (other than coconut and palm
)seeds and nutsfatty fishes such as salmon and trout
Omega 3 and 6 fatty acids are poly-
unsaturates
that our body can
no
t
make
Omega 3 found in flaxseed, canola and soybeans, fatty fish and
wheatgermSlide20
How To Choose Healthy Fat
Read the labelsChoose less saturated fats (<5% of calories) and more monounsaturated fats,
ie: vegetable oils (canola, peanut, olive oils), nuts like almonds, hazelnuts and macadamia nuts Slide21
The Vegetarian Alternative
Lower in fat and higher in fiberWith milk products
– vegetarians still need to watch iron intakeIf vegan (no animal products) - watch your intake of protein, calcium, zinc and vitamin B12Takes time and planning Slide22
Alcoholic Drinks
wcrf.orgFor cancer prevention, it’s best not to drink alcohol
Daily limit: Women one drink, men two drinksSlide23
Antioxidants
Oxidants - fat, smoking, lack of exercise ... damage the cell’s control center
Anti-oxidants prevent damagePhytochemicals (from plants) apples and onions and red wineIsoflavones ie
.
soy
and
genestein
Nutrients - vitamin A, C, E, beta carotene, seleniumSlide24
Suggested Vitamins
Vitamin D 800 IU / dayCalcium 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
valuableSlide25
www.inspirehealth.ca/resources/recipes/Slide26
Food To Eat On A
Daily BasisBerriesBrazil nutsCitrusCruciferous Vegetables
FishFlaxLegumesTeaTomatoes
Yogurt
Vegetables – dark, orange, red, greenSlide27
Nutrition Summary
Effective way to improve our healthDo your research / see an expert
Enjoy - let food be a source of joySlide28
Maintaining A Reasonable WeightSlide29
Calculate Your Body Mass Index
BMI >
Height
20
22
24
26
28
30
32
34
36
38
60
inches
102
112
123
133
143
153
164
174
184
195
62 in
109
120
131
142
153
164
175
186
196
207
64 in
116
128
140
151
163
174
186
197
209
221
66 in
124
136
148
161
173
186
198
210
223
236
68 in
131
144
158
171
184
19721022323624970 in13915316718119520922323625026472 in14716217719120622123525026427974 in 155171186202218233249264280296
Weight in Pounds Slide30
Body Fatness
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
wcrf.orgSlide31
Foods and Drinks That Promote Weight Gain
wcrf.orgLimit consumption of energy-dense foods (foods high in fats and/or added sugars and/or low in
fibre) and avoid sugary drinksConsume fast food sparingly, if at allSlide32
SleepSlide33
RelaxationSlide34
QuestionsSlide35
Diet and Nutrition
Eat
a predominantly plant-based dietConcentrate 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.orgSlide36
Diet and Nutrition
Eat a predominantly plant-based dietConcentrate on fruits and vegetablesEat whole grain rice, breads, cereals
Limit consumption of red meatLighten up on fat, sugar, salt and alcohol1 drink/day for women; 2 drinks/day for menSelect low fat milk productsEat small portions
Maintain healthy body weight
Aim to meet nutritional needs through diet aloneSlide37
Olive
oil and canola are best as higher monounsaturates
Omega 3 – two to three servings per week.Ca++ /vit D for everyoneQuack watch then medline