A CANCER FIGHTING DIET Kelli Dunham RDN CD

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A CANCER FIGHTING DIET Kelli Dunham, RDN, CD Clinical Oncology Dietitian UW Cancer Center

A CANCER FIGHTING DIET Kelli Dunham, RDN, CD Clinical Oncology Dietitian UW Cancer Center at Pro Health Care Mint Body Nutrition & Wellness

Objectives q Review the AICR and WCRF recommendations for cancer prevention and prevention of

Objectives q Review the AICR and WCRF recommendations for cancer prevention and prevention of recurrence q To promote knowledge of preventative measures individuals can take to reduce cancer risk q To promote knowledge of a cancer fighting diet

Control the Controllables!

Control the Controllables!

American Institute for Cancer Research (AICR) and World Cancer Research Fund (WCRF) Recommendations: Cancer

American Institute for Cancer Research (AICR) and World Cancer Research Fund (WCRF) Recommendations: Cancer Prevention & Prevention of Recurrence

Body Weight Be as lean as possible without being underweight.

Body Weight Be as lean as possible without being underweight.

Foods and Drinks that Promote Weight Gain Limit consumption of energy-dense foods. Avoid sugary

Foods and Drinks that Promote Weight Gain Limit consumption of energy-dense foods. Avoid sugary drinks.

Plant Foods Eat mostly foods of plant origin.

Plant Foods Eat mostly foods of plant origin.

Animal Foods Limit intake of red meat and avoid processed meat.

Animal Foods Limit intake of red meat and avoid processed meat.

Alcoholic Drinks Limit alcoholic drinks: 1 per day for women, 2 per day for

Alcoholic Drinks Limit alcoholic drinks: 1 per day for women, 2 per day for men.

Preservation, Processing and Preparation Limit consumption of salt.

Preservation, Processing and Preparation Limit consumption of salt.

Dietary Supplements Aim to meet nutritional needs through diet alone.

Dietary Supplements Aim to meet nutritional needs through diet alone.

Breastfeeding Mothers to breastfeed; children to be breastfed.

Breastfeeding Mothers to breastfeed; children to be breastfed.

Physical Activity Be physically active as part of everyday life.

Physical Activity Be physically active as part of everyday life.

For Americans who do not use tobacco, the 3 most important things you can

For Americans who do not use tobacco, the 3 most important things you can do to reduce cancer risk are: q Maintain a healthy weight q Eat healthfully q Be physically active

A Cancer Fighting Diet

A Cancer Fighting Diet

Oncology: Importance of Nutrition � � � Loss of appetite and weight loss prior

Oncology: Importance of Nutrition � � � Loss of appetite and weight loss prior to Dx Malnutrition during Tx Increased nutrition demands for healing process

Importance of Nutrition (cont. ) � � � Weight loss as little as 6%

Importance of Nutrition (cont. ) � � � Weight loss as little as 6% predicts a reduced response in treatment, reduced survival, and reduced QOL Loss of weight and lean body mass may experience increased toxicity Good nutrition = fewer complications, better QOL, treatment toleration

Multiple Myeloma: Importance of Nutrition � Bone Problems � Fractures � Increased blood calcium

Multiple Myeloma: Importance of Nutrition � Bone Problems � Fractures � Increased blood calcium levels � Blood Problems � Decreased RBC, platelets, WBC

Why should I follow a Plant Based Diet? � Researchers have shown that a

Why should I follow a Plant Based Diet? � Researchers have shown that a more plant-based diet may help prevent, treat, or reverse leading causes of death, including heart disease, cancer, type 2 diabetes, and high blood pressure. � � Plant-based diet intervention groups have reported: � � � Interventional studies of plant-based diets have shown, for example, 90 percent reductions in angina attacks within just a few weeks. Greater diet satisfaction than control groups Improved digestion Increased energy Better sleep Significant improvement in their physical functioning, general health, vitality, and mental health. Studies have shown plant-based eating can improve not only body weight, blood sugar levels, and ability to control cholesterol, but also emotional states, including depression, anxiety, fatigue, sense of well-being, and daily functioning.

Benefits of A Plant-Based Diet � � � Lower cholesterol, blood pressure, blood sugar

Benefits of A Plant-Based Diet � � � Lower cholesterol, blood pressure, blood sugar Reversal or prevention of heart disease or diabetes Healthier weight Lower risk of developing heart disease, diabetes & some types of cancer May slow the progression of some types of cancer

What Is A Plant Based Diet? � � A whole-food, plant-based diet is centered

What Is A Plant Based Diet? � � A whole-food, plant-based diet is centered on whole, unrefined, or minimally refined plants. It’s a diet based on: � Fruits, vegetables, tubers, whole grains, and legumes � It excludes or minimizes: � Meat (including chicken and fish) � Dairy products: cheese, milk, yogurt, ice cream… � Eggs � Highly refined foods like bleached (white) flour, refined sugar, and oil.

Phytochemicals � � � � � Stimulate the immune system Block what we eat,

Phytochemicals � � � � � Stimulate the immune system Block what we eat, drink and breathe from becoming cancer-producing substances Reduce inflammation Prevent DNA damage Help with DNA repair Reduce damage to cells Trigger damaged cells to die before they can reproduce Slow cancer cell growth rate Help regulate hormones

How to Begin A Cancer Fighting Diet � � � Increase fruits and vegetables

How to Begin A Cancer Fighting Diet � � � Increase fruits and vegetables in your diet Make your grains whole grains Include beans or peas Decrease intake of red meat & processed meat Stay hydrated

How to Begin A Cancer Fighting Diet � Change a favorite recipe to be

How to Begin A Cancer Fighting Diet � Change a favorite recipe to be plant based � Make burritos or tacos with beans, rice & vegetables � Prepare chili with beans instead of meat � Replace burgers with whole grain veggie burgers or grilled portobello mushrooms � Make kebabs with vegetables such as onions, bell peppers, summer squash & mushrooms � Make lentil or split pea soup without meat

AICR: A Model Plate

AICR: A Model Plate

Where Do I Find Plant Based Recipes: � Check out your local library! �

Where Do I Find Plant Based Recipes: � Check out your local library! � Forks Over Knives Cookbook � China Study Cookbook � The Prevent and Reverse Heart Disease Cookbook � How Not to Die Cookbook � Check out the internet: � Minimalist Baker: https: //minimalistbaker. com/ � Forks Over Knives: www. forksoverknives. com/recipes/ � Oh She Glows: Ohsheglows. com � Mint Body Nutrition: https: //www. mintbodynutrition. com/blog

Food Myths

Food Myths

Food Myths: Sugar Feeding Cancer � � � “Avoid all sugar” Without carbohydrates, your

Food Myths: Sugar Feeding Cancer � � � “Avoid all sugar” Without carbohydrates, your body will make sugar from other sources, including fat and protein Research shows it may be sugar’s relationship with higher insulin levels and related growth factors

Food Myths: Alkaline Diet

Food Myths: Alkaline Diet

Food Myths: Organic Foods � � � Not direct studies on humans to show

Food Myths: Organic Foods � � � Not direct studies on humans to show organic foods can prevent cancer or other diseases No evidence that organic food is more nutritious Why would someone choose organic? � Lower pesticide residues � Lower amount of synthetic food additives � Said to be better for environment � Consideration of human resources https: //nutritionfacts. org/topics/organic-foods/

“The vast majority of diseases can be prevented and even cured with excellent nutrition.

“The vast majority of diseases can be prevented and even cured with excellent nutrition. Food is the safest, most effective medicine”. -Andrea Ferreiro, MD Questions? ?

Sources: � � � Esselstyn CB Jr, Gendy G, Doyle J, Golubic M, Roizen

Sources: � � � Esselstyn CB Jr, Gendy G, Doyle J, Golubic M, Roizen MF. A way to reverse CAD? J Fam Pract. 2014 Jul; 63(7): 356 -364 b. Hu, F. B. (2003). Plant-based foods and prevention of cardiovascular disease: an overview. The American journal of clinical nutrition, 78(3), 544 S-551 S. Ornish, D. , Weidner, G. , Fair, W. R. , Marlin, R. , Pettengill, E. B. , Raisin, C. J. , . . . & Aronson, W. J. (2005). Intensive lifestyle changes may affect the progression of prostate cancer. The Journal of urology, 174(3), 10651070. Sample, I. (2014). Diets high in meat, eggs and dairy could be as harmful to health as smoking. Retrieved August 22, 2016, from https: //www. theguardian. com/science/2014/mar/04/animal-protein-dietssmoking-meat-eggs-dairy Trapp CB, Barnard ND. Usefulness of vegetarian and vegan diets for treating type 2 diabetes. Curr Diab Rep. 2010 Apr; 10(2): 152 -8. Y Yokoyama, K Nishimura, N D Barnard, M Takegami, M Watanabe, A Sekikawa, T Okamura, Y Miyamoto. Vegetarian diets and blood pressure: a meta-analysis. JAMA Intern Med. 2014 Apr; 174(4): 577 -87. doi: 10. 1001/jamainternmed. 2013. 14547.

Contact Information Kelli Dunham, RDN, CD Clinical Oncology Dietitian � UW Cancer Center by

Contact Information Kelli Dunham, RDN, CD Clinical Oncology Dietitian � UW Cancer Center by Pro Health Care � Phone: 262. 569. 0462 � Email: rdnkellij@mintbodynutrition. com � Website: www. mintbodynutrition. com