Provided Courtesy of Nutrition411.com Eating to Prevent Cancer: How a Healthy Diet and Physical Activity May Help Keep You Cancer Free Review Date 9/13 G-1502 Relationship Between Lifestyle and Cancer It is possible to prevent: • 35% of cancers by: – Following a healthy diet – Maintaining a healthy weight – Having regular physical exercise • 30% of cancers by: – Not using tobacco Relationship Between Lifestyle and Cancer (cont’d) • Many foods and nutrients are linked to cancer prevention • For cancer prevention, focus on an overall healthy diet, rather than specific foods or nutrients American Cancer Society® Guidelines • Achieve and maintain a healthy weight throughout life • Keep physically active • Eat a healthy diet, with an emphasis on plant foods • If you drink alcohol, limit your intake Achieve and Maintain a Healthy Weight Overweight and inactivity account for one-third of the worldwide cases of these cancers: • Esophagus • • • • • • • Pancreas Colon and rectum Breast (after menopause) Endometrium (lining of the uterus) Kidney Thyroid Gallbladder Achieve and Maintain a Healthy Weight (cont’d) • Stay as lean as possible throughout life without becoming underweight • Avoid excessive weight gain at all ages • Know that losing even a small amount of weight has health benefits Maintain a Healthy Weight Know your body mass index (BMI): • • • • Below 18.5=underweight 18.5 to 24.9=normal weight 25.0 to 29.9=overweight 30.0 and above=obese Tips for Maintaining a Healthy Weight • Eat plenty of fruits and vegetables • Limit simple sugars (cakes, cookies, pies, candies, and sweetened drinks) • Eat smaller portions of everything • Add physical activity to your life Stay Physically Active • Adults: Get a least 150 minutes of moderate intensity or 75 minutes of vigorous intensity activity each week, spread throughout the week • Children and adolescents: Get 60 minutes/day of moderate to vigorous physical activity each day, with vigorous activity at least 3 days/week Eat a Healthy Diet Emphasis on Plant Foods • Examples include: – Fruits – Vegetables – Legumes • Packed with vitamins, minerals, antioxidants, and other substances that work together to lower risks of several cancers Cancers Associated With Low Intake of Plant Foods • • • • • Lung cancer Mouth cancer Esophageal cancer Stomach cancer Colon cancer Eat a Healthy Diet: Emphasis on Plant Foods • Eat at least 2½ cups of fruits and vegetables each day • Choose whole grains over processed (refined) grains and sugars • Limit consumption of processed red meats Fruits and Vegetables • Choose colorful fruits and vegetables for the most nutrient content • Select a variety of fruits and vegetables • Enjoy fruits and vegetables prepared and served without added fat or sugar Alcoholic Beverages • Limit consumption if you drink alcoholic beverages • Drink no more than one drink/day for women and two drinks/day for men • A drink is 12 fluid ounces (fl oz) of regular beer, 5 fl oz of wine, or 1.5 fl oz of spirits Cancers Associated With Alcohol Intake • • • • • • Oral (mouth) Pharyngeal (throat) Esophageal Laryngeal (voice box) Breast Liver Food Components That May Prevent Cancer • Antioxidants: ̶ Vitamins A, C, and E, carotenoids, and selenium ̶ No evidence supports taking antioxidant supplements to prevent cancer Food Components That May Prevent Cancer (cont’d) • Dietary fiber: ̶ The link between fiber and cancer is weak ̶ Foods that contain fiber are high in other nutrients that may prevent cancer Food Components That May Prevent Cancer (cont’d) • Phytochemicals: ̶ Compounds made by plants that may prevent cancer, such as lycopene in tomatoes ̶ No evidence that phytochemical supplements prevent cancer Food Components That May Prevent Cancer (cont’d) • Vitamin D: ̶ Growing evidence shows that vitamin D may help to prevent colorectal cancer ̶ In some cases, supplements are recommended for good health, but not necessarily for cancer prevention Do These Foods Prevent Cancer? • Cruciferous vegetables (broccoli, cauliflower, and cabbage): ̶ These vegetables may contain phytochemicals that reduce cancer risk ̶ A wide variety of vegetables is recommended, not just cruciferous vegetables Do These Foods Prevent Cancer? (cont’d) • Soy foods: ̶ The phytochemicals that they contain may fight cancer (based on animal studies) ̶ Soy-based foods, such as tofu, may lower the risk of cancers of the breast, prostate, or endometrium ̶ Evidence does not support the use of isolated soy phytochemical supplements to reduce cancer risk Do These Foods Prevent Cancer? (cont’d) • Tea: ̶ Some research (animal studies) suggests that tea may have antioxidant properties and prevent cancer ̶ Studies in humans are less conclusive ̶ Drinking tea is not shown to prevent cancer in humans Do These Foods Prevent Cancer? (cont’d) • Garlic: ̶ The health benefits of garlic are widely publicized ̶ Not enough evidence exists to support garlic as a food to prevent cancer at this time Things That Do Not Cause Cancer • • • • • • Irradiated foods Bioengineered foods Aspartame Coffee Dietary fat Pesticides and herbicides (wash food thoroughly) The Bottom Line • Achieve and maintain a healthy weight throughout life • Stay physically active • Eat a healthy diet, with emphasis on plant foods • If you drink alcohol, limit your intake • Focus on the overall content of your diet, rather than specific nutrients • At this time, no strong evidence is available to suggest that you should take vitamin supplements to prevent cancer References Cancer prevention overview (PDQ®). National Cancer Institute Web site. http://www.cancer.gov/cancertopics/pdq/prevention/overview/healthprofession al. Accessed September 11, 2013. Healthy weight—it’s not a diet, it’s a lifestyle! Centers of Disease Control and Prevention Web site. http://www.cdc.gov/healthyweight. Accessed September 11, 2013. Kushi LH, Doyle C, McCullough M, et al; American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2012;62(1):30-67. doi:10.3322/caac.20140. References (cont’d) Obesity and cancer risk. National Cancer Institute Web site. http://www.cancer.gov/cancertopics/factsheet/Risk/obesity. Accessed September 11, 2013. Recommendations for cancer prevention. American Institute for Cancer Research Web site. http://www.aicr.org/reduce-your-cancerrisk/recommendations-for-cancer-prevention. Accessed September 11, 2013.