Educational Series Promoting Good Health Benefits of a Plant Based Diet to Reduce Risk of Chronic Disease Michelle Bratton RD CSO September 12, 2013 University of Arizona cancer Center Learning Objectives • Identify risk factors for cancer and other chronic diseases • Describe diet and lifestyle recommendations to reduce cancer risk • List characteristics of a plant-based diet He that takes medicine and neglects diet wastes the skill of the physician. - Chinese Proverb Be as Lean as Possible Without Becoming Underweight One of the most important things you can do to reduce your risk of cancer as well as other diseases Obesity As a Risk Factor Heart Disease Stroke Type 2 Diabetes Cancer • Post-menopausal Breast, Renal, Esophageal, Colorectal, Pancreatic, Gallbladder, Endometrial, Myeloma What is My Risk? Body Mass Index • LESS THAN 18.5 UnderWeight • 18.5-24.9 – Healthy • 25-29.9 – Overweight • 30 OR MORE – Obese Abdominal Obesity Can Act as A “Hormone Pump” How To Do It Choose foods lower in energy density Be physically active Avoid fast food and sugary drinks Keep an eye on portion sizes Keep a food diary Eat breakfast Try cooking Plan meals Get help Be physically active for at least 30 minutes every day! Exercise? Yes! Regulate hormone levels Immune function Weight control Avoid sugary drinks. Limit consumption of energy-dense foods Compare 100 Grams of… • • • • • • • • Watermelon Oatmeal Banana Fish Chicken Wheat bread Chocolate Nuts 23 calories 71 calories 85 calories 105 calories 165 calories 266 calories 535 calories 597 calories Don’t Drink Your Calories Avoid regular soda Limit fruit juice Limit alcohol Choose water, unsweetened tea or coffee • Eat more of a variety of vegetables, fruits, whole grains and legumes such as beans. What is the link? • • • • • • Vitamins Minerals Fiber Phytochemicals Five a day How about 7-9 How To Do It Breakfast • Berries on your cereal or juice Lunch • Vegetable soup or carrot sticks Snack • Apple Dinner • Salad and cooked vegetable Or The New American Plate Starchy Foods and Whole Grains Choose less processed grains • • • • • Whole-grain bread Brown rice, wild rice Whole grain cereal Whole grain pasta Quinoa, cous cous, farro, barley Limit consumption of red meats and avoid processed meats Strongest evidence for crc Increased red meat often means less plant based foods Limit vs. Avoid 3 ounce portion 6 times a week 6-8 ounce portion two or three times a week Instead of Red Meat… Fish Chicken Turkey Beans If consumed at all, limit alcoholic drinks to 2 for men and 1 for women a day Tips For Reducing Alcohol Opt for smaller servings. Avoid double measures of spirits. Alternate between alcoholic and non-alcoholic drinks Dilute alcoholic drinks Keep a few nights each week alcohol free Limit consumption of salty foods and foods processed with salt 5 Steps to Reduce Salt 1. Eat more vegetables and fruits 2. Choose home cooked meals 3. Gradually reduce the salt you use 4. Use spices, herbs, garlic, lemon 5. Check food labels Do not use supplements to protect against cancer A Delicate Balance • Supplements provide higher levels of nutrients than foods • SELECT trial Useful Supplements Folic acid for early pregnancy Vitamin D and iron for pregnant women and nursing mothers Calcium for bone health Children? Low calorie diets Vitamin D After treatment, cancer survivors should follow the recommendations for cancer prevention Preventing Cancer Recurrence Reliable Resources Eatright.org American Cancer Society Nutrition.gov Mayo Clinic American Institute for Cancer Research (AICR) Natural Medicines Database Consumerlab.com Nutrition Action Health Letter What to Eat by Marion Nestle Nothing would be more tiresome than eating and drinking if God had not made them a pleasure as well as a necessity. -VOLTAIRE