TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer...
-
Upload
fight-colorectal-cancer -
Category
Health & Medicine
-
view
331 -
download
3
description
Transcript of TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer...
![Page 1: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/1.jpg)
Welcome!
TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence
Part of Fight Colorectal Cancer’s Monthly Patient Webinar Series
Our webinar will begin shortly
www.FightColorectalCancer.org877-427-2111
![Page 2: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/2.jpg)
Fight Colorectal Cancer
1. Tonight’s speaker: Jessica Iannotta MS, RD, CSO, CDN
2. Archived webinars: FightColorectalCancer.org/Webinars
3. Follow up survey to come via email. Get a free Blue Star of Hope pin when you tell us how we did tonight.
4. Ask a question in the panel on the right side of your screen and look for hyperlinks during throughout the presentation.
5. Or call the Fight Colorectal Cancer Answer Line at 877-427-2111
![Page 3: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/3.jpg)
Fight Colorectal Cancer
www.FightColorectalCancer.org877-427-2111
Jessica Iannotta MS, RD, CSO, CDNMeals to Heal, Chief Operating Officer
![Page 4: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/4.jpg)
Objectives• Symptom Management
– Fatigue– Bowel management– Involuntary weight changes
• Nutritional Recommendations– Weight management– Meat– Alcohol intake
• Physical Activity Recommendations
![Page 5: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/5.jpg)
Colorectal Cancer• The 3rd most common cancer in the US• CRC is the 2nd most common cause of
cancer death in the US • As obesity rates have increased, the
number of cases has increased• Overall, there is evidence that
incidence is decreasing
![Page 6: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/6.jpg)
Fatigue• Fatigue is the most common treatment-
related side effect• Encourage hydration, exercise
– Stretching, yoga, tai-chi, walking
• Keep naps to 20-30 minutes, avoid long naps
• Adequate diet (protein), avoid sugary foods, • Avoid high-dose vitamin/mineral
supplements• Encourage ways to manage stress
![Page 7: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/7.jpg)
Constipation• Caused by
– decreased motility– inadequate fluids/fiber– medications (antidepressants, opioids, sleep
medication)– inactivity– cancer tx– cancer
• Encourage increased fluid/fiber intake, activity, prune juice, probiotics
• Routine habits• Avoid more binding foods
![Page 8: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/8.jpg)
Good Sources of Dietary Fiber
• Fruits• Vegetables• Grains • Beans/legumes• Nuts• Fiber supplements as needed• Be sure to consume adequate fluids
![Page 9: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/9.jpg)
Partial Bowel Obstruction• Focus on a low fiber/low residue diet
– Food choices <2gm fiber/serving– Avoid gas-producing foods - cruciferous
vegs, onions, melons, carbonated drinks
• Adequate fluid intake• Increase activity, if able• Stool softeners/laxatives as
prescribed by medical team
![Page 10: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/10.jpg)
Diarrhea• Talk with physician about your laxatives,
stool softeners• Clears if diarrhea is severe (>7stools/day)• Replace each loose stool with 1 cup of
liquid (Gatorade, broth, diluted juices) • Small, frequent meals, soluble fibers, and
limit dairy products/caffeine• Chronic diarrhea – encourage soluble fiber
foods, probiotics, OTC or prescription medications
![Page 11: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/11.jpg)
Gas and Bloating• Avoid gas producing foods• Avoid carbonated beverages, drinking through a
straw, chewing gum• Daily probiotics (yogurt, kefir, supplement)• OTC meds (Gas-X, Beano) prescribed by medical
team• Other options:
– Peppermint oil– Fennel– Ginger– Parsley– Anise– Caraway seed
![Page 12: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/12.jpg)
Involuntary Weight Changes• For weight loss
– Oral nutrition supplements• Creamy vs clear liquid, CIB, non-fat dry milk
– Small, frequent meals– High calorie snacks– Pleasant, calm surroundings
• For weight gain– Encourage activity– Decrease high calorie choices– Thought that “all cancer patients lose weight”
![Page 13: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/13.jpg)
Risk Factors for CRC• Increased body weight• Inactivity• Diets high in beef, pork, and lamb• Processed meats• Alcohol intake• Age
http://www.aicr.org/learn-more-about-cancer/colorectal-cancer/
http://www.dietandcancerreport.org/expert_report/report_overview.php
![Page 14: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/14.jpg)
Red Meat and Processed Meat• Why red meat and not white meat?
– Heme iron damages the lining of the colon– People who eat a lot of red meat eat less plant-based foods
• Limit red meat to <18 ounces/week• Avoid Processed Meats
– Smoking, curing, salting or the addition of preservatives can create carcinogens
• Heterocyclic amines (HCAs)• Polycyclic aromatic hydrocarbons (PAHs)• Nitrosamines – from nitrates and nitrites
– Calcium and alpha tocopherol may help reduce the effectEgeberg, R. Associations between Red Meat and Risk for Colon and Rectal Cancer Depend on the Type of Red Meat Consumed. J Nutr. 2013:143;464-472.
![Page 15: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/15.jpg)
Be Smart About Meat Consumption• Grilling
– Marinade, cook at lower temperatures
• Include cruciferous vegetables• Replace red meat with fish, shellfish,
chicken, turkey, yogurt, beans, tofu, nuts• Choose lean cuts
– Sirloin, loin, round, and mignon
• Replace processed meats in sandwiches with:– Nut butters, hummus, baked chicken or turkey,
egg, chicken or tuna salad, low-fat cheeseBerjia, F. Burden of diseases estimates associated to different red meat cooking practices. Food and Chem Toxic. 2014;66:237-244.
![Page 16: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/16.jpg)
Weight and CRC • Overall, after not smoking being a healthy
weight is the most important thing you can do• Weight gain in adult life appears to increase
risk for CRC– Specifically abdominal weight gain (apple shape)
• Increases pro-inflammatory components
• Control weight– Portion sizes, increase dietary fiber, decrease
calorie dense foods, increase physical activity
Aleksandrova, K. Adult weight change and risk of CRC in the EPIC and Nutrition. Euro J Cancer. 2013;49:3526-3536.
![Page 17: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/17.jpg)
Dietary Fiber• There is convincing evidence that foods
containing fiber decrease risk• Every 10 grams reduces risk by 10%• Fiber recommendations
– 25g/d women– 38g/d men
• Soluble vs insoluble– Increase transit time, removes harmful substances
• Start slowly
Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective and the 2012 CUP Report on
Colorectal Cancer
![Page 18: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/18.jpg)
Garlic and Cruciferous Vegetables• Garlic may be protective for CRC
– Contain substances that have anti-cancer effects• Quercetin• Allixin• Allicin
• Cruciferous vegetables – High in antioxidants, fiber, folate– Help decrease inflammation– Broccoli, Brussels sprouts, cabbage, etc
Tse, G. Cruciferous vegetables and risk of CRC neoplasms: A systematic review and meta-analysis. Nutr and
Cancer. 2014;66(1):128-139.
![Page 19: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/19.jpg)
Nutritional Recommendations• Focus on the whole picture• We know…
– Keeping a healthy weight – Eating a mostly plant-based diet– Avoiding processed meats, limiting red meat– Avoiding energy dense foods– Avoiding supplements as a protection from
cancer– Limiting alcohol consumption– Increasing daily physical activity decreases
cancer risk
![Page 20: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/20.jpg)
Mostly Plant-Based Diet• Increase fruit and vegetable consumption
– 7 to 9 servings per day– Colorful choices
• Focus on whole grains– At least ½ of grains should be whole grains
• Consume beans, lentils, and legumes– Good alternative to meats
• Meat is the “side dish”• Avoid sugary beverages
– Flavor beverages with fruits/vegetables/herbs
![Page 21: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/21.jpg)
Physical Activity• ACSM recommendations for cancer survivors
– 150mins/wk moderate-vigorous exercise– Strength training 2x per week for each major
muscle group– Stretch major muscle groups when participating
in activity
• Caution with morbidly obese, lower limb lymphedema
• Start with light-intensity, progress slowly, and allow cancer-related symptoms be the guide
![Page 22: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/22.jpg)
http://www.aicr.org/learn-more-about-cancer/colorectal-cancer/#prevention
![Page 23: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/23.jpg)
Resources• YMCA LiveSTRONG program• Referral to RD
– Insurance coverage is limited
• Meals to Heal Nutrition Coaching– Affordable, easy
• New American Plate Challenge– Free, cancer-specific– www.napchallenge.org
• Fight Colorectal Cancer– www.Fightcolorectalcancer.org
![Page 24: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/24.jpg)
References • http://www.aicr.org/learn-more-about-cancer/colorectal-cancer/• http://www.dietandcancerreport.org/expert_report/report_overview.php• http
://www.livestrong.org/What-We-Do/Our-Actions/Programs-Partnerships/LIVESTRONG-at-the-YMCA
• Egeberg, R. Associations between Red Meat and Risk for Colon and Rectal Cancer Depend on the Type of Red Meat Consumed. J Nutr. 2013:143;464-472.
• Helmus, D. Red meat-derived heterocyclic amines increase risk of colon cancer. Nutr and Cancer. 2014;65(8):1141-1150.
• Berjia, F. Burden of diseases estimates associated to different red meat cooking practices. Food and Chem Toxic. 2014;66:237-244.
• Keum, N. Folic acid fortification and CRC risk. Am J Prev Med.2014;46(3S1):S65-S72.
• Tse, G. Cruciferous vegetables and risk of CRC neoplasms: A systematic review and meta-analysis. Nutr and Cancer. 2014;66(1):128-139.
• Aleksandrova, K. Adult weight change and risk of CRC in the EPIC and Nutrition. Euro J Cancer. 2013;49:3526-3536.
![Page 25: TAKE THE WHEEL: Healthy lifestyle changes that may reduce the risk of a colorectal cancer recurrence](https://reader035.fdocuments.us/reader035/viewer/2022070313/554a9fcfb4c905e4668b459b/html5/thumbnails/25.jpg)
Fight Colorectal CancerCONTACT US
Fight Colorectal Cancer1414 Prince Street, Suite 204
Alexandria, VA 22314(703) 548-1225
Toll-Free Answer Line: 1-877-427-2111www.FightColorectalCancer.org
Email us: [email protected]