The dietitians of God's Love We Deliver cover a range of cancer fighting nutrition tips such as how plant–based foods fight cancer, superfoods to prioritize in your diet, how healthy fats can help support your health, and how nutrition plays a role in protecting your bones during treatment.
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Every Bite Counts! Nutrition Tips for Breast and Ovarian Cancer
1. Every Bite Counts!Every Bite Counts!
Nutrition Tips forNutrition Tips for
Breast and OvarianBreast and Ovarian
CancerCancer
Presented by
Ronnie Fortunato, MS, RDN
Jamie Lopez, MS, RDN
2. Role of nutrition
Power of plants – plant-based diet
Superfoods to prioritize
Healthy Fats
Bone Health
OutlineOutline
3. Diet is important during periods of
intense treatment, but also during
recovery
Lifestyle and eating choices can
help the body’s repair process
Today’s focus is on
Nutritional needs
Promotion of overall health
Well-being and prevention of tumor
re-growth
Role of NutritionRole of Nutrition
4. Plants have a variety of cancer fighting
properties:
Antioxidants – vitamins and minerals
Phytochemicals
Plant Based DietPlant Based Diet
Research shows a
diet high in plant
based foods
reduces the risk of
cancer
5. Plant based diets are high in fiber
which may reduce:
Estrogen levels
Insulin and insulin-like growth factors
Plant based diets are high in anti-
oxidants and phytochemicals which:
Protect cells by inhibiting cancer cell
growth
Plant Based DietPlant Based Diet
6. Definition: “Plant Chemicals” that work
in combination with vitamins and
minerals to prevent, stop, reduce disease
Greatest benefit: eating whole foods
Whole foods: foods that are minimally and
simply processed
Retain more nutrients to promote health
compared to processed foods or supplements
PhytochemicalsPhytochemicals
7. Phytochemicals are often found in pigments
(or color) of fruits and vegetables
For example:
ResveratrolResveratrol LycopeneLycopene
EatEat CCoolloorrffuull Foods!Foods!
CarotenoidsCarotenoids
10. Cruciferous VegetablesCruciferous Vegetables
Cruciferous vegetables - kale, broccoli,
cabbage, and Brussels sprouts
Contain phytochemicals - may help
fight cancer by:
Detoxifying carcinogens
Stopping growth of tumor cells
Changing the activity of estrogen
Incorporate to your diet on a regular
basis
11. Flax SeedsFlax Seeds
Flaxseed - may stop tumors from forming
and growing
Grind seeds to get all benefits
Purchase already ground, or grind
yourself in a spice grinder
Once ground, sprinkle onto foods like
yogurt or oatmeal
Store whole or ground seeds in the
refrigerator or freezer for up to six
months
12. Research found that soy products high
in soy isoflavones do not cause breast
cancer
In post-menopausal women it may
reduce risk but more research is
needed…..
Good soy products are:
Edamame, tofu, tempeh, miso soup
Whole vs. Processed (“soy protein
isolates”)
Truth on SoyTruth on Soy
13. Fat – an important source of energy for
the body
All fats are not the same!
Which fats are most healthful?
Dietary FatsDietary Fats
Emphasize
Healthy fats
Minimize
Unhealthy fats
MonounsaturatedMonounsaturated
PolyunsaturatedPolyunsaturated
Saturated FatsSaturated Fats
Trans-fatsTrans-fats
14. Monounsaturated and polyunsaturated
fats can reduce blood cholesterol
levels, lowering risk of heart disease
Omega 3 fatty acids – anti
inflammatory!
Reduce inflammation
Benefit immune system
May reduce risk of
metastatic disease
Healthy FatsHealthy Fats
15. Monounsaturated
Nuts, nut oils and nut butters; olive,
canola, safflower oil; avocado
Polyunsaturated
Sunflower, corn, and sesame oils
Omega-3s
Fatty fish like salmon, tuna, herring,
mackerel and sardines; nuts and
seeds (walnuts, flaxseed)
Healthy FatsHealthy Fats
16. Limit saturated fat and trans-fat
Saturated fat found mainly in animal products
Commercially baked goods contain saturated
fat and trans-fat
Less Healthy FatsLess Healthy Fats
17. Bone HealthBone Health
Cancer treatments, in addition to aging and
menopause, can lead to bone loss
Increase risk of fractures and loss of independence
18. 5 Tips for Bone Health5 Tips for Bone Health
1. Exercise on a regular basis*
Exercise helps to strengthen bones
and reduce bone loss.
2. Eat more green vegetables
Kale, spinach, broccoli and Brussels
sprouts are high in vitamin K,
magnesium and calcium that work
together to maintain bone health
19. 5 Tips for Bone Health5 Tips for Bone Health
3. Eat enough protein-rich foods
Protein builds, repairs, and replaces body tissue
Meat, fish, soy and beans are all excellent sources
of protein
Eggs and dairy – high in protein and have the
added benefit of calcium and vitamin D
20. 5 Tips for Bone Health5 Tips for Bone Health
4. Maintain healthy body weight
Carrying excess body weight puts extra stress on
your bones
If you’re overweight, make healthy weight loss a
priority by exercising and following a balanced diet
21. 5 Tips for Bone Health5 Tips for Bone Health
5. Spend time in the sun
Your body makes vitamin D from the sun’s
ultra-violet rays
During the summer months, 10-15 minutes of
sun exposure at least 3 times a week without
sunscreen is adequate
Good Food Sources of
Vitamin D:
Egg yolk
Mushrooms
Fish
Fortified milk
22. Physical activity is key to a healthy
lifestyle!
Recommend 150 minutes per week
30 min/ 5 days week
Physical ActivityPhysical Activity
TYPES OF EXERCISE
Aerobic exercise: Walking, running, cycling, dancing, or swimming.
Promotes fat loss, proper blood circulation, and strengthens the heart
Resistance exercise: Calisthenics, yoga, resistance bands or weights.
Helps to build muscle mass to restore strength and balance.
Stretching: Increases flexibility and prevents injury. Should be done
before (as a warm-up) and after exercise (cool down).
23.
24. The two most important changes that you can
make to reduce your risk are:
Eating 5-7 servings of
fruits and vegetables
per day
Getting regular
physical activity
30 minutes, 5 days
per week
Preventing ReoccurrencesPreventing Reoccurrences
25. Increase physical activity
Increase fruits and vegetables
Stick with a plant based diet
Include Omega 3 fatty acids found
in fish
Avoid weight gain after treatment
Stop smoking
Reduce alcohol consumption
ConclusionConclusion
26. Every Bite CountsEvery Bite Counts
To order please contact the
Nutrition Services Department at:
Email nutrition@glwd.org or call 212.294.8103
28. Word Cancer Research Fund International/American Institute for Cancer Research. Continuous Update Project Report: Diet,
Nutrition, Physical Activity and Breas Cancer. 2017.
Shu XO, Zheng Y, Cai H, Gu K, Chen Z, Zheng W, Lu W. Soy food intake and breast cancer survival. JAMA. 2009 Dec 9;
302(22):2437-43.
Tuso P.J. Ismail M.H, Ha B.P., Cartolotto C.B. Nutritional Update for Physicians: Plant-Based Diets. Perm J. 2013 Spring;
17(2): 61-66
Link L.B, Canchola A.J., Bernstein L., Clarke C.A., Stram D.O., Ursin G., Horn-Ross P.L. Dietary patterns and breast cancer
risk in the California Teachers Study cohort.
Nahum A., Hirsch K., Danilenko M., Watts CK., Prall O.W., Levy J., Sharoni Y. Lycopene inhibition of cell cycle progression
in breast and endometrial cancer cells is associated with reduction in cyclin D levels and retention of p27(Kip1) in the
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Hu W., Khor T.O., Shu L., Su Z., Fuentes F., Lee J.H., Kong A.N.T. Plants Against Cancer: A Review on Natural
Phytochemicals in Preventing and Treating Cancers and Their Druggability. Anticancer Agents Med Chem. 2012 Dec;
12(10): 1281-1305
Khankari N.K., Bradshaw P.T., Steck S.E. Dietary Intake of Fish, Polyunsaturated Fatty Acids, and Survival After Breast
Cancer: A Population-Based Follow-Up Study on Long Island, New York. Cancer. 2015 Jul 1: 121(13): 2244-2252.
Patterson R.E, Flatt S.W, Newman V.A, Natarajan L, Rock C.L, Thomson C.A, Caan B.J, Parker B.A, Pierce J.P. Marine Fatty
Acid Intake Is Associated with Breast Cancer Prognosis. J. Nutr. 2011: 141: 201-206.
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survivors: A systematic review and meta-analysis of epidemiological studies. Acta Oncologica. 54:5, 635-654.
Lahart I.M, Metsios G.S, Nevill A.M, Carmichael A.R. Diet and Breast Cancer Prognosis: Making Sense of the WHEL and
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ResourcesResources
Editor's Notes
Soy food intake and breast cancer survival.Shu XO, Zheng Y, Cai H, Gu K, Chen Z, Zheng W, Lu W
JAMA. 2009 Dec 9; 302(22):2437-43.
Nutritional Update for Physicians: Plant-Based Diets. Tuso P.J. Ismail M.H, Ha B.P., Cartolotto C.B Perm J. 2013 Spring; 17(2): 61-66
Dietary patterns and breast cancer risk in the California Teachers Study cohort1–5
Lilli B Link, Alison J Canchola, Leslie Bernstein, Christina A Clarke, Daniel O Stram, Giske Ursin, and Pamela L Horn-Ross
http://ajcn.nutrition.org/content/98/6/1524.full.pdf
Lycopene inhibition of cell cycle progression in breast and endometrial cancer cells is associated with reduction in cyclin D levels and retention of p27(Kip1) in the cyclin E-cdk2 complexes
https://www.ncbi.nlm.nih.gov/pubmed/11423993
Plants Against Cancer: A Review on Natural Phytochemicals in Preventing and Treating Cancers and Their Druggability
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017674/ -
Dietary Intake of Fish, Polyunsaturated Fatty Acids, and Survival After Breast Cancer: A Population-Based Follow-Up Study on Long Island, New York
Nikhil K. Khankari, PhD, MPH1; Patrick T. Bradshaw, PhD2; Susan E. Steck, PhD, MPH
Marine Fatty Acid Intake Is Associated with Breast Cancer Prognosis1,2
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021439/pdf/nut1410201.pdf
Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health
http://www.cmaj.ca/content/189/7/E268.full.pdf+html
Physical activity, risk of death and recurrence in breast cancer survivors: A systematic review and meta-analysis of epidemiological studies
Ian Matthew Lahart, George S. Metsios, Alan Michael Nevill & Amtul Razzaq Carmichael
http://www.tandfonline.com/doi/pdf/10.3109/0284186X.2014.998275?needAccess=true
Diet and Breast Cancer Prognosis: Making Sense of the WHEL and WINS Trials
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2636962/pdf/nihms90120.pdf
Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health
http://www.cmaj.ca/content/189/7/E268.full.pdf+html