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Nutrition Considerations while Living with Lung Cancer

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A presentation on nutrition and lung cancer by Em E. Biever, MS, RD, LDN, Senior Clinical Dietitian, Dana-Farber Cancer Institute.

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Nutrition Considerations while Living with Lung Cancer

  1. 1. Nutrition Considerations while Living with Lung Cancer October 22, 2016 Em E. Biever, MS, RD, LDN Senior Clinical Dietitian, Dana-Farber Cancer Institute
  2. 2. Outline 1. The “partner” of good nutrition 2. Dietary recommendations 3. Supplements/Herbs 4. Common side effects of treatment
  3. 3. Physical Activity • Links between PA and reduced risk of several cancers • Helps fight fatigue • Helps improve insulin sensitivity, supporting stable blood sugar • Helps prevent loss of lean muscle • Helps boost mood • Nancy Campbell, exercise physiologist 617-632-4523
  4. 4. Is there a recommended diet? • What should we be asking when assessing a recommended diet? – Is it restrictive? – Is it sustainable? – How will it affect my/our quality of life?
  5. 5. Is there a recommended diet?
  6. 6. Dietary Recommendations “Eat food. Mostly plants. Not too much.” -Michael Pollan, Food Rules: An Eater’s Manual
  7. 7. Dietary Recommendations • Particular indications for cancer patients – Colorful, Plant-based • Crucifers (green) • Flavanoids (red/purple) • Carotenoids (orange) • Terpenes - citrus fruits – Healthful fats, lean proteins
  8. 8. Dietary Recommendations • Foods to limit • Red meat • Processed meats (bacon, salami, sausages, bologna) • Nutrient-poor foods
  9. 9. Are supplements beneficial? • Consult with your care team before starting. • Labs checked for deficiency prior to initiation.
  10. 10. Herbs/Plants Curcumin • Active ingredient in the dietary spice turmeric • Possible anti-tumor and antioxidant properties • Caution: Inhibition of cytochrome p450 Green Tea • Epigallocatechin-3-gallate (EGCG) • May inhibit cancer cell growth and invasion Johnson R, Bryant S Huntley AL. Green tea and green tea catechin extracts: An overview of the clinical evidence. Maturitas.2012;73(4):280-287.
  11. 11. Managing Side Effects
  12. 12. Managing Side Effects • Nausea – Remove yourself from the cooking process/food prep – Avoid strong smells and overly warm rooms – Add various forms of ginger, lemon, mint – Lemon aromatherapy – Sit upright for eating and drinking
  13. 13. Managing Side Effects • Taste Changes – Cleanse your mouth • Good oral hygiene • Baking soda and salt • Lemon drops, mints – Avoid metal utensils and supplement cans – Try foods at room temperature
  14. 14. Managing Side Effects • Taste Changes – Strange/Bitter Taste? • Swish before eating • Try neutral flavored foods: eggs, nuts, poultry, dairy – Tastelessness • Marinade with fruit-based or sweet sauces • Squeeze citrus on bland tasting foods • Sauté with onion, garlic or add curry, cinnamon, oregano, basil
  15. 15. Managing Side Effects • Loss of Appetite – Take advantage of moments when you are hungry – Freshen your mouth before eating – Aim for small, mini-meals with added nutrition – Drink for comfort vs. hydration during meals – Relax…and have your loved ones relax, too!
  16. 16. Managing Side Effects: Aim for small, mini-meals with added nutrition
  17. 17. Managing Side Effects: Aim for small, mini-meals with added nutrition
  18. 18. Managing Side Effects • Diarrhea: adjust diet, minimal fiber, cooked vegetables, skinless fruits, banana flakes, isotonic fluids, probiotic
  19. 19. Managing Side Effects • Constipation: adjust diet, increase fiber, raw cacao nibs, Smooth Move tea, Benefiber, psyllium husk powder, fluids, probiotic, massage, yoga, physical activity
  20. 20. Finals Thoughts and Tips!
  21. 21. Resources • www.danafarber.org/nutrition • www.naturaldatabase.com • www.mskcc.org/mskcc/html/11570.cfm • www.hsph.harvard.edu/nutritionsource/ • www.danafarber.org/exercise

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