This is a lecture

2. Prof. Roel Tolentino, MD, MBA, FPCS, FPSGS, FPSO, FMOSP, FACS (2013)
Memorial Sloan Kettering Cancer Center (NY, USA)
University Hospitals of Columbia University and Weill Cornell Medical College (NY, USA)
MD Anderson Cancer Center (Texas, USA)
Beijing Cancer Hospital (China)
Chongqing Medical University (China)
Suining Central Hospital (China)
Harvard Medical School (Mass., USA)
New Skills Academy (UK)
De La Salle University – BS. Biology; Medicine
Manila Med – General Surgery
SLMC – Surgical Oncology
Ateneo GSB – MBA

3. Former President – Phil. Soc. of Oncology
Chairman of Surgery – CEU School of Medicine
Professor IV – EAC Medicine
Training Officer, Dept. of Surgery – Amang RMMC
Former Training Officer – SLMC Surgical Oncology

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…that a major cause of death
globally is obesity?
Jenny Censin, 2019

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… that regular exercise
prolongs survival?
Marwa Ahmed, 2019

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of Covid patients are asymptomatic?
Doh.gov.ph
doh.gov.ph

8. …that you will be able to be healthier
BY CHANGING YOUR LIFESTYLE!

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Oxidative Stress

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Oxidative Stress

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17. Causes of Cancer
Estimate percentage of total cancer deaths attributable to
established causes of cancer
Tobacco
Adult diet/obesity
Sedentary lifestyle
Occupational factors
Family history of cancer
Viruses/other biologic agents
Perinatal factors/growth
Reproductive factors
Alcohol
Socioeconomic status
Environmental pollution
Ionizing/ultra-violet radiation
Prescription drugs
Medical procedures
Salt/other food
additives/contaminants
Source: Harvard Report on Cancer Prevention, Cancer Causes and Control, November/December, 1996
0 5 10 15 20 25 30 35

19. 1. Don’t smoke
So: Don’t start smoking
•If you smoke, quit. Your risk of cancer
starts coming down about two years.
•Reduce other chronic diseases including
heart disease, emphysema and bronchitis

21. 9.0
8.5
5.9
4.5
3.9
3.3
3.1
2.6
2.3
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
NHANES
PercentofTotalAvg.DailyFood
French fries
Potato chips, corn
chips, popcorn
Hamburgers
Pizza
Cake, sweet rolls,
donuts, pastry
Alcoholic beverages
White bread, rolls,
bagels, etc.
Misc desserts and
sweets
Soft drinks, fruit-
flavored drinks
Where Our Calories Come From

22. Evidence of life on Mars….

23. High Calorie Foods Available
at Low Cost….Whenever You
Want Them!

26. Why?

27. Recommendations
Maintain a healthy weight
• Be as lean as possible.
• Avoid excess weight gain at all ages.

28. Recommendations
Maintain a healthy weight
• Be as lean as possible.
• Avoid excess weight gain at all ages.

30. BODY MASS INDEX and Specific Cancers
Kushi, et al. CA Cancer J Clin. 2012

32. Childhood Obesity
CDC

34. Adopt a Physically Active Lifestyle

35. Adopt a Physically Active Lifestyle
• Limit sedentary behaviors.

36. Physical (In)Activity

37. Tips to
Make it Happen!
• Make it goal-focused

38. Tips to
Make it Happen!
• Make it easy
• Make it fun
• Make it Happen! Every day

41. Consume a Healthy Diet

42. Fiber
• Carbohydrates that cannot be digested
• Not just for BM!
• Found in whole grains, fruits, vegetables, beans
and legumes

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-75% of people fall short of WHO fruits & vegetables
-recommendation.

46. Fruits and Veggies
Cancer Fighting Components
Phytochemicals
Vitamins
Minerals
Fiber

47. Eat more of a variety of vegetables, fruits,
whole grains and legumes.
WCRF/AICR, 2007

57. Cancer Prevention Foods
Herbs and Spices
• Turmeric
• Ginger
• Cilantro
• Cayenne and Chilli flakes
• Rosemary
• Thyme
• Cumin
• Parsley
• Mint

58. Cancer Prevention Foods
Can you guess this spice?
Turmeric
•Anti-inflammatory
•Appetite stimulant

59. Cancer Prevention Foods
Can you guess this spice?
Ginger
•Nausea Reducer
•Anti- inflammatory
•Anti-bacterial

60. Consume a Healthy Diet
– Choose foods and beverages.
– Limit consumption of processed meat and red meat.
– Eat at least 5-7 cups of vegetables and fruits each day.
– Choose whole grains in preference to refined grain products.

61. Cancer Prevention Foods
• Stock your refrigerator with a variety of different color
fruits:
• Strawberries
• Blueberries
• Blackberries
• Raspberries
• Peaches
• Grapes
• Oranges
• Kiwi

62. Cancer Prevention Foods
Stock your refrigerator with a variety of different color vegetables:
• Carrots
• Spinach, kale
• Red peppers
• Green peppers
• Cabbage
• Tomatoes
• Cauliflower
• Onions

63. Try Something Different!
• Brown Rice
• Quinoa
• Beans
• Lentils
• Nuts
• Seeds
• Whole wheat Pasta
• Whole grain cereals

64. Consume a Healthy Diet

65. • Recommendations:
– Limit red meat to less than ½ kg each week
• beef and pork
– Have little, if any, processed meat
• Includes bacon, salami, hot dogs, sausages

66. Making Protein Choices
• Choose fish, poultry, or beans as an
alternative to beef and pork
• When eating meat, select lean cuts and
smaller portions

67. Making Protein Choices
• Bake, broil, or poach meat, rather than frying
or charbroiling
• Save processed meats for special occasions
only

68. Grilling
• Increased risk for stomach cancer
• For safer grilling:
– Marinate and/or pre-cook meats before grilling
– Remove charred meat portions
– Grill vegetables and fruits

70. heterocyclic aromatic amines
polycyclic aromatic hydrocarbons

72. Fat
• High intake of total and saturated fat is associated
with increased cancer risk

74. Preserved Meats and Cancer Risk
• increased risk of colorectal and stomach
cancers
• nitrites can be converted in the stomach to
carcinogenic nitrosamines, which may increase
the risk of stomach cancer
• Vegetables and fruit retard the conversion of
nitrites to nitrosamines

78. If You Drink Alcoholic Beverages, Limit
Consumption.

79. Alcohol and Cancer Risk

81. “I thought a glass of wine was good for me!”

82. MAJORITY OF
CANCERS ARE
PREVENTABLE

83. The BIG
8
Dart et al. Cancer Causes
Control 2012

84. 1. Don’t smoke

85. 2. Keep your weight in the
healthy range

86. 3. Exercise regularly

87. 4. Drink little or no alcohol

88. 5. Eat a healthy and varied diet

90. 6. Avoid excess sun exposure
•Associated with skin cancer.
•Keep out of the sun in the middle of the day.

91. 7. Get regular (evidence-based) screening

92. 8. Avoid chronic infections
•Hepatitis B and C - liver cancer
•Human papilloma virus - cervical cancer
•Helicobacter pylori - stomach cancer

93. What causes stomach cancer?
Stomach Cancer
Helicobacter Pylori

96. MAJORITY OF
CANCERS ARE
PREVENTABLE

97. YOU HAVE BEEN WARNED!

99. Any Questions?

100. slideshare.net
cancer awareness by roel tolentino