logging in or signing up Healthy Diet Choices Panfilo Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1531 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 07, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: kennywong123 (15 month(s) ago) interesting Saving..... Post Reply Close Saving..... Edit Comment Close By: najuahamed (23 month(s) ago) nice one Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript “Living Your Best After Cancer: Healthy Diet Choices” Wendy Demark-Wahnefried, PhD, RD, LDN : “Living Your Best After Cancer: Healthy Diet Choices”Wendy Demark-Wahnefried, PhD, RD, LDN Professor, Duke University School of Nursing & Duke University Medical Center’s Dept. of Surgery Nationally-recognized nutritionist with research focusing on the relationship between diet and cancer diagnosis and treatment 2003-2005—Director of the Cancer Prevention, Detection & Control Research Program at Duke Comprehensive Cancer Center 2003—Named Susan G. Komen Professor of Survivorship Living Your Best After Cancer: Healthy Diet Choices: Living Your Best After Cancer: Healthy Diet Choices Wendy Demark-Wahnefried, PhD, RD, LDN Professor: School of Nursing & Dept. of Surgery Duke University Medical Center Outline: Outline How important is diet for the cancer survivor? What dietary changes are the most helpful? Slide 6: Striving for a Healthy Weight Body Mass Index: Body Mass Index BMI = _ (Weight in Pounds) X 703 (Height in inches) x (Height in inches) If 25 or over: Overweight If 30 or over: Obese Trends in Overweight* Prevalence (%) Adults 18 & Older, 1992-2004: Trends in Overweight* Prevalence (%) Adults 18 & Older, 1992-2004 1992 1995 1998 *Body mass index of 25.0 kg/m2or greater. Source: Behavioral Risk Factor Surveillance System, CD-ROM (1984-1995, 1998) and Public Use Data Tape (2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 2000, 2005. 2004 Weight Management & Energy Balance: Weight Management & Energy Balance Anorexia/Cachexia Patients with select respiratory, G.I. & childhood cancers Patients living with advanced cancer Increasing weight to desired range important for recovery, well-being, functional status Diet & exercise key roles +/- pharmacotherapy Overweight/Obesity Overweight a risk factor for cancers of endometrium, colon, esophagus, kidney,& breast(post-menopausal)–high proportion overweight (71% of breast/prostate survivors) Overweight at dx poor prognostic indicator for cancer overall & cervical, esophageal, gastric, colo-rectal, uterine, pancreatic, hepatic, prostatic, biliary, renal, & breast cancers, & multiple myeloma & non-Hodgkin’s lymphoma Weight gain common during & after treatment–linked with co-morbidity, functional decline & maybe recurrent/progressive CA Weight Change After Diagnosis & Association with Recurrence & Mortality Data from Cohort of 5204 Breast Cancer Survivors in Nurse’s Health Study: Weight Change After Diagnosis & Association with Recurrence & Mortality Data from Cohort of 5204 Breast Cancer Survivors in Nurse’s Health Study Change in BMI Kroenke et al. JCO 23: 1370-8, 2005 Relative Risk Slide 11: Maintain a healthful weight throughout life. Balance caloric intake with physical activity Lose weight if currently overweight or obese Remember Portion Size: Remember Portion Size 210 Calories 2.4 oz. 610 Calories 6.9 oz. 350 Calories 6” diam. French Fries 1980 vs. 2000 400 Calorie Difference Bagel 1980 vs. 2000 210 Calorie Difference http://www.cdc.gov/nccdphp/dnpa/obesity/trend/index.htm and http://hin.nhlbi.nih.gov/oei_ss/menu.htm#sl2 140 Calories 3” diam. Think Volumetrics - Choose Lower Calorie Foods that Fill-you-up : Think Volumetrics -Choose Lower Calorie Foods that Fill-you-up …6 potato chips or 3 cups of popcorn Slide 16: To date there are limited data showing a benefit of a healthful diet on cancer-related survival, however data show that cancer survivors who eat a plant-based diet have lower death rates from other diseases Compared with those who eat a Western diet Kroenke et al JCO 23:9295-303, 2005 Survivors and Supplements : Survivors and Supplements No supplements have proven benefit on cancer-related outcomes, though some may reduce anxiety, etc. Refer to responsible sources of information, i.e., National Center for Complementary & Alternative Medicine (http://nccam.nih.gov) Rely on food as a source of nutrients Herbal Miracle 60-89% of survivors take supplements 40-50% begin additional supplements after diagnosis A healthful body weight & healthy diet are important for the cancer survivor: A healthful body weight & healthy diet are important for the cancer survivor Achieve/maintain a healthful weight Consume a plant-based, nutrient-dense diet Moderate alcohol intake Seek local, regional or national programs that can provide support (i.e., ACS, NCCAM, clinical trials, hospital-based or community initiatives. Slide 22: Test the impact of a diet-exercise mailed material/telephone counseling program on weight loss & physical functioning in 640 prostate, colorectal & breast cancer survivors 65+ years of age 5+ years out from diagnosis No progressive disease Reach Out to ENhancE Wellness in Older Survivors(R01 CA106919) Thank you!: Thank you! You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Healthy Diet Choices Panfilo Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1531 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 07, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: kennywong123 (15 month(s) ago) interesting Saving..... Post Reply Close Saving..... Edit Comment Close By: najuahamed (23 month(s) ago) nice one Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript “Living Your Best After Cancer: Healthy Diet Choices” Wendy Demark-Wahnefried, PhD, RD, LDN : “Living Your Best After Cancer: Healthy Diet Choices”Wendy Demark-Wahnefried, PhD, RD, LDN Professor, Duke University School of Nursing & Duke University Medical Center’s Dept. of Surgery Nationally-recognized nutritionist with research focusing on the relationship between diet and cancer diagnosis and treatment 2003-2005—Director of the Cancer Prevention, Detection & Control Research Program at Duke Comprehensive Cancer Center 2003—Named Susan G. Komen Professor of Survivorship Living Your Best After Cancer: Healthy Diet Choices: Living Your Best After Cancer: Healthy Diet Choices Wendy Demark-Wahnefried, PhD, RD, LDN Professor: School of Nursing & Dept. of Surgery Duke University Medical Center Outline: Outline How important is diet for the cancer survivor? What dietary changes are the most helpful? Slide 6: Striving for a Healthy Weight Body Mass Index: Body Mass Index BMI = _ (Weight in Pounds) X 703 (Height in inches) x (Height in inches) If 25 or over: Overweight If 30 or over: Obese Trends in Overweight* Prevalence (%) Adults 18 & Older, 1992-2004: Trends in Overweight* Prevalence (%) Adults 18 & Older, 1992-2004 1992 1995 1998 *Body mass index of 25.0 kg/m2or greater. Source: Behavioral Risk Factor Surveillance System, CD-ROM (1984-1995, 1998) and Public Use Data Tape (2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 2000, 2005. 2004 Weight Management & Energy Balance: Weight Management & Energy Balance Anorexia/Cachexia Patients with select respiratory, G.I. & childhood cancers Patients living with advanced cancer Increasing weight to desired range important for recovery, well-being, functional status Diet & exercise key roles +/- pharmacotherapy Overweight/Obesity Overweight a risk factor for cancers of endometrium, colon, esophagus, kidney,& breast(post-menopausal)–high proportion overweight (71% of breast/prostate survivors) Overweight at dx poor prognostic indicator for cancer overall & cervical, esophageal, gastric, colo-rectal, uterine, pancreatic, hepatic, prostatic, biliary, renal, & breast cancers, & multiple myeloma & non-Hodgkin’s lymphoma Weight gain common during & after treatment–linked with co-morbidity, functional decline & maybe recurrent/progressive CA Weight Change After Diagnosis & Association with Recurrence & Mortality Data from Cohort of 5204 Breast Cancer Survivors in Nurse’s Health Study: Weight Change After Diagnosis & Association with Recurrence & Mortality Data from Cohort of 5204 Breast Cancer Survivors in Nurse’s Health Study Change in BMI Kroenke et al. JCO 23: 1370-8, 2005 Relative Risk Slide 11: Maintain a healthful weight throughout life. Balance caloric intake with physical activity Lose weight if currently overweight or obese Remember Portion Size: Remember Portion Size 210 Calories 2.4 oz. 610 Calories 6.9 oz. 350 Calories 6” diam. French Fries 1980 vs. 2000 400 Calorie Difference Bagel 1980 vs. 2000 210 Calorie Difference http://www.cdc.gov/nccdphp/dnpa/obesity/trend/index.htm and http://hin.nhlbi.nih.gov/oei_ss/menu.htm#sl2 140 Calories 3” diam. Think Volumetrics - Choose Lower Calorie Foods that Fill-you-up : Think Volumetrics -Choose Lower Calorie Foods that Fill-you-up …6 potato chips or 3 cups of popcorn Slide 16: To date there are limited data showing a benefit of a healthful diet on cancer-related survival, however data show that cancer survivors who eat a plant-based diet have lower death rates from other diseases Compared with those who eat a Western diet Kroenke et al JCO 23:9295-303, 2005 Survivors and Supplements : Survivors and Supplements No supplements have proven benefit on cancer-related outcomes, though some may reduce anxiety, etc. Refer to responsible sources of information, i.e., National Center for Complementary & Alternative Medicine (http://nccam.nih.gov) Rely on food as a source of nutrients Herbal Miracle 60-89% of survivors take supplements 40-50% begin additional supplements after diagnosis A healthful body weight & healthy diet are important for the cancer survivor: A healthful body weight & healthy diet are important for the cancer survivor Achieve/maintain a healthful weight Consume a plant-based, nutrient-dense diet Moderate alcohol intake Seek local, regional or national programs that can provide support (i.e., ACS, NCCAM, clinical trials, hospital-based or community initiatives. Slide 22: Test the impact of a diet-exercise mailed material/telephone counseling program on weight loss & physical functioning in 640 prostate, colorectal & breast cancer survivors 65+ years of age 5+ years out from diagnosis No progressive disease Reach Out to ENhancE Wellness in Older Survivors(R01 CA106919) Thank you!: Thank you!