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VERMONT CANCER CENTER'S 17TH ANNUAL BREAST CANCER CONFERENCE Session 1-5: Recipe for Breast Health: Understanding how Diet and Weight Affect Prevention, Survivorship, and Caregiving ND / Chef Curtiss Hemm and Jennifer May, RD, CD / Increasingly studies suggest that a healthy diet may help minimize the lifetime risk of breast cancer. This session will address current and trending thinking about the relationship between breast cancer, personal nourishment, the modern diet, contemporary food systems, and discuss how one might sustainably move transform their current practices. This session will encourage better breast health and overall wellness for preventions, survivorship and caregiving.
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Recipe for Breast Health
Vermont Cancer Center Pink Ribbon Cooking LLC
Jennifer May & Curtiss Hemm
Understanding How Diet and Weight Affect Prevention, Survivorship and Caregiving
Disclosures
What We KnowBreast Cancer is the most common cancer diagnosed in VT women
Each year ~ 494 breast cancer cases are diagnosed
Accounts for ~ 29% of all cancers diagnosed in VT women
Women who live healthy lifestyles, still get breast cancer
Uncontrollable Factors: i.e. Family History
25% of breast cancer risk
Controllable Factors: i.e. Lifestyle Choices
30% of all cancers in Western Countries
What to Keep in Mind
No single food or diet alone can Prevent, Cure, or Cause breast cancer
!
!
!
No single study provides the last word on any subject
3 Controllable FactorsMaintenance and/or Achievement of a Healthy Body Weight
!
Exercise
!
Limit Alcohol Consumption
Weight Management
Clear and Consistent
Being Overweight
Raises Risk for Diagnosis and Recurrence
Reduces Survival Odds for Many Cancers- Including Breast Cancer
BMIBody Mass Index is an Estimate of Body Fat Composition based on Height and Weight
Body Fat is Living Tissue
Produces Estrogen &
Proteins
Inflammation (Cancer Risk
Factor)
BMIOne Tool
Not Accurate for Elderly or Body Builders
BMI
Weight ManagementResearch shows:
A high BMI = higher probability of developing breast cancer, especially following menopause
Increased Estrogen in Obese women
After menopause, fat tissue becomes the most important source of estrogen
Weight gain among previously trim women also can do harm.
Gaining even 20lb of weight as an adult increases risk after menopause
Good News:
Overweight women who lose 5-10% of current weight, reduce risk for recurrence.
Weight Gain & Treatment
Premature menopause brought on by Chemotherapy
(Slowed Metabolism)
Hormonal Changes
Stress
Changes in Body Composition.
(Body gains more Body Fat and Loses Lean Muscle)
Use of Steroids During Treatment
Food Cravings and Changes in Food Choices
Decreased Exercise
Weight Management
Weight Loss = More Calories Out Than In
Take ActionDetermine caloric needs to maintain or achieve a healthy weight Journal Focus on a Plant-Based diet Great source of fiber, vitamins, minerals, antioxidants & phytonutrients Aim for 5-9 servings of Vegetables and Fruit per day Packed with water and fiber to help keep you full at a low calorie cost! Limit fat intake to ~ 20% of total calories each day Start by decreasing intake of saturated fats from animal products & avoiding trans fats. Make a commitment to regular physical activity- Every Day! Meet with a Registered Dietitian to help set individualized, Realistic, Achievable, and Maintainable goals!
Back to the Basics!
Choose Wholefoods Noun a. food that has been refined or processed as little as possible and is eaten in its natural state, such as brown rice, wholemeal flour, etc
Focus on a Plant-Based Diet a. A diet that emphasizes vegetables, fruits, nut, beans, seeds,
legumes, and whole grains
Everything in Moderation Adj.
a. being within reasonable limits; not excessive or extreme
Choose Wisely, Choose Foods you Enjoy,
and Choose to eat them in Good Company
Conclusion
Why Do We Eat?
Fuel / Nourishment!
Comfort!
Culture / Community!
Habit!
Emotions / Release
What’s Wrong with The Modern Diet
Excess Sodium!
Excess Sugar!
Excess Empty Calories!
Lack Of Nutrients!
Our Body’s Response!
Culinary Illiteracy
There Are No Pills For This Busy Lifestyle Change Is Difficult Post Treatment Metabolism Nutrition Is Dynamic And Confusing Real Food Requires Knowledge Food Addiction Dinning Out Options
Challenges WE Face
Where Do We Begin
Roller Coasters Make Us Sick
Principle Centered Approach
Seven Habits Of Highly Effective People
Pink Ribbon Cooking Food Philosophy
Why Real Food?
Natural Food Promotes Health And Weight Loss
Better Fuel Better Performance
Whole Foods Put Nutrients Where They Are Supposed To Be
Real Foods Have Seasons
Food Choice ArchitectureVermont = Food Utopia
Farmers Markets
Local Stores
Big Box Grocery Stores
Required Elements
Build A Healthy Pantry
Have Some Shopping Strategies
Employ Dinning Out Strategies
Learn To Cook
Learning to Cook The Key to Success
Control What Goes In Your Food It Doesn’t Take More Time Cooking The Process, Enjoy It Make It A Family Affair
Transformation Strategies
Calories In / Calories Out
Track What You Eat
Adding More Plants
What Is Your Plan
Have A Plan B
It Is A Continuum
Do
Study
Act
Plan
Paradigm Shift
I Cook For My Family And Those I Love
“Do No Harm”
It Is The Responsible Thing To Do
Recipe for Breast Health
Vermont Cancer Center Pink Ribbon Cooking LLC
Jennifer May & Curtiss Hemm
Understanding How Diet and Weight Affect Prevention, Survivorship and Caregiving
Questions?
