MICHELLE BRATTON RD

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NUTRITION AND BREAST CANCER

• MICHELLE BRATTON RD
• ARIZONA CANCER CENTER
• mbratton_at_umcaz.edu
• 694-1826

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Introduction

• EATING HEALTHY FOODS AND LIFESTYLE CHANGES CAN
  PREVENT 30 OF ALL CANCERS

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NUTRITION AND BREAST CANCER

• GOOD NUTRITION CAN HELP PREVENT BREAST CANCER
• IMPORTANT FACTOR THAT MAY REDUCE THE RISK OF
  RECURRENCE

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AREAS OF INTEREST

• WEIGHT
• FAT
• ALCOHOL
• EXERCISE

• SOY
• VITAMINS/MINERALS
• PLANT FOODS

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WEIGHT AND BREAST CANCER

• BEING OVERWEIGHT OR OBESE INCREASES THE RISK OF
  POST-MENOPAUSAL BREAST CANCER

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WEIGHT AND BREAST CANCER

• ONCE DIAGNOSED, BEING OVERWEIGHT OR OBESE
  INCREASES THE RISK OF RECURRENCE AND DECREASES
  SURVIVAL TIME

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WHAT SHOULD I WEIGH?

• IDEAL BODY WEIGHT
• FOR WOMEN, 100 POUNDS FOR THE FIRST 5 FEET
• ADD 5 POUNDS FOR EVERY INCH OVER 5
• PLUS OR MINUS 10
• GREATER THAN 10 ABOVE IBW IS OVERWEIGHT
• BEING 30 OR MORE ABOVE IBW IS OBESE

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WHAT SHOULD I WEIGH?

• BODY MASS INDEX
• CALCULATION OF WEIGHT DIVIDED BY METERS SQUARED
• WEBSITES
• WWW.CARING4CANCER.COM
• HEALTHY WEIGHT 19 - 24
• OVERWEIGHT 25 30
• OBESE GREATER THAN 30

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HEALTHY APPROACHES TO WEIGHT MANAGEMENT

• WEIGHT LOSS IS NOT EASY
• SET REALISTIC GOALS
• LIFESTYLE CHANGES INSTEAD OF DIET
• MAKE GOALS HEALTH RELATED

• ACCEPT SETBACKS AND MOVE ON
• REWARD YOURSELF FOR SMALL SUCCESSES
• ENLIST HELP
• Registered Dietitian
• Cancer Clinic
• www.eatright.org
• Weight Watchers

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WEIGHT GAIN DURING TREATMENT

• OVER 50 OF WOMEN WILL GAIN 1.5 TO 3 KG
• WHY???
• Hormonal changes?
• Increased intake of higher calorie foods?
• Decreased metabolic rate?
• Decreased activity during treatment?
• WHAT SHOULD A WOMAN DO?

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DOES FAT PLAY A ROLE?

• TYPE OF FAT
• HEALTHY FATS
• FISH
• FLAX SEEDS
• CANOLA OIL
• NUTS AND SEEDS
• REMEMBER TO WATCH CALORIES

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DOES TOTAL FAT MATTER?

• WINS SAYS YES
• DECREASING FAT REDUCED RISK OF RECURRENCE IN POST
  MENOPAUSAL WOMEN
• GREATEST BENEFIT SEEN IN ER NEGATIVE GROUP
• INTERVENTION GROUP LIMIT FAT INTAKE TO 15 OF
  TOTAL CALORIES
• FROM 50 GRAMS TO 33 GRAMS OF FAT PER DAY

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FRUITS AND VEGETABLES

• INCREASED F/V
• INCREASED WHOLE GRAINS
• LOWER IN ANIMAL FAT
• COLON CANCER
• STOMACH
• ESOPHAGEAL
• BREAST?

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MORE FRUITS AND VEGETABLES!

• GOAL AT LEAST 5 SERVINGS A DAY 7-9 EVEN
  BETTER!
• 1-2 SERVINGS WITH EACH MEAL
• EAT THE RAINBOW!

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WHAT IS A SERVING?

• ½ CUP JUICE
• 1 CUP OF FRESH FRUIT OR VEGETABLE
• ½ CUP COOKED VEGETABLE
• 1 PIECE OF FRUIT (BASEBALL SIZE)

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WHAT ABOUT ALCOHOL?

• ALCOHOL CAN INCREASE CANCER RISK
• 1 DRINK EQUALS
• 12 OUNCES BEER
• 1.5 OUNCES OF HARD LIQUOR
• 5 OUNCES OF WINE

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IF YOU CHOOSE TO DRINK

• LIMIT AMOUNTS
• ENSURE ADEQUATE FOLATE INTAKE
• SPINACH
• ORANGE JUICE
• LEGUMES
• ASPARAGUS
• BROCCOLI
• F ORTIFIED CEREALS
• CHOOSE RED WINE

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WHAT ABOUT SOY?

• MAY BE PROTECTIVE WHEN USED PRE-MENOPAUSAL AND
  THROUGHOUT CHILDHOOD
• SOY IS A PHYTO- OR PLANT ESTROGEN
• ANIMAL STUDIES SHOWED A POTENTIAL INTERFERENCE
  WITH TAMOXIFEN
• ADA SOY FOODS APPEAR TO BE SAFE IN MODERATION
• ACS BREAST CANCER SURVIVORS CAN CONSUME MODERATE
  AMOUNTS

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EXERCISE

• VITAL FOR WEIGHT CONTROL
• METABOLIC EFFECTS
• ALWAYS DISCUSS WITH YOUR DOCTOR

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Prevention of Frailty in Breast Cancer Survivors

• The goal of the study is to determine if muscle
  health and physical function can be improved with
  weight bearing exercise in breast cancer
  survivors.
• Intervention
• Group based flexibility, balance, and muscle
  strength training 2 days per week at UMC Health
  and Wellness Center
• Home based aerobic training 3-5 days per week
• Who Is Eligible?
• Overweight breast cancer survivors with stage I,
  II, IIIa cancer
• Post-menopausal (naturally, surgically, or via
  prescribed hormone suppression)
• Currently inactive to minimally active (lt120min
  low intensity per week)
• Willing to maintain current eating habits and no
  more than 10lbs lost in last 3months
• Willing to perform moderate exercise most days of
  the week for 8 weeks
• Willing to come to UMC Health and Wellness Center
  2 days per week
• Contact Jennifer W. Bea, PhD at 520-626-0912 or
  jwright_at_azcc.arizona.edu

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VITAMIN D

• WOMEN WITH LOWER SERUM LEVELS ARE AT HIGHER RISK
  OF BREAST CANCER
• RDA TO BE INCREASED
• LIMITED FOOD SOURCES

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FINAL NOTE

• ENJOY HEALTHY FOODS
• FOCUS ON PLANT FOODS
• WATCH YOUR WEIGHT
• EXERCISE
• RESOURCES
• www.eatright.org
• www.aicr.org