Kick Colon Complications to the Curb!

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Kick Colon Complications to the Curb!
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Todays Agenda
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Diverticulosis and Diverticulitis

• Symptoms, Stats, Treatment, and Cats
• Just kidding about the cats

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Diverticulosis and Diverticulitis
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Diverticulosis
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Diverticulitis
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Complications of Diverticulitis

• Infections
• Abscesses
• Peritonitis
• Intestinal obstruction
• Fistula
• Rectal bleeding (rare)

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Causes of Diverticular Disease

• Low-fiber diet.
• Lack of exercise may also be a contributing
  factor.

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Treatment of Diverticular Disease

• Getting enough fiber can keep diverticular
  disease from getting worse aim for 35 g or more
  per day.
• Treatment of inflammation and any infection that
  accompanies diverticulitis.

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Treatment Myth!

• In the past, doctors advised people with
  diverticular disease to steer clear of seeds,
  nuts, popcorn, etc because they seemed to
  irritate the colon.
• No data supports that theory!

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Diverticular Quiz

• Which of the following is the only widely
  accepted treatment of diverticular disease?
• A) Specialized diet C) Transfusions
• B) Increased fiber D) No treatment
• True or False Nuts, seeds, and popcorn can block
  or irritate the colons of people with
  diverticular disease.

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Diverticular Quiz

• Which of the following is the only widely
  accepted treatment for diverticular disease?
• A) Specialized diet C) Transfusions
• B) Increased fiber D) No treatment
• True or False Nuts, seeds, and popcorn can block
  or irritate the colons of people with
  diverticular disease.

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Colon Cancer

• Shall I compare thee to diverticular disease?

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Prevalence

• Colon cancer is the
• 2nd leading cause of cancer death In the US.
• 4th most common cancer in the world.
• Your risk of colon cancer rises sharply after age
  50.

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What Are the Signs of Colon Cancer?
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Did You Know?

• 75 of all colon cancer incidences could be
  prevented by diet and exercise.

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Surprising Fact

• What is one of the most important things you can
  do to prevent cancer, including colon cancer?
• Answer Avoid weight gain.

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Poor Diet Big Waist Increased Cancer Risk

• Your cancer risk increases when you overeat and
  dont exercise.
• Being overweight and sedentary account for
  one-third of colon cancer cases worldwide.

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Poor Diet Big Waist Increased Cancer Risk

• Women and men double their risk of colon cancer
  if
• A womans waist is larger than 32 inches around.
• A mans waist is larger than 36 inches around.

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Are You a Pear or an Apple?

• People with an apple shape face greater health
  risks than people with a pear shape.
• If your hips are bigger than your waist, then you
  have a pear shape.
• If your waist is bigger than your hips, then you
  have an apple shape.

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Poor Diet Big Waist Increased Cancer Risk

• Abdominal fat is linked to increased insulin
  production.
• This may promote the growth of tumors in the
  colon.

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Colon Cancer Quiz

• What is one of the most important things that you
  can do to prevent colon cancer?
• A) Avoid weight gain C) Sleep
• B) Determine your shape D) Avoid soda
• True or false? Your risk of colon cancer rises
  sharply after age 50.

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Colon Cancer Quiz

• What is one of the most important things that you
  can do to prevent colon cancer?
• A) Avoid weight gain C) Sleep
• B) Determine your shape D) Avoid soda
• True or false? Your risk of colon cancer rises
  sharply after age 50.

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Complication Promoters

• Steer clear of these unhealthy habits and foods
  that promote colon cancer!

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Colon Complication Promoters

• Sedentary lifestyle
• Poor dietary habits
• Alcohol
• Excess calories
• Refined carbohydrates
• Red and processed meats

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Promoter Sedentary Life

• A sedentary lifestyle includes things like
• Watching TV.
• Sitting at a desk.
• Surfing the web.
• Be more active during your leisure time.

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Promoter Alcohol

• Alcohol destroys folic acid, which guards against
  the DNA damage that causes cancer.
• Limit alcohol consumption to no more than
• 1 drink per day (women).
• 2 drinks per day (men).

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Promoter Excess Calories

• Excess calories usually come from energy-dense
  foods that are
• Low in fiber.
• High in fat.
• High in sugar.

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Promoter Refined Carbohydrates

• Eating high-sugar, refined-carbohydrate foods
  triggers excessive insulin and insulin growth
  production, which can increase growth of cancer
  cells in the colon.

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Promoter Meat

• Eat no more than 3 ounces of beef, pork, or lamb
  per day.
• Cancer-causing compounds are produced when meats
  are cooked at very high temperatures.
• Grill vegetables, tofu, and fruit instead.

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Safe Grilling Tips

• Use marinades.
• Flip frequently.
• Remove fat.
• Use foil and avoid direct flame.
• Microwave first, then grill.
• Do not eat charred meat.

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Danger Zone Quiz

• Excess calories usually come from energy-dense
  foods that are _____.
• A) Low-fiber C) High-fat
• B) High-sugar D) All of the above
• True or false? Cancer-causing compounds are
  produced when meats are cooked at very high
  temperatures.

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Danger Zone Quiz

• Excess calories usually come from energy-dense
  foods that are _____.
• A) Low-fiber C) High-fat
• B) High-sugar D) All of the above
• True or false? Cancer-causing compounds are
  produced when meats are cooked at very high
  temperatures.

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Colon Health Protectors

• An ounce of prevention

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Colon Protectors

• Exercise
• Fiber
• Vitamin D
• Calcium
• Folate (Folic Acid)
• Good Fats
• Green Tea

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Exercise The Best Protection

• When it comes to preventing colon cancer and
  diverticular disease, exercise is an important
  lifestyle habit.
• Regular exercise can reduce a persons risk of
  colon cancer by 50.

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Exercise The Best Protection

• Exercise
• Speeds the movement of food through the
  intestine.
• Decreases bile acid secretion.
• Boosts the immune system.
• Decreases the circulating insulin levels that are
  thought to stimulate tumor growth.
• Helps weight management.

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Protector Fiber-Rich Foods

• Fiber may offer protection against colon cancer
  and diverticular disease.
• Rates of colon cancer and diverticular disease
  are low in countries with low-fat, high-fiber
  diets.

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Protector Fiber-Rich Foods

• Fiber is the part of plant foods that is not
  digested by the human body.
• It lends structure, texture, and support to
  plants, yet it does not have any caloric value.

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Protector Fiber-Rich Foods

• Fiber
• Increases stool bulk.
• Speeds the transit time of stool through the
  colon, reducing the time that carcinogens stay in
  your system.
• Absorbs bile acids.
• Aim for 25-30 grams of fiber per day.

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Fiber is Your Friend!
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Fiber-Rich Foods Beans

• Beans/legumes have the highest fiber content.
• Lentils, split peas, black beans, pinto beans,
  chickpeas, white beans are all members of this
  group
• Did we mention that theyre a great source of
  lean protein?

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Fiber-Rich Foods Whole Grains

• Eating more whole grains lowers your overall
  refined carbohydrate intake.
• Whole grains contain more antioxidants and
  phytochemicals than refined grains. These
  elements help prevent tumor growth.

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Fiber-Rich Foods Fruits and Vegetables

• Aim for a pound or about 4.5 cups of fruits and
  veggies each day.
• Use MyPlate to remember to fill half your plate
  with fruits and veggies.

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Protector Vitamin D

• Vitamin D is linked to lower colon cancer
  incidence.
• 20 minutes of daily sun exposure provides the
  recommended amount of vitamin D without
  increasing your skin cancer risk.

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Protector Calcium

• Researchers found that just 700 mg of calcium a
  day (from food or supplements) reduced a persons
  risk of colon cancer by 50.
• Heed MyPlates recommendation and get 3 cup
  servings of calcium-rich foods daily.

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Protector Folate (Folic Acid)

• This B vitamin guards against the DNA damage that
  causes cancer.
• Diets with a folate deficiency are associated
  with higher colon cancer risk.

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Protector Good Fats

• Omega-3 fatty acids in salmon, flaxseeds, and
  walnuts can improve colon health.

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Protector Green Tea

• Green tea may offer protection against colon
  cancer.

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Quiz of the Protectors

• Regular exercise can reduce your risk of colon
  cancer by _____.
• A) 0 C) 50
• B) 25 D) 75
• True or false? Refined grains contain more
  antioxidants and phytochemicals than whole grains.

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Quiz of the Protectors

• Regular exercise can reduce your risk of colon
  cancer by _____.
• A) 0 C) 50
• B) 25 D) 75
• True or false? Refined grains contain more
  antioxidants and phytochemicals than whole grains.

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Eat Right for Colon Health
REVIEW

• An apple a day CAN keep the doctor away.
• Especially when combined with other fiber- and
  nutrient-rich foods.

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Limit Processed Foods

• The typical modern Western diet is characterized
  by high intake of
• Red meats High-fat dairy
• Processed meats Sweets and desserts
• French fries Refined grains
• At least 75-80 of the colon cancers in the
  United States could be prevented if Americans
  were to adopt a better diet.

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Avoid Western Diets

• A study by the Dan-Farber Cancer Institute in
  Boston revealed that people who ate a Western
  diet were much more likely to have a recurrence
  of colon cancer than those who did not.

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Eat A Better Diet

• Choose healthful foods
• Fruit Nonfat Dairy
• Good Fats Vegetables
• Lean Protein Whole Grains
• Include foods that are fortified with vitamin D,
  calcium, and folate like milk, soymilk and
  fortified whole grain cereals.

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Craft a Menu

• Can you create a menu for a day filled with foods
  that promote colon health?
• Follow MyPlates portion and proportion advice.

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40 Grams Fiber
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Diet Quiz

• Which food is not part of a typical Western diet?
• A) Whole grains C) Red meats
• B) Processed meats D) French fries
• True or false? At least 80 of the colon cancers
  in the US could be prevented with an improved
  diet.

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Diet Quiz

• Which food is not part of a typical Western diet?
• A) Whole grains C) Red meats
• B) Processed meats D) French fries
• True or false? At least 80 of the colon cancers
  in the US could be prevented with an improved
  diet.

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3 Take-Home Messages

• Stay active!
• Maintain a healthy weight.
• Practice safe consumption
• Eat a low-fat, high-fiber, plant-based diet.
• Get vitamin D.
• Avoid eating too much meat and meat cooked at
  high temperatures.
• Avoid excess alcohol consumption.

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Quit worrying about your health. It'll go
away.Robert Orben