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ACS Wrkshp for Survivors

Nutrition During and After Cancer Treatment: A Guide for Informed Choices by Cancer Survivors

American Cancer Society Workgroup on Nutrition and Physical Activity for Cancer Survivors

CA Cancer J Clin 2001;51:153-181

Jean Brown, RN, PhD; Tim Byers, MD, MPH; Kevin Thompson; Barbara Eldridge, RD; Colleen Doyle, MS, RD; Alexis M. Williams, MPH, CHES

Abstract

Many studies have been conducted about dietary interventions aimed at preventing cancer. The American Cancer Society has published guidelines on diet, nutrition and cancer prevention, which are updated periodically as new evidence emerges, and other groups, too, have issued statements or guidelines about nutritional strategies to prevent cancer. Much less is known, however, about optimal nutrition for cancer survivors.

This report looks at the different phases of cancer survivorship, from active treatment to advanced disease, and presents existing evidence from which informed decisions can be made regarding dietary choices. Popular complementary and alternative methods related to dietary intervention are reviewed. Nutrition information is also provided according to common cancer sites.

As this is an area that requires survivors and health care providers to communicate effectively, a special section on “frequently asked questions” is provided for use as a patient education handout.

(CA Cancer J Clin 2001;51:153-187.)


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padIntroduction on Nutrition: Need for Guidance
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ACS, 2001
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padDecision-making Uncertainty/Nutritional Issues During Phases
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Clear call for more studies
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padDietary Supplements
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ACS position and information
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padNutritional Issues for Common Cancer Sites
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This section contains them all
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padPhase I: Cancer Treatment & Food Choices/Nutritional Supplements
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Usual (mis)information about healthy eating NOT mattering during treatment
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padPhase II:Recovery From Treatment/Phase III:Preventing Recurrences
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Risks of new primaries and nutritional trouble
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padPhase IV: Living with Advanced Cancer
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General discussion
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padSpecific Nutritional Issues for Survivors
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Food safety, caloric intake, weight issues
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Dietary Fats
Fruits and Vegetables
Alcohol
Dietary Regimens
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padPhysical Activity
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Many benefits, no downside, do what you can
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padNutritional Issues in CAM
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Calling again for more studies
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Flaxseed/Ginger/Soy/Teas
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padNutritional Issues for Common Cancer Sites
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Breast, Prostate, Lung, Head and Neck, Gastric, Colon
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Prostate
Lung Cancer
Head and Neck
Gastric Cancer
Colorectal Cancer
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padCancer Prevention for Family Members
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Exercise and a healthy diet can't hurt
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padPromoting Informed Decision-Making by Survivors
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Evaluating info,communication, making informed choices
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padEvaulation System: Courtesy of the AICR
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We need randomized, multi-center clinical trials so WE CAN EVALUATE ALL THE EVIDENCE
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padWho Wrote This Report?
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ACS committee
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padReferences
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190 references
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pad2002 Prevention Guidelines For Nutrition/Physical Activity
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American Cancer Society, 2002
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padACS Prevention Study II Nutrition Cohort
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Cance, 1/02
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