Chapter 7: Integrative Oncology: The Role Of Nutrition Flashcards
What is the role of the integrative oncologist?
To assist patients increating a treatment regimen that safely incorporates complementary therapies with their conventional treatment, using evidence-informed data, where possible.
What is the problem with the term CAM (Complementary and Alternative Medicine)?
It is a self-contradiction as alternative therapies are used instead of and complementary therpaies are used in addition to conventional therapies.
What are some recognized complementary therapies?
Mind and Body (meditation, yoga, deep breathinng)
Massage
Evergy-based therapies (reiki, qi gong)
Natural products (supplements)
ACS guidelines?
- Achieve and maintain a healthy weight throughout life. 2. Adopt a physically active lifestyle. 3. Choose a healthy diet with an emphasis on plant-based foods. 4. If you drink, do so in moderation.
If A1c is elevated, what medication should be tried?
Metformin
What are possible mechanisms in which fat contributes to increased risk of cancer?
Fat secretes cytokines that promote cancer.
Excess body fat may impair immune system.
Obesity leads to insulin resistance, causing increase in insulin-like growth factor-1.
Fat produces estrogen which is relevant in the increased risk of post-menopausal estrogen-receptor positive breast cancer and endometrial carcinoma.
An active lifestyle has been shown to reduce the risk of which cancers?
Breast, colon, endometrial
Which blood test provides information on a person’s ongoing level of systemic inflammation?
c-reactive protein
Which blood test shows a person’t blood sugar control over the past 3 months?
A1c
Organic vs conventional produce had the same concentration of macronutrients, but what was the difference?
The organic produce had high phytochemical content.
Studies show that red meat consumption is directly proportional to the risk of developing which cancer?
Colon
AICR alcohol guidelines?
Limit to 1 drink/day for women and 2 drinks/day for men
Nutrition Guidelines?
Eat at least 2.5 c of fruits/vegetables per day, choose whole grains, avoid sugar drinks, limit red meat, avoid processed meats, and limit alcohol.
It is recommended that cancer patients receiving any chemotherapeutic intervention avoid taking which herbal supplement?
St. John’s Wort (because it is metabolized through the same pathway in the body)
Which type of vitamins should be avoided during acute cancer therapy? Why?
Antioxidants. Radiation therapy and many chemotherapeutic interventions damage tumor cell DNA via production of reactive oxygen species and are strongly oxidative. The concern is that antioxidants may reduce the efficacy of those treatments.
