*
Moffitt Momentum | Moffitt Cancer Center Newsletter InsideMoffitt.com


Moffitt Momentum

Table of Contents




Survive – And Thrive! During The Holiday Season

American adults can gain an average of 5 -10 pounds between November and December each year. Yes, the culprit is the holidays – and for many that includes the lure of ever-present rich party food, coupled with sitting around to socialize. Result: calories consumed in excess of what a person needs for activity become stored in the body as fat.

Survive – And Thrive! During The Holiday Season

 “As we age, there is a natural tendency for the leaner compartments of the body like the muscle and bone to decrease,” explains Nagi Kumar, Ph.D., R.D., F.A.D.A., senior member in the Population Sciences Division at Moffitt Cancer Center. “What continue to increase are the fat compartments. The goal for good health and disease prevention is to conserve the lean compartments of our body and to keep the excess weight from fat off.” Experts agree that being overweight and obese can substantially increase the risk of some of the most common cancers, such as colorectal and breast cancer. In fact, there is good reason to believe that – other than smoking – excess weight may be the largest controllable risk factor.
 
Beyond merely looking and feeling better, keeping the excess pounds off by watching what you eat and exercising regularly, especially during the holiday season, is a key strategy for good health.

The good news is that you still have time to put together a survival plan for healthy eating and staying fit during this season. With a little planning and determination, you can make healthy selections and avoid many of the wrong choices – and then continue your healthy lifestyle into the new year and beyond.

Manage Your Life
There are a number of things you can do to reduce your cancer risk and promote a healthy lifestyle.

Survive – And Thrive! During The Holiday Season

Reduce Your Total Caloric Intake:

  • This means smaller portions. Look at your plate and reduce the amount you would normally eat by 20 percent.
  • Drink more water or 100% fruit or vegetable juices. Avoid sugary drinks.
  • Plan ahead before attending parties or other events where high-calorie and high-fat foods will be served by eating a small healthy snack before you set out.
  • Limit alcohol intake.

Eat More Whole Grains:
Fad diets may say “no carbs,” but whole-grain foods like whole-wheat breads, quinoa or brown rice are rich in Vitamin E and fiber.

Reduce Your Fat Intake:

  • Limit fried meats, French fries, snack chips, and fried vegetable products.
  • If you have to go the fast food route, try ordering a salad.
  • Avoid foods cooked in animal fats and trans-fats.
  • Substitute with flavored /spiced olive oils.
  • Survive – And Thrive! During The Holiday Season
  • Nuts are great snacks that have been shown to protect against heart disease and prevent the aging process – but they are also high in fats in general. Limit intake to 5-6 a day.

Eat Lots Of Fruits And Vegetables:

  • Plant-based foods have important nutrients that can actually fight cancer and slow the aging process.
  • Food pyramids may recommend 5 to 7 portions a day. Aim for 8 to 10 portions a day.

Get Moving!
Exercise doesn’t have to be complicated. Experts say that walking 30 to 40 minutes a day can be just as healthy as going to a gym. Consider the benefits of walking for both exercise and quality time with family members and friends during the busy holiday season.

Staying active helps maintain a healthy weight – which is important in lowering your risk for cancer, heart disease, and stroke. Learn how many calories your activities burn with The American Cancer Society’s Exercise Counts tool.

Survive – And Thrive! During The Holiday Season

Recipe For Healthy Eating
When it comes to cooking and eating, the color of your meals is important.

“Your dinner plate should look like a painter’s palette,” says Dr. Kumar, a published author on the subject. “The more colorful, the better. By this I mean a lot of plant foods – leafy greens, and yellow, green, orange and red vegetables. The colorful foods are higher in content of phytochemicals (plant chemicals) that can help prevent disease and slow the aging process. The more of these you have on your plate, the better.”

Carotenoids are found in red, orange, green and yellow vegetables. Anthocyanins (a group of red-blue plant pigments) are found in the blue and purple and red berries. “Eat more blueberries, strawberries” Dr. Kumar says.

Dr. Kumar recommends a diet that is at least 60-70 percent plant-based. Plant foods provide benefits because they are low in fats and high in phytochemicals. “The fresher they are, and the less they are cooked, the better.”

Not all fats are bad, however, and sources of good fats are fish oil, olive oil, canola oil and nuts. “They are essential for every organ of the body, and they reduce cholesterol plaque formation.”

Involve The Family
The American Cancer Society suggests putting together some creative ways you can have fun while fighting cancer – including tips and ideas on things to do that will help you laugh, spend time with your family, enjoy yourself —and fight cancer at the same time. Here are just a few fitness habits for families:

  • Try shooting hoops or playing soccer when the kids get home from school or after work to help encourage your children to do 60 minutes of moderate activity five or more days per week.
  • Take a walk or bike ride after dinner; or go rollerblading.
  • Include physical activities (skating, bowling, dancing, swimming, etc.) when planning family events such as holiday get-togethers, birthday parties, picnics, and vacations.

Get the family involved in healthy meal planning and preparation. Visit the ForkWise section of this newsletter for some healthy, delicious recipes perfect for this season.

Survive – And Thrive! During The Holiday Season

The U.S. Department of Agriculture has produced a food pyramids Web site that contains interesting information for preschoolers, teens and adults.

Healthy Habits Lead To Better Quality Of Life
Ask people what causes cancer and many will tell you it’s mostly a question of genetics, but everyday habits may be far more decisive.

“We can’t pick our parents,” says Thomas Sellers, Ph.D., M.P.H., director, Moffitt Research Institute. “But the vast majority of our cancer risk – perhaps as much as 70 percent – is related to lifestyle. There are choices we can make, and body weight is one of them.”

Unfortunately, many Americans don’t find the motivation to watch their diets and increase their levels of activity until they have a serious health scare.

But there’s more to a healthier lifestyle than avoiding risk. “You should do it because your quality of life will be better,” Dr. Sellers says. “You’ll have more energy and more enthusiasm, your thought processes will be better and you’ll be able to do a lot more.”

Moffitt Patient/Family Testimonial

Patient "RENEWS" Her Life In Program
By Tara Seymour

            It was an ordinary hot summer day for Tampa native Becky Costello when her entire life suddenly changed. A mammogram confirmed the hidden truth behind the 3-centimeter lump she discovered in her right breast; Costello feared her fate. The diagnosis was breast cancer--the same disease that took her mother’s life. Costello was 54 years old.

            Costello believed the tumor stood in the way of a normal life, but she refused to give up hope. She was treated with chemotherapy, and then she opted for a double mastectomy, the removal of both breasts.

            I have no control over cancer, but I do have control over what I can do to become better,” she said. “Doctors told me the most important thing is my attitude. I trusted my doctors, and I trusted God.”

            Costello’s fight against cancer was just beginning. While at Moffitt Cancer Center, she became involved with support groups and massage therapy. “I believe self-care got rid of any other stresses or illnesses I had,” she said. She believed staying active would be vital to her recovery.

            Costello’s active involvement in and outside Moffitt kept her mind off cancer. Within time, she was in remission. She was ready to change her life, but she didn’t know how. That’s when Kathryn Allen, M.A., R.D., C.S.O., director, Nutrition Therapy at Moffitt, recommended the program Recovery with Exercise, Nutrition, Education & Weight Management, or R.E.N.E.W. 180®. “It was a blessing.” Costello said.

            R.E.N.E.W. 180® was the solution she was searching for. “The program put me on a search for everything I can do to become better.” Costello eagerly wanted to be healthy and get back to her normal life.

            R.E.N.E.W. 180® is a six-month program that brings cancer survivors together to help rebuild strength that may have been lost through cancer treatment. It offers tools to help survivors improve their lives. The program offers everything from yoga classes to nutrition lectures and guest speakers. Costello enjoyed getting to know other cancer survivors who became a part of her support system.

             “The program definitely got me reading labels and making healthier choices,” she said. “I became more active.” Costello believes that carefully watching what she ate helped her maintain a positive attitude toward cancer.

            Allen has been the coordinator for the R.E.N.E.W. 180® program since it began in 2006. “What is so gratifying to us is being able to help people like Becky put knowledge into action and to help increase their sense of well-being and enjoyment of life,” Allen said.

            Costello believes that everyone should take part in the R.E.N.E.W. 180® program. “The nutritionists are wonderful and you will learn a lot,” she said. “You will meet a lot of friends who are going through the same things as you.”

            Today, the 57-year-old breast cancer survivor continues meeting with the friends she made through R.E.N.E.W. 180®. It is one way she finds balance between the new life she has created and the experiences she had battling cancer. “I can’t control cancer,” she said, “but being healthy is something I can control.”

            For more information on R.E.N.E.W. 180® contact Kathryn Allen at 813-745-6889.

Cancer Quiz:

True or False: Almost half of all cancer deaths could be avoided.

And The Answer Is...
True. Scientists estimate that 50% to 75% of all cancer deaths in the United States are caused by human behaviors such as smoking, physical inactivity, and poor dietary choices. 

Cancer Answers:

Q&A: Facts about red meat and charbroiling
Question: Is red meat considered a healthy food?
Answer: Limit the consumption of red meats, especially those high in fat and processed. You can choose fish, poultry, or beans as alternatives to beef, pork, and lamb. When you eat meat, select lean cuts and eat smaller portions. Prepare meat by baking, broiling, or poaching rather than by frying or charbroiling.

Question: Why is charbroiling not safe?
Answer: Grilling meat creates chemicals – in particular, heterocyclic amines (HCAs) – that have been linked to cancer in animals. Practical ways to limit your exposure to HCAs would be to eat grilled meat only occasionally. On those occasions, keep the juices from dripping into the fire, and avoid eating any blackened or burned parts of the meat. Eat smaller portions – good advice for all meats no matter how the meat is prepared. You also can precook meats in the oven or microwave, and then grill the meat for just a few minutes before serving.

Symptom Checker:

Am I overweight?
According to the American Cancer Society, a good way to find out if you are at a healthy weight is to check your Body Mass Index (BMI), a score based on the relationship between your height and weight. To reduce your cancer risk, try to keep your BMI less than 25. To calculate your BMI, click here.









ForkWise

Ideas For Healthy Living: Poultry Tips
Many holiday meals traditionally include turkey. The good news is that poultry is a great source of protein and B-vitamins, and the leanest types of poultry are small chickens, Cornish game hen, and most turkey. Here are a few safety tips to help prevent the growth of bacteria in poultry:
  • Fresh poultry should feel cold to the touch at purchase. Select it just before checking out at the market. Ask the cash register clerk to put packages of poultry in plastic bags to contain any leaks which could cross-contaminate other food.
  • Coming home from shopping, immediately place poultry in a refrigerator at 40°F, and use within one to two days, or freeze at 0°F.
  • Never defrost poultry on the counter. Defrost in the refrigerator, in the microwave, or by soaking the poultry in cold water, changing water frequently to make sure it is cold.
  • Never brown or partially cook chicken to refrigerate and finish cooking later. This can allow harmful bacteria to propagate.
Poultry Tips Source:
From ForkWise: Diet and the Prevention of Cancer ©1998 H. Lee Moffitt Cancer Center and Research Institute, Inc.

The recipes, below, offer creative, healthy ways to use some traditional ingredients.

Thanksgiving Pumpkin Pie:
Thanksgiving Pumpkin Pie Ingredients:
2 cups canned pumpkin
1 12-oz. can evaporated skim milk
1 cup dark brown sugar
1 large egg
2 large egg whites
1/2 tsp. ground cinnamon
1/4 tsp. salt
1/2 tsp. ground or freshly grated nutmeg (about 15 gratings)
1/4 tsp. ground allspice
1 ready-made 9-inch pie crust
1 1/2 tsp. flour mixed together with 1/4 tsp. each nutmeg and cinnamon

Instructions:
Preheat oven to 400 degrees.

In large frying pan, cook the pumpkin over medium-high heat, stirring often so all pumpkin comes in contact with pan, and until pumpkin is reduced to 1 3/4 cups, about 5-10 minutes. Turn pumpkin into large bowl and let cool slightly.

Add milk, sugar, egg, egg white, cinnamon, salt, nutmeg and allspice. Mix well until sugar dissolves and the mixture is well blended. Sprinkle flour mixture evenly over bottom of pie shell. (This helps prevent the shell from becoming soggy and adds flavor as well.) Pour filling into pie crust and bake 15 minutes.

Reduce heat to 325 degrees and bake 30 minutes more or until filling is set. If edges of pie crust brown too quickly, use strips of foil as loose cover. The pie filling is done when filling looks set and knife inserted comes out clean. Set on rack and cool completely before serving.

Nutritional Information:
Makes 8 servings, each containing 254 calories and 6 grams of fat.

Barley, Turkey and Butternut Squash Casserole:
Ingredients:
Cooking spray
2 small butternut squash
2 tsp. olive oil
1 green bell pepper, seeded and diced
1/2 cup minced onion
1 tsp. dried sage
Freshly ground black pepper, to taste
2 cups fat-free, reduced sodium chicken broth
3/4 cup quick-cooking barley*
1/2 lb. cooked turkey breast, cubed or diced
1/2 cup crumbled feta cheese

*Most supermarkets and health food stores carry quick-cooking barley.

Instructions:
Preheat oven to 350 degrees. Coat a 4-quart baking dish with cooking spray.

In a large pot of rapidly boiling water, boil squash halves 5 minutes or until not quite tender. Drain. When cool enough to handle, scoop flesh from each half and dice. Set aside.

In a large saucepan, heat oil over medium heat. Add green pepper, onion and diced squash. Sauté 3 minutes. Add sage and pepper and stir to coat. Add broth and bring to a boil. Add barley and return to boil.

Reduce heat to low, cover and cook 10 minutes, until barley is tender and liquid is absorbed. Mix in diced turkey. Transfer mixture to prepared baking dish and top with feta cheese. Bake, uncovered, 30 minutes, or until cheese is golden.

Nutritional Information:

Makes 6 servings. Per serving: 275 calories, 5 g total fat (2 g saturated fat), 42 g carbohydrate, 18 g protein, 10 g dietary fiber, 368 mg sodium.


Brussels Sprouts with Pecans and Dried Cranberries:
Brussels Sprouts with Pecans and Dried Cranberries Ingredients:
1 bag (16 oz.) frozen, petite baby Brussels sprouts
1 Tbsp. extra virgin olive oil
2 tsp. balsamic vinegar
2 Tbsp. finely chopped, lightly toasted pecans
1/4 cup dried cranberries
Salt and freshly ground black pepper, to taste

Instructions:
Cook Brussels sprouts according to package directions. Meanwhile, in small bowl, stir together oil, vinegar, pecans and cranberries. Transfer cooked sprouts to serving dish. Gently toss with dressing. Season with salt and pepper and serve immediately.

Nutritional Information:
Makes 4 servings. Per serving: 102 calories, 6 g total fat (>1 g saturated fat), 11 g carbohydrates, 2 g protein, 2 g dietary fiber, 13 mg sodium.



 

www.InsideMoffitt.com
1-888-MOFFITT
(1-888-663-3488)


Moffitt Cancer Center Logo
Designed and powered by: Tampa Design Group