Cancer Awareness by Roel Tolentino
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Cancer Awareness by Roel Tolentino
- 2. Prof. Roel Tolentino, MD, MBA, FPCS, FPSGS, FPSO, FMOSP, FACS (2013) Memorial Sloan Kettering Cancer Center (NY, USA) University Hospitals of Columbia University and Weill Cornell Medical College (NY, USA) MD Anderson Cancer Center (Texas, USA) Beijing Cancer Hospital (China) Chongqing Medical University (China) Suining Central Hospital (China) Harvard Medical School (Mass., USA) New Skills Academy (UK) De La Salle University – BS. Biology; Medicine Manila Med – General Surgery SLMC – Surgical Oncology Ateneo GSB – MBA
- 3. Former President – Phil. Soc. of Oncology Chairman of Surgery – CEU School of Medicine Professor IV – EAC Medicine Training Officer, Dept. of Surgery – Amang RMMC Former Training Officer – SLMC Surgical Oncology
- 5. 9/24/2020 5 …that a major cause of death globally is obesity? Jenny Censin, 2019
- 6. 9/24/2020 6 … that regular exercise prolongs survival? Marwa Ahmed, 2019
- 7. 9/24/2020 7 of Covid patients are asymptomatic? Doh.gov.ph doh.gov.ph
- 8. …that you will be able to be healthier BY CHANGING YOUR LIFESTYLE!
- 10. 9/24/2020 10
- 11. 9/24/2020 11
- 14. 9/24/2020 14
- 17. Causes of Cancer Estimate percentage of total cancer deaths attributable to established causes of cancer Tobacco Adult diet/obesity Sedentary lifestyle Occupational factors Family history of cancer Viruses/other biologic agents Perinatal factors/growth Reproductive factors Alcohol Socioeconomic status Environmental pollution Ionizing/ultra-violet radiation Prescription drugs Medical procedures Salt/other food additives/contaminants Source: Harvard Report on Cancer Prevention, Cancer Causes and Control, November/December, 1996 0 5 10 15 20 25 30 35
- 19. 1. Don’t smoke So: Don’t start smoking •If you smoke, quit. Your risk of cancer starts coming down about two years. •Reduce other chronic diseases including heart disease, emphysema and bronchitis
- 21. 9.0 8.5 5.9 4.5 3.9 3.3 3.1 2.6 2.3 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 NHANES PercentofTotalAvg.DailyFood French fries Potato chips, corn chips, popcorn Hamburgers Pizza Cake, sweet rolls, donuts, pastry Alcoholic beverages White bread, rolls, bagels, etc. Misc desserts and sweets Soft drinks, fruit- flavored drinks Where Our Calories Come From
- 22. Evidence of life on Mars….
- 23. High Calorie Foods Available at Low Cost….Whenever You Want Them!
- 26. Why?
- 27. Recommendations Maintain a healthy weight • Be as lean as possible. • Avoid excess weight gain at all ages.
- 28. Recommendations Maintain a healthy weight • Be as lean as possible. • Avoid excess weight gain at all ages.
- 30. BODY MASS INDEX and Specific Cancers Kushi, et al. CA Cancer J Clin. 2012
- 34. Adopt a Physically Active Lifestyle
- 35. Adopt a Physically Active Lifestyle • Limit sedentary behaviors.
- 37. Tips to Make it Happen! • Make it goal-focused
- 38. Tips to Make it Happen! • Make it easy • Make it fun • Make it Happen! Every day
- 41. Consume a Healthy Diet
- 42. Fiber • Carbohydrates that cannot be digested • Not just for BM! • Found in whole grains, fruits, vegetables, beans and legumes
- 44. 9/24/2020 44
- 45. 9/24/2020 45 -75% of people fall short of WHO fruits & vegetables -recommendation.
- 46. Fruits and Veggies Cancer Fighting Components Phytochemicals Vitamins Minerals Fiber
- 47. Eat more of a variety of vegetables, fruits, whole grains and legumes. WCRF/AICR, 2007
- 57. Cancer Prevention Foods Herbs and Spices • Turmeric • Ginger • Cilantro • Cayenne and Chilli flakes • Rosemary • Thyme • Cumin • Parsley • Mint
- 58. Cancer Prevention Foods Can you guess this spice? Turmeric •Anti-inflammatory •Appetite stimulant
- 59. Cancer Prevention Foods Can you guess this spice? Ginger •Nausea Reducer •Anti- inflammatory •Anti-bacterial
- 60. Consume a Healthy Diet – Choose foods and beverages. – Limit consumption of processed meat and red meat. – Eat at least 5-7 cups of vegetables and fruits each day. – Choose whole grains in preference to refined grain products.
- 61. Cancer Prevention Foods • Stock your refrigerator with a variety of different color fruits: • Strawberries • Blueberries • Blackberries • Raspberries • Peaches • Grapes • Oranges • Kiwi
- 62. Cancer Prevention Foods Stock your refrigerator with a variety of different color vegetables: • Carrots • Spinach, kale • Red peppers • Green peppers • Cabbage • Tomatoes • Cauliflower • Onions
- 63. Try Something Different! • Brown Rice • Quinoa • Beans • Lentils • Nuts • Seeds • Whole wheat Pasta • Whole grain cereals
- 64. Consume a Healthy Diet
- 65. • Recommendations: – Limit red meat to less than ½ kg each week • beef and pork – Have little, if any, processed meat • Includes bacon, salami, hot dogs, sausages
- 66. Making Protein Choices • Choose fish, poultry, or beans as an alternative to beef and pork • When eating meat, select lean cuts and smaller portions
- 67. Making Protein Choices • Bake, broil, or poach meat, rather than frying or charbroiling • Save processed meats for special occasions only
- 68. Grilling • Increased risk for stomach cancer • For safer grilling: – Marinate and/or pre-cook meats before grilling – Remove charred meat portions – Grill vegetables and fruits
- 70. heterocyclic aromatic amines polycyclic aromatic hydrocarbons
- 72. Fat • High intake of total and saturated fat is associated with increased cancer risk
- 74. Preserved Meats and Cancer Risk • increased risk of colorectal and stomach cancers • nitrites can be converted in the stomach to carcinogenic nitrosamines, which may increase the risk of stomach cancer • Vegetables and fruit retard the conversion of nitrites to nitrosamines
- 78. If You Drink Alcoholic Beverages, Limit Consumption.
- 79. Alcohol and Cancer Risk
- 81. “I thought a glass of wine was good for me!”
- 83. The BIG 8 Dart et al. Cancer Causes Control 2012
- 84. 1. Don’t smoke
- 85. 2. Keep your weight in the healthy range
- 87. 4. Drink little or no alcohol
- 88. 5. Eat a healthy and varied diet
- 90. 6. Avoid excess sun exposure •Associated with skin cancer. •Keep out of the sun in the middle of the day.
- 91. 7. Get regular (evidence-based) screening
- 92. 8. Avoid chronic infections •Hepatitis B and C - liver cancer •Human papilloma virus - cervical cancer •Helicobacter pylori - stomach cancer
- 93. What causes stomach cancer? Stomach Cancer Helicobacter Pylori
- 97. YOU HAVE BEEN WARNED!
- 99. Any Questions?
- 100. slideshare.net cancer awareness by roel tolentino