Cancer diseases - here numerous diseases are summarized.

Why is nutritional therapy essential for cancer?

1. Improvement of your nutritional status: albumin level, immune status, inflammation markers (your albumin level should not be below 3 in your blood count)

2. Through point 1: Increase the survival time, improve the course of the disease, fewer complaints and complications

3. Nutritional therapy supports you in reducing your symptoms overall and in having a positive influence on your health through nutrition. The diet is adapted to your current weight and a jointly defined goal for weight gain / or loss.

4. The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.

Content as part of the consultation:

• Diet after chemotherapy, diet structure, digestible food choices, increase digestibility

• Oral supplements: drinking foods, fat emulsions for energy enrichment as an option

• What to do with therapy-related complaints such as: nausea, vomiting, diarrhea, constipation, swallowing disorders, dry mouth, inflammation in the mouth and throat

• optimal parenteral nutrition

• "Cancer diets" that you should not use

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So far, there is no “cancer diet” that is scientifically proven to cure cancer. However, nutritional therapy provides support in all phases in the prevention and treatment of oncological diseases.

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You will learn how you can actively counteract inflammation through foods that naturally have antifungal (against fungi), antibacterial (against bacteria), antiviral (against viruses) and antioxidant as well as immune-boosting properties - that is, natural antibiotics.

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index

Formula: Body weight in kg : (body height in m) 2 (results in the unit kg / m2)

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Underweight: <18.5

BMI 17 - 18.5 slightly underweight

BMI 16 - 17 moderately underweight

BMI <16 severely underweight (grade 1 and 2)

BMI 15 - 16 severely underweight

BMI <15 extremely underweight

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Blood count:

It is advisable to have your Omega 3 index checked regularly.

This provides information about the supply of valuable omega 3 fatty acids (alpha-linolenic acid, eicosapentaenoic acid and docosahexaenoic acid), which can significantly counteract inflammatory processes in the body.

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Nutritional therapy (oral, enteral (via tubes), parenteral (via the bloodstream)

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• Energy-appropriate, anti-inflammatory wholesome nutrition

• Cancer prevention area: If you are overweight, you should aim for weight reduction.

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• an energy-enriched / or protein-enriched diet may be useful for you.

• Energy & protein to enrich your meals can be obtained through natural foods or supplements, I would be happy to advise you on this. There are also nutritional supplements that your doctor can prescribe for you if you are severely underweight.

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Prevent malnutrition, keep an eye on weight, check weekly

• Which nutrients do I need in which ratio?

• Consume sufficient fiber (> 30 g / day), if possible and dietary fits the case

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• How can I boost and support my metabolism with natural foods?

• Get enough Omgea-3 fatty acids and essential fatty acids

• Coordinate sensible meal frequency for your individual case - meal allocation

• Calculate protein and energy requirements

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Complications / side effects such as nausea, diarrhea, constipation, vomiting, loss of appetite, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Adjusting the consistency (soft food, mashed food) may be useful or necessary

• Additional therapy options

• Food supplements - under certain circumstances, a supplement can be useful

• Dietetic products in support of nutritional therapy

• and other topics

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The risk of malnutrition exists through

1. Reduced food intake: pain, anxiety, vomiting, odor / taste disorders, mucositis, ulceration, stenosis, motility disorders, medication (opioids)

2. Maldigestion / malabsorption: radiation enteritis, mucositis, postoperative anatomical changes, reduced enzyme production / effect

3. Increased energy requirement: tumor as a trigger for systemic inflammation , metabolically active "organ"

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Cancer prevention

• The goal is a healthy, wholesome diet

• Strive for normal weight, reduce obesity

• Increase immune defense: take in sufficient vitamins, minerals, protein & secondary plant ingredients & omega-3 fatty acids (ALA, EPA, DHA)

• take more antioxidant vitamins

• Reduce alcohol consumption

• Stress reduction, ensure relaxation every day

• Promote sport & exercise

• Ensure a mental balance

Eating & drinking according to the 10 rules of the German Nutrition Society

1. Enjoy the variety of foods

2. Vegetables and fruit - take "5 a day" (3 x vegetables & 2 x fruit)

3. Choose whole grains

4. Complement the selection with foods of animal origin

5. Use health promoting fats

6. Save sugar and salt

7. It is best to drink water

8. Prepare gently

9. Eat and enjoy mindfully

10. Pay attention to your weight and keep moving
     

Secondary phytonutrients - which ones are there?

= natural ingredients in plant foods (vegetables, fruits, grains, legumes, herbs, spices) that protect the plant and give it aroma, color and fragrance.

1. Carotenoids, coloring agents that are also considered to be the precursors of vitamin A.

2. Flavonoids, also dyes

3. Polyphenols such as resveratrol from grapes or epigallocatechin from green tea

4. Sulphides and related sulfur compounds such as sulforaphane from broccoli

5. Glucosinulates or mustard oil glycosides, for example from types of cabbage or radish.

6. Phytoestrogens

7. Phytosterols

8. Terpenes

www.krebsinformationsdienst.de

Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• Patient guidelines for cancer

• Cancer Information Service

• German Cancer Society V.

• German Cancer Aid

• Women's self-help after cancer

• National Cancer Prevention Center