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OUTLINE OF PRESENTATION

CANCER IS MAINLY A LIFESTYLE DISEASE HEALTHY CARIBBEAN 2012 Dr. Fitzroy J. Henry CARIBBEAN FOOD AND NUTRITION INSTITUTE (PAHO/WHO) RALLYING FOR ACTION ON NCD Kingston, Jamaica May 27, 2012. OUTLINE OF PRESENTATION. Main Cancers in the Caribbean Evidence of attributable factors

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OUTLINE OF PRESENTATION

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  1. CANCER IS MAINLY A LIFESTYLE DISEASEHEALTHY CARIBBEAN 2012Dr. Fitzroy J. HenryCARIBBEAN FOOD AND NUTRITION INSTITUTE(PAHO/WHO)RALLYING FOR ACTION ON NCDKingston, JamaicaMay 27, 2012

  2. OUTLINE OF PRESENTATION Main Cancers in the Caribbean Evidence of attributable factors LIFESTYLE FACTORS - Macro & Micro Challenges WHAT CAN WE DO?

  3. All Cancer Mortality by Country - 2008

  4. Prostate Cancer Mortality by Country - 2008

  5. Breast Cancer Mortality by Country - 2008

  6. Cervical Cancer Mortality by Country - 2008

  7. Lung Cancer Mortality by Country - 2008

  8. Colorectal Cancer Mortality by Country - 2008

  9. Stomach Cancer Mortality by Country - 2008

  10. Cancer Rates Relative to USA

  11. Cancer Rates Relative to USA

  12. Cancers Ranked by Mortality

  13. Change (%) in Cancer Mortality: 2000-2008

  14. ATTRIBUTABLE FACTORS

  15. Cancer Deaths Attributable To Various Factors

  16. Risk (lifestyle) Factors ~ Prostate Cancer

  17. Risk (lifestyle) Factors ~Breast Cancer

  18. Risk (lifestyle) Factors and Cervical Cancer

  19. Risk (lifestyle) Factors ~ Lung Cancer

  20. Risk (lifestyle) Factors and Colorectal Cancer

  21. Risk (lifestyle) Factors and Stomach Cancer

  22. EFFECTS OF FACTORS ON TYPES OF CANCER

  23. EFFECT OF LIFESTYLE FACTORS

  24. Likelihood of Cancers in Smokers vs Non-smokers • 15 to 30 x – Lung • 6 x – Larynx, Pharynx, Mouth • 4 to 7 x - Bladder • 4 x – Oesophagus • 2 to 3 x - Pancreas • 2 x – Cervix, Kidney

  25. Likelihood of Cancers in Heavy vs Non-drinkers • 4 x – Oral, Esophagus • 2 to 10 x – Larynx, Pharynx • 2 x – Breast

  26. DIET PROVEN CAUSE LIKELY CONTRIBUTOR Prostate Stomach Skin Oesophagus • Liver • Colorectum • Lung • Breast • Mouth • Pharynx • Larynx

  27. MACRO CHALLENGES TO LIFESTYLE INTERVENTIONS

  28. The Holistic Approach MIND, BODY, SPIRIT --- CANCER • Nutrition – Physical ..... IQ & Mental • Exercise – Physical ..... Mood • Meditation – Heart, Immune function

  29. Cancer Research • Cancer Development ↑↑↑↑↑↑↑↑↑↑ • Cancer Treatment ↑↑↑↑↑↑↑↑↑ • Cancer Prevention ↑

  30. Cancer & Politics PROBLEM SOLUTION Food Companies Tobacco Industry Breweries/Distilleries Petrochemical Industry Pharmaceutical Industry • Diet • Smoking • Drinking • Pollution • Chemicals Solution – Suicide for a Politician

  31. MICRO CHALLENGES TO LIFESTYLE INTERVENTIONSWHAT CAN WE DO?

  32. RECOMMENDATIONS DIET • EAT MAINLY FOOD OF PLANT ORIGIN • ≥ 5 serves/day – Vegetables & Fruits • < 18 oz/week - Red Meat • Eat Grains and Legumes with every meal • Limit Refine Starchy Foods • Avoid Processed Meat • Limit Energy Dense Food • Avoid Sugary Drinks

  33. RECOMMENDATIONS FOOD PREPARATIONS • Avoid Salt Preserved, Salted or Salty Food • Do Not eat Mouldy Grains or Legumes

  34. RECOMMENDATIONS TOBACCO • DO NOT SMOKE • AVOID SECONDARY SMOKE

  35. RECOMMENDATIONS PHYSICAL ACTIVITY • Limit Sedentary Habits • BMI to be between 21 and 23 • Keep PAL > 1.6 • Brisk walk – 30 mins daily

  36. RECOMMENDATIONS ALCOHOL If consumed, limit to: • 2 drinks/day – men • 1 drink/day - women

  37. CONCLUSION • CANCER IS LARGELY A PREVENTABLE DISEASE • LIFESTYLE FACTORS PLAY A KEY ROLE • EFFECTIVE ACTION ON DIET AND SMOKING CAN REDUCE CANCERS BY 60-70% .

  38. THANK YOU

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