Men's Health Guide Our vision World Cancer Research Fund (WCRF UK) helps people make choices that reduce their chances of developing cancer Our heritage We were the first cancer charity: • T o create awareness of the relationship between diet and cancer risk • To focus funding on research into diet and cancer prevention • T o consolidate and interpret global research to create a practical message on cancer prevention Our mission Today World Cancer Research Fund (WCRF UK) continues: • F unding research on the relationship of nutrition, physical activity and weight management to cancer risk • Interpreting the accumulated scientific literature in the field •E ducating people about choices they can make to reduce their chances of developing cancer WCRF UK is part of the World Cancer Research Fund global network, which consists of the following charitable organisations: The American Institute for Cancer Research (AICR); World Cancer Research Fund UK (WCRF UK); World Cancer Research Fund Netherlands (WCRF NL); World Cancer Research Fund Hong Kong (WCRF HK); World Cancer Research Fund France (WCRF FR) and the umbrella association, World Cancer Research Fund International (WCRF International) Contents Health facts 2 Test your lifestyle 4 How can you reduce your cancer risk? 7 Watch your weight 9 Be active every day 13 Common cancers in men 14 A healthy diet 19 Red and processed meat 22 Alcohol 23 Healthy recipes 24 Find out more 28 1 Health facts About a third of the most common cancers could be prevented by choosing a healthy diet, being physically active and maintaining a healthy weight. Only about five to 10 per cent of all cancers result from specific inherited genes, which means cancer is not simply down to bad luck. Rates of cancer are 15 per cent higher in men than women. In 2009, 22 per cent of men aged 16 or over in England were classified as obese, and 44 per cent as overweight. 2 In England and Wales in 2010, the two leading causes of death in men were heart and circulatory disorders (32 per cent of deaths) and cancer (31 per cent of deaths). Prostate, lung and bowel cancer are the most common cancers among men, making up more than 50 per cent of all cancers developed in the UK. In 2009, men consumed on average only 3.4 portions of vegetables and fruits a day, which is below the recommended 5 A DAY. In 2009, 22 per cent of men in England reported drinking alcohol on five or more days across the week. 3 Test your lifestyle 1 How often are you physically active? a) Daily o o b) A few times a week c) Once a week or less o 2 How long are you active for each day? a) More than 30 mins o b) About 30 mins o c) Less than 30 mins o 3 How many portions of fruits and vegetables do you eat a day? o a) 5 or more b) 3-4 o c) 2 or less o 4 How often do you eat red meat (beef, pork, lamb)? o a) 2-3 times a week or less b) 4-5 times a week o c) Every day o 5 How many alcoholic drinks do you have a day? a) 2 or less o b) 3-4 o c) 5 or more o 6 Do you smoke? a) No b) Yes, but I am trying to give up c) Yes 7 Do you know your weight and your Body Mass Index (BMI)? o a) Yes, I am a healthy weight b) Yes, I need to lose weight o c) No o o o o 8 Where on your body do you tend to carry your weight? o a) I don't tend to gain weight b) All over o c) Around the waist o 9 When did you last have a check up with your GP? o a) Within the last year b) More than 2 years ago o c) I have never had one o 4 How did you score? Mostly As Well done, you seem to be living a healthy lifestyle already! Keep reading for a few extra tips and suggestions to help you maintain your health. Mostly Bs You’re on the right track, but there’s still room for improvement. Keep reading to see what else you can do to live more healthily and reduce your cancer risk. Mostly Cs Your lifestyle needs improvement. Small changes could make a big difference to your health and your risk of developing cancer. Read this booklet to see how. The evidence behind our advice Our Continuous Update Project (CUP) provides an ongoing review of nutrition and cancer research. It compiles the most up-to-date evidence available on how people can reduce their cancer risk through weight management, diet and physical activity. The CUP reviews all new research findings and puts them in context with all the studies analysed for our Second Expert Report – Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective. This report was published in 2007 by the WCRF global network and was the result of a comprehensive process involving leading scientists and researchers, who reviewed and analysed more than 7,000 studies. An independent panel of 21 world-renowned scientific experts compared, evaluated and interpreted these studies, and from them developed our 10 evidence-based Recommendations for Cancer Prevention. The CUP will ensure our Recommendations for Cancer Prevention and the advice in our booklets are always kept up-to-date. Find out more: www.wcrf-uk.org/cup 5 Why do more men than women develop cancer in the UK? Rates of cancer are 15 per cent higher in men than women. Lifestyle behaviours may contribute, for example: en are more likely to have unhealthy habits, M such as smoking and drinking (see box below). en are less likely to take up available screening M (e.g. bowel cancer screening). Men are less likely to seek early medical advice. In general, there is less health awareness information available for men, who tend to be less knowledgeable about cancer and health. Men are more likely than women to: Eat meat-based dishes Drink alcohol Consume fats and sugars Drink sugary soft drinks Not eat enough vegetables and fruits B e overweight – though men and women are equally likely to be obese About 1/3 of the most common cancers could be prevented by: Maintaining a healthy weight Being physically active every day Eating a healthy diet 6 How can you reduce your cancer risk? Enjoying a healthy diet, being physically active and maintaining a healthy weight are the basis of WCRF UK’s Guidelines for Cancer Prevention. Along with not smoking, all of these directly reduce cancer risk and, together, a healthy diet and being physically active help to manage our weight. Following any one of these Guidelines is likely to reduce the chances of getting cancer, but following all three offers the greatest protection. althy weight t ai m ce ss e t ea CANCER CANCER PREVENTION PREVENTION be ph ys e every day i n ctiv an ya yw all ic eat and avoid pro m WEIGHT life d hro ug ut to e e ah ho b WCRF UK Guidelines for Cancer Prevention PHYSICAL ACTIVITY m dm re it DIET mostly plant inutes or m o f 0m o re hoose od r3 c s, fo li ay The choices you make about food, physical activity and weight management can reduce your chances of developing cancer – choose mostly plant foods, limit red meat and avoid processed meat – be physically active every day in any way for 30 minutes or more – aim to be a healthy weight throughout life And, always remember – do not smoke or chew tobacco 7 WEIGHT DIET PHYSICAL ACTIVITY 8 Watch your weight Be as lean as possible without becoming underweight Why does body fat increase cancer risk? Fat, especially when stored around the waist, produces hormones that can speed up the cancer process. Being overweight creates a state of low-level inflammation, which increases cancer risk. Fat facts Energy in, energy out The average man needs around 2,500 calories a day. If you eat or drink more than your body needs you will gain weight. To give you an idea of just how much activity it takes to burn off those extra calories here are some examples: 2 medium slices deeppan pepperoni pizza 710 calories 1 pint strong ale 409 calories A round 66 per cent of men in England are overweight or obese compared with 57 per cent of women A fter not smoking, maintaining a healthy weight is the most important thing you can do for cancer prevention A bout 1 in 3 cases of pancreatic and oesophageal cancer, and 1 in 7 cases of bowel cancer in men in the UK could be prevented by being a healthy weight You need to run at 7 mph for: 65 minutes You need to walk briskly for: 86 minutes 9 B eing overweight also increases the risk of other chronic diseases, such as Type 2 diabetes and heart disease How do you measure up? Body Mass Index (BMI) and waist circumference are two ways you can keep an eye on your weight and body fat. Your BMI To work out your BMI and find out if you are a healthy weight, divide your weight by your height squared: BMI = Weight (kg) = (Height x Height) Less than 18.5 Between 18.5-24.9 underweight healthy weight Between 25-29.9 overweight 30 or more obese BMI may not be an accurate indicator for some groups of people, including body builders, athletes, the elderly, pregnant women, children or those less than five feet tall. Your waist measurement Excess body fat around your waist can increase your risk of cancer and heart disease. Men are particularly at risk as they tend to carry fat around their waist. Your waist = measures cm/inches As a guide, a healthy waist measurement is: less than 94cm/37” for white and black men less than 90cm/35” for Asian men 10 How to maintain a healthy weight Lower the energy density of your diet Avoid sugary drinks and limit your intake of energy-dense foods, which contain a lot of calories for their weight. They tend to be high in sugar or fat, and low in fibre, such as fast food, sweets and crisps. Instead, eat more low energy-dense foods such as fruits, vegetables, wholegrain cereals and pulses such as beans, which make you feel fuller for longer. Move more To maintain a healthy weight aim to be moderately active for 30 minutes every day – for example, 30 minutes of brisk walking. As fitness improves, aim for 60 minutes or more of moderate, or 30 minutes of more vigorous physical activity, every day (see pages 13, 16 and 17). Keep an eye on your portion sizes Control portions by using smaller plates, with two-thirds (or more) containing plant foods such as wholegrains, pulses (such as beans), vegetables and fruits to make up your 5 A DAY. Aim to fill one-third (or less) of your plate with lean meat, poultry, fish or reduced-fat dairy. 11 WEIGHT DIET 12 PHYSICAL ACTIVITY Be active every day e physically active every day in B any way for 30 minutes or more How can being active decrease cancer risk? It helps move food through our digestive system, reducing the amount of contact that cancer-causing substances have with the lining of the bowel. It reduces body fat, which is linked to several types of cancer. It strengthens our immune system. It lowers insulin resistance (a condition where the hormone insulin becomes less effective at lowering blood sugar levels). Research shows insulin resistance has a role in cancer development. Being active also reduces your risk of: Heart disease Stroke Osteoporosis Arthritis Type 2 diabetes Depression Deterioration in brain function and dementia 13 Activity facts About 1 in 8 cases of bowel cancer in the UK could be prevented by being active for 30 minutes a day five times a week In 2008, 39 per cent of men and 29 per cent of women aged 16 and over reported being active for the recommended 30 minutes five times a week However, research has shown that people think they are more active than they actually are. Why not keep a personal activity diary to see where you could fit in more activity? Common cancers in men Please note: having any of the symptoms described below doesn’t mean that you hav It’s also a good idea to find out about the types of cancer (if any) that run in your fam Prostate cancer (the most common cancer in men) 1 About 37,000 new cases a year Possible symptoms: weak or reduced urine flow; need to urinate frequently; difficulty or pain passing urine; pain in the testicles; blood in urine or semen. Risk factors: some research shows certain foods might increase or decrease risk, but the evidence is not strong enough to make specific recommendations. 2 Early detection: there is an informed choice programme called Prostate Cancer Risk Management. See www.cancerscreening.nhs.uk/prostate Lung cancer About 22,800 new cases a year. Causes 23% of all male cancer deaths 2 Possible symptoms: coughing; unexplained weight loss; shortness of breath; chest pain. 1 Risk factors: smoking: the most important thing you can do is to not smoke, or to give up smoking. Bowel cancer 3 About 22,100 new cases a year Possible symptoms: bleeding from the back passage; abdominal pain; change in bowel habit; lump in abdomen. Risk factors: high consumption of red and processed meats and alcoholic drinks, being overweight, especially carrying weight around the waist, smoking, being inactive. Early detection: the NHS Bowel Cancer Screening Programme offers screening every two years to all men and women aged 60 to 69. Visit www.cancerscreening.nhs.uk/bowel 14 3 ve cancer, but it’s best to visit your GP and get them checked out anyway. mily, and to speak to your GP if you are at all concerned. Mouth and throat (pharynx and larynx) cancers About 5,700 new cases a year 4 5 4 Possible symptoms: ulcer or soreness in the mouth or tongue; red or white patches in the mouth; head or neck pain; painful throat; a lump in the mouth or neck. Risk factors: smoking or chewing tobacco, drinking alcohol, a diet low in vegetables and fruits. Exposure to Human Papilloma Virus (HPV) which can be transmitted through oral sex may also be a risk factor. Early detection: at your next dental check up, ask your dentist to examine you for any early warning signs. Oesophageal cancer About 5,500 new cases a year 5 Possible symptoms: difficulty swallowing; pain in the throat or chest; constant coughing and hiccups; weight loss; vomiting. 6 Risk factors: smoking and chewing tobacco, drinking alcohol, being overweight, a diet low in vegetables and fruits, gastric reflux (a condition where acid from the stomach travels back up the oesophagus). Testicular cancer About 2,100 new cases a year 6 Possible symptoms: a swelling or hard lump in one of the testicles; a heavy feeling in one or both of the testicles; sudden filling of the scrotum (sac) with fluid. These symptoms may be painless – if in doubt, get it checked out! Risk factors: unlike the majority of cancers, it is most common in younger men aged between 15 and 44. 15 What type of activity should I do? There are three basic types of physical activity: aerobic activity, strength training, and stretching. Each one helps your body in a different way. Aim to include a mix of all three in your routine. Check our F.I.T.T. (Frequency, Intensity, Time and Type) lists below for best results. Strength (weight or resistance) training This involves working your muscles against weight or resistance to increase strength. Frequency: Two to three times a week. Intensity: You should be able to complete eight to 12 repetitions of each exercise. Time: Between 20 and 30 minutes, exercising a range of muscle groups within this time. Type: Include a variety of free weights, weight machines or use your own body weight, for example by doing push-ups. Strength training: Maintains bone density Strengthens core muscles Builds muscle mass, which increases your metabolism Decreases ‘bad’ cholesterol Here are some approximate values for a person of average build weighing 63.5kg/10 stone Squash playing Calories burnt in an hour 700 Swimming (leisurely) Calories burnt in an hour 16 320 Jogging (5 mph) Calories burnt in an hour 445 Aerobic (cardiovasular or endurance) activity This is any activity that raises heart rate to a higher but safe level and keeps it there for a period of time. This includes activities such as brisk walking, jogging, football and squash. Frequency: Fit in some aerobic activity every day. It doesn't have to be all in one go. Intensity: Aim for moderate (you should still be able talk) to vigorous (talking during these activities would be difficult and you might become out of breath). Time: 30 to 60 minutes spread throughout the day. Type: Include a variety of activities that raise your heart rate, such as cycling, brisk walking and swimming. Aerobic activity: Improves levels of ‘good’ cholesterol Lowers blood pressure Improves brain function Improves mood Gardening (general) Calories burnt in an hour 190 Rowing machine (moderate) Calories burnt in an hour 17 380 Cycling (12 – 14 mph – moderate) Calories burnt in an hour 445 WEIGHT DIET PHYSICAL ACTIVITY 18 A healthy diet hoose mostly plant foods, limit red C meat and avoid processed meat How does a heathy diet decrease cancer risk? Eating a lot of foods that are higher in fat and calories increases your risk of becoming overweight, which is a risk factor for many cancers. Plant foods, such as vegetables, fruits and pulses contain nutrients, which can help to protect cells from damage that may lead to cancer. Plant foods are also rich in fibre, which helps speed up the digestive process and fill us up, which reduces the likelihood of overeating and becoming overweight. Food facts Vegetables and fruits probably protect against a range of cancers, including those of the mouth, throat (pharynx and larynx), stomach, oesophagus, lung, and pancreas In 2009, only 1 in 4 men reported meeting the Government's 5 A DAY guidelines for fruit and vegetable consumption Men are more likely than women to consume sugary soft drinks, fats and oils and sugary foods and preserves such as jam 19 Eat more of a variety of vegetables, fruits, wholegrains, and pulses such as beans What does a 5 A DAY portion look like? Dried Fruit Fresh Fruit Cooked Vegetables 1 heaped tablespoon e.g. sultanas 1 handful of berries/grapes 1 medium or 2 small fruits 1 slice of large fruits e.g. melon 3 heaped tablespoons e.g. sliced carrots Salad Vegetables Pure Fruit or Vegetable Juice Pulses 1 cereal bowl e.g. mixed salad 1 glass (150ml) e.g. orange juice 3-4 heaped tablespoons e.g. cooked mixed beans Remember – a portion of pure fruit or vegetable juice only counts as one 5 A DAY portion each day, no matter how much you consume. This also applies to pulses. Practical and simple tips for eating well You do not have to completely change your diet to reduce your cancer risk. Making small, simple changes can make a big difference to your health in the long term. Here are some tips: Keep an eye on your portion sizes. Don't go back for seconds – you can keep leftovers for lunch the next day. Learn some basic healthy cooking techniques. Baking, boiling, steaming and stir-frying are all healthy cooking methods. They require little or no addition of oil or fats and can be used for a variety of foods. lan your meals for the week ahead to avoid relying too much on P takeaways and ready meals. This can also help you save money. Fat has many more calories weight for weight than protein and carbohydrates: even a small amount of fat can contain a surprising amount of calories! To help you cut down, measure oils with a teaspoon when cooking and dressing salad or use an oil spray. 20 Get the balance right By reshaping what you put on your plate, you can bring a healthier balance to your diet. The first step is to look at what you usually serve at each meal time. It can seem normal to centre your meals around meat, but it is actually better for your health to base meals around plant foods, with at least two-thirds of your plate made up of these. Vegetables and other plant foods Plant foods are important for reducing your cancer risk and provide a number of different vitamins and minerals. As well as vegetables and fruits, other plant foods include: 2/3 (or more) vegetables, wholegrains, cereals and pulses 1/3 Grains and cereals (e.g. rice, oats, pasta, bread, cous cous and breakfast cereals) Pulses (e.g. lentils, chickpeas and beans) (or less) animal foods Roots and tubers (e.g. potatoes and yams) Foods from animals (e.g. meat, poultry, fish, game, eggs, dairy) Foods from animals should make up less than a third of your plate. You will be surprised what an easy change this is to make to your diet – and what a difference it will make to your health too! For quick and simple recipe ideas turn to page 24 or go to www.wcrf-uk.org/recipes 21 Red and processed meat Limit consumption of red meats (such as beef, pork and lamb) to 500g (cooked weight) a week and avoid processed meats (such as bacon and ham) Meaty facts E ating more than 500g cooked weight (700-750g raw weight) of red meat per week increases bowel cancer risk E ating processed meat is linked to an increased risk of bowel cancer P rocessed meat is meat preserved by smoking, curing, salting or by the addition of other chemical preservatives O n average, men consume about 60g more ham and/or bacon a week than women The link between red and processed meat and bowel cancer Haem, which gives red meat its colour, has been shown to damage the lining of the bowel. Processed meat can produce substances that damage cells in the body, potentially leading to the development of cancer. Cutting down Red meat is a good source of nutrients including protein, iron and zinc. However, eating a varied diet that contains less red meat can still provide you with all the vitamins and minerals you need. Red meat – how much a week? We can still enjoy red meat in several meals a week and stay within the recommended limit. Here is an example of medium portions of red meat in four main meals that remain within the recommended limit of 500g (cooked weight) per week: Spaghetti bolognese with minced beef (140g) + Pork chop (75g) + Medium steak (145g) + Roast beef (90g) Total = 450g cooked red meat 22 Simple tips to cut down: Swap red meat for chicken, turkey, fish or eggs once or twice a week Bulk up meat dishes with beans, chickpeas, lentils and vegetables Try eggs, canned fish, low-fat cottage cheese, low-fat houmous or vegetables instead of ham or salami in sandwiches If you enjoy a full English breakfast, have it as a treat on no more than one day of the weekend and try healthier cooking methods such as grilling Alcohol If consumed at all, limit alcoholic drinks to 2 for men (and 1 for women) a day Alcohol facts Alcohol is an important risk factor in cancers of the oesophagus, mouth and throat (pharynx and larynx), bowel and liver About 4 in 10 cases of mouth and throat cancer and half of all oesophageal cancer cases in the UK are alcohol-related Since 1970, alcohol consumption has fallen in many European countries but has increased by 40 per cent in England How does alcohol raise cancer risk? When our bodies break down alcohol, it can directly damage the DNA in our cells. This also produces cancer-causing compounds and raises levels of some hormones, all of which can increase cancer risk. What is a 'drink'? One unit contains 8g (10ml) of pure alcohol. The percentage of alcohol by volume (ABV) tells us how many units of pure alcohol there are in one litre of the drink. As a rough guide, a 'drink' contains about 10-15 grams of alcohol, so one drink is roughly the same as: Half a pint of normal strength (3-5% ABV) beer, lager or cider One 25ml measure of spirits (40% ABV), such as vodka or whisky One small glass (125ml) of wine (12-13% ABV) 23 Tips to reduce alcohol intake Alternate between alcoholic and non-alcoholic soft drinks Don't drink alcohol when you are thirsty because you are likely to drink more Aim to keep at least a few nights each week alcohol-free Healthy recipes Eating healthily doesn't have to mean having salad all the time – here are some recipes for quick, easy and satisfying meals. For more ideas, visit www.wcrf-uk.org/recipes. Ingredients Handful of mushrooms, sliced 2 tomatoes, halved 1 egg 2 slices wholegrain bread, toasted Fresh basil (optional) Pinch of black pepper Poached Egg à la Grecque (serves 1, 300 kcals, 9g fat, 0.9g salt and 1.5 of your 5 A DAY per serving) Eating more healthily doesn’t have to mean no more cooked breakfasts. What's important is what you cook and how you cook it – poaching, grilling, microwaving and steaming are all good options. Choose low-fat and lean foods to go with these healthier cooking methods. This recipe is quick and filling. 1) Boil a small pan of water. 2) Place the sliced mushrooms and halved tomatoes under a hot grill for 5 minutes, turning once half way through. 3) Crack the egg into boiling water, and simmer for 3-4 minutes – depending on the size of the egg, and how you like your eggs done. 4) Place the toast on a warmed plate, spoon over the mushrooms and tomatoes and top with the poached egg. Season with black pepper. Top with a little fresh basil to bring out the taste of the tomatoes. Top Tip For extra energy you could serve this with baked beans, which will provide one of your 5 A DAY and a slow, sustained release of energy throughout the morning. 24 Spicy Bean Burgers (serves 2, 400 kcals, 8g fat, 1.6g salt and 2 of your 5 A DAY per serving) A family favourite, these are a great alternative to beef burgers. Reducing the amount of red meat you consume to below 500g (cooked weight) per week will reduce your risk of cancer. 1) Drain the sauce from the chilli beans into a cup and keep to one side. 2) Tip the beans into a mixing bowl and, using a large fork or hand blender, mash to form a rough paste. Mix in the sweetcorn, coriander and black pepper. 3) Add the egg yolk and breadcrumbs, then use your hands to blend the ingredients so that they are mixed evenly. Shape into two burgers. 4) Heat a griddle pan or non-stick frying pan. Cook the burgers until they are well cooked and hot all the way through. 5) Using a slice, remove the burgers from the pan and set aside. Split the rolls and griddle them, add the burgers, drizzle 2 to 3 tablespoons of chilli sauce over the top of each burger, then add a lettuce leaf and sliced tomato. Serve immediately. Ingredients For the burgers: 1 can (400g/14oz) mixed beans or kidney beans in chilli sauce 100g (3½oz) sweetcorn, frozen or canned 1 tablespoon coriander, chopped Freshly ground black pepper 1 medium egg, yolk only 30g (1oz) wholegrain breadcrumbs To serve: 2 wholegrain rolls 2 lettuce leaves 1 tomato, sliced 25 Fish 'n' Chips with a Twist (serves 2, 476 kcals, 14.7g fat, 0.9g salt and 2 of your 5 A DAY per serving) Most people enjoy fish and chips every once in a while, but the average shop serving provides us with a whopping 937 kcals of energy and 44g of fat – half the daily fat allowance for a man. This version is kinder to your waistline but is still tasty and satisfying. It includes a colourful range of plant foods, including peas and tomatoes, which count towards your 5 A DAY. 1) Heat the oven to 200ºC / 400ºF / Gas Mark 6 and preheat a baking sheet inside. 2) Measure the vegetable oil into a plastic bag and add the sweet potato chips. Shake so that the potatoes get coated in a thin layer of oil. 3) Spread the chips over the baking sheet and cook for around 20 minutes, turning at least once. 4) Meanwhile place the two fish fillets onto a sheet of lightly oiled aluminium foil on a baking tray. 5) In a bowl mix the melted butter, breadcrumbs, juice from half the lemon and herbs, and press the mixture on top of the fish fillets. 6) Place in the oven beneath the chips and cook for 10-12 minutes, depending on the thickness of the fillet, until the fish is opaque and flaky. 7) Cook the peas for a couple of minutes in a small amount of boiling water. 8) Serve the fish and chips immediately with the sliced tomatoes and peas on a warm plate, with a wedge of lemon on the side. 26 Ingredients 1 tablespoon vegetable oil 2 medium sweet potatoes, peeled and cut into chunky chip shapes 2 pieces of skinless haddock fillet or similar white fish (150g/6oz each) Knob of butter (15g/½oz), melted 2 tablespoons fine wholemeal breadcrumbs 1 lemon, cut into wedges 1 teaspoon mixed herbs 160g/6oz frozen peas 4 tomatoes, washed and sliced Ingredients 8 small amaretti biscuits 1 tub (150g/6oz) fat-free Greek yoghurt 2 tablespoons of half-fat crème fraîche 2 pieces fresh fruit (about 160g/6oz in total), peeled and chopped into small pieces. Alternatively, use the same weight of small fruits like raspberries or strawberries, or tinned fruit salad in natural juice, drained Tutti Frutti Surprise (serves 2, 159 kcals, 5.3g fat, 0.3g salt and 1 of your 5 A DAY per serving) A deceptively simple dessert that makes a great treat for a special occasion. Not only does it taste delicious, but it also contains one of your portions of fruit for the day. Try out different types of fruit, using varieties in season whenever possible for maximum flavour. 1) Place the amaretti biscuits in a plastic food bag and crush with a wooden spoon or rolling pin. 2) Blend the fat-free Greek yoghurt and half-fat crème fraîche in a small bowl and stir in the crushed amaretti biscuits. 3) In 2 tall glasses, add some of the chopped fruit, spoon over the yoghurt mixture, then add some more fruit and repeat, finishing with the yoghurt mixture. 4) Chill and serve, decorated with a sprig of mint or a slice of fruit. 27 Start today, not tomorrow Many people believe that their risk of developing cancer is just down to genetics or bad luck, but research has shown that our diet and lifestyle play an important part. About a third of the most common cancers could be prevented by choosing a healthy diet, maintaining a healthy weight and being physically active. By taking a close look at your own diet and activity patterns, you can start making changes today that could help you lead a longer and healthier life. Find out more For information on cancer prevention contact World Cancer Research Fund (WCRF UK). Visit www.wcrf-uk.org or call us on 020 7343 4205. For information on the detection and treatment of cancer contact Macmillan Cancer Support. Visit their website, www.macmillan.org.uk, or call 0808 808 0000. For particular health concerns or general health information at different stages of life, visit www.nhs.uk/livewell. To find information on NHS Cancer Screening Programmes visit www.cancerscreening.nhs.uk. For any concerns about alcohol and drinking, or to get support: The Drinkaware Trust www.drinkaware.co.uk Drinkline The national 24 hour alcohol helpline 0800 917 8282 (calls are free of charge). WCRF UK’s healthy eating and lifestyle information is aimed at the general population and is not intended to influence individuals who are following special diets (on medical advice) or who have special dietary or exercise needs. The information contained in WCRF UK’s education publications relates to the prevention of cancer. WCRF UK is not engaged in giving medical advice. For advice in specific cases, please consult your doctor. 28 WCRF UK’s Recommendations for Cancer Prevention 1. Be as lean as possible without becoming underweight 2. Be physically active for at least 30 minutes every day 3. Avoid sugary drinks. Limit consumption of energy-dense foods (particularly processed foods high in added sugar, or low in fibre, or high in fat) 4. Eat more of a variety of vegetables, fruits, wholegrains, and pulses such as beans 5. Limit consumption of red meats (such as beef, pork and lamb) and avoid processed meats 6. If consumed at all, limit alcoholic drinks to 2 for men and 1 for women a day 7. Limit consumption of salty foods and foods processed with salt (sodium) 8. Don’t use supplements to protect against cancer Special Population Recommendations 9. It is best for mothers to breastfeed exclusively for up to 6 months and then add other liquids and foods 10.After treatment, cancer survivors should follow the Recommendations for Cancer Prevention And, always remember – do not smoke or chew tobacco About WCRF UK WCRF UK is the principal UK charity dedicated to the prevention of cancer through the promotion of healthy diet and nutrition, physical activity and weight management. WCRF UK is committed to providing cancer research and education programmes which expand our understanding of the importance of our food and lifestyle choices in the cancer process. By spreading the good news that cancer can be prevented, WCRF UK hopes that many thousands of lives will be saved. The education and research programmes of WCRF UK are funded almost entirely by donations from the public. This booklet gives information based on WCRF UK’s Recommendations for Cancer Prevention developed from the Expert Report: Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective (2007). The Report, produced by WCRF/ AICR, is the largest study of its kind ever published and its Recommendations are based on the most comprehensive review of all the available evidence. WCRF UK is committed to interpreting scientific research in the field of food, nutrition, physical activity and cancer prevention and to translating the results into meaningful and practical advice for the public to follow. hy weight th ealt ro ug ai m ce ss e WEIGHT t ea CANCER CANCER PREVENTION PREVENTION PHYSICAL ACTIVITY m dm re it DIET be ph ys e every day in ctiv an ya yw all ic eat and avoid pro m life d ut to e ah ho b WCRF UK Guidelines for Cancer Prevention mostly plant inutes or mo f 0m ose o r o e o r3 ds ch fo , li ay The choices you make about food, physical activity and weight management can reduce your chances of developing cancer – choose mostly plant foods, limit red meat and avoid processed meat – be physically active every day in any way for 30 minutes or more – aim to be a healthy weight throughout life And, always remember – do not smoke or chew tobacco WCRF UK is part of the WCRF global network For more information about this booklet please contact us: World Cancer Research Fund (WCRF UK) 22 Bedford Square, London WC1B 3HH Tel: 020 7343 4200 Fax: 020 7343 4201 Web: www.wcrf-uk.org Email: [email protected] Registered in London, England No: 2536180 Registered with the Charity Commission in England and Wales (Registered Charity No:1000739) Registered Office: 22 Bedford Square, London WC1B 3HH “Stopping cancer before it starts” © 2012 World Cancer Research Fund / WEW1MH Next review date: January 2015
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