1) Cancer is a leading cause of death globally and in Kenya, responsible for 13% and 7% of total annual mortality respectively.
2) The most common cancers in Kenya are breast, cervical, and prostate cancers. Cancer incidence is rising, with over 28,000 new cases and 22,000 deaths annually in Kenya.
3) Nutrition and lifestyle factors like diet, physical activity, alcohol consumption, and obesity are strongly linked to cancer risk. Maintaining a healthy weight, eating mostly plant-based foods, limiting red meat and alcohol, and staying physically active can help prevent cancer.
EPIDEMILOGY OF CANCER
GlobalLevel
60% of Annual global mortality is due to non
communicable diseases ;Cancers, Cardiovascular
diseases, Chronic Respiratory Infections and
Diabetes.
7.9 million die of cancer related conditions about
13% of the Total Annual Global Mortality.
(WHO,2009)
The double burden of disease in developing
countries has resulted to strained health systems.
4.
CANCER SITUATION INKENYA
The third killer disease in the country after
infectious diseases and cardiovascular diseases.
7% of the total annual mortality rates .The annual
incidence of cancer is about 28,000 cases per year
and 22,000 patients die of cancer in the country per
year(KEMRI)
Breast Cancer, Cervical Cancers and Oesophagus
cancer are the leading cancers among women while
Oesophagus, Prostate and Karposi Sarcoma are the
leading among men.
5.
CONTINUED …….
The mostcommon cancers are breast cancer 23.3%,
cervical cancer 20% and Prostate cancer at 9.4%.
2354 women were diagnosed of cervical cancer and
65% died in 2006(KEMRI, 2006)
Majority (60%) of the affected clients are below the
age of 70 years.
The risk of getting cancer below the age of 75 years
is at 14% while 12% is for risk of those above the age
of 75 years.
6.
NUTRITION AND CANCER
Relationship;
Typeof food we eat
Quantity of food
Method of food preparation, processing and
preservation
Balance: Energy Intake and output
Physical Activity
7.
Nutrition Aspects thatLink to Cancer
Nutrition Status; Overweight and Obesity
Physical Activity
Food Processing, preservation and Preparation
Type of food; Junk, plant sources and animal sources
Alcohol Intake
Exclusive Breast feeding
Dietary Supplements
8.
Nutrition Status
Obesity andOverweight predisposes one cancers,
hypertension, stroke, type 2 diabetes.
Trunkal Obesity is linked to stomach cancer and
other CVDs.
9.
CONTINUED…….
● Research indicatesthat obesity increases our risks to
colorectum, oesophagus, pancrease, kidney and breast cancers
● Body mass Index(BMI) computed as wt/h2 enables you to know
your nutrition status
Categories of Nutrition Status
Underweight >18kg/m2
Normal >18.5- 24.9 kg/m2
Overweight >25.0 -30.0 kg/m2
Obesity >30.0 kg/m2
Extreme Obesity >40.0 kg/m2
10.
Continued….
● Waist Circumferenceand Hip circumference can also help you
determine your risk to cancers
● Waist circumference of 94cm in men and 80cm in women is
normal
● 102 cm for men and 88cm for women indicates overweight and
obesity
11.
PHYSICAL ACTIVITY
Physical activityof all types prevents against cancers
and also against obesity and heart diseases.
How much do
we exercise per
day?
Contd..
Limit: Limitphysical inactivity and sedentary habits.
2-3 times a week
Participate in activities that increase flexibility, strength and
endurance of the muscle as many as 2-3 times a week.
E.g. stretching, partial sit up, push up, leg press, sit and reach
exercise, weight lifting.
5-6 times a week
Accumulate at least 30 minutes per day of moderate intensity
physical activity on at least 5-6 days a week, preferably daily.
Jogging, walking, aerobic exercise, participate in games hiking,
swimming, dancing, skipping rope.
Everyday
Be active everyday in as many ways as you can. E.g take every
opportunity to walk, housework, gardening, increase walking up and
down the stairs.
15.
Type, Quantity andQuality of food
Junk: High in energy, highly processed foods and sugary drinks
promote weight gain hence risk to cancers.
Plant food
Diets highin vegetables and fruits protect us against
cancers
Antioxidants; Cancer fighting components in fruits
and vegetables for examples; lycopene, beta
carotene, Vitamin C, Vitamin A
Fiber content reduces the risks to colon and stomach
cancer
Selenium, Vitamin C and Vitamin A present in fruits
and Vegetables boosts the immunity hence
preventing cancers.
18.
ANIMAL FOOD
Animal proteinsare usually high in saturated fats
that pose a risk to obesity and cardiovascular
diseases.
Red meat ie beef, lamb, pork
Research indicates that Red meat is a risk factor to
colorectal and liver cancers.
Method of preparation poses a risk to many cancers
Ie ‘nyama choma’has a higher risk of cancer than
boiled
19.
Method of Foodpreparation, processing
and preservation
Preparation: Smoking, heating proteins at high
temperatures, deep frying,
Grilling, steaming, boiling reduces cancer risks
Processing: Processed meats
20.
Continued….
Preservation: Grains thatare not well preserved
and stored expose one to aflatoxins that pose risks to
liver cancer.
Store your grain in well aerated areas free from
moisture.
Exclusive Breastfeeding
Exclusive breastfeeding for 6 months has shown to
prevent against breast, cervical and ovarian cancers
especially among women of reproductive age.
Encourage our sisters, mothers, aunties to exclusive
breastfeed.
23.
Dietary Supplements
Supplements donot prevent cancer instead some
can cause adverse effects due to intoxication, over
supplementation
Content in some of the over the counter supplements
Sold in the country has not been fully determined
Instead seek advice from a professional nutritionist
or dietician.
24.
NUTRITION TIPS
Be aslean as possible and maintain your body weight
within the normal BMI range.
Avoid weight gain especially increasing of the waist
circumference
Be physically active as part of everyday life
Carry out at least 30 minutes of moderate exercise daily
Consume junk or fast foods sparingly
Limit the intake of sugary drinks; Sodas, juices
25.
Continued….
Diet should containmostly foods of plant origin
Consume variety if fruits and vegetables with
different colours.
Consume whole grains instead of processed ones
Limit refined starchy foods
Consume red meat in moderation and limit intake of
processed red meats
Use methods like steaming, boiling, grilling to
prepare food instead of deep frying, smoking, dry
frying
26.
CONT’D
Limit to consumptionof alcohol to no more than a drink
per day for women and 2 drinks for men
Limit salt consumption and processed foods with added
salt
Do not eat mould fruits and vegetables
Aim to meet nutritional needs through diet alone.
28.
LETS UNITE TOFIGHT
CANCER THROUGH
WHAT WE EAT AND OUR
LIFESTYLES .
THANK YOU