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Patients Against Lymphoma

 

CAM & Life Style > Diet & Exercise

Last update: 08/24/2010

TOPICS
Diet
| General Guidelines to Support Good Health and Fitness
 Resources | Research News | Exercise

Diet for Immune Suppressed


 
 
 
 
 

IMPORTANT: These general guidelines do not take into account individual needs and sensitivities.  Please consult with a qualified medical professional.

A healthful diet and being physically active can help the cancer patient achieve a better quality of life and combat the side effects of treatment. Many cancer patients feel that taking steps to optimize their survival chances is empowering, and  provides a valuable sense of control.  

Your dietary needs can change depending on your health status and other factors. For example, you may need a special type of diet to help build up strength and recover from treatment; or, you may have trouble eating while receiving chemotherapy. It's essential that your diet contains a balance of nutrients that promotes the health and and provides the nutrients needed to maintain or restore good health. Ideally, you should consult a nutritional expert who has the information about your specific health, diagnosis, and treatment at hand.

Evidence suggests that life style and diet can influence the risk of developing some types of cancers. Therefore, it seems reasonable for the cancer patient, who is particularly susceptible to developing secondary cancers to eat well and remain active - to promote general health.

Can diet influence the progression of lymphomas?  Unfortunately, at this time there is no reliable evidence in animal or human studies that dietary changes can change the course of an existing lymphoma, or delay a relapse if some malignant cells that have not been eliminated by treatment. There are plenty of theories floating on the Internet, but no evidence.  

Can diet affect other cancers? Yes, for some cancers, diet appears to have some influence on the growth rate, such as fats on prostate cancer cells, but this is specific to the type of cancer cell. See for example: Webmd.com (link fixed), which dispels the myth that conventional medicine will not provide such information when the evidence supports it.

It's important to distinguish between diet as a risk factor for lymphomas, versus diet as a therapeutic factor. While some dietary factors are associated with a modest increased risk of lymphoma (such as red meats), restricting red meats will not influence the growth rate of an existing lymphoma. Similarly, if you stop smoking, a lung cancer will not go away, even if caused by smoking. 

External factors more likely to influence the growth of lymphoma cells would be antigens (something that doesn't belong in your body), such as virus, bacteria, auto-immunity ... a chronic antigen stimulus, that would be impossible with current technologies to identify, and could be unique to each person. 

The growth rate of lymphomas is also determined by the genetic defects within the abnormal cells, which can vary even within the same diagnostic subtype .. which might account for why one follicular lymphoma never needs treatment, and another needs frequent therapy.

Anyhow, if in future a dietary practice is found to limit the growth of lymphomas, it will be big news ... something everyone will be made aware of. 

General Life Style and Diet Guidelines 

Sources: a variety of publications and nutritional resources posted below.

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Include a variety of plant-based foods in your diet, 
including whole grains, fruits, and vegetables.

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Include healthful fats (omega 3) from fish and other sources.

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Include proteins food sources that are lean and easily digested, such as cold water fish.

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Include foods such as yogurts, which provide the "friendly" bacteria needed to develop a healthy gut, which can improve immune function and prevent mal-absorption.

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Prepare and store foods safely.

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Avoid processed foods, and foods that have high sugar content, hydrogenated fats, and little nutritional value.

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Avoid or minimize alcohol consumption.

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Avoid excessive sun and exposure to toxins, such as cigarette smoke.

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Maintain a healthy weight, and exercise in moderation.

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Remain physically and socially active.

Questions and issues for your doctor or nutritionist:

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What types of fats should I eat, and which types should I avoid?

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Is it okay to each foods high in sugar, and how can I avoid spiking blood glucose (sugar) levels?

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What proteins should I eat and how much and in what quantities?

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What foods should I eat while receiving treatment? 

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How can I prepare food so that it's safe to eat when I'm immune compromised?

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Is it important to identify and avoid food allergens, especially when I have lymphoma?

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How can I know if I am digesting my foods properly? (bloating, diarrhea, constipation, leaky gut, etc.) 

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What nutritional supplements can I take to improve my health, energy and stamina?

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What types of exercise can I safely do, and how often?

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Is it okay to do strenuous exercise routines?

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Resources

DURING TREATMENT:
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Highly recommended:

Nutrition for the Person With Cancer During Treatment Cancer.org
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Getting ready for cancer treatment Cancer.org
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Diet for Immune suppressed, overview Lymphomation.org  
PREVENTION and PROMOTING GOOD HEALTH:
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AACR 2005 - Frontiers in Cancer Prevention Research  PDF 

Research articles on natural compounds that may prevent cancer
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Defending Against Disease With an Anti-Inflammation Lifestyle  brighamandwomens.org Pdf 
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Food Additives PAL
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Food Allergies information WebMD
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Food and Cancer Prevention Physicians Committee for Responsible Medicine
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Food Nutrition and the Prevention of Cancer: a global perspective aicr.org 
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Natural sources of fats are essential to good health as described in this excellent presentation to the FDA on food groups submitted by the Weston A. Price Foundation  FDA.gov PDF 
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Dietary Fats, overview Lymphomation.org
FIGHTING CANCER AND TREATMENT EFFECTS:
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"Eating Well Through Cancer" by Holly Clegg  Amazon.com

Focuses on cancer and nutrition with a mainstream approach. 
Recipes were selected to ease symptoms while undergoing treatment and to maintain a healthier lifestyle. (We have no affiliations with the authors.)
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Early Nutritional Intervention Recommended for Cancer Patients  mdanderson.org 
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Weight Loss & Cachexia PAL

A symptom of lymphoma progression is weight loss that cannot be explained by diet.  Cachexia, the loss of lean body mass, is most typically associated with advanced progression of the disease. 
DIET AS TREATMENT?
Presently, there is no credible published evidence that diet can influence the clinical course of lymphoma.
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Complementary and alternative (CAM) dietary therapies for cancer. Pediatr Blood Cancer. 2008 Feb;50(2 Suppl):494-7; discussion 498. Review. PMID:18064662  Related articles 
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Diet and Supplements to Delay Relapse?
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Gerson Diet Therapy? 
Report by Concerted Action for Complementary and 
Alternative Medicine Assessment in the Cancer Field (CAM-Cancer)

Project funded under the European Commission 5th Framework Program “Quality of Life”.  www.cam-cancer.org/mod_product/uploads/gerson.pdf
 
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Macrobiotic diet? and cachexia medicine.wustl.edu  

A symptom of lymphoma progression is weight loss that cannot be explained by diet.  Cachexia, the loss of lean body mass, is most typically associated with advanced progression of the disease. 
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Sugar restriction?  PAL
Research News 
Diet & Nutrition
Links to resources with answers to the questions above can be found here.

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RESEARCH NEWS

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Home Diet and Exercise May Benefit Long-Term Cancer Survivors oncologystat.com 

A home-based diet and exercise program reduced the rate of functional decline in a study of more than 600 overweight and older cancer survivors, according to a report in the May 13 issue of JAMA. 
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Fatigue: Physical Exercise May Help Reduce Fatigue During and After Cancer Treatment Medscape

"Exercise appears to have some benefit in the management of fatigue both during and after cancer treatment," the reviewers conclude. "Therefore it should be considered as one component of the management strategy for fatigue that may include a range of other interventions and education. . . . Further work is necessary to determine the most effective parameters of exercise for fatigue management including the types of exercise (aerobic and resistance), mode of exercise, frequency and length of sessions, and intensity of exercise carried out."
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Performance Status Is the Single Most Important Prognostic Factor in Elderly Patients With Lymphoma: Presented at ESMO  docguide.com

Dr. Lim said, "Perhaps it is also important what treatment you administer or what they have, but if they are of good health they will do well, and if they are of poor health no matter what you do, it seems that they will not do well."
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Exercise May Reduce Fatigue, Nausea Associated With Adjuvant Breast Cancer Therapy  Medscape (free login req.)

Although this is about exercise during breast cancer treatment,
thought it interesting -have known several breast cancer pts who were treated with Cytoxan and adriamycin-( 79% of pts in this study)-- so, some overlap with some of the chemos used for NHL
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AACR 2005 - Frontiers in Cancer Prevention Research  PDF 

Many abstracts on cancer prevention
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“Fish Oil Probably Doesn’t Fight Cancer”  http://thecheerfuloncologist.blogsome.com 

Now, there’s a misleading headline if ever I saw one - do they mean that fish oil is too chicken to put up its dukes against a cowardly band of sneering, narcissistic cancer cells? Is fish oil destined to join its comrade laetrile on the ash heap of ineffective cancer treatments?
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An apple a day keeps Cancer away  cbsnews.com
Source: www.aacr Prevention_Abstracts.pdf 
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Agricultural Experiment Station has led to a patent for a new use for derivatives of DIM, or diindolylmethane, a natural compound derived from certain vegetables, to treat cancer - the mechanism seems to be inhibition of  PPAR-gamma  agnews.tamu.edu
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Related item: Human B lymphocytes and B lymphomas express PPAR-gamma and are killed by PPAR-gamma agonists. Clin Immunol. 2002 Apr;103(1):22-33. PMID: 11987982 | Related articles
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Does Catsup Have A Link To Cancer? From our Nutrition Specialist:   umich.edu
Interesting with good general guidance. -KS
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Diet Linked to Non-Hodgkin's Lymphoma Lots of Meat, Saturated Fat, Dairy May Raise Risk  webmd.com 
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Impact of weight on mortality of patients with lymphoma undergoing autologous hematopoietic cell transplantation (AHCT)  Abstract No: 3342 
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Research Beginning to Reveal Clues About Impact of Diet on Cancer Survivors, Scientists Say  - Survivors, Researchers Share Knowledge, Concerns at AICR Conference for Nutrition After Cancer aicr.org

Exercise

Resources & Research News
Be sure to consult a qualified profession when creating an exercise plan.
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TOPIC SEARCH: PubMed | Web 

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Guidelines Call for Cancer Patients to Get Moving http://bit.ly/bSoetK

"The primary objective of prescribing exercise to cancer patients and survivors is to help them regain and improve physical function, said Dr. Schmitz of the center for clinical epidemiology and biostatistics at the University of Pennsylvania in Philadelphia. Exercise can also help improve body image and quality of life for these patients."

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Lymphoma Patients Benefit From Exercise!  http://bit.ly/4A5sXL 

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Randomized Controlled Trial of the Effects of Aerobic Exercise on Physical Functioning and Quality of Life in Lymphoma Patients http://bit.ly/3q2BEf 
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AACR 2009: Oncologists Should Recommend Exercise, But Not Supplements medscape.com
there is accumulating evidence to show that it can improve both prognosis and quality of life

Can exercise improve survival?

Moderate exercise and remaining active will improve your general performance, and your quality of life. There is evidence that having good general performance is a prognostic factor for improved survival, therefore, indirectly, it's highly plausible that exercise and keeping fit can improve your survival.

What about exercise during or after chemotherapy? 

Seems to be a very good idea ... in moderation and within your limits: 
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Can Exercise Reduce Fatigue During Chemotherapy?
Source: www.aafp.org 

"During chemotherapy, patients in the exercise group did not have any change in fatigue level, while the non-exercise group showed a significant increase in fatigue. The non-exercise group also had less vigor and higher somatization scores." 
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The Effects of Exercise on Fatigue during Chemotherapy
www.noblemed.com

"These studies suggest that fatigue levels correlate with sleep difficulties and that walking as little as 12 minutes per day can significantly improve sleep and decrease fatigue and anxiety. I have attached several abstracts that summarize some of the recent research on the value of exercise during chemotherapy. Many therapists recommend a moderate exercise program along with good skin care and compression as part of the comprehensive management of lymphedema."

Related Articles

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Performance Status Is the Single Most Important Prognostic Factor in Elderly Patients With Lymphoma: Presented at ESMO  docguide.com

Dr. Lim said, "Perhaps it is also important what treatment you administer or what they have, but if they are of good health they will do well, and if they are of poor health no matter what you do, it seems that they will not do well."
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Exercise to Stay Active  cancer.org/docroot 

Find out how much activity is healthy during treatment and create an exercise program that's right for you.
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Exercise and lymphocyte activation following chemotherapy for breast cancer. Med Sci Sports Exerc. 2005 Nov;37(11):1827-35. PMID: 16286849 

Exercise may improve immune function by increasing lymphocyte activation in patients with breast cancer following treatment.
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Individualized exercise program for the treatment of severe fatigue in patients after allogeneic hematopoietic stem-cell transplant: a pilot study. Bone Marrow Transplant. 2006 May;37(10):945-54. PMID: 16565742   | Related articles
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Immunity and intense exercise  Related PubMed Abstracts
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Regular exercise could both help people avoid developing cancer, or help them make a more successful recovery, say scientists  BBC News  
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Children: "It has been shown that exercise such as riding a bike or walking can maintain a patient's strength and endurance while undergoing therapy."  rch.unimelb.edu.
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General Exercise Tips and Suggestions for Energy Conservation  cancerlynx.com
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Exercise and cellular innate immune function. Med Sci Sports Exerc. 1999 Jan;31(1):57-66. Review. PMID: 9927011  PubMed
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Nutritional strategies to minimize exercise-induced immunosuppression in athletes. Can J Appl Physiol. 2001;26 Suppl:S23-35. Review. PMID: 11897880  PubMed
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Effect of dietary intake on immune function in athletes. Sports Med. 2002;32(5):323-37. Review. PMID: 11929359 PubMed abstract
 
Disclaimer:  The information on Lymphomation.org is not intended to be a substitute for 
professional medical advice or to replace your relationship with a physician.
For all medical concerns,  you should always consult your doctor. 
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