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Your diet

Your diet

Eating well begins with consuming a variety of foods daily to obtain all the essential nutrients for good health. This section on nutrition examines the importance of balanced nutrition for your health before, during, and after prostate cancer treatment. You will find information on foods to prioritize, those to avoid, as well as tips to maintain a healthy diet throughout your recovery.

The importance of healthy eating

Eating well starts with eating a variety of foods every day in order to get all the essential nutrients of a healthy diet. In fact, food is one of the first risk factors that we think about when it comes to prostate cancer.

Men in western countries, such as North America, are more susceptible to cancer than men in eastern Asian countries like China and Japan. That being said, Asian men living in North America for at least one generation are subject to the same risks as North Americans that have been here for a number of generations.

This may be because western diets contain less fruit and vegetables and more meat, dairy products, sugar, fat, and processed foods. In fact, food is one of the first risk factors that we consider when it comes to prostate cancer.

 

What is a healthy diet?

It’s all about balance, moderation, and variety. A healthy diet—containing a lot of fruit and vegetables, fibre, low-fat proteins (fish, poultry, and lean meat), and only a little fat and salt—helps you maintain a healthy weight. Research shows that maintaining a healthy weight reduces your risk of prostate cancer.

Good nutrition is important at every stage of your prostate cancer journey. Clinical research suggests that a heart-healthy diet can lead to a better prognosis, while also protecting your heart health. Maintaining a healthy lifestyle – through diet and physical activity – can set you up for success by improving your energy, strength and overall health.

Following the Canadian food guide can help:

  • Meet your vitamin, mineral and other nutrient needs
  • Reduce your risk for heart disease
  • Contribute to your overall health and energy

This guide shows how many servings of each food group men ages 51+ should aim to consume per day. Do not hesitate to speak to a dietitian or to a nutritionist and do not take supplements or natural products without talking to your doctor.

 

Servings for men

Vegetables and fruits (7-9 servings)

  • Aim to eat at least one dark green and ne orange vegetable per day. Romaine lettuce, spinach and broccoli are examples of dark green vegetables. Sweet potatoes, carrots and squash work well as orange vegetables.
  • Look for fruit and vegetables that are steamed, baked or stir-fried – and avoid those that are deep fried. It’s best to choose vegetables and fruits that are not prepared with lots of added salt, fat or sugar
  • Choose whole fruits and vegetables more often than juice, to meet your daily servings goal.

Grain products (7 servings)

  • Whole-grain products should make up at least half of your daily grain product servings. Look for whole grain options such as barley, brown rice, quinoa, oats, wild rice, whole grain breads and pasta.
  • Compare nutrition facts – and choose grain products lower in salt, fat and sugar.

Milk and alternatives (3 servings)

  • Choose lower fat milk products. For products made from milk (such as cheeses or yogurts), compare nutrition facts and select options that are lower in fat
  • Drink milk every day. You should aim to drink 2 cups of milk per day to make sure you’re getting enough vitamin D. Choose either skim, 1% or 2% milks, or fortified soy beverages

Meat and alternatives (3 servings)

  • Look for lean meats and alternatives that have limited added salt and fat. Remove skin on poultry and visible fat on meat. Bake, roast or poach prepared meats and alternatives. When choosing pre-packaged meats, compare nutrition facts and choose those with less sodium and fat
  • Eat at least 2 servings of fish per week. For example, you could choose to eat herring, char, mackerel, salmon or trout

Making healthy choices

When choosing which foods to eat, it’s generally best to eat a diet that is:

 

Plant-based

Try to eat lots of fruit and vegetable servings. Beans, legumes and whole grains also work well.

 

Low in saturated fat

Try reducing or eliminating your intake of high fat meats, milk and other dairy products. Try limiting your consumption of butter, mayonnaise and baked goods.

 

High in fibre

Whole grain breads, oats, barley, quinoa and bulger are all high-fibre choices.

 

Low in simple sugars

Aim to limit your intake of candies, baked goods, and other foods made with simple sugars and refined flours.

 

Low in salt

Prepared foods can contain high levels of salt – so try to choose reduced-salt prepared meals, canned soups, snacks (unsalted or lightly salted nuts and chips) and condiments (reduced sodium soy sauce and ketchup). Using salt substitutes and using more herbs and spices while cooking can also help provide flavour without the added salt.

 

Tips to you keep your body well-fueled

Indulge in snacks

Eat smaller, more frequent snacks, every few hours, throughout the day. If appetite is an issue, don’t be shy about treating yourself to your favourite foods – your body may need the calories.

 

Eat more protein

Protein is important to help your cells grow and repair themselves. Try to eat more fish, poultry, lean red meat, eggs, dairy products and nuts.

 

Drink more water

Drinking water regularly is important for staying hydrated. You should aim to drink more water when you’re out in hot weather, or involved in physical activity.

 

Consider supplements

Different varieties of milkshakes, bars or powders are available at most pharmacies, and can be useful sources of protein and calories when you’re on the go or simply don’t have the time or energy to prepare a meal for yourself.

 

Add fruits and vegetables to your diet

Fruits and vegetables are one of the most important parts of a healthy lifestyle. A healthy diet filled with colourful fruits and vegetables are strongly linked to the prevention of chronic diseases such as prostate cancer, cardiac diseases, and diabetes.

Consuming at least 7-9 portions a day, particularly vegetables from the cruciferous vegetable family (broccoli, cauliflower, Brussels sprouts, etc.), is both reasonable and healthy if you want to prevent or slow the progression of a disease. Fructose, a natural fruit sugar, triggers the production of a specific form of vitamin D (see below) which plays a role in lowering the risk of advanced prostate cancer. Thus, eating fruits and vegetables does not have any risks and can actually be good for you.

 

Fruits and vegetables are:

  • Low in fat and calories: Fruits and vegetables are among the most calorie-dense foods: a single portion of vegetables contains about 50 calories while a portion of fruits contains about 70. By simply increasing your daily consumption of fruits and vegetables, you can lower your total calorie intake. This can help you maintain a healthy weight while reducing your risk of developing various cancers and diseases like prostate cancer.
  • Rich in fibre: Fibre keeps food moving through your digestive tract. This helps eliminate toxins and cancer-causing compounds before they can do any harm.
  • An excellent source of vitamins and minerals: Some nutrients found in fruits and vegetables, such as folic acid, vitamin C, vitamin E, flavonoids, and phytochemicals are linked to prostate cancer prevention.
  • A rich source of antioxidants: Antioxidants help to slow and prevent the development of cancer by protecting against DNA damage and blocking the formation of cancer-causing chemicals.

Eating a variety of fruits and vegetables every day can help reduce your risk of cancer. In general, fruits and vegetables with the most colour (dark green, red, yellow, and orange) contain the most nutrients. Superfoods give you a lot of energy, make you feel great, strengthen your body’s immune system, and boost your ability to fight off cancer and other diseases.

 

In summary

  • Eat a variety of foods
  • Include protein in every meal
  • Drink plenty of fluids
  • Consume more plant-based foods
  • Eat more vegetables and fruits
  • Choose healthier fats, in other words, leaner meats
  • Choose low-fat dairy products
  • Make whole grains your preferred carbohydrates
  • Limit high-calorie, high-fat snacks
  • Limit processed foods that are high in sodium

Tips for a healthy lifestyle

  • Try to stop smoking
  • Limit your alcohol consumption
  • Maintain a healthy body weight
  • Exercise for a minimum of 20 minutes every day

Myth versus Reality

Can certain foods reduce my risk of prostate cancer? No single food on its own contains all the anti-cancer properties capable of acting on all the processes involved in tumour development. This fact underscores the importance of integrating a wide variety of foods into our diet. For example, consuming cruciferous vegetables or vegetables from the Allium family (like garlic) help the body to eliminate carcinogenic substances, thereby reducing your body’s capacity to induce mutations in DNA and promote the appearance of cancer cells.

Similarly, green tea, berries, and soy prevent the formation of new blood vessels required for the growth of micro-tumours and keep tumours in a latent state (anti-angiogenic effect). But what about their cancer-fighting properties?

Tomatoes are an excellent source of lycopene, a strong antioxidant that helps prevent cellular damage. According to a number of studies, lycopene plays an important role in the prevention of prostate cancer. While cooked tomatoes provide the greatest benefits, Lycopene can also be found in watermelon, pink grapefruit, guava, papaya, blood orange, and apricot. Discover their benefits by clicking here

When it comes to health, berries have a fabulous reputation. Blueberries are packed with antioxidants, called anthocyanins, that may help keep memory sharp as you age, and raspberries contain ellagic acid, a compound with anti-cancer properties. All berries are great sources of fiber, a nutrient important for a healthy digestive system. Red berries like strawberries, raspberries, blueberries, blackberries, and cranberries—contain a large amount of antioxidants that help protect the body from cellular damage. Discover their benefits by clicking here

Pomegranate juice has important anti-inflammatory and antioxidant properties. Pomegranates are one of the highest antioxidant-containing fruits. Some studies report that patients with prostate cancer who consume pomegranate juice daily show slower cancerous growth and higher lipid resistance to oxidation. The main antioxidants present in this fruit are flavonoids, tannins and ellagic acid. The activity of its antioxidants would be even superior to that of green tea and red wine. Discover their benefits by clicking here 

Rich in polyphenols, powerful antioxidants, the grape has protective properties that act at different levels. It protects the cardiovascular system by slowing down its ageing, it limits the formation of bad cholesterol, and improves the resistance of the blood vessels. In addition, resveratrol found in grapes but is mostly found in red wine, is a molecule that affects genes responsible for ageing, activates cellular repair mechanisms, helps increase cellular longevity, and has an incredible capacity for slowing tumour growth. Discover their benefits by clicking here

Studies to date show that cruciferous vegetables such as broccoli, cauliflower, and cabbage are the major contributors of anti-cancer properties associated with eating fruits and vegetables. Eating cruciferous vegetables at least 3 to 4 times a week has been linked to a decrease in breast, lung, gastro-intestinal (stomach, colon, rectum), and prostate cancer. Discover their benefits by clicking here

Alliums (members of the garlic family) are effective against prostate cancer. Studies show that the sulphur compounds of vegetables from the allium family play an important role in the prevention of certain digestive system cancers (esophagus, stomach, and colon), prostate cancer, lung cancer, and breast cancer. Moreover, the curative properties of “these allium sulphur compounds induce the death of cancerous cells”. Garlic is possibly the oldest example of a plant used as much for its nutritional properties as its positive impacts on health. Discover their benefits by clicking here

These substances are found in all plant-based foods (fruits, vegetables, and untreated or unaltered grains), most of which contain a mixture of two types of fibers – soluble and insoluble. A diet rich in dietary fiber could serve as protection against the development of certain types of cancer, notably prostate cancer. Yet, most Quebecers do not consume enough dietary fiber. However, they are present throughout our diet and are easy to incorporate if one chooses the right foods. Discover their benefits by clicking here

When it comes to prostate cancer prevention, we know that soy contains natural estrogen that can balance androgens. There are also other hormonal mechanisms that use soya to inhibit the development and progression of cancer. It is recommended that patients, who wish to take this treatment in addition to the usual prostate cancer treatments, take 50–60 mg of soy protein each day. Discover their benefits by clicking here

Studies show a correlation between eating fish rich in omega-3 and a decrease in the risk of developing certain breast, ovary, prostate, or colon cancers. Omega-3 has demonstrated the ability to slow the production of inflammatory molecules that promote the development of cancer, promote cellular death by apoptosis, and inhibit the growth of blood vessels that feed cancer cells. Fatty acids play an important role in tissue regeneration and keeping your prostate healthy. Discover their benefits by clicking here

Studies show a correlation between eating fish rich in omega-3 and a decrease in the risk of developing certain breast, ovary, prostate, or colon cancers. Omega-3 has demonstrated the ability to slow the production of inflammatory molecules that promote the development of cancer, promote cellular death by apoptosis, and inhibit the growth of blood vessels that feed cancer cells. Fatty acids play an important role in tissue regeneration and keeping your prostate healthy. Discover their benefits by clicking here

Cacao is known for its high polyphenol content from which it gets its antioxidant properties. It is one of the richest flavonoid-containing foods, especially in terms of catechin and epicatechin. Lab studies show evidence of dark chocolate slowing the development of some cancers and countering the growth of cancer cells. Discover their benefits by clicking here

Red wine is a great source of polyphenols, the main one being resveratrol. Resveratrol found in grapes but most abundant in red wine, is a molecule that affects genes responsible for ageing, activates cellular repair mechanisms, helps increase cellular longevity, and has an incredible capacity for slowing tumour growth. Discover their benefits by clicking here

Illustration de l’appareil de l’homme pour un cancer prostate

Contrary to its name, vitamin D is actually not a vitamin but a hormone that is synthesized by sunlight. The majority of Quebecers, particularly the elderly, are vitamin D deficient, especially during winter. Research studies suggest that vitamin D deficiencies may be linked to the development and growth of prostate cancer.

Recommendations

Because of Canada’s northern latitude the sun’s rays are weaker in the fall and winter. While vitamin D supplements are recommended for all Canadians, men with prostate cancer or at high risk for prostate cancer in particular should take it. Doses of up to 1500 IU appear to be safe and are recommended.

If you are at risk

Ask your doctor if you should take 1,000 or 1,500 international units (IU) a day during the fall and winter months, or all year around. It is important to understand that vitamin D supplements should be used with caution and we recommend following the Health Canada guidelines.

Discover the Top 20 sources of Vitamin D by clicking here

Illustration de l’appareil de l’homme pour un cancer prostate

Selenium is found in brewer’s yeast, wheat germ, chicken liver, nuts and seeds, cod, tuna, herring, shrimp, and oysters. Brazil nuts can have relatively high selenium concentrations (839 micrograms/ounce) but they are high in calories and fat. A healthy diet contains 70 micrograms a day.

Toxic in high doses

Selenium must be taken with caution. Large doses can be toxic. Recent Selenium studies have not positively indicated beneficial effects in the prevention of prostate cancer. More study is needed as it is difficult to recommend supplemental selenium given the current evidence.

How to get it?

It is recommended that patients take 100–200 µg (micrograms) of selenium a day.

Discover the 20 best sources of selenium by clicking here

Illustration de l’appareil de l’homme pour un cancer prostate

Vitamin E is a major intracellular anti-oxidant. It is typically found in plant-derived oils but is commonly taken in the form of a dietary supplement. Vitamin E has a long been considered safe, but recent studies have put into question the safety of larger doses. Given this new evidence it is recommended that you do not exceed your daily allowance of vitamin E.

How to get it?

  • Nuts, grains, vegetable oils, and to a lesser degree, leafy greens, are all good sources of vitamin E.
  • Peanuts and pistachios contain less vitamin E than almonds, hazelnuts, and sunflower seeds.
  • A daily intake of 15 mg is sufficient.

Discover The 20 best sources of vitamin E by clicking here

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Sources and references
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