Guide to fruits and vegetables
This Guide Was Developed The produce
ranking was developed by analysts at the
not-for-profit Environmental Working Group
(EWG) based on the results of nearly
43,000 tests for pesticides on produce
collected by the U.S. Department of
Agriculture and the U.S. Food and Drug
Administration between 2000 and 2005. A
detailed description of the criteria used in
developing the rankings is available as well
as a full list of fresh fruits and vegetables
that have been tested (see below).
For more information please visit
www.ewg.org.
The Dirty Dozen
Worst (Buy these Organic)
Peaches
Apples
Sweet Bell Peppers
Celery
Nectarines
Strawberries
Cherries
Lettuce
Grapes (imported)
Pears
Spinach
Potatoes
The Cleaner Dozen
Best (Lowest in Pesticides)
Onions
Avocado
Sweet Corn (frozen)
Pineapples
Mango
Sweet Peas (frozen)
Asparagus
Kiwi
Bananas
Cabbage
Broccoli
Eggplant
Chemotherapy may affect the whole
body.
Chemotherapy is a cancer treatment that
uses drugs to stop the growth of cancer
cells, either by killing the cells or by
stopping the cells from dividing. Because
chemotherapy targets rapidly dividing cells,
healthy cells that normally grow and divide
rapidly may also be affected by the cancer
treatments. These include cells in the
mouth and digestive tract.
Nutrition-related side effects may occur
during chemotherapy.
Side effects that interfere with eating and
digestion may occur during chemotherapy.
The following side effects are common:
Anorexia.
Nausea.
Vomiting.
Diarrhea or constipation.
Inflammation and sores in the mouth.
Changes in the way food tastes.
Infections.
Nutrition therapy can treat the
nutrition-related side effects of
chemotherapy.
The side effects of chemotherapy may
make it difficult for a patient to obtain the
nutrients needed to regain healthy blood
counts between chemotherapy treatments.
Nutrition therapy can treat these side
effects and help chemotherapy patients get
the nutrients they need to tolerate and
recover from treatment, prevent weight
loss, and maintain general health. Nutrition
therapy may include the following:
Supplements high in calories and protein.
Enteral nutrition (tube feedings).
Surgery may cause fatigue, pain, and
loss of appetite.
It is common for patients to experience
pain, tiredness, and/or loss of appetite after
surgery. For a short time, some patients
may not be able to eat their regular diet
because of these symptoms. The following
eating tips may help:
Avoid carbonated drinks (such as sodas)
and gas-producing foods (such as beans,
peas, broccoli, cabbage, brussel sprouts,
green peppers, radishes, and cucumbers).
If regularity is a problem, increase fiber by
small amounts and drink lots of water.
Good sources of fiber include whole-grain
cereals (such as oatmeal and bran), beans,
vegetables, fruit, and whole grain breads.
Choose high-protein and high- calorie
foods to help wounds heal. Good choices
include eggs, cheese, whole milk, ice
cream, nuts, peanut butter, meat, poultry,
and fish. Increase calories by frying foods
and using gravies, mayonnaise, and salad
dressings. Supplements high in calories
and protein are available.
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Effect of Radiation Therapy on Nutrition
Radiation therapy can affect healthy cells in
the treatment area.
Radiation therapy is a cancer treatment that uses
high energy x-rays or other types of radiation to
kill cancer cells. There are two types of radiation
therapy. External radiation therapy uses a
machine outside the body to send radiation
toward the cancer. Internal radiation therapy uses
a radioactive substance sealed in needles, seeds,
wires, or catheters that are placed directly into or
near the cancer.
Healthy cells that are near the cancer may be
affected by the radiation treatments, and side
effects may occur. The side effects depend
mostly on the radiation dose and the part of the
body that is treated.
Nutrition-related side effects may occur during
radiation therapy.
Radiation therapy to any part of the digestive
system is likely to cause nutrition -related side
effects. The following side effects may occur:
Radiation therapy to the head and neck may
cause anorexia, taste changes, dry mouth,
inflammation of the mouth and gums, swallowing
problems, jaw spasms, cavities, or infection.
Radiation therapy to the chest may cause
infection in the esophagus, swallowing problems,
esophageal reflux (a backwards flow of the
stomach contents into the esophagus), nausea,
or vomiting.
Radiation therapy to the abdomen or pelvis may
cause diarrhea, nausea and vomiting,
inflammation of the intestine or rectum, and fistula
(holes) in the stomach or intestines. Long-term
effects can include narrowing of the intestine,
chronic inflamed intestines, poor absorption, or
blockage in the stomach or intestine.
Radiation therapy may also cause tiredness,
which can lead to a decrease in appetite and a
reduced desire to eat.
Nutrition therapy can treat the nutrition-related
side effects of radiation therapy.
Nutrition therapy during radiation treatment can
provide the patient with enough protein and
calories to tolerate the treatment, prevent weight
loss, and maintain general health. Nutrition
therapy may include the following:
Nutritional supplement drinks between meals.
Enteral nutrition (tube feedings).
Other changes in the diet, such as eating small
meals throughout the day and choosing certain
kinds of foods.
Effect of Immunotherapy on Nutrition
Nutrition-related side effects may occur during
immunotherapy.
Immunotherapy is treatment that uses the
patient's immune system to fight cancer.
Substances made by the body or made in a
laboratory are used to boost, direct, or restore
the body's natural defenses against cancer. This
type of cancer treatment is also called biologic
therapy or biotherapy.
The following nutrition -related side effects are
common during immunotherapy:
Fever.
Nausea.
Vomiting.
Diarrhea.
Anorexia.
Tiredness.
Nutrition therapy can treat the nutrition-related
side effects of immunotherapy.
If the side effects of immunotherapy are not
treated, weight loss and malnutrition may occur.
These conditions can cause complications during
recovery, such as poor healing or infection.
Nutrition therapy can treat side effects from
immunotherapy and help patients get the
nutrients they need to tolerate treatment, prevent
weight loss, and maintain general health.
Cancer Nutrition Information is from:
http://www.cancer.gov/cancertopics/pdq/supportive
care/nutrition/Patient/page3
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The Wellness Community
and
Walk with a Doc
A weekly walking program for anyone interested
in taking steps toward better health and wellness
CANCER WELLNESS WALKING BENEFITS:
Improve Your Mood
Manage Your Weight
Promotes Better Sleep
Reduces Stress
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