Category Archives: WCPP Blog

Healthy Land

And oldy but a goodie…from Wellesley Weston Magazine, Summer 2013

W h e n  i t  c o m e s  t o  w a t e r  q u a l i t y,  a n  o u n c e  o f  p r e v e n t i o n
i s  w o rth a  p o u n d  o f  c u r e .

Over a hundred years ago, Henry David Thoreau wrote a letter posing a question still relevant today: “What’s the use of a fine house if you haven’t got a tolerable planet to put it on?” This naturalist foresaw the importance of protecting our earth to protect ourselves. Nothing speaks to the interdependence of nature and humans more than the water that sustains us. Do you know where your drinking water comes from? In Weston, more than 90 percent of residents get their water from the Massachusetts Water Resources Authority (MWRA) system that supplies 61 metropolitan Boston communities, 2.5 million people, and more than 5,500 large industrial users. Weston’s water originates in the Quabbin Reservoir in Belchertown, Massachusetts and, through a series of intricate tunnels, makes its way to town. The remaining Weston residents get their water from private wells. The overwhelming majority of Wellesley’s drinking water comes from the town’s nine wells that tap into the Waban Brook and Rosemary Brook aquifers, with virtually all the rest purchased from the MWRA. A very small percentage of Wellesley residents depend on private wells for their water.

Full Article here Suneby-Healthy-land-water-people

Eating Well for Cancer Prevention

slide_004Christina Chiu, MS, RD, CSO, LDN, CNSC

Did you know that about one-third of cancers in this country are related to things people do (or don’t do) every day? Cancer has many causes, and some, like age and genetics, are not factors you can control. Others, such as weight, diet, and physical activity, are factors you can change.

Why does weight matter?
There is strong evidence that excess weight, especially around the mid-section of your body, is the most harmful and is linked with increased risk for certain cancers, including colon and postmenopausal breast cancer. One of the ways to figure out whether you are at a healthy weight is by knowing your body mass index (BMI). Although not it’s not a perfect tool in all cases, your BMI is a great starting point for figuring out whether you need to gain or lose weight, or keep your weight about the same. Think about asking your primary care doctor about your weight at your next annual physical.

What’s the right thing to eat?
Certain eating patterns are associated with lower cancer risk. The most important foods to focus on are whole, minimally-processed plant-based foods. This means it is important to eat a wide variety of colorful fruits, vegetables, whole grains, and legumes such as beans. These plant-based foods should be about two-thirds or more of your overall food intake. While it isn’t clear from research that any particular fruit or vegetable can decrease cancer risk, we do know from laboratory studies that plant nutrients, known as phytonutrients or phytochemicals, can influence cancer development and cell growth. Eating many different types of fruits and vegetables and other plant-based foods ensures that we get a wide range of nutrients that protect our health. Most plant-based foods contain fiber and are also low in calories. By choosing foods that are filling and satisfying without overeating calories can help us attain or achieve a healthy weight.

Is there anything I shouldn’t eat?
Alcohol drinking is clearly linked with several types of cancer, including head and neck, esophageal, liver, breast, and colorectal cancer. People who use both alcohol and tobacco have an even greater risk of developing cancer. In general, if you do drink, limit yourself to no more than one drink per day (for women) and no more than two drinks per day (for men). If you do not drink, there is no reason to start. In one study in the United Kingdom, every 10 grams of alcohol consumed per day (there’s 14 grams in a 12-ounce beer) was associated with a 12% increase in the risk of breast cancer.
According to the American Institute of Cancer Research, limiting red meat and avoiding processed meat reduces the risk of certain types of cancer, especially colorectal cancer. Red meat includes beef, lamb, and pork, while processed meats are meats that have been smoked, salted, or cured either by salt or other preservatives. Processed meats include deli meats, bacon, hot dogs, and lox. Try to keep your intake of red meat to less than 18 (cooked) ounces per week.
Dietary supplements, such as vitamins and extracts of herbs or foods, have not been shown to reduce cancer risk. In some people, taking high doses of certain vitamins can even have the opposite effect. In most cases, it is better to choose the actual whole food than the supplement (for example, including blueberries or orange slices at breakfast rather than taking a vitamin C supplement pill).

What do I do with all this information? Where do I start?
We all experience roadblocks when it comes to eating healthfully. You might now know what you should be eating, but you might not be so sure what eating healthfully looks like in your own life. You may have particular preferences about food, other health conditions that restrict what you can or cannot eat, or simply have no idea how to start. If that’s the case, it might be a good idea to ask your doctor for a referral to see a Registered Dietitian/Nutritionist (RD or RDN). RDs are trained specifically to make science-backed, personalized food recommendations that take into consideration your personal preferences, health conditions, and other specific needs. If you are a cancer survivor, it might be a good idea to meet with an RD who is a board-certified specialist in oncology nutrition (CSO). In any case, here are a few questions for you to ask yourself when you evaluate yourself and what you are eating:
 Am I eating fruits and vegetables every day?
 Am I eating a colorful mix of different fruit and vegetables?
 Are my meals at least half vegetables/fruits?
 Am I hydrating regularly throughout the day?
 How many calories am I getting from beverages?
 Can I choose water or other non-diet and non-caloric beverages more often?
 How many alcoholic beverages am I drinking each day/week?
 Am I eating because I am hungry or am I eating out of habit, emotions, or other reasons?
 How can I be more physically active throughout the day?

Christina Chiu, MS, RD, CSO, LDN, CNSC is a registered dietitian in the Vernon Cancer Center at Newton-Wellesley Hospital, where she has worked since 2008. A graduate of Cornell University and Boston University, Christina is a board-certified specialist in oncology nutrition and a board-certified nutrition support clinician. She applies her nutrition counseling expertise to help patients eat well throughout and after cancer treatment. She is particularly interested in helping patients realize that eating well for health can be realistic, achievable, and delicious all that the same time.

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The ABCDEs of Getting to Know Your Moles

You may feel healthier with a bit of a tan, but the sunlight that warms our bones and make flowers grow contains ultraviolet (UV) radiation that can damage the skin. Exposure to UV radiation from sunlight can lead to sunburn, which causes premature wrinkling and changes in skin pigmentation, and can lead to skin cancer. Skin cancer is the most diagnosed type of cancer in the U.S. The good news is that skin cancer can be prevented, and it can almost always be cured when it’s found and treated early.

The most common types of skin cancer are basal cell or squamous cell carcinoma, which tend to result from years of prolonged exposure to the sun. Melanoma is a rare, but more dangerous form of skin cancer and it is more likely to spread to other parts of the body.

Knowing your Risk

Anyone can get skin cancer. The risk is highest for people with:

  • White or light-colored skin with freckles
  • Blond or red hair
  • Blue or green eyes

You are at higher risk for melanoma if you have:

  • Unusual moles
  • A large number of moles (more than 50)
  • A family history of melanoma

Get to Know the ABCDEs of Your Moles

To detect skin cancer early, examine your skin all over your body and watch for changes over time. By checking your skin regularly, you’ll discover what is normal for you.

The best time to check your skin is after a shower or bath. Use a full-length mirror and a hand-held mirror in a room with plenty of light. Check yourself from head to toe and learn where your moles are and their usual look and feel.

Malignant moles can vary in appearance. Keep in mind the ABCDE’s when checking your moles:

  • Asymmetrical Shape: Look for moles with irregular shapes
  • Border: Look for moles with uneven, ragged or blurred borders
  • Color Changes:  Look for growths that have many colors (brown, black, tan and sometimes patches of red, blue or white) and an uneven distribution of color
  • Diameter:  Look for growths larger than ¼ inch (the size of a pencil eraser)
  • Elevation: Look for moles raised from the skin

“Also, pay attention to growths that ooze, itch, bleed, cause pain, get scaly or crusty, become hard or lumpy or spread their pigment into surrounding skin,” says Paul G. Rolincik M.D., Chief of Dermatology at Norwood Hospital and Dermatologic Surgeon at Dermatology Associates, P.C. with offices located in Norwood, Foxboro and Franklin. “These can also be signs of a possible skin cancer.”

Protect Your Skin from the Sun

Most skin cancer appears after age 50, but skin damage from the sun can start during childhood. The best way to prevent skin cancer is to protect your skin from the sun and other sources of UV rays, such as tanning beds or sun lamps.

Follow these steps to protect your skin:

  • Stay in the shade as much as possible between 10 a.m. and 4 p.m.
  • Use a broad-spectrum sunscreen. You need one that blocks UVA and UVB rays, with a SPF of 30 or higher.
  • Wear a broad-brimmed hat.
  • Wear long sleeves and long pants when possible.
  • Protect your ears, nose, cheeks, and hands. Since the majority of skin cancers occur on these areas, consider them top priority.
  • Don’t skip the lips. Look for a waterproof or water-resistant, lip-specific product with a high SPF. Plan on reapplying often as lips are moist and lip balms have a tendency to wear off easily.
  • Wear sunglasses. Choose sunglasses with UV protection. This will also protect the delicate skin around the eyes.

If you have any question about your risk for skin cancer or find anything unusual during a skin exam, talk to your doctor. If you need help scheduling a dermatology appointment, visit www.dermatology-pc.com or call 781-762-5858.

 

*Source: American Cancer Society, www.cancer.org

*Source: National Cancer Institute, www.cancer.gov/types/skin/self-exam