Podcasts about world cancer research fund

What does playing in a punk band and leading a digital agency have in common? Quite a lot, it turns out. In this episode of A Little Bit Radical, host Rob Fawkes sits down with Sepas Seraj, Founder of Pixeled Eggs, a purpose-driven digital agency working with organisations like the Earthshot Prize, World Cancer Research Fund, and the Royal Foundation for the Prince and Princess of Wales. Sepas shares his journey from growing up in Iran and moving to the UK, to playing in punk bands, and eventually building a digital agency that helps mission-driven organisations thrive. This conversation covers creativity, collaboration, and the lessons he's brought from the rehearsal room into the workplace.

Commercial support for this podcast has been provided by Avocados – Love One Today® Cancer is a complex disease that is influenced by many factors including genetics, environment, and lifestyle behaviors. According to the World Cancer Research Fund, emerging evidence suggests that people who eat very little or no fruits and vegetables are at the greatest risk for developing certain cancers. In this episode, we explore the relationship between lifestyle behaviors and cancer risk, highlight current research on diet and cancer risk reduction including new research related to avocado consumption and cancer, as well as strategies to help increase fruit and vegetable consumption and other habits that help to mitigate cancer risk.  Tune into this episode with Ginger Hultin, MS, RDN, CSO to learn about: ●       Gaps in awareness about the link between diet and cancer ●       New research about cancer prevalence and risk factors ●       Challenges and limitations in cancer/nutrition research ●       Risk reduction vs. “prevention” ●       Why fruits and vegetables are beneficial for cancer risk reduction ●       New research on avocado consumption and cancer risk ●       Nutrient profile of avocados and how that relates to cancer risk reduction ●       Tips for healthcare providers to help patients reduce their risk of cancer ●       Tips and tricks for eating more fruits and vegetables ●       Resources for health professionals and the public This episode has been approved by CDR for 1.0 free CEUs for RDNs & NDTRs Listen on any podcast app or here where you can get the full shownotes, transcript and resources: https://soundbitesrd.com/275

Welcome to the final episode of our 3-part series “Men's Health Table Talk, Nutrition and Cancer related Andropause” by UCC student Dietitians Daniel Coakley and Emma Barrett.      So far on this series, we have spoken with RD Katie Johnston who provided us with some very insightful and evidence-based information about the nutritional consequences oftentimes faced by male cancer survivors as a result of their cancer treatment. We also chatted about the changes that occur in body composition along with the importance of evidence-based information when it comes to supplements and potential dietary changes.       In our second episode, we spoke with coach and personal trainer Aidan Hunter, who provided us with a very personal account of his own journey with cancer having faced testicular cancer twice in his mid 20's. Aidan's honest and candid discussion was a powerful reminder of how important early detection and screening is when it comes to cancer prevention.       For our final episode, we will explore evidence based recommendations to reduce cancer recurrence for male cancer survivors. These guidelines can also be applied to people listening who would like to reduce their risk of cancer.    In the second half of this episode, we will be chatting with Health Promotion Officer Shirley O'Shea about her expertise in public health and working with individuals with cancer. Shirly's main role is centered around physical activity promotion with a special interest in exercise oncology. We explore the current services and support available for male cancer survivors going through or who have been through treatment. We also discuss strategies to encourage more men to access healthcare and health-related services, aiming to break the stigma surrounding men speaking openly about their health.     Links to some useful resources and topics discussed in today's episode:    World Cancer Research Fund: https://www.wcrf.org/     International Agency for Research on Cancer: https://www.iarc.who.int/     HSE Healthy Eating Guidelines https://www.hse.ie/healthyeatingguidelines/     HSE Healthy Eating Active Living https://www2.hse.ie/living-well/.     Get Ireland Walking https://www.getirelandwalking.ie/     Drink Aware: https://www.drinkaware.ie/    The Irish Cancer Society: https://www.cancer.ie/     Cork Cancer Support House: https://corkcancersupport.ie/     Men Against Cancer: https://macprostatecancersupport.ie/men-against-cancer/      Research papers mentioned in today's episode:    Recent review on common symptoms and conditions related to endocrine disorders among survivors of adult-onset cancer:  Link-Rachner CS, Göbel A, Jaschke NP, Rachner TD. Endocrine health in survivors of adult-onset cancer. Lancet Diabetes Endocrinol. 2024 May;12(5):350-364. doi: 10.1016/S2213-8587(24)00088-3. Epub 2024 Apr 8. PMID: 38604215.    Role of the Mediterranean Diet and Cancer:  Monllor-Tormos A, García-Vigara A, Morgan O, García-Pérez MÁ, Mendoza N, Tarín JJ, Cano A. Mediterranean diet for cancer prevention and survivorship. Maturitas. 2023 Dec;178:107841. doi: 10.1016/j.maturitas.2023.107841. Epub 2023 Aug 24. PMID: 37660598 

Episode 8 of In a Nutshell features Dr Gemma Newman, NHS GP and lifestyle medicine practitioner, PBHP-UK Ambassador and author of books ‘The Plant Power Doctor' and ‘Get Well, Stay Well'.  Gemma tells us not only how plant-based eating took her away from her fears of having inherited poor cardiovascular health, but discusses  one of the most challenging areas for time-pressed health practitioners: the art of  inspiring behaviour change in patients. She reminds us why telling people what to do does not work and can actually consolidate unhealthy behaviours. With her acronym ‘BLEND-IT', we could all support another person out of a cycle of cognitive dissonance.  Pre-order Gemma's new book 'Get Well, Stay Well' at: https://www.waterstones.com/book/get-well-stay-well/dr-gemma-newman/9781529107692 And the science and practical steps to eating plant-based in one book, 'The Plant Power Doctor': https://www.waterstones.com/book/the-plant-power-doctor/gemma-newman/9781529107746 Also discussed: https://ukhealthalliance.org/news-item/health-leaders-call-on-government-to-do-more-to-protect-nature-for-the-benefit-of-health/ World Cancer Research Fund reference: https://www.wcrf.org/diet-activity-and-cancer/cancer-prevention-recommendations/eat-wholegrains-vegetables-fruit-and-beans/ American College of Cardiology dietary guidance: https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2021/11/23/19/45/2021-dietary-guidance-to-improve https://plantbasedhealthprofessionals.com/the-plant-based-eatwell-guide TJ Waterfall book: https://www.waterstones.com/book/the-plant-based-power-plan/tj-waterfall/9780241472446

“Breast cancer was the most common cancer in women worldwide, contributing 25.8% of the total number of new cases diagnosed in 2020.” - World Cancer Research Fund.The Centers for Disease Control and Prevention (CDC) identifies five major types of cancer: cervical, ovarian, uterine, vaginal, and vulvar. (A sixth type of gynecologic cancer is the very rare fallopian tube cancer.)So how does cancer affect sex for women?Being sexually active post-cancer operations can be challenging but with accurate consultation and advice from your GYN, sex post-cancer can still be enjoyable.Let's find out how!In the episode, Dr. Rachel Pope is joined by Dr. Kimberly Resnick Director of Gynecologic Oncology at MetroHealth. They discuss sex after cancer for women, and not just surviving but improving quality of life after cancer.“Taking away your uterus does not affect your femininity.” - Dr. Kimberly ResnickFeatured in this episode: Guilt and HPV cancer Orgasm and intimacy post-cancer operations Menopause post-operation and treatments Not having to just “deal with” the pain during sex Talking to your GYN about sex after cancerSubmit your questions on anything and everything women's health-related and we will answer them in one of our episodes.Want more from Our Womanity?Take the Vulva Quiz to see how well you know women's bodies.Looking for practical advice for women in their 60's who want to become sexually active or want to improve their current sex life? Check out Sex in Your Sixties: Who says the fun has to stop? Written by a multidisciplinary group of health professionals who address issues such as pain with sex, low desire for sex, orgasm difficulties, your bladder and sex, same sex partners, vulvar skin conditions, trauma and more.Subscribe to our newsletter here to stay updated and not miss out on new episodes.

On Friday's Morning Focus, Alan was joined by Kate Maloney, a skin cancer survivor from Quinn. Kate discussed her experience dealing with skin cancer and losing her dad to Melonoma six weeks after he was diagnosed. Kate also outlined the recent information released by The World Cancer Research Fund saying that Irish women are in the top ten highest rates of skin cancer in the world. Audrey Rochford, from Rochford's Pharmacy also joined the conversation. She highlighted how unhealthy sunbeds and various other tanning techniques actually are and how they damage skin. Alan also mentioned the use of sun cream and Audrey voiced how important it is to re-apply it throughout day.

Dr. Sujatha Kekada is the Head Physician and Co-Founder of AmrtaSiddhi Ayurvedic Clinic in Ubud, Bali. She is a certified Ayurvedic Doctor (B.A.M.S) with a degree from Rajiv Gandhi University, Karnataka, India.  In this episode Colette chats with Dr. Sujatha about the Ayurvedic perspective on cancer. According to the World Cancer Research Fund, cancer is the 2nd leading cause of mortality after cardiovascular disease and it's the leading cause of death in over 50 countries.  They discuss the following: What is cancer. What are the conditions in the body that could cause these malignant cells to grow. Why cancer is a complex disease and may not be diagnosed until the later stages. The types of cancer according to Ayurveda. Ayurvedic treatment protocol for cancer. Steps we can all take to prevent all diseases, including cancer. * Check out Dr. Sujatha's website here.... amrtasiddhi.com * Click here to learn more about the 7 day Ayurveda Rejuvenation Retreat with Dr. Sujatha in Bali, Indonesia - December 2023. * Visit Colette's website www.elementshealingandwellbeing.com  Online consultations Private at-home Digestive Reset Cleanse tailored to you Educational programs - Daily Habits for Holistic Health Have questions before you book? Book a FREE 15 min online Services Enquiry Call * Join the Elements of Ayurveda Community! * Stay connected on the Elements Instagram and Facebook pages. * Thanks for listening!  

Colorectal cancer is the 3rd most common cancer worldwide with a strong association with diet and lifestyle and alarmingly we are seeing rates rising among young adults.  Are we being very dismissive with preventative actions? In today's episode, Wagdy shares real-life stories of 3 different patients, the youngest being 25, with one similar diagnosis to highlight the most common symptoms of bowel cancer. An in-depth look at risk factors such as red meat consumption somehow creates a little quarrel between Sandra and her dad but is quickly resolved as they both agree on the power of lifestyle and nutrition in preventing bowel cancer. Sandra walks you through the reasons behind her suggestions of eliminating red meat, processed meats and alcohol as well as how fibre plays a crucial role in preventing this type of cancer. You'll learn about the importance of screening and whether you should book your next colonoscopy as soon as possible! This episode is a reminder to screen early and take advantage of all the preventative measures out there to help you reduce your risk of developing bowel cancer before it's too late. World Cancer Research Fund: https://www.wcrf.org/cancer-trends/colorectal-cancer-statisticsConnect with your hosts on LinkedInSandra MikhailWagdy Mikhail For more information visit instagram.com/nutritionaz_by_sandramikhail OR nutritition-az.comThe Gut Chronicles: An uncensored journey into the world of digestive health and illness. Sandra Mikhail's upcoming book out May 2023. 

In this episode we will be exploring the topic of innovation in legacy fundraising. So keep listening to hear our guest's views on what problems might need solving in the sector as well what they think the biggest areas of opportunity are for gifts in Wills – and how to apply that in your own charity. This episode has been produced in collaboration with the Legacy Futures Awards. The Innovation Award (for which podcast host, Lucinda Darby, is one of the judges) is open to any organisation this is looking to innovate in the area of legacy or in memory giving and create a big impact. Find out more and apply the awards here. Applications close on 31st March - good luck to all who enter! The guests in this episode were: Ashley Rowthorn – CEO, Legacy Futures Georgina Hyman – Head of Legacy and In Memory Giving, Alzheimer's Research UK & Chair of the Legacy & In Mem SIG Michael Clark – Head of Legacy Development, World Cancer Research Fund & committee member of the Legacy & In Mem SIG The questions we explored were: 1. What does the word ‘innovation' mean to you? 2. Which areas of legacy fundraising do you think need innovation the most? 3. As a larger charity, or one who invests a lot in legacy fundraising do you have examples of how you have been innovative in the past? Or future plans? 4. Vice versa, what does innovation in legacy fundraising look like for a smaller charity? 5. What do you think the future of legacy fundraising holds? If you have any questions about anything we have spoken about, please email us at info@rememberacharity.org.uk and we can pass your questions on to the guests. P.S. To apply for one of the Legacy Futures Awards, simply fill in one of the forms HERE. Applications must be received by 17:00 GMT on 31st March 2022. Good luck!

Over one-hundred-and-ten-thousand South Africans are diagnosed with cancer every year. This is according to the Cancer Association of South Africa. Experts say  healthy nutrition plays a vital role in lowering the risks of cancer development. The World Cancer Research Fund estimated that 30-40 percent of all cancers can be prevented by appropriate diets, physical activity, and maintenance of appropriate body weight.

Is Caloric Density the Secret to Eating as Much as You Want without Gaining Weight? By Kate Clemens with John Day Is there a way to never feel hungry again and not gain weight? One answer is to mostly eat only those foods with the absolute lowest caloric density. In other words, a low caloric density means you want the most food you can get on your plate with the least amount of calories. And in this article, we'll teach you everything you need to know about the low caloric density eating approach. Dr. Day's Experience with Low Caloric Density Eating Focussing primarily on foods with the lowest caloric density has been something Dr. Day has done for the last 10 years to maintain his 30-pound weight loss. For him, pilling up his plate high with food not only fills his belly but also psychologically convinces his brain that he is full. As vegetables have the lowest caloric density this is what fills up most of his plate. And because oils have the highest caloric density, he avoids them whenever possible. For example, when making a salad he puts berries, beans, nuts, and seeds on his salad, rather than salad dressing, because berries, beans, nuts, and seeds have a much lower caloric density (see chart). In general, Dr. Day keeps his caloric density below 780 calories per pound unless he is eating nuts, seeds, or some very dark chocolate (>70% cacao and usually stevia-sweetened). Of note, his wild salmon measures in at about 780 calories per pound. On rare occasions, he will just put a small taste of salad dressing on a fork (he never puts the dressing on the salad) if berries, beans, nuts, or seeds are not available to flavor his salad. Caloric Density Works Caloric density is a straightforward approach to weight management that works. The idea is to increase the amount of food on your plate while decreasing your total caloric intake. You do this by paying attention to the calories per pound in the food you choose to eat. The best part of it is that you eat for satiety and optimize the amount of nutrients you take in at each meal. 5 Key Findings from Weight Loss and Caloric Density Research What does research tell us about the caloric density eating approach? Below is a summary of the best studies: 1. People can eat freely foods that are about 300 calories per pound or less and not gain weight. 2. People can consume relatively large portions of foods that are between 400 and 800 calories per pound and still lose or maintain their weight depending on their individual activity levels and metabolism. 3. Foods with a calorie density of 800-1,800 should be limited as these can contribute to weight gain and interfere with efforts to lose weight. 4. Foods over 1,800 calories per pound should be extremely limited as these foods can very easily contribute to weight gain and obesity and can also greatly interfere with efforts to lose weight. 5. In 2007, the American Cancer Institute and the World Cancer Research Fund published a report which recommended the average calorie density of the American diet be lowered to 567 calories per pound. This can easily be achieved if one eats freely of unrefined, unprocessed fruits, veggies, starchy veggies, and intact whole grains and legumes. It is important to note that this means without the addition of salt, sugar and/or fat/oil to them. Never Diet Again by Following the Caloric Density Eating Approach Using the caloric density approach is one that is truly simple and based on common sense. Better yet, it is easy to stick with which allows you to manage your weight for the rest of your life without dieting. Because you essentially end up eating more food with fewer calories, you will feel satiated and happy. In a nutshell, by having a rough idea of how many calories there are in a given weight of food, one can enjoy a larger amount of food without increasing their total daily caloric intake. Foods that fall in this category tend to be whole,

It's October! It's all about dressing up and pretending!That's what role-players do best! And now, you can do that for charity! We welcome Oneuppington with Roleplay4Charity. We are looking for guests for Playing the Other. If you'd like to be our guest, let us know at wyrmworkspublishing.com/contact Content Warning: Cancer 0:00 Introduction2:10 Rhydian "Oneuppington" John with Roleplay4Charity19:38 Wrap-up Manually captioned. Transcript available at our website. Roleplay4Charity Links Twitter: @Role4CharityCharity Link: https://donate.tiltify.com/+roleplay4charity/roleplay4halloween World Cancer Research Fund: https://www.wcrf.org/ Twitter: @wcrfintWreckage RPG: https://linktr.ee/wreckagerpg and their Twitter handle: @RpgWreckageRPG Apparel: https://rpg-apparel.com/ and his twitter handle: @ApparelRpg Wyrmworks Publishing https://WyrmworksPublishing.com https://Patreon.com/wyrmworkspublishing https://facebook.com/wyrmworkspublishing @wyrmworksdale

Προσκεκλημμένη μας στο δεύτερο επεισόδιο είναι η Δρ Καλλιόπη-Άννα Πούλια, Κλινικός Διαιτολόγος στο Λαϊκό Νοσοκομείο και μέλος Διοικητικού συμβουλίου στην Ελληνική Εταιρεία Ιατρικής/Κλινικής Διατροφής και Μεταβολισμού (GrESPEN). Στο πρώτο μέρος του σημερινού επεισοδίου μιλάμε για την διατροφή στα πλαίσια της πρόληψης του καρκίνου: Διατροφικά πρότυπα Μύθοι και συχνές παρανοήσεις Αναλύοντας τα διαφορετικά διατροφικά στοιχεία της διατροφής μας-λίπη, σάκχαρα, βιταμίνες, ιχνοστοιχεία- Συστάσεις διατροφής που βασίζονται στην έρευνα και την τεκμηρίωση. Χρήσιμοι σύνδεσμοι για περαιτέρω πληροφορίες: https://cancerhellas.org/tag/διατροφή: Ιστοσελίδα της Ελληνικής Αντικαρκινικής Εταιρείας όπου διατίθεται ηλεκτρονικό βιβλίο με συστάσεις διατροφής. https://www.grespen.org/: Ιστοσελίδα Ελληνικής Εταιρείας Ιατρικής/Κλινικής Διατροφής και Μεταβολισμού https://www.espen.org/: Ιστοσελίδα ΕυρωπαΪκής Εταιρείας Κλινικής Διατροφής και Μεταβολισμού https://www.wcrf-uk.org/uk/preventing-cancer/cancer-prevention-recommendations: Συστάσεις πρόληψης από το World Cancer Research Fund https://www.cancer.org/treatment/survivorship-during-and-after-treatment/staying-active/nutrition.html: Συστάσεις από την Αμερικανική Εταιρεία Ογκολογίας. https://www.cancer.net/survivorship/healthy-living/nutrition-recommendations-during-and-after-treatment: Πληροφορίες από την Αμερικανική Εταιρεία Κλινικής Ογκολογίας.

Today when this uploads it will be World Cancer Day which aims to save millions of preventable deaths each year by raising awareness and education about cancer. Emphasizing Wellness in our relationship I have returning guest Rick Perez share his insight. some resource links other useful resources can be found at https://www.worldcancerday.org/useful-links-resources World Cancer Research Fund has useful resources at https://www.wcrf.org/ Disclaimer if you are in crisis please seek immediate medical attention. the crisis hotline is the USA is 1-800-273-8255 National Suicide Prevention Lifeline more resources rickverdegreens on Instagram and Facebook Healthy Flagler at https://healthyflagler.org/ Creation Life https://www.adventhealth.com/creation-life Forgive to Live https://www.adventhealth.com/adventhealth-press/forgive-live TITLE by ARTIST LINK TO ARTIST Promoted by MrSnooze https://youtu.be/kUZTWj2Lxo0License: Creative Commons You can support Revive Ministries by listener support donation at anchor.fm/robert-col363n, thank you for listening --- Support this podcast: https://anchor.fm/robert-col363n/support

Does sugar feed cancer and should you 'eat whatever you want' during and after cancer treatment? In episode 4 the War On Cancer app co-founders, Fabian and Sebastian, speak with Melissa Mogor - Public Health Advisor at World Cancer Research Fund UK and debunks diet and nutrition myths. Ultimately answering the questions Fabian himself had when he was diagnosed with leukaemia soon the be 5 years ago. World Cancer Research Fund is a UK-based International not-for-profit association and a leading authority on cancer prevention research related to diet, weight and physical activity. See acast.com/privacy for privacy and opt-out information.

Fundraising expert Julia Elliott Brown, the CEO of Enter The Arena talks with Francesca Hodgson, the Co-founder and Managing Director of GoodBox, which helps non-profit organisations to take cashless donations, by providing them with contactless charity donation boxes, along with software to help them track, analyse and grow the amount of money they raise.Francesca worked as a graphic designer straight after university for World Cancer Research Fund and has always been a creative at heart. After this, she spent nearly 10 years in corporate social responsibility, managing events. Francesca worked with 200+ charities in this setting, and eventually met her business partner. They founded GoodBox after spotting a major gap in the charity sector. They secured an Angel investor at the start, who supported them with the money to create and test the tech which allows charities to take contactless donations.After some success with the initial concept and trial, Francesca and the team needed to raise further money to take the business to the next level. Crowdfunding was the next step through Seedrs. The first crowdfund was in 2018 and was for £2.6m, and the most recent in 2019 for £2.4m.Francesca’s approach to investment was to take networking to the next level. She knew that by reaching out to her network, using LinkedIn and finding others who she might be interested in investing in the business’s mission, she’d find supporters for GoodBox. As well as that, GoodBox were a part of three accelerators that helped the business with invaluable guidance and access to investors.In this episode of Fundraising Stories with Women Entrepreneurs, you’ll discover…Why you should share all of your ideas openly, without being shy or fearing copycatsWhy you shouldn’t let confidence stop you, you’ll always wonder ‘what ifWhy it’s okay to fail

A cup of coffee in the morning could have greater benefits than just helping tired workers wake up.Coffee drinkers have half the risk of the most common type of liver cancer, a study has found. The coffee bean contains polyphenols that may stop cancer cells dividing.Researchers from Queen's University Belfast looked at almost half a million people, of whom more than three- quarters drank coffee. They were 50 per cent less likely to be diagnosed with hepatocellular carcinoma, which makes up nine out of ten cases of liver cancer. Dr Una McMenamin, of Queen's, said: "Our findings are reassuring in suggesting coffee may have health benefits." Lead author Kim Tu Tran said: "People with a coffee-drinking habit could find keeping that habit going is good for their health."That is because coffee contains antioxidants and caffeine, which may protect against cancer."However drinking coffee is not as protective against liver cancer as stopping smoking, cutting down on alcohol or losing weight."The study found older, university-educated people, those who drank alcohol and men in particular were most likely to drink coffee. Researchers tracked 365,157 coffee-drinkers, and more than 100,000 people who did not drink coffee, over seven and a half years using national cancer records.In that time 88 people were diagnosed with the most common form of liver cancer, which is rising in England.The risk was 50 per cent lower for coffee-drinkers compared with those who drank no coffee. That was the case when alcohol, smoking and obesity were factored in. The risk fell 13 per cent for every cup someone drank daily.Most coffee drinkers in Britain use instant, which some experts suspected may carry a higher risk of cancer. Evidence suggests it has higher levels of acrylamide a cancer-causing chemical made when beans are roasted.But the study, which looked at instant, ground and decaf coffee, found the risk of hepatocellular carcinoma was just as low in people who mostly drank instant coffee. Jars of coffee are thought to contain more cancer-fighting compounds, such as chlorogenic acid, which may prevent harmful inflammation in the body.The World Cancer Research Fund has also concluded that it is "probable" coffee reduces the risk of liver cancer.But the latest study, published in the British Journal of Cancer, did not find an overall link between coffee and other digestive cancers, despite looking at types including bowel and stomach cancer.A separate study, involving the same team, found people who took statins had a 36 per cent reduced chance of being diagnosed with liver cancer.Experts believe statins, taken by millions of people in Britain to lower their cholesterol, may reduce the number of abnormal cells which can develop into tumours.

Dr. Nathan Pennell and Dr. Jennifer Ligibel discuss weight management and physical activity programs for patients with cancer. TRANSCRIPT: Hello, and welcome to the ASCO Journal of Oncology Practice podcast. This is Dr. Nate Pennell, medical oncologist at the Cleveland Clinic and consultant editor for the JOP. I'm sure everyone who listens to this podcast is aware that obesity and lack of physical activity are major health problems in the USA, and they contribute to multiple medical conditions such as heart disease, diabetes. But how much do patients and oncologists know about how obesity and lack of physical activity impact cancer incidence or treatment or outcomes? And how do physicians manage these issues in their practice? With me today to discuss this issue is Dr. Jennifer Ligibel, associate professor at Harvard Medical School and medical oncologist at the Dana-Farber Cancer Institute, where she also serves as director of the Leonard P. Zakim Center for Integrative Therapies and Healthy Living. We'll be discussing her paper, "Oncologists' Attitudes and Practice of Addressing Diet, Physical Activity and Weight Management with Cancer Patients, Findings of an American Society of Clinical Oncology Survey of the Oncology Workforce." Welcome, Dr. Ligibel, and thanks for joining me today. Thank you so much for having me. So just to set the stage for our listeners, how big of a problem is obesity and physical inactivity among cancer patients? Is this something that is generally mirroring the larger problem we see in America, or is there anything different about our cancer patients? Well, we know that obesity and inactivity are risk factors for developing a number of different malignancies. The International Agency for Research in Cancer and the World Cancer Research Fund have both analyzed observational data linking obesity, inactivity, poor dietary quality to the risk of developing malignancy, and have demonstrated really consistent evidence that there is at least 13 different malignancies where obesity, in particular, increases the risk of developing the malignancy. So if you think about the fact that obesity and inactivity are pretty prevalent in the United States, in general, and that these factors also increase the risk of developing malignancy, we find that an even higher proportion of cancer survivors are obese and inactive as compared to the general US population. We also know that treatment that patients get for some malignancies can contribute to weight gain, and also can contribute to inactivity. So you put all of these factors together, and a very large proportion of cancer survivors are at risk for obesity, inactivity, poor dietary quality, or all of those factors together. I mean, the number that you and your co-authors mention is that almost 1/3 of cancer survivors are obese. That seems like a huge number. So clearly a major problem. Yes, that's true. And that number has increased significantly over the last decade. So I know that obesity contributes to cancer risk. But is there data that even treatment of cancer can be impacted by these issues? Yes. So we know that obesity has an impact on treatment-related outcomes and, likely, on the risk of recurrence and mortality in many different diseases. Breast cancer has been the best studied, where we know that women who are obese when they're diagnosed with breast cancer actually have a 35% higher risk of dying from breast cancer compared to women who are of normal weight when they were diagnosed with breast cancer. Similar data are emerging in other malignancies. Colorectal cancer, there has been a strong link with obesity and cancer outcomes. Prostate cancer, gynecologic cancers, there's emerging data as well. So we know that these factors can impact the risk of recurrence and mortality. But there's also evidence that suggests that people who have excess adiposity, have metabolic complications of obesity, are at higher risk of complications like poor wound healing after surgery. They're at higher risk of lymphedema and some malignancies. They may be at higher risk of things like peripheral neuropathy related to chemotherapy. So there are a lot of poor outcomes associated with body weight in cancer patients. Now, I know even dosing of chemotherapy, I believe, obese patients are at risk for under-dosing because people are afraid to give them proper weight-based dosing. So lots of reasons to pay attention to this issue. Is there data, though, that changing that-- intervening with helping patients lose weight or patients at risk losing weight, or increasing their physical activity-- mitigates these risks? That is a great question, and one that will hopefully be answered within the next few years through a number of large-scale, ongoing phase III trials that are looking at the impact of weight loss, increased physical activity, better dietary quality on cancer recurrence and mortality. We don't have data from randomized trials, at this point, looking at the impact of lifestyle change after diagnosis on outcomes. But we do have a lot of observational data that suggest that individuals who are physically active are at lower risk of recurrence in malignancies like breast cancer, colon, and prostate cancer. And we do also have a lot of information from randomized trials that are smaller in scale that demonstrate that losing weight, exercising more has an impact on shorter-term outcomes, like quality of life, cancer-related and treatment-related side effects like fatigue, neuropathy, joint pain. So we know there are benefits of lifestyle change after cancer diagnosis, but we're still awaiting these large-scale trials that will show us whether changing these behaviors actually reduces the risk of recurrence and mortality. So already enough evidence that it's important that we address it, but hopefully, we'll have more convincing evidence soon. Can you take us through the ASCO survey? What was the background to doing the survey, and what did it try to assess? So in 2014, ASCO launched an obesity initiative that really sought to educate the oncology workforce about the connections between obesity and related factors in both cancer risk and outcomes, and to provide tools and resources to help oncologists talk to their patients about physical activity, weight management during and after cancer treatment. There was also a part of the initiative that focused on research and advocacy. We were interested, given that 2014 was a number of years ago, to look at what were the current attitudes of oncology providers toward these topics? What was their practice? Were they talking about weight? Were they talking about physical activity and diet with their patients? And what did they perceive as barriers to really implementing behavior change after cancer diagnosis? And so we designed a survey that would be delivered to individuals that were currently seeing oncology patients. And they could be physicians, they could be nurse practitioners, they could be dietitians or anyone that was currently working with oncology patients and was an ASCO member. And then we asked them questions about their practice, about the attention that they paid to these topics, about what they felt got in the way. And then thinking more broadly about how important did oncology providers think that these topics were in the scope of their practice. Why don't we just jump right into the results? So what were the results from the survey? So first of all, we found that the people that filled out our survey were pretty typical for the general ASCO membership. So about 2/3 of the people that filled out the survey were based in the US. The other 1/3 were international. We did have a higher proportion of medical oncologists, partly because this was limited to people that were actively seeing patients. We had a nice balance of private practice and academic centers, and we had individuals that were treating all different kinds of cancer. So we were happy with the population that filled the survey out as being fairly representative of oncology providers in the US and more broadly. We found, when we asked the providers what were their perspectives on issues related to obesity and cancer, that there was a very strong agreement that obesity impacts treatment outcomes in cancer patients. And in fact, more than 90% of the survey respondents strongly agreed or agreed with that statement, which we were very excited to see. There was also high agreement with addressing a patient's weight should be a standard part of cancer care. And most of their respondents felt that it was the responsibility of the treating physician to recommend healthy diet, regular activity, weight management for patients in whom that was relevant. But there was much less agreement that the oncology workforce felt that they were prepared to be either delivering those interventions or that they had enough information or enough training to really feel comfortable in their skills to help patients start to make these changes. So I thought that was very important that there was high agreement that these things were important, but also a feeling of there needed to be other parts of the health care team that could help patients once these issues were identified in really helping them to make the changes that needed to after diagnosis. We then asked providers about what they were doing now, and we found that the vast majority of providers that completed the survey indicated that they were asking patients about their physical activity patterns, about their diets. They were assessing patients' weights. And this was both during and after cancer treatment. There was a much lower proportion of survey respondents that were actually making referrals to dietitians, to weight management services for their patients. So although there was a lot of discussion and there was an assessment, there wasn't necessarily the next step, which was helping patients actually incorporate these changes through a referral to a skilled provider. And then, the last piece was looking at barriers. And I think that this was something that we were actually a little bit surprised about some of the responses. The last part of the survey focused on looking at the respondents' perceptions of barriers. What did oncology providers feel like was getting in the way of patients changing their diets, exercising more, losing weight when it was relevant? We found that, not surprisingly, lack of time for counseling was something that many providers noted, lack of available resources. So even if you identified that a patient wanted to lose weight or meet with a dietitian, there wasn't necessarily someone that was available. Lack of training or expertise on the part of the oncology provider was also noted. We also found that the majority of participants felt that patients' resistance to behavioral interventions was also a large barrier to helping people make these changes. And this really led us to think start thinking about, well, what is the patient's perception? And I think that's something that we did not cover in this survey, but that is really critical. Because if we find that oncologists are talking about these topics and are trying to reinforce the importance, but patients aren't hearing that or aren't making these changes, then we're really not accomplishing what we want to. So I think from this survey, we now can see what oncologists feel is important and what they're doing in their practices. And we need to figure out, what are the patients hearing and what is the result of the advice that the providers are giving to patients? Yeah, that really is an interesting and kind of a surprising piece. So the first part resonates with me. So I certainly address, you know, in my patients that are in follow-up and survivorship, exercise and trying to maintain a healthy weight. And I also feel that I'm not super comfortable with trying to intervene in that myself, but rather try to suggest that they look for SilverSneakers or some sort of local exercise gym or other opportunities or, perhaps, refer them to a dietitian. But I don't know that I have a perception that the patients wouldn't welcome that advice or that they might be resistant. Is there any plan to try to get an assessment of cancer patients' attitudes on this? So this is something that we are planning at this time. We are trying to develop a survey and partner with some patient advocacy groups to really better understand what the patients' perceptions of these topics are. There is not much currently in the literature, but there have been some assessments. There was a large study that was done in the UK that looked at patients with colorectal cancer and the attention that was paid on the part of their provider to exercise. And if patients remembered hearing about exercise, they were much more likely to do it. So I think that something that we really need to better tease out is, what is the patients' receptivity to this type of information? And are the suggestions that oncologists are making enough to get patients, on their own, to seek out a program? Or do we really need to try to educate providers about effective ways of making referrals? I think the reality is that we also need more programs that patients can be referred to. And something that I think is a real need within the oncology space is programs that help people lose weight that are able to help people become more active, and recognizing some of the limitations that many patients have as a result of their therapy. Things like lymphedema, things like neuropathy, that can be barriers. How can we manage those in oncology patients to help them successfully achieve these behavior changes? And this is, I think, such a great topic because patients really care about interventions that they can do themselves to help their cancer care and their health. And there's so much out there, in terms of complementary therapies and whatnot. But we have real data on things like diet and exercise, and I think more attention being paid to this within cancer centers would really be welcomed by patients. I think so too. You know, we, right now here at Dana-Farber, are leading a trial called the Breast Cancer Weight Loss Trial that's a phase III study looking at the impact of a weight loss intervention on recurrence in women who are overweight or obese when they're diagnosed with breast cancer. And when we started this study, we weren't sure what the uptake would be. It's a very different type of model. But we've enrolled now more than 2,000 patients in less than three years. So there's definitely a very, very significant interest in this topic amongst patients. There's a similar trial going on in ovarian cancer that just enrolled 1,000 patients with a disease that's much less common than breast cancer over just a few years. So I think that the interest on the part of patients in this topic is large and we want to be able to provide them with evidence-based recommendations. There's a lot of stuff out there that's not so evidence-based, especially about diet, and I think that, as oncology providers, we really owe it to our patients to get them the best information that we have about things that they can do to help improve their outcomes and to make themselves feel better during and after their cancer treatment. And we're very lucky to work at institutions like the Dana-Farber Cancer Institute or here at the Cleveland Clinic, where we've actually got a lot of resources devoted to these efforts. But what can people who work at smaller institutions, or really don't have a lot of infrastructure for this, where can they access data or suggestions on how they can counsel patients or help their patients address problems with obesity and lack of physical activity? Is this something that ASCO can help with? So as part of the ASCO Obesity Initiative, we developed toolkits for oncology providers and for patients about the role of weight management and physical activity in cancer. And so those are available at cancer.net. They can be downloaded. You can give them to your patients to start a conversation about the importance of these topics in oncology care. The American Cancer Society also has diet and exercise guidelines for cancer survivors that oncologists can use as a guideline. The American College of Sports Medicine also has a website where they have oncology-trained exercise professionals in different communities. So if a patient wants to work with a trainer that has an understanding of the complications of cancer treatment and the side effects that patients have, that's another good resource. The other thing that is available in many communities is the Livestrong at the YMCA program, which is a free exercise program that's offered for cancer survivors. This is offered now in more than 700 YMCAs across the country. It's a 12-week program that includes both aerobic exercise and strength training. And this is a resource that I send a lot of patients to, and that is available to people not everywhere, but increasingly more places. So that's another good resource for oncologists and for patients across the US. Well, that's fantastic. So good, I'm glad we got to plug that on the podcast. And Dr. Ligibel, thanks so much for talking to me today. Thank you. And I also want to thank all of our listeners out there who joined us for this podcast. The full text of the paper will be available online at ASCOpubs.org/journal/JOP in June 2019. This is Dr. Nate Pennell, for the Journal of Oncology Practice, signing off.

What do you know about ovarian cancer? Do you know the signs and symptoms of ovarian cancer? Do you think a pap smear detects ovarian cancer? Simple questions but, how many women would not know the correct answers to these questions? I was one of those women and I am sure I am not alone! Having a greater awareness of this type of gynaecological cancer can really help women around the world feel more comfortable to reach out and speak with their doctor. In Australian February is Ovarian Cancer Awareness month and later in the year on May 8th we not only acknowledge 'Mothers Day' but we also mark this day in our calendar as 'World Ovarian Cancer Day'. According to the World Cancer Research Fund, "ovarian cancer is the 18th most common cancer worldwide. There were nearly 300,000 new cases of ovarian cancer in 2018''. Sadly, in Australia approximately 1600 women will be diagnosed with Ovarian Cancer each year. And every day in Australia, four women are diagnosed with ovarian cancer and three will die from the disease. Ovarian cancer generally describes a malignant tumour that starts in one or both ovaries. The signs and symptoms of ovarian cancer can be quite common signs and symptoms of other health conditions such as; excessive fatigue, persistant bloating and stomach pain. For this reason, it is paramount as women we become more aware of ovarian cancer to empower ourselves with knowledge and feel okay to start a discussion with our doctor about ovarian cancer if we are concerned. Increasing our knowledge and awareness of ovarian cancer at this stage is the best way currently we have to reduce our risk of suffering from this disease. To learn more about ovarian cancer I was honored to speak with a courageous woman called Kristin who is living with ovarian cancer which is currently in remission and Kristin continues to fight the statistics. Through her individual ovarian cancer journey we all can take away some key messages to increase our knowledge of this type of gynaecological cancer. In the interview we discuss the common signs and symptoms of ovarian cancer, ways ovarian cancer is diagnosed, the BRCA gene link to ovarian cancer, treatment and current research being conducted in ovarian cancer. If you have a mum, sister, best-girlfriend, aunt or nan share Kristin's journey with them so together as women around the world we become more health empowered through increasing our awareness of ovarian cancer. A big thank you to Kristin Young for kindly sharing her story with us all and to Ovarian Cancer Australia for all the wonderful support they co-ordinate and provide to Australian women. www.ovariancancer.net.au Let's paint the world with Teal to increase Ovarian Cancer Awareness! Ovarian Cancer charities around the world do a great job lobbying for greater research and treatment of Ovarian Cancer and for this we are thankful! USA - www.ovarian.org UK - www.ovarian.org.uk Thank you for listening to MediTalkPodcast your support is greatly appreciated! If you felt this episode of MediTalk was of value please take a minute to write a quick positive review on MediTalkPodcast. As it helps more than you know to be rated on Apple Podcasts so, MediTalkPodcast is able to help more people by increasing peoples' health literacy.

The World Cancer Research Fund says that there are two major things that we can eliminate from our diet to help reduce the risks of cancer. Listen up to find out what they are. We also visit with Huntsman World Senior Games athlete Orville Wong about what sport has taught him throughout his life.

Feels like just a few days ago we did one of these things! Oh wait, it was Friday. Anyway, we're sure you missed us so we're back to talk about video games and Nico's previous life in a not-squat! Hamish completed Final Fantasy XV Nico flip-flopped on Infinite Warfare again Suda 51's first game, The Silver Case Suda 51's latest game, Let It Die Not Suda 51's game, Subnautica Reggie is in The Shroom Room The Last of Us 2 could be real good Is This Death Stranding Theory True? Thanks to Betteridge's Law, we can say no KNACK 2: KNACK HARDER Hamish loves Nico's crazy life And more! Also, if you're digging Hitman (which you are), consider giving some money to the World Cancer Research Fund! http://www.wcrf-uk.org/uk/support-us/christmas-io-interactive-and-hitman-are-supporting-our-work --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/writingongamescast/support

It is super to have todays guest on the inspirational Steve Jobs inspired Join Up Dots podcast show, as he is quite simply the nearest to a real life superman that I have ever spoken to. He is a man on a mission, and it is a mission that will take him around the world and inspire the world at the same time. Starting in April 2015 and finishing in January 2020, he is going to try to complete a record-breaking 7 Continents Round the World Cycle ride, whilst wearing a superman costume? You can only imagine how sore parts of his body are going to be on this epic adventure! Starting his career as a teacher, he always had the motivation to jump onto his bike and see the world. Never content to just relax and go with the flow. His cycling adventures actually started way back in 2011, when he cycled 4,000km from his home in Tooting to Turkey, raising over £5,000 for charity but this was literally just a "Hey honey I'm just going for a ride on the bike for awhile!" kind of trip in comparison. Now he is working his way up to the kind of fitness, to tackle head on this amazing trip and on the way aim to raise £100,000 towards the World Cancer Research Fund and Parkinson's UK. But like so many inspiring tales of achievement and extreme effort that we hear on Join Up Dots, more often than not its the smaller ripples that make for lasting change in the world. Our guest teaches year one children at Brandlehow Primary School in Putney, and is also the Healthy Schools Coordinator for his school. He said: “I've got my own super cycling club that I run after school. And its great to see the kids get excited about cycling; one girl said that she wants to cycle to Egypt when she's older so I'm hoping to inspire them to go on their own adventure.” I'm sure he is going to do just that too. So what is it about cycling freedom that so appeals, as it is renown as being one of the hardest form of long distance endurance? And how has he managed to get so much time away from school, he can't go with the "Oh its a teacher training day" after all? Well lets find out as we bring onto the show to start joining up dots, the Super cycling man himself, Mr Will Hodson.