Health Inequalities - Promoting Healthy Lifestyle

The following pages are for patients, carers and staff with various helpful links and contact details for further information and advice. 

 Staying healthy during and beyond cancer treatment

Health inequalities.

Health inequalities.

One in three people will develop some form of cancer. Aside from reducing the risk it is essential we help our patients to maximise the benefits of treatment by making and maintaining life style changes. Research has identified that just by spending a few minutes talking to health professionals in hospital settings can help you start to explore ways you can make helpful lifestyle changes.

Ask for advice and your Christie health professional will provide some sensible and straightforward advice and will also direct you to additional sources of expert help.  These pages contain some useful internet sites and downloadable material.  Our Cancer Information Centre can also be a great source of printed material and guidance on how to take your healthy life style plans to the next stage.

With our support and encouragement you can take steps to maximise the benefits of your cancer treatment in four key areas: 

  • Going smoke free,
  • Drinking less alcohol,
  • Exercise and staying active,
  • Eating a balanced diet.

 Our frontline staff here at the Christie can help you with Opportunistic Brief Advice - these are the 4 A's.   As part of promoting health and wellbeing during and beyond cancer treatment staff will:

  • Ask ….for example - Do you smoke? How often do you drink alcohol? Do you exercise regularly?
  • Advise…It will always be relevant to your health needs now. For example, '…here at the Christie stopping smoking can help with your treatment and reduce its side-effects. Exercise can help your recovery and with fatigue levels.  
  • Assist… Can I provide you with information on healthy eating or maybe a booklet on safer drinking?
  • Arrange … Can I refer you to my colleague who is a Smoking Cessation Advisor?

 

Going smoke freeOpen

Stopping smoking and reducing exposure to passive smoking is the most effective way of reducing the risk of developing cancer, diabetes, heart and respiratory problems.  Smoking can also affect your mental health with anxiety and depression more common in long term smokers.

No-Smoking.jpg

Going smoke free

The 4,000 chemicals in smoke also damage the skin, teeth, the immune system and put extra stress on the body during cancer treatment. If you continue to smoke during radiotherapy and chemotherapy it makes those treatments less effective and increases side effects, such as nausea, chest infection and mouth soreness.

Research has shown across a range of cancers that Going Smoke Free will help improve fatigue levels, sleep, pain, nausea, help with treatment recovery and reduce the risk of developing new cancers. Here at the Christie our Smoking Cessation Team provides not only helpful advice and support, nicotine replacement therapy but also a range of stress management techniques. 

For further information about our clinics and appointments please do not hesitate to contact:

For information about services locally to you please contact Manchester Stop Smoking or go online: www.manchesterstopsmoking.co.uk

Drinking less alcoholOpen

Drinking less alcohol can help everyone reduce the risk of certain cancers as well as high blood pressure, heart disease, and liver problems.

Alcohol.jpg

Drinking less alcohol

It can also help improve mood and sleep, increase energy for physical activity, and reduce nausea and a sore mouth during chemotherapy and radiotherapy. 

During cancer treatment it's important that our staff:

  • Identify if your drinking is likely to effect your treatment and recovery via a simple questionnaire (AUDIT C) 
  • Guide you on the changes you can make to either take a break or reduce alcohol use to a lower risk level.
  • If you find it hard to take a break or reduce we would be able refer you to specialist services in the community or to a member of our Psycho-Oncology staff for support during any hospital stay here.

Let's look at the facts….

How much is too much?

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Common myth - I can handle my drink so the guidelines don't apply to me.

Fact -  If you feel like you can "handle your drink" you probably have developed a tolerance to alcohol. With time and regular use, a person often drinks more to get the old effect. You are more at risk with every additional unit above the daily guidelines.

Common myth - Red wine is good for your heart whatever your age.

Fact - Only men over the age of 40 and women who have been through the menopause can benefit from one or two units in a day.

Common myth - Having a drink will help me sleep.

Fact - Alcohol may bring on tiredness but with time it disrupts normal sleep patterns. A person often wakes up in the second half of the night.

Common myth - Binge drinking only affects young people.

Fact - Binge drinking is defined as drinking more than 6 units in one day for women and more than 8 units in one day for men. At any age, after an episode of binge drinking it is advisable to refrain from drinking for 48 hours to allow tissues to recover.

What is a unit of alcohol?

  • One unit = 8g of 10ml of ethanol.

The number of units in an alcoholic drink depends on the amount (ml) and the % strength of the drink.

The following formula is used to quickly calculate the unit content:

 

  • abv multiplied by ml divided by 1000 = units

Example of 12% wine 250ml glass

  • 12 x 250 = 3000, divided by 1000, = 3 units

One Drink is rarely One unit

  • 25ml single measure of spirits - 40% abv - 1 unit
  • 275ml bottle of Alcopop - 5% abv - 1.4 units
  • 1 pint of lager/cider - 5.2% abv - 3 units
  • 250ml glass of wine - 12% abv - 3 units
  • 500ml can of super strength lager - 9% abv - 4.5 units
  • 750ml bottle of wine - 12% abv - 9 units
  • 3 litres of strong cider - 7.5% abv - 22.5 units
  • 70cl bottle of vodka - 40% abv - 28 units

Low or non alcoholic drinks are becoming more popular as a spacer between alcoholic drinks or to help take a break from alcohol during chemotherapy and radiotherapy. 

There are some great tasting non-alcoholic wines and beers on the market.   The stress of diagnosis and the demands of treatment can increase use of alcohol - if you think this is happening please contact our Alcohol Advice worker can help you look at making changes so you stay within lower risk limits.

Excercise and staying activeOpen

Exercise can help everyone reduce the risk of heart disease, diabetes, obesity as well as help with mood, sleep, our immune system and energy levels.

Excercie.jpg

Excercise and stay active

Exercise is not contraindicated for people living with or recovering from cancer.  Indeed evidence from research studies indicates that 'easy to learn' daily exercises can help with reducing nausea; help with fatigue, insomnia and low mood. Regular exercise can boost confidence and self esteem, reduces anxiety and depression, helps with lymphoedema, cancer related fatigue, insomnia, and eases pain, nausea and constipation.

There are also studies with patients recovering from cancer treatment that demonstrates improvements in the immune system and in reducing the risk of future cancers.  For advice about exercise during and after cancer treatment please speak to your doctor, specialist nurse or ask for referral to a physiotherapist locally.

Eating a balanced dietOpen

Having a healthy eating approach to your diet can reduce the risk of cancer reoccurring or development of a new one and reduce risk of other diseases such as heart disease. Being overweight can also increase your risk of some cancers.

Eating a balanced diet

Therefore it is important to follow a varied healthy diet. You can do this by:

  • Reducing your intake of high energy foods (high in sugar and fat) and sugary drinks
  • Eating 5 portions of different coloured fruit and vegetables a day
  • Eat less red and processed meats
  • Eating less salty foods and processed foods
  • Increase your fibre foods (whole grains, pulses, fruit and vegetables)
  • Limit your alcohol intake

Diet information:

 You may need to change the balance of your diet if you are undergoing cancer treatment and or are having problems with eating or unintentional weight loss. It is important to eat plenty of energy foods to help fight infection, minimise weight loss and improve your energy levels.

Advice can be found in the links below.

If you require a dietician referral ask your GP to refer you to your local service.

Taking care of your skinOpen

The four areas are important to maintain a healthy lifestyle and will also help with protecting your skin. For example stopping smoking will help with wound healing after surgery.  In addition we would also recommend that you stay well hydrated and safe in the sun during your treatment and beyond.

Take care to cover up in the sun and do not use sun beds as they emit UV rays that damage the skin.  For advice about caring for your skin during cancer treatment please speak with you radiotherapist, specialist nurse or doctor. 

For people who live in the Greater Manchester area Community Health trainers are available free to support life style changes.

 

 Healthy Lifestyle Training for staff

 For further Information about our training events, services and feedback about these web pages please contact:

Dr Peter Mackereth
Clinical Lead Nurse
Supportive Care Services