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Nutrition

Cancer et Nutrition

An unbalanced diet can increase the risk of developing cancer. Although diet alone may not be able to prevent or cure cancer, adopting certain dietary habits can help prevent cancer and recurrence and improve the treatments’ effectiveness.

Thibaut Spiwack

Thibaut Spiwack is the chef of the restaurant Anona, Paris in the 17th district. He has worked alongside Alain Senderens, Alain Ducasse and at the Georges V. He is determined to offer responsible cuisine using local products.
Finally, he is a candidate in the Top Chef 2022 show.

ANONA

80 Bd des Batignolles 

75017 Paris

STARVING CLUB

11 Bd Pasteur

75015 Paris

Lean meat infused with rosemary, virgin apple and radish, multi-coloured chard, lentil and rosemary emulsion, treviso with camelina oil.

2 PEOPLE

20' PREPARATION

20' COOKING

2 fillets of lean white fish

1 apple

Treviso salad

1 green meat radish

2 sprigs of rosemary

1 purple meat radish

Camelina oil

50g of lentils

Blettes multicolores

Lemon juice

Salt

Chop the shallot and set it aside to cook the lentils.
Cut a few radishes into shavings for the plate and with the rest, make a brunoise (small dice) of apple and radish, season with camelina oil and lemon.

Keep the chard greens whole (leaves) and trim the tails.
Thin out the treviso salad and place it on the plate raw.

To cook the lentils, fry them raw in a pan with a dash of camelina oil and the shallots for 2 minutes, then cover them with water (4x their volume of water).

Leave to cook for 25 minutes.

For the preparation of the fish:
Bring water to the boil in a pan. Place a sprig of rosemary on the fish fillets, season with a dash of camelina oil and wrap in cling film. Plunge the fillets into the boiling water and leave them to cook for 10 minutes off the heat.

Fry the chard stems and leaves for a few seconds in a pan with vegetable oil.
Once cooked, emulsify the lentils with a little water using a blender.

Serve preferably on a light-coloured plate to bring out the colour of the ingredients.
Arrange the fish in the middle, the virgin around it and the other ingredients against the fish, playing with the volumes.

Chef's tips

Try camelina oil, which is very rich in omega-3 and helps to combat inflammatory processes, both on the outside of the skin and inside the body.

Choose organic, untreated food so that you don't have to peel it and so that all the vitamins are preserved.

Denny Imbroisi

Denny Imbroisi is a chef and food writer born in Italy. He became known to the general public by participating in season 3 of Top Chef in 2012.
Since then, he is a chef and owner of 3 Italian restaurants based in the French capital.

IDA
117 rue de Vaugirard
75015 Paris
EPOCA
17 rue Oudinot
75017 Paris
MALRO
7 rue Froissart
75003 Paris

Minestrone my way

To prepare this recipe, some will discover fregola sarda, a variety of pasta
shaped like small balls, native to Sardinia. They are toasted in the oven,
which gives them their particular taste and golden color.

Trofie with pesto

Pesto is the main ingredient in this recipe. It is one of the most famous sauces in the world that can be created from all kinds of herbs: most commonly basil but also tarragon, coriander and parsley. Pesto comes from Genova, which is located in the Liguria region. This sauce goes very well with trofie, but also with trenette, a variety of long pasta.

4 PEOPLE

10' PREPARATION

50' COOKING

4 PEOPLE

30' PREPARATION

15' COOKING

1 NUIT REPOS (mortier)​

150g of fregola sarda
1 zucchini
1 orange carrot
100g green beans
1 yellow carrot
1 celery stalk
100g peas
1 black radish
2 mushrooms
1 broccoli
A few bay leaves
Chopped herbs
Grana Padano cheese
Extra virgin olive oil
Salt
Pepper

Wash the vegetables and cut them into pieces.

Brown them in a large saucepan with olive oil, salt, pepper and a few bay leaves.

Add the fregola sarda and roast them for a few minutes.

Cover with 1.5 liters of water and let simmer for 45 minutes.

At the end of the cooking time, check the seasoning.

Serve in soup plates with chopped herbs and grated Grana Padano cheese.

320g of trofie
1 clove of garlic
30g pine nuts
18cl d’huile d’olive extra vierge
140g de parmigiano reggiano
60g of pecorino romano
A few small basils shoot

The day before, place a mortar and pestle in the refrigerator and let them cool for 1 night.

Le jour même, mettez les feuilles de basilic, la gousse d’ail pelée et les deux tiers des pignons de pin dans le mortier. Battez le tout à l’aide du pilon en ajoutant l’huile d’olive en filet.

Une fois que le pesto est à la bonne texture, ajoutez la moitié des fromages râpés et mélangez.

In a large saucepan, bring salted water to a boil. Add the trofie and cook until the pasta is al dente.

Drain, making sure to keep some of the cooking water.

Faites chauffer très légèrement le pesto dans une casserole puis mélangez avec les pâtes et liez le tout avec l’eau de cuisson réservée.

Arrange in 4 plates and grate the remaining cheese on top. Garnish with the remaining pine nuts and basil sprouts.

Chef's tips

Choose extra virgin olive oil, which has a very low acidity level and very high taste quality. It is particularly recommended for its high omega-9 content.

Prefer foods rich in carbohydrates such as fruit, rich in fiber such as
whole grains, legumes
and vegetables.

How diet impacts treatment

Can I drink alcohol during my treatment?
Alcohol is the second dietary/lifestyle cause of cancer (approximately 8%) after tobacco. Although consuming alcohol during treatment is not formally contraindicated, it is not recommended. If you chose to drink, do so with moderation: never exceed 2 glasses a day and do not drink every day. Regardless of your personal choice, ensure that alcohol is compatible with the type of anti-tumoral treatment you are receiving (particularly if part of a therapeutic trial), as well as additional support treatments (for example, alcohol may interact with painkillers, morphine in particular).
What diet should I follow?

You should follow a balanced diet, but there is no specific diet that has been proven to prevent and/or treat cancer. The keto diet and fasting (even intermittently) are not recommended. If it is true that tumor cells consume more sugar than healthy cells, it has not been proven in humans that a carbohydrate-free diet or fasting reduce the risk of cancer or increase the effectiveness of treatment. On the contrary, as cancer patients are at increased risk of malnutrition, current knowledge dictactes that restrictive diets not be prescribed. The is one exception: if undergoing prolonged corticosteroid therapy, salt and sugar intake must be limited.

Which foods should I favor/avoid?

Although no single type of food can prevent cancer, the role of certain foods is now well-known.

Red and processed meat increase the risk of cancer, particularly colorectal cancer, and should be consumed in moderation (i.e., not daily). Instead, favor vegetables and foods rich in fiber.

Should I take vitamins or food supplements?

If you are following a balanced diet, it is not necessary to take vitamins or supplements. On the contrary, the overuse of certain supplements, such as beta-Carotene, can induce an excess risk of cancer. In addition, supplements, including those of a natural origin, may negatively impact certain cancer treatments. Generally speaking, do not take any supplements (vitamins, phytotherapy, homeopathy, etc) without your oncologist’s consent. 

What do I do if I gain weight?

Weight gain can occur in cancer treatments that require prolonged hormone and corticosteroid therapy.
It is important to maintain your body weight during and after treatments as being overweight increases the risk of cancer and cardiovascular disease.
It is suggested that you maintain a balanced diet (i.e., one rich in fish, fiber and plant-based foods) and exercise regularly (i.e., a minimum of 30 minutes at day at moderate intensity).

What do I do if I lose weight?

Weight-loss is common at the start of the illness and during chemotherapy.
It is important to first to identify the reasons for the weight-loss, which include:

Trouble with taste (dysgeusia)
induced by chemotherapy
Digestive disorders
Nausea, vomiting and/or diarrhoea
Oropharyngeal mycosis
inducing food being tasteless
Loss of appetite
Pain when eating food
e.g., a tumor blocking the passageway
or after radiotherapy

Loss of appetite is the most common cause of weight loss. 

It may be helpful to have smaller, more frequent meals throughout the day. Favor healthy foods that you enjoy and consider adding more calorie-dense items to your meals.

You may need to use ONS (Oral Nutritional Supplements) which are available by prescription. They are available in different forms (milk drinks, fruit juices, biscuit, etc) and are to be taken in addition to meals. Rich in protein, they allow sufficient nutritional intake to be maintained and to correct malnutrition. In extreme cases of malnutrition or in case of a blocking tumor, you can resort to artificial feeding using a tube (tube which goes from the nose directly into the stomach) or by perfusions.

If you are having difficulty with your weight, speak to your hospital’s dietician and/or nutritionist. Any weight-loss of >2kg requires dietary management.

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