Nutrition and Oral Medicine (Nutrition and Health)

Chapter 12 / Oral and Pharyngeal Cancer 217Guidelines for PracticeOral Health ProfessionalNutrition ProfessionalPrevention • Encourage smoking cessation. • Encourage smoking cessation.• Discourage more than moderate alcoholconsumption.• Discourage more than moderate alcoholconsumption.• Conduct screening of all patients • Promote the National Cancer Institute’speriodically for early signs of oral Five A Day of fruit and vegetablecancer and precancerous lesions and servings and the ACS Diet for Cancerconditions.Prevention.• Promote the National Cancer Institute’s • ACS Diet Guidelines (60):Five A Day of fruit and vegetable The following is reprinted from ref. 60.servings and the American Cancer Eat a variety of healthful foods, withSociety (ACS) Diet for Canceran emphasis on plant sources.Prevention. Eat five or more servings of avariety of vegetables and fruitseach day. Choose whole grains in preferenceto processed (refined) grains andsugars. Limit consumption of red meats,especially those high in fat andprocessed. Choose foods that maintain ahealthful weight. Adopt a physically active lifestyle. Adults: engage in at least moderateactivity for 30 min or more on 5 ormore days of the week. Children and adolescents: engagein at least 60 min per day ofmoderate to vigorous physicalactivity at least 5 d per week. Maintain a healthful weightthroughout life. Balance caloric intake withphysical activity. Lose weight if currently overweightor obese. If you drink alcoholic beverages,limit consumption.Intervention • Provide dental care consistent with needs; • Provide MNT consistent with treatmentmake referrals as appropriate for medical and posttreatment needs.nutrition therapy (MNT). • Recommendations of the ACS (61): Plan diet based on nutrient needs andindividual side-effects experiences• Recommendations for after treatmentends (taken from ref 61).Continued on next page