On this page: Maintain a healthy body weight | Eat more fruit and vegetables | Frequently asked questions about food | Quit smoking | Be physically active | Protect your skin from the sun | Limit or avoid alcohol
Cancer survivors may benefit from maintaining or adopting a healthier lifestyle after their cancer treatment.
Research suggests that a healthy lifestyle (in combination with conventional treatment) can stop or slow the development of many cancers. Research also shows that some people who have had cancer may be at an increased risk of other health problems, such as heart disease or diabetes.
While more research needs to be done in this area, the lifestyle changes recommended for cancer prevention may also help reduce the risk of the cancer coming back or a new cancer developing. Such lifestyle changes can also help prevent other health problems, such as heart problems and arthritis. Make sure you see your GP for regular lifestyle health checks. For more information, visit www.cutyourcancerrisk.org.au.
A healthy body weight is important for reducing the risk of cancer recurrence and improving survival. The health risk associated with your body weight can be estimated using different techniques including the Body Mass Index and waist circumference (see below).
If you have lost a lot of weight during treatment, you may need to regain some weight to return to a healthy weight.
Having fat around the abdomen or waist, regardless of your body size, means you are more likely to develop certain obesity-related health conditions. Fat that is mainly around the hips and buttocks doesn’t appear to have the same risk. Men and post-menopausal women are more likely to gain fat around the waist.
Waist circumference can be used to indicate health risk. Place a measuring tape around your waist at the narrowest point between the lower rib and the top of the hips at the end of a normal breath.
Dietitians can help you with any nutrition concerns and are available in all public hospitals and some private hospitals and community health centres. Ask at your local centre or ask your GP for a referral.
To find an Accredited Practising Dietitian in your area or with experience in particular problems, call Dietitians Association of Australia on 1800 812 942. Dietitians in private practice are also listed in the Yellow Pages. Ask about Medicare rebates.
"Before he goes to work, my husband makes me a salad for lunch. Then I know that there is something healthy to eat, even if I'm too tired to prepare it." — Denise
Fruit and vegetables are low in fat and calories and help maintain a healthy body weight. They are high in nutrients such as fibre, vitamins and minerals.
The Australian Dietary Guidelines recommend two serves of fruit and 5–6 serves of vegetables each day (www.eatforhealth.gov.au). Aim to eat a variety of different coloured fruits and vegetables. Fruit and vegetables are best consumed fresh and whole (i.e. not in a juice or supplement form) and a combination of both cooked and raw vegetables is recommended.
People who have survived cancer often consider taking dietary supplements such as vitamins and herbal tablets to optimise their health. However, these products are not usually necessary for people who eat a healthy, well-balanced diet and there is no evidence that they improve survival after cancer.
Some people who have had treatment for cancer of the oesophagus, stomach, bowel, head or neck may have ongoing problems with food and eating, and may need to see a dietitian. However, in general dietary supplements should never replace whole foods like fruit and vegetables, which are the best source of vitamins and minerals.
When considering any dietary supplements or other complementary therapies, research the products and consider the following factors to make an informed choice:
Sometimes, cancer survivors can feel pressure from friends and family to use dietary supplements or other complementary therapies.
For more information about dietary supplements or other complementary therapies, call Cancer Council 13 11 20 to request a free copy of Understanding Complementary Therapies or visit www.iheard.com.au.
Eating a balanced diet that is high in plant foods, such as fruits, vegetables and wholegrain cereal foods is important, but there is no need to give up meat. Lean red meat is an important contributor to dietary iron, zinc, vitamin B12 and protein. Cancer Council recommends people eat moderate amounts of unprocessed lean red meat (65–100g of cooked red meat, 3–4 times a week).
There is no conclusive evidence that being (or becoming) a vegetarian has a positive impact on survival after cancer treatment.
However, eating too much red meat, especially processed meats such as sausages, bacon and frankfurts, is associated with an increased risk of bowel cancer and possibly prostate cancer.
The term ‘organic’ is used to describe foods grown without pesticides or herbicides. These foods are generally more expensive. There is no current evidence that organic fruit and vegetables are more effective in reducing cancer risk than conventionally grown fruit and vegetables. However, organic fruit and vegetables may be higher in vitamin C.
All types of fruits and vegetables are good for your health, whether organic or conventionally grown. It is important to thoroughly wash all fruits and vegetables to remove any dirt or traces of pesticides.
Try to eat a combination of both raw (e.g. salad) and cooked vegetables. Boiling vegetables for a long time can reduce the amount of vitamins. Steaming and microwaving are good cooking methods to maintain the nutritional goodness in vegetables.
It is better to eat whole fruit and vegetables, rather than juices. Juices are much higher in kilojoules (calories) and do not contain the dietary fibre (which is protective against bowel cancer) of whole fruit and vegetables.
News stories about certain foods or diets can be confusing. They sometimes present evidence relating to studies done in laboratories, rather than on humans.
Certain types of fruit and vegetables are sometimes called ‘superfoods’. However, this is more of a marketing term than a scientific fact. All fruit and vegetables are healthy and should be eaten regularly.
There is also no single food that has been shown to cause or prevent cancer. Evidence supports eating plenty of fruit and vegetables and moderate serves of red meat and energy-dense foods. For more information, talk to your health care team or call Cancer Council 13 11 20 or visit www.iheard.com.au.
If you are a smoker, Cancer Council strongly recommends that you quit. There is no safe level of tobacco use and research shows that by continuing to smoke, you are more at risk of developing another type of cancer.
There are many benefits to quitting smoking. Research indicates that quitting after a cancer diagnosis can increase your expected survival time.
Many smokers find quitting difficult. Seek support and don’t be discouraged if it takes several attempts before you are able to quit for good. See quitting tips below.
"Being diagnosed with stomach cancer gave me the incentive to give up smoking...I feel so much fitter." — Tim
Being physically active and limiting sedentary behaviour every day is essential for health and wellbeing. Physical activity helps to reduce the risk of some types of cancer coming back and can boost energy levels, increase physical strength, relieve stress, reduce the risk of heart disease, improve sleep, and decrease fatigue, anxiety and depression.
Start physical activity slowly and build up gradually. Doing any physical activity is better than doing none. If you are unsure if you well enough to exercise or are concerned about disrupting your recovery, talk to your doctor about the amount and type of activity suitable for you or ask for a referral to an exercise physiologist. Many people lose physical strength during cancer treatment.
For more information, call Cancer Council 13 11 20 for a free copy of Exercise for People Living with Cancer.
Use a combination of protective measures to protect your skin from the sun when the UV index is 3 or above.
Some cancer treatments may make your skin more sensitive to the sun, causing it to burn or be damaged by the sun more quickly or easily than before. Ask your treatment team if this applies to you.
Some exposure to the sun is healthy. Vitamin D, which is essential to develop and maintain healthy bones and muscle function, is produced in the body when skin is exposed to UV radiation in sunlight. UV levels vary across Australia, according to the location, the season and the time of day. This means the amount of time you need to be in the sun to make enough vitamin D will vary.
Alcohol is a known risk factor for cancer. Cancer Council recommends that to reduce the risk of cancer, people limit their consumption of alcohol. Even low levels of alcohol consumption can increase cancer risk. Neither the World Health Organisation nor the National Heart Foundation of Australia recommend consuming red wine or any other alcoholic beverage to prevent cardiovascular disease.
For people who choose to drink alcohol, the National Health and Medical Research Council (NHMRC) recommends no more than two standard drinks a day. One standard drink contains 10 grams of alcohol. However, different drinks have different alcohol volumes.
Reviewed by: A/Prof Jane Turner, Department of Psychiatry, University of Queensland; Polly Baldwin, Cancer Council Nurse, Cancer Council South Australia; Ben Bravery, Cancer Survivor, NSW; Helen Breen, Oncology Social Worker, Shoalhaven Cancer Services, NSW; A/Prof Michael Jefford, Consultant Medical Oncologist, Peter MacCallum Cancer Centre and Clinical Director, Australian Cancer Survivorship Centre; David Larkin, Clinical Cancer Research Nurse, Canberra Region Cancer Centre; Miranda Park, Clinical Nurse Specialist, Cancer Information and Support Service, Cancer Council Victoria; Merran Williams, Nurse, Bloomhill Integrated Cancer Care, QLD; Iwa Yeung, Physiotherapist, Princess Alexandra Hospital, QLD; Danny Youlden, Biostatistician, Viertel Cancer Research Centre, Cancer Council Queensland.