Suggestions for Improving Senior Sleep Patterns

Well Chicago, this weekend we celebrate (or bemoan) that yearly event, the beginning of Daylight Savings. As residents of Chicago and the North Shore contemplate losing one valuable hour of sleep, it’s the perfect time to talk about improving senior sleep.

Naps and medication are two of the most frequently cited ways seniors and their caregivers try to solve their sleep problems. Either (or both) may be appropriate, but each carries its own ability to disrupt sleep further. Each must be used carefully and purposefully, and in conjunction with healthy sleep habits (a.k.a. “sleep hygiene”) as outlined below.

Naps can be either the cause or the cure, depending on how and when they happen. For seniors who struggle to stay alert all day, a short nap may be the bridge they need to get them from a convenient waking time to a reasonable bedtime. Good, healthy, restorative naps are short – just 15 to 30 minutes – since longer naps can lead to drowiness and an inability to fall asleep at bedtime, relatively early in the afternoon so they don’t conflict with bedtime, and physically comfortable in a quiet and dimly lit place.

Many seniors turn to the ever-growing numbers of sleep aids – both prescription and over-the-counter – that are available. One of the potential problems with this route is that sleep aids can interact negatively with a range of medications the senior may already be taking and/or they can cause drowsiness that itself leads to accidents and falls. Worse, many sleep aids can cause confusion and disorientation even in younger, healthier people. For seniors with any level of dementia, this potential side effect must be closely monitored and avoided since it can lead to night fears, heightened anxiety, and even worse: sleep problems.

For seniors having trouble getting to sleep and staying asleep long enough to feel rested and refreshed in the morning, these “sleep hygiene” tips and habits are the first steps to take:

  1. Gradually eliminate caffeine from your diet, or at least limit caffeine intake to one caffeinated beverage in the morning. Avoid all caffeine after lunch.
  2. Eat a big meal at lunchtime, and have a lighter dinner.
  3. Avoid alcohol, or at least limit alcohol consumption to one drink, preferably with a meal and not right before bedtime.
  4. Do some sort of physical activity every day, preferably outside where you can get direct daylight. Exercise early in the day since physical exertion too close to bedtime can be stimulating. Again, make use of those great Chicago and North Shore parks!
  5. Establish and maintain a set bedtime and waking time. If you choose to take a nap (see guidelines above), do so at a regular, set time.
  6. Establish a pre-bedtime calming routine. This may include a warm bath, reading, or listening to restful music.
  7. Avoid television right before bed.
  8. Write down or simply state aloud any fears, worries, or concerns that are on your mind as part of your bedtime routine – giving voice to such concerns can help reduce their ability to negatively impact sleep.
  9. Use your bed (and preferably the whole bedroom) only for sleeping, do not read or watch television in bed.

If you don’t fall asleep after 15 – 20 minutes, get out of bed and do something quiet and calm, read or listen to restful music or a book on tape. Serious or long-term sleep disorders should always, of course, be brought to the attention of your local Chicago North Shore health care provider.

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with all your home care needs: outings, healthy meal preparation, companionship, socialization, activities, transportation, and specific Alzheimer’s and dementia care services.  Located North of Chicago in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, including Kenilworth, Winnetka, Wilmette, Glencoe, Evanston, Highland Park, Northbrook, Northfield, Deerfield, Lake Forest, Libertyville, Buffalo Grove, Glenview, and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Spring Into Chicago Spring With Senior Exercise Tips!

With all the different health programs advertised on the television and on the internet, it is hard to choose which program is the best, especially when so many health experts seem to preach to us everyday, apparently knowing what is best for us and pledging to make our lives better. It’s especially bad for individuals in a major metropolitan area such as Chicago – even in the North Shore suburbs a new trendier gym is everywhere you look with the latest “in” form of exercise.

Unfortunately, the health experts do not distinguish a man in his mid twenties from a man in his mid-eighties; obviously these two examples are on the opposite end of the spectrum when it come to fulfilling heath needs.  However, there are some general guidelines that Chicago seniors can adhere to when they undertake some form of exercise.

For seniors exercise is extremely beneficial.  Gentle exercise will serve to loosen the joints and warm the body up, which may keep ailments such as arthritis at bay temporarily. It will also keep them active and able to get around in the longer term.

However, their age means that they are not as supple as they used to be and thus they will experience pain when these joints are moved, which in turn encourages the senior in question to sit for another period of time. It is an unending vicious circle that can potentially take away an individual’s freedom of movement. Exercise can therefore work wonders for a senior. 20 minutes of exercise three times a week is the recommended amount for seniors, from the age of 65 and above. However, there is no generic amount that applies to everyone.

Whilst 20 minutes every day may be good for some seniors, twenty minutes over a period of a week is better for others. You know your capabilities better than anyone else and thus are perhaps better equipped to decide what form your exercise plan should take.

Even if you choose not to exercise every day, you should at least walk around the house or venture into the yard a couple of times just to stay mobile. The effort is ultimately worth it, no matter how painful it may be, if you can still move. Too many seniors give up their freedom as soon as movement becomes too painful by resolving not to move or to remain in bed. This is exactly the opposite of the attitude you should take.

The best form of exercise for seniors are gentle activities that will not jar the bones and muscles and will not put too much strain on the body. Swimming and walking are perfect activities for seniors. Both gently exercise the muscles without using too much energy, and they can be as gentle or as strenuous as you wish to make them. Chicago has a great series of parks for walking, as do the North Shore suburb towns such as Highland Park or Evanston. Take advantage of them!

The main thing that seniors should remember when they are undertaking physical activity is to be sensible. It is easy to push yourself too hard without building up your stamina and endurance first, but everything should progress nice and slowly. Physical fitness does not happen overnight, especially if you have been inactive for a period of time before you begin to get fit. Learn to walk before you can run, as the proverb says, and you won’t go wrong!

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with socialization, activities,  transportation, meal preparation, personal care, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Winnetka to Highland Park to Northfield and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Illinois Kicks Off National Consumer Protection Week With Programs for Seniors

Illinois Attorney General Lisa Madigan launched the beginning of National Consumer Protection Week this week by announcing efforts to help Illinois seniors survive the economic downturn and protect themselves from scams.

“Although the recession has affected everybody, older Illinoisans living on fixed incomes are often targets of scams,” said Madigan. “It is important that Illinois seniors have the information and resources they need to fight consumer fraud and deal with financial hardships. My office is focused on providing seniors with these resources.”

These efforts include a guide (Every Cent Counts – for Senior Citizens) “designed to help seniors spot and avoid fraud and understand their consumer rights and options so that they can make the most of existing dollars and safeguard their finances” as well as a consumer education program called Silver Beat.

Interested individuals can access the guide – which is available in English and Spanish – on the Attorney General’s Web site at www.illinoisattorneygeneral.gov or by calling 1-800-386-5438 to request a copy by mail.

Seniors interested in learning more about  attending or hosting a Silver Beat program, should contact Erin Ruebbelke, in the Attorney General’s office at 217-557-1982 or e-mail her at eruebbelke@atg.state.il.us.

Read more about these efforts in Illinois and the Chicago area here.

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with companionship, socialization, activities, meal preparation, transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Kenilworth to Winnetka to Glencoe and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

10 Super Snacks for Seniors!

When it comes to healthy snacks, the age of the baby carrot is over. Sure, raw carrots are great for you, but so are plenty of other delicious foods. These ten delicious snacks are also “superfoods” – not only are they not bad for you, they have health-boosting properties to boot. Whether you crave something sweet, something salty, something crunchy, or something creamy, there is a superfoods snack for you. Note the serving sizes mentioned and enjoy all snacks in moderation for a healthy, varied diet.

1. Almonds have been shown to lower cholesterol and help maintain a healthy weight. About a ¼ cup of almonds is a beneficial serving. Enjoy them plain or roasted, whole or slivered. Almond butter – just a tablespoon or two – is a healthy treat, too. Try some on a whole grain cracker and a cup of green tea for a late afternoon energy boost.

2. Blueberries are as full of cancer- and disease-fighting antioxidants as any food around, so much so that they have been even shown to restore antioxidant levels. Also, like cranberries, they can help prevent urinary tract infections. Note that wild blueberries tend to have even more antioxidants than cultivated ones. Fresh berries are delicious all on their own or with a bit of Greek yogurt (see #5). Frozen berries can be used in smoothies or put on top of low-fat frozen yogurt. Use about ½ cup fresh or frozen berries as a serving.

3. Broccoli eaten either raw or lightly steamed contains tons of soluble fiber and antioxidants, as well as folic acid, calcium, ion, and potassium. Broccoli has even been shown to have the power to reduce diabetic damage. Don’t throw away the stalk/stem! Cut off the thick, fibrous darker green peel to reveal the tender, pale green vegetable underneath – it has the crunch of celery and a mild broccoli flavor. Try broccoli florets or peeled stems with a little drizzle of soy sauce or a simple dip made from fat-free Greek yogurt (again see #5) – stir in minced garlic and herbs, lemon zest and minced rosemary, or a sprinkle of cumin and cayenne to taste. About ½ cup of florets or peeled stem is a serving.

4. Cherries, tart ones in particular, have similarly insanely high antioxidant levels as blueberries, putting them in the position to fight memory loss, heart disease, and diabetes. They’ve also been shown to help reduce inflammation, helping alleviate arthritic and gout pain. Fresh, frozen, or dried (unsweetened) tart cherries make a great snack on their own or combined with other nuts (almonds, walnuts, pumpkins seeds) and fruits (blueberries, raisins). Count ½ cup fresh cherries or ¼ cup dried cherries as a serving.

5. Greek yogurt is thick and creamy in a way regular yogurt can only dream of. It’s high in calcium, of course, and contains good levels of probiotics, which aid healthy digestion. But did you know low-fat and fat-free versions contain twice as much protein as regular yogurt? The texture of Greek yogurt makes it a great snack – especially when topped with dried fruits like blueberries, tart cherries, or raisins – as well as a good substitute for fatty sour cream. Include in it your three servings (1/2 cup each) of low-fat dairy a day.

6. Pumpkin seeds give you protein, zinc, magnesium, and selenium, a potent combination that can fight heart disease and depression. Selenium, a trace mineral, is essential for proper thyroid function. Look for roasted pumpkin seeds, often sold as “pepitas,” that are unsalted and flavor-free. As with all nuts and seeds, a serving is about ¼ cup.

7. Raisins, like all dried fruits, contain a lot of natural sugars, but the fiber and iron in raisins, along with high levels of vitamin C, put them squarely in the super snacks category. Plus, the phytochemicals in raisins have been shown to fight the bacteria that cause tooth decay and gum disease. Keep servings to about ¼ cup and buy only unsweetened raisins.

8. Soy beans (edamame) are a great source of protein as well as cancer-fighting flavonoids. Steamed or boiled fresh or frozen soy beans can be eaten like fresh sweet peas or in-shell peanuts – and, in fact, they taste a bit like a cross between the two –  where part of the fun is getting the nugget out of the shell. Enjoy ½ cup shelled soybeans or 1 cup in-the-pod soy beans as a tasty, healthful snack.

9. Walnuts bring protein, fiber, vitamins, minerals and precious omega-3s to the party. They’ve been shown to lower cholesterol, improve brain function, regulate sleep patterns, and fight cancer and heart disease. If you find walnuts a bit too bitter to enjoy them fully, use this trick: blanch walnut halves in boiling water for 30 seconds to remove some of the bitterness, drain them, and then toast them on a baking sheet in a 375-degree oven for 10 to 15 minutes to bring back their crunch. As with all nuts, limit your serving size to about ¼ cup.

10. Dark chocolate – saving the best for last. Dark chocolate has tons of antioxidants, magnesium, manganese, copper, zinc, and phosphorous. Look for chocolate that contains over 70% cocoa to get the full benefit of chocolate’s antioxidant powers and limit your intake to about an ounce a day.

All of these foods can be found easily at any local Chicago North Shore grocery store near you, pretty much year-round. As Chicago launches into Spring (hopefully) why not make some tiny snack-size tweaks to your diet?!

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with healthy meal preparation, companionship, socialization, activities,  transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Winnetka to Highland Park to Northfield and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Pu-erh: New Tea on the Block

The other day our Director of Client Care here in Chicago excited showed me a new box of tea she had purchased on the North Shore with a name that neither of us knew how to pronounce: “pu-erh.” After a little online research we found a number of pronounciations, the most popular being phonetic “pu-urh.”   

Pu-erh tea may be new to most North Americans, but it isn’t actually “new.” It’s been grown and cured in the Yunnan province of China for over 2000 years and its distinguishing characteristic is, in fact, its age.

Broad leaf tea leaves are fermented, pressed, and aged to make pu-erh tea (some versions are made without fermenting the tea first). Pu-erh tea used to be aged for decades, some even being aged long as a century. Modern tea producers have found ways to speed up that process for most commercially available pu-erh tea. Chinese medicine uses pu-erh tea to flush out toxins, treat dysentery, improve digestive function, facilitate weight loss, and improve blood circulation.

Modern scientific studies have found that pu-erh tea can lower blood pressure, reduce free radicals, and aid weight loss. It has also been shown to lower blood sugar levels and promote healthy bacterial flora in the intestines, thus, as traditional Chinese medicine proclaims, promoting healthy digestion. One Chinese study found that the fungi and bacteria that increase in pu-erh tea as it ages and give the tea its unique flavor are also those that develop polyphenols and cancer-fighting properties.

For as cure-all as this can start to sound, most striking are the studies that point to pu-erh tea’s ability to lower cholesterol levels. All tea – whether black, oolong, green, or pu-erh – contains antioxidants and polyphenols. Several studies have found that pu-erh tea is particularly effective at lowering bad cholesterol. A 2005 study at the Wun-Shan Branch Tea Research and Extension Station in Taipei, Taiwan looked at the cholesterol-lowering properties of all four types of tea and found that while they all decreased LDL-C (bad cholesterol), only pu-erh tea did not also lower HDL-C (good cholesterol) to some extent. When it comes to cholesterol, pu-erh tea takes the bad while leaving the good.

The same study found that pu-erh and oolong teas lowered triglycerides more than did black or green teas. All teas improved the activity of an important antioxidant enzyme. An earlier French study found that subjects with high blood lipid levels experienced a 22% reduction in those levels when they were given three servings of pu-erh tea daily. The control group showed no change.  A similar study at Kunming Medical College in China found that subjects with hypertension or coronary heart disease (all of whom were admitted to the hospital for these conditions) who were given three servings of pu-erh tea daily showed a 64% reduction in blood lipid levels as compared to a 67% reduction in subjects who were given standard cholesterol-reducing drugs.

The Balanced Care Method™ recommends drinking several cups of tea daily because of the significant levels of antioxidants and flavonoids. Okinawan elders – the longest and healthiest lived population on earth – regularly drink large amounts of tea, keeping them hydrated and full of health-enhancing antioxidants and flavonoids.

Hydration is an important health benefit of tea. Sipping tea, including pu-erh tea, helps people stay hydrated. Unlike sodas and juices, tea provides water without empty calories or high levels of simple sugars. Dehydration in seniors can lead to symptoms that mimic serious conditions, even dementia. Symptoms of dehydration can include fatigue, headache, dry mouth, little or no urination, muscle weakness, dizziness, confusion, forgetfulness, rapid breathing, and even an increased heart rate.

Aim for a total of eight glasses of water or the equivalent every day. More may be necessary if taking medications that have diuretic or laxative effects. Avoid dehydration:

  • Drink before you feel thirsty
  • Have water or tea nearby for sipping throughout the day
  • Drink water or tea before eating food at meals

Many American tea companies are starting to carry pu-erh teas in their lines. For the best quality, look for pu-erh teas from Yunnan province. Note that the older pu-erh teas will be more expensive.  Pu-erh teas are more forgiving when it comes to brewing than other types of tea. They are hard to over-brew. Brew pu-erh teas with boiling water and let steep about three minutes. Sweeten or add lemon to taste. If you would like to find pu-erh tea in the Chicago North Shore area, we suggest trying Teavana or Whole Foods locations.

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with outings, healthy meal preparation, companionship, socialization, activities,  transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Wilmette to Glencoe to Winnetka and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Magnesium May Help Maintain Cognitive Function And Memory Into Old Age

Did you know that even while living in an industrialized country with east access to healthy food and nutritional supplements, magnesium deficiency is very common?

A new study done by Tel Aviv University suggest that magnesium, which is a key nutrient for the functioning of memory, may be critical for neurons of children and healthy brain cells in aging adults.

Their research began at MIT and evolved to become a multi-center experiment.  It focused on a new magnesium supplement called magnesium-L-theronate, which effectively crosses the blood-brain barrier to inhibit calcium fluz in brain neurons.  The new study found that the synthetic magnesium compound works for both young and aging animals to enhance memory or prevent its impairment.  The research has significant implications for the use of over-the-counter magnesium supplements.

The study was conducted over a five year period with two groups of rates that ate normal diets containing a healthy amount of magnesium from natural sources.  The first group was given a supplement of MgT and the second control group had only its regular diet.  Through behavioral tests the first group of rats demonstrated an improvement in cognitive functioning and had an increase of synapses in the brain- connective nerve endings that carry memories in the form of electrical impulses from one part of the brain to the other.

“We are really pleased with the positive results of our studies,” says Dr. Slutsky. “But on the negative side, we’ve also been able to show that today’s over-the-counter magnesium supplements don’t really work. They do not get into the brain.”

Though the effects were not immediate, the researchers of the study were able to assesses that the new compound show improved permeability of the blood-brain barrier.  After only two week of oral administration of the compound in mice, magnesium levels in the cerebral-spinal fluid increased.

“Magnesium is the fourth most abundant mineral in the body, but today half of all people in industrialized countries are living with magnesium deficiencies that may generally impair human health, including cognitive functioning.”

The new compound is not commercially available currently, but Dr. Slutsky advises people to get their magnesium the old-fashioned way, which is by eating lots of green leaved, broccoli, almonds, cashews and fruits.  The effects will not appear overnight, she cautions, but with persistent change in diet over a long period of time, memory should improve and the effects of dementia and other cognitive impairment diseases related to aging may be considerably delayed.

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with outings, healthy meal preparation, companionship, socialization, activities,  transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Kenilworth to Winnetka to Glencoe and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

New Book by Harvard Psychologist Suggests Radical Approach to Aging

A new book from a Harvard psychologist suggests that changing how we think about aging may actually reverse or reduce some of the effects. Subjects were put in a hotel specially designed to make it seem like it was 20 years earlier and were told to act like they had traveled back in time.

 ”After just one week, the men in the experimental group (compared with controls of the same age) had more joint flexibility, increased dexterity and less arthritis in their hands. Their mental acuity had risen measurably, and they had improved gait and posture. Outsiders who were shown the men’s photographs judged them to be significantly younger than the controls.”

We see clients all the time who get a caregiver, start to gain more freedom and ability to leave the house and do the activites they have always loved; often these individuals then feel much younger, because they are no longer thinking of themselves as old and incapacitated. Read the entire fascinating Newsweek article here, and then try to put some of these ideas into practice right at home here in Chicago and the North Shore!

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with social activities, outings, meal preparation, personal care, companionship, transportation, and specific Alzheimer’s care services. Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Evanston to Wilmette to Highland Park and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Green Tea Possible Source of Relief for Senior Citizens from Glaucoma, Eye Diseases

In a recent study, scientists have found that some ingredients found in green tea may help senior citizens that face glaucoma and other eye diseases. Green tea is known to carry antioxidants and other immunity boosters that can greatly improve one’s health. For example, one of the antioxidants in green tea, called catechins, has vitamin C, vitamin E, lutein, and zeaxanthin.

Resarcher Chi Pui Pang and his colleagues discovered that parts of the eye such as the lens and retina are able to absorb the antioxidants from the green tea to protect from common eye diseases that affect millions of senior citizens. It is an amazing finding that the catechins are able to pass from the stomach and gastrointestinal tract into the tissues of the eye. By consuming green tea, it can help senior care by protecting the eye against oxidative stress.

Green tea is one of the power foods we at Home Care Assistance of Greater Chicago encourage seniors to consume;  its role in healthy aging is discussed as part of our Balanced Care Method. If you are unsure whether you are a fan of green tea, why not try some different varieties at a tea house or shop in your Chicago North Shore community? TeaGuide (http://www.teaguide.net/tearoomsillinois.htm) has a directory of Illinois Tea Houses, or perhaps try one of the following:

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with outings, healthy meal preparation, companionship, socialization, activities,  transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Kenilworth to Winnetka to Glencoe and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Yet Another Example: Volunteering Can Make Seniors Mentally Sharper While Helping Others!

An interesting article in U.S. News and World Report today introduces a program where seniors volunteer to tutor low income children. The senior volunteers going into low income schools and help children with English and Math.

Some of the participants observe that not only do they feel like they are helping others, but they are also increasing their own mental acuity. Elizabeth Reed, 74, one of the volunteers, says volunteering helps her feel sharper, ”I get a lot out of seeing the young people progress,” Reed said. “In the beginning, they’re sort of reluctant. They feel they aren’t good enough readers and they don’t want to do it. I like working with them, supporting them and telling them to never say ‘can’t.’”

Research backs up these perceptions; a 2009 study at Washington University at St Louis found that children who received tutoring help through the Experience Corps program “had much greater reading comprehension and ability to sound out words compared to kids who were not tutored.”

Another recent study found that among seniors, tutoring may help delay or reverse the signs of aging in the brain. This supports what Home Care Assistance’s own Balanced Care program teaches; mental exercises, especially ones that allow seniors to connect with others, really do help! To find out more about the program visit the website, http://www.experiencecorps.org/index.cfm . While there is not yet a Chicago location, this might be a great opportunity for senior residents of the North Shore or Chicago proper to get involved in their local community and keep themselves young simultaneously!

Read the entire article here.

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with outings, increasing mental activity, transportation, socialization, personal care, meal preparation, companionship, and specific Alzheimer’s care services. Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Wilmette to Glencoe to Winnetka and more! Call 847-853-7777 or visit www.HomeCareAssistance.com

Soy Foods May Help Women with Breast Cancer Decrease Risk of Death and Avoid Recurrence

There has been much controversy regarding the safety of soy food and products for women that have survived breast cancer. A recent study done by the Journal of the American Medical Association (JAMA) found that women in China who had breast cancer had an associated lower risk of death and breast cancer recurrence when they had a higher intake of soy food.

“Soy foods are rich in isoflavones, a major group of phytoestrogens that have been hypothesized to reduce the risk of breast cancer. However, the estrogen-like effect of isoflavones and the potential interaction between isoflavones and tamoxifen have led to concern about soy food consumption among breast cancer patients,” the authors write in explaining why they pursued this study. The study analyzed data from the Shanghai Breast Caner Survival Study. It was based off a large population of 5,042 women, all of whom were breast cancer survivors in China. The women were between the ages of 20 and 75 and were diagnosed between March 2002 and April 2006 and followed up through June 2009.

The researchers collected information about the diagnosis, treatment, lifestyle after exposure and disease progression. It was gather approximately 6 months after the diagnosis and reassessed at three follow-up interview conducted at 18, 36 and 60 months after diagnosis.

After 4 years there were 444 deaths and 534 recurrences out of the 5,042 women followed in this study. Patients in the groups with the highest amount of soy protein intake had a 29% lower risk of death during the study and 32% lower risk of reoccurrence compared to the patients with the lowest intake of soy protein.

 “The inverse association was evident among women with either estrogen receptor-positive or -negative breast cancer and was present in both users and nonusers of tamoxifen,” the researchers write. “In summary, in this population-based prospective study, we found that soy food intake is safe and was associated with lower mortality and recurrence among breast cancer patients.”

“The association of soy food intake with mortality and recurrence appears to follow a linear dose-response pattern until soy food intake reached 11 grams/day of soy protein; no additional benefits on mortality and recurrence were observed with higher intakes of soy food. This study suggests that moderate soy food intake is safe and potentially beneficial for women with breast cancer.”

There were several different factors that went into their study such as the differences in the quality, type and quantity of soy food intake between China and the United States. Also, the amount of time the doctors followed up with the women in remission was only 4 years, a short amount of time.

As well, US doctors that there are likely differences in screening rates in China compared with the US and a number of factors make it difficult to compare stage and treatment specific results in China with outcomes in the U.S.

“Even though the findings by Shu et al suggest that consumption of soy foods among breast cancer patients is probably safe, studies in larger cohorts are required to understand the effects of these foods among diverse clinical subgroups of breast cancer patients and survivors.

“In the meantime, clinicians can advise their patients with breast cancer that soy foods are safe to eat and that these foods may offer some protective benefit for long-term health. Moreover, the potential benefits are confined to soy foods, and inferences should not be made about the risks or benefits of soy-containing dietary supplements. Patients with breast cancer can be assured that enjoying a soy latte or indulging in pad thai with tofu causes no harm and, when consumed in plentiful amounts, may reduce risk of disease recurrence.”

Home Care Assistance of Greater Chicago certified caregivers are available 24/7 to provide experienced, trustworthy caregivers to help with healthy meal preparation, companionship, socialization, activities,  transportation, and specific Alzheimer’s and dementia care services.  Located in Kenilworth (430 Green Bay Road, Kenilworth, IL 60043,) we serve Chicago and all of the North Shore, from Kenilworth to Winnetka to Glencoe and more! Call 847-853-7777 or visit www.HomeCareAssistance.com