Support systems help survivors move beyond the ... - Main Line Today

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Nutrition and
Breast Cancer
Support systems Diet impacts help survivors life after move treatment. beyond the disease
LBBC volunteers and breast cancer survivors
Linda Rinaldi (left) and Alcelia Rivera sip tea,
a beverage offering many health benefits.

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Contents
L4 Your Diet, Your Health
Good nutrition improves quality
of life after breast cancer.
L5 10 Foods to Boost
Overall Health
L6 Think “Pink”
Support survivors with chic,
low-cost products.
L8 The Butterfly Ball
Co-chairs and honorees prepare
for a “green” event.
L8 15 Living Beyond Breast Cancer
Programs to Keep in Mind
L10 8 Things to Do to Support
Living Beyond Breast Cancer
Writers: Janine Guglielmino, Mary Alice Hartsock, Anna Shaffer
Photographers: Susan Beard Photography, Laurie Beck
Photography, Dan Brody Photography
Dear Readers,
Based in Haverford, Living Beyond Breast Cancer is a nonprofit
organization dedicated to empowering all women affected by breast
cancer to live as long as possible with the best quality of life. I am
pleased to have this opportunity to tell you about LBBC and share
with you some information on the importance of good nutrition.
According to the Pennsylvania Department of Health, good nutrition
lowers people’s risk for many chronic diseases, including cancer. In this
special section, we offer information on how to use nutrition to improve
quality of life after breast cancer treatment. Diet can affect your risk for recurrence and
recovery. Even if you haven’t been diagnosed, use our list of power foods to boost your
energy and overall health!
Getting the nutrients you need through herbs and supplements will be one topic covered
at our annual fall conference, “News You Can Use: The Future of Breast Cancer Care”
on Nov. 14 at the Pennsylvania Convention Center. The topic has been the subject of past
programs that are now available as publications at lbbc.org. For support with other aspects
of breast cancer, call our Survivors’ Helpline at (888) 753-LBBC (5222),
or attend a networking meeting in West Conshohocken, Center City or Cherry Hill.
Read on to learn about what you can do to support breast cancer survivors in our area
during Breast Cancer Awareness Month. We thank Main Line Today for the opportunity to
contribute to this issue and help us reach more women affected by breast cancer.
Warmly,
Jean A. Sachs, MSS, MLSP, Chief Executive Officer
4699 West Chester Pike, Newtown Business Center, Newtown Square, Pennsylvania 19073, Phone (610) 325-4630 Fax (610) 325-4636 Editorial Fax (610) 325-5215 www.mainlinetoday.com
a division of Today Media, Inc.
Publisher Sally Holub; Associate Publisher James Bauer; Editor Hobart Rowland; Creative Director Ingrid Hansen-Lynch; Senior Editors Tara Behan, Dawn E. Warden;
Associate Editor Shannon Hallamyer; Senior Account Executive Nan Mangine; Account Executives Bentley Alberts, Patti Griffin, Christine Holsopple, Tim McCormack,
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MAIN LINE TODAY 4699 West Chester Pike, Newtown Square, PA 19073, PHONE: (610) 325-4630 or (888) 217-6300, FAX: (610) 325-4636, EDITORIAL FAX: (610) 325-5215. All contents of this issue are copyrighted 2009 by Main Line Today, a division of Today Media, Inc. All rights reserved. Editorial submissions: Unsolicited manuscripts and photographs, unless
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october 2009 www.mainlinetoday.com
L3

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Your Diet, Your Health
Good nutrition improves quality of life after breast cancer.
Liz Rand leaves her Wynnewood home
every morning armed with fruit, granola and
other healthy snacks. But three years ago,
her diet wasn’t quite as healthy.
Rand, then 44, squeezed in snacks
between appointments at Children’s Hospital
of Philadelphia, where she is a physician
and medical director of the liver transplant
program. As a healthcare professional, she
understood what foods were best for her
body. The problem? Jelly doughnuts
appeared at meetings, and delicious aromas
escaped from the outdoor snack carts.
Then Rand was diagnosed with breast
cancer. She decided she needed a change.
“I wanted to do something for myself,”
she says. “I knew that losing weight and
eating a lower-fat diet could be connected
with a reduced risk of recurrence. This gave
me motivation.”
According to Ardmore-based gynecologist
Dr. Kara Nakisbendi, of Nakisbendi and
Associates, the foods you eat impact your
recovery after treatment, and they could
decrease the chance that the cancer will
come back. Nutrient-dense foods also
improve energy and overall health.
Improving Quality of Life
Carole Roberti, 74, of Haverford, became a
vegetarian eight years ago when her husband
was diagnosed with prostate cancer. After
her breast cancer diagnosis last year, she
decided to make more changes.
Roberti attributes her quick recovery and
high energy level to cutting out fat and sugar,
especially because she cannot use long-term
treatments like tamoxifen because they won’t
work against her type of breast cancer.
“Eating well is empowering,” she says.
“There is nothing else I can do, but I have
control over this. If I neglect my diet, I don’t
feel as strong.”
“What we take in sends messages to
our body in telling it how to function,”
says Nakisbendi, who focuses on holistic
medicine. “Strengthening your immune
system and addressing any deficiencies you
may have accumulated through treatment
is important.”
Managing Recurrence Risk
For women with estrogen receptor-negative
breast cancer, which makes up about onequarter
of diagnosed breast cancers, the
Women’s Intervention Nutrition Study shows
that eating a low-fat diet and increasing fruit
and vegetable intake can lower the risk of the
cancer coming back.
Nakisbendi says studies also support
a healthy lifestyle for women who have
the most common type of breast cancer,
which grows in the presence of hormones.
Exercising and eating cruciferous vegetables
like broccoli and omega-3 fatty acids (found
in some oily fish, nuts, flaxseed and eggs)
improve the way our bodies metabolize and
expel estrogen.
“Having excess weight has a direct
correlation with breast cancer incidence
and recurrence,” she says.
Soy, Supplements and Going Organic
Many women are concerned about food
safety and getting enough nutrients.
Nakisbendi says that, although women who
have eaten soy all their lives have a lower
(Above) Carole Roberti; (below) Liz Rand with
her husband, Spencer.
incidence of breast cancer, adding a lot of soy
to your diet in adulthood may not decrease
your risk of developing the disease. In fact,
the estrogenic qualities of soy may increase
risk of recurrence in women who have had
breast cancer. One to two servings a day is
heart healthy and probably safe, she says.
Most of your nutrients should come from
food. But depending on individual needs,
Nakisbendi says supplements may be
necessary. Most people don’t get enough
B vitamins, omega-3 fatty acids, calcium
and vitamin D. Low levels of vitamin D have
been linked to an increased risk of breast
and other cancers.
She recommends a primarily vegetarian
diet with a variety of colorful fruits and
vegetables, plus healthy fats like flax seed
oil, fish, avocados and nuts, regardless of a
person’s cancer history. Buying organic is ideal,
Nakisbendi says, but if cost is a factor, it’s
most important to buy organic when you’re
buying fruits like strawberries, apples and
peaches, which are higher in pesticides.
First Steps
Getting started with a healthier routine often
is the biggest hurdle. Rand sticks to her diet
but tries not to deprive herself. “If I feel like
I’m never going to have a certain food again,
then that’s all I can think about. But if I say
to myself, ‘I’m not having this now because
it’s not good for me, but I could have it some
other time,’ that works better.”
Roberti notices that aerobic exercise
cuts down her cravings for sweets. When
tempted with cookies or cakes, she limits
herself to a small piece, and she doesn’t
keep treats in the house.
10 Foods to Boost Overall Health
Regardless of whether you’ve had breast cancer or not,
you can eat certain foods to improve your well-being and
reduce the risk of developing certain conditions. The foods
below may increase your energy, enhance your immune
system, and protect you as you age.
1. Broccoli is low in calories and high in nutrients. It boosts
the immune system, and is thought to help prevent cancer.
3. Oats lower
cholesterol and
your risk for heart
disease. They are low in calories and high in fiber, protein
and vitamins.
4. Yogurt contains good bacteria
that protect the intestines, strengthen
the immune system, and help you
metabolize the foods you eat.
2. Blueberries are packed with antioxidants,
potassium and vitamin C. They
help boost your energy and immunity,
lower your risk of heart disease and
cancer, and reduce inflammation.
5. Walnuts and other unsalted nuts and seeds are high
in good fats and protein, which control hunger and may
reduce the risk of
heart problems,
diabetes and cancer. In moderation, they’re
good for snacking and add flavor to recipes.
6. Oranges are
portable and
easy to eat.
Vitamin C also
may be linked to a reduced risk of some types of
cancer.
To get started, Nakisbendi recommends
some simple first steps:
• Avoid refined sugars and simple carbohy-
7. Salmon and other cold-water fish are high
in omega-3s. They are good for the heart, memory and joints, and lower
cholesterol. Fish with high mercury content, like
tuna and swordfish, should be eaten in moderation.
drates found in many processed foods.
• Add at least two servings of fruits or
vegetables to each meal.
• Include protein in each meal. Focus on
8. Tea is high in antioxidants
and may reduce cholesterol.
It is a good replacement for
sugary drinks.
beans and legumes, and limit meats. Avoid
red meat, and try to buy meats that are grass
fed and not given hormones.
• Eat breakfast. It jump-starts your
metabolism and will help you reach your
ideal weight.
9. Spinach contains many
nutrients and is another
source of fiber. It may
help prevent cardiovascular disease, cancer
and some eye problems.
• Exercise to help metabolize your estrogen
and control weight.
• Get guidance from a healthcare
professional who has experience working
with breast cancer patients.
10. Beans are a good source of fiber,
which helps your digestive system
function properly, and helps you feel
full longer and manage weight. They
also offer plenty of protein, especially
in vegetarian diets.
L4 www.mainlinetoday.com october 2009
october 2009 www.mainlinetoday.com
L5

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Think ”Pink“
Support survivors with chic, low-cost products.
White House | Black Market’s
Give Hope Embellished
Leopard Floral Graphic Tee
(Far left) Yes We Can, Pink! nail color from
essie cosmetics
(Left) White House | Black Market’s Give Hope
Pink Charmy key ring
Hope Jean, a black signature
Retailers are offering
fabulous pink items during
October, National Breast
Cancer Awareness Month.
These exclusive products,
available for a limited
time, benefit Living
Beyond Breast Cancer
programs.
Clothes & Accessories
White House | Black Market
is adding a touch of
pink to its signature shades
of white and black.
The retailer will donate 100
percent of net proceeds—
up to a maximum donation
of $200,000—to LBBC from
sales of its Give
Hope Collection.
Dress it up with
the Blanc Give
boot cut with pink and clear rhinestones,
embroidery on the inner
waistband and a pink ribbon on the
front coin pocket ($88). Top off your
look with the Give Hope Embellished
Leopard Floral Graphic Tee, a capsleeve
scoop neck featuring roses adorned
with rhinestones and a crystal ribbon ($38).
Keep time with the Give Hope Pink
Girlfriend watch, an oversized yet feminine
timepiece with a pink leather textured
strap, heart-shaped charm with pink
rhinestones and “Give Hope” etching on
the back ($58). Organize your keys on
the popular Give Hope Pink Charmy
key ring, a Murano glass heart and mix
of Swarovski crystals and pink enamel
embellishments, all cascading from
a silver-plated keychain ($28).
Get a complimentary box of
chocolates from Norman Love with
purchases (while supplies last). Visit White
House | Black Market in Ardmore, King of
Prussia, or Marlton and
Gloucester, N.J.
Your local Chico’s will donate 100
percent of net proceeds
to LBBC—up to
$50,000—from the
sale of specially
Iredale Mineral
Cosmetics’ Christina
PureMoist LipColour
and In the Pink
PureGloss for Lips
White House | Black
Market’s Blanc Give
Hope Jean
created bracelets and earrings. And Soma
Intimates will hold a national VIP event
with a percentage of sales going to
LBBC. Visit the store in North Wales,
or go to soma.com.
Show your support for breast
cancer survivors by purchasing
a personalized pink-ribbon Hope Pin
($15) from Heartstring Quilters Guild.
Specify color preferences when you
order your pin online at
heartstringquilters.com, and 50
percent of the price goes to LBBC.
Makeup & Fashion
Decorate your tootsies with essie
LBBC. Order at
essie.com, fine
spas, salons and
beauty stores.
In honor of
young breast
cancer survivor
Christina Applegate,
Iredale Mineral
Cosmetics created Christina
PureMoist LipColour ($19). Pair this
universally flattering pink shade with
In the Pink PureGloss for Lips ($19).
LBBC receives $2 per sale for a minimum
donation of $25,000. Available at fine
at
spas, cosmetic apothecaries and
other locations, or
janeiredaledirect.com.
Do your ‘do’
with the Power
to Prevent hairdryer.
Solano International
offers this 1,875-watt
dryer with three
temperature settings,
a removable filter and
an extra-long cord for $159
to individuals and $119 to
salons. Partial proceeds
go to LBBC. Purchase from
major distributors and beauty
supply stores, or order
solanopower.com.
Kitchen & Fun
Keep snacks fresh in
Rubbermaid’s pink
TakeAlong food
containers with double seal
and lid grips. And a new
BPA-free pink water bottle
eliminates bottle waste. LBBC
receives 6 percent of proceeds;
buy at area groceries.
Browse hundreds of gifts
at Pink Ribbon Associates,
and 10 percent of your
purchases goes to LBBC.
The site, started by two
breast cancer survivors,
features candles, jewelry,
picture frames, aromatherapy,
journals and more. Order
at pinkribbongift.com.
White House |
Black Market’s
Give Hope Pink
Girlfriend watch
cosmetics’ new Yes We Can, Pink!
nail color ($8). It looks great on its
(Above) Solano International’s
Power to Prevent hairdryer
own, with French manicures or as a
sparkly top coat. The company will
donate 10 percent of proceeds to
(Right) Rubbermaid’s new
BPA-free pink water bottle
(Middle right) Rubbermaid’s
pink TakeAlong food containers
L6 www.mainlinetoday.com october 2009

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The Butterfly Ball
Co-chairs and honorees prepare for a “green” event.
Living Beyond Breast Cancer is “going green”
at its annual gala, The Butterfly Ball, on
Saturday, Oct. 3, at the Loews Philadelphia
Hotel. Co-chairs Jacki and Eric Blumenfeld
of Gladwyne, Howard and Emily Cutler of
Blue Bell, and Byron and Paulina Hewett
of Bryn Mawr are meeting fundraising
challenges by bringing eco-friendly changes
to this year’s event. To conserve paper and
printing costs, they replaced the traditional
ad book with a “virtual” album, where tributes
in honor or in memory of loved ones will be
viewed on a screen during the event. The cochairs
sent electronic save-the-date cards and
replaced the paper auction preview
catalog with an online version.
“Going green is not only good for the
environment, it’s also economical,” Jacki Blumenfeld
says. “These changes will help make
this year’s Butterfly Ball a financial success
by raising more money to support LBBC’s
programs and services.”
The night’s festivities begin with a cocktail
reception and silent auction. Guests will
enjoy dinner, music, dancing, and silent and
live auctions, where they can bid on items
like a one-week stay at a villa in Tuscany and
a three-course tasting dinner for 10.
Until Oct. 2, the public is invited to visit
lbbc.org to purchase chances for the gala
drawing at $50 for one chance, $100 for three
and $250 for 10. The grand prize is a diamond
tennis bracelet donated by Govberg Jewelers.
The second prize is an escape package for
two at the Loews Philadelphia Hotel.
You do not need to be present to win.
The evening will feature an awards
presentation recognizing five women
for their dedication to helping
women and families affected
by breast cancer:
King of Prussia’s Aundreia
Alexander is an ordained minister
serving Saints Memorial Baptist Church in
Bryn Mawr. After she was diagnosed with
breast cancer four years ago, she began helping
other women cope by sharing information
about faith and spirituality at LBBC events.
When Wendy Jonas, of Fort Washington,
attended LBBC’s gala for the first time with
her friend, Tracey Brazier, she never imagined
that a few years later she would be diagnosed
with breast cancer. She often shares LBBC’s
resources and supports fundraising events.
Phyllis Markoff, of Cherry Hill, N.J., was
only 36 years old when she was diagnosed in
2006. In her doctor’s office, she met her best
friend, Emily Scattergood, of Haddonfield,
N.J., who was diagnosed at age 34. They
have traveled together to LBBC conferences
and have raised awareness of breast cancer
in young women by speaking to the media.
LBBC will bestow the 2009 Founder’s
Award on the organization’s education director,
Elyse Spatz Caplan, of Lafayette Hill.
Since her diagnosis 18 years ago, Elyse
has dedicated her career to educating and
supporting women affected by breast cancer.
The evening would not be possible without
the support of generous sponsors, including
Gold Sponsors Comcast-Spectacor Foundation,
Lisa D. Kabnick and John
H. McFadden.
To support LBBC or for more information
about the gala, contact development director
Sandy Martin at sandy@lbbc.org.
15 Living Beyond Breast Cancer
Programs to Keep in Mind
1. The toll-free Survivors’ Helpline at
(888) 753-LBBC (5222) offers confidential
guidance, information and peer support.
2. Conferences like “News You Can Use:
The Future of Breast Cancer Care” in
Philadelphia on Nov. 14 keep women
informed on medical and quality-oflife
issues.
3. The LBBC Community Connection
newsletter focuses on local programs and
special events, and celebrates volunteers.
4. Networking meetings in West
Conshohocken, Cherry Hill, N.J., and
Center City cover medical and practical
topics like pain management (October).
5. Lbbc.org delivers breaking news and
access to LBBC’s programs, all at the click
of a mouse.
6. Project Connect outreach events keep
African-Americans empowered about
breast health.
7. Teleconferences address issues like
treatment and quality-of-life updates for
women affected by advanced breast
cancer (October), follow-up testing
(November) and research updates (January).
8. Local providers can get healthcare
provider training to enhance
communication with patients.
9. The quarterly newsletter Insight
sheds light on complex medical and
emotional concerns.
10. MP3 podcasts and transcripts bring
women to LBBC’s education events, no
matter where they live.
11. Guide to Understanding brochures
explore life after diagnosis, emotional
health, lymphedema, treatment decision
making, insomnia, fatigue, triple-negative
breast cancer, clinical trials and
financial concerns.
12. The books Getting Connected and
We Celebrate Tomorrow share the
experiences of local African-Americans
and Latinas who have faced breast cancer.
13. The Paula A. Seidman Library and
Resource Center, open to the public, offers
comprehensive info on breast cancer.
14. The brochure series for women
affected by advanced breast cancer
explores treatment options, symptoms and
side effects.
15. Newly diagnosed women with financial
difficulties may apply for the Cis B. Golder
Quality of Life Grant to offset expenses.
(Top, from left) 2009 LBBC gala award recipients are
Emily Scattergood, Wendy Jonas, Phyllis Markoff,
Elyse Spatz Caplan and Aundreia Alexander.
(Below, from left) 2009 LBBC gala co-chairs are
Howard and Emily Cutler, Byron and Paulina Hewett,
and Eric and Jacki Blumenfeld.
L8 www.mainlinetoday.com october 2009

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8 Things to Do to Support
Living Beyond Breast Cancer
1. Accessorize and support women affected
by breast cancer! Thru Oct. 31, Brighton
Collectibles at the Court at King of Prussia
will host a special promotion for LBBC.
Visit brighton.com for more information.
2. Dance the night away at the Jackie Agnes
Foundation’s fundraiser on Oct. 23 at the
Westover Country Club in Jeffersonville.
Meet for live music, dancing, dinner, a
silent auction, drawings and door prizes.
All proceeds benefit LBBC. Contact Delores
Lare at (610) 584-4556.
3. Get in style with White House | Black
Market’s Give Hope jean, tee, watch and
key ring. The company will donate up to
$200,000 to LBBC. Nearby locations include
Ardmore, King of Prussia, and Marlton and
Gloucester, N.J.
4. Enjoy a morning of noncompetitive paddle
tennis at the 13th annual Paddle Tennis Rally
on Oct. 29. The rally will kick off at Aronimink
Golf Club, and play will be held at area paddle
courts. This year’s rally will pay special tribute
to the memory of Linda Reese, who passed
away from breast cancer
this year. Linda was one of the founders
of this event, which benefits LBBC.
Call Lauren Ainsworth at (610) 645-4567.
5. Sip champagne Oct. 19 while shopping
for the hottest holiday fashions at Skirt!
The event begins at 6 p.m. Women going
through treatment can get the latest style
tips, plus hair and makeup advice. Contact
Lauren Ainsworth at (610) 645-4567 or
visit shop-skirt.com.
6. Thru October, buy a bracelet or necklace
at Chico’s and the company will make a
donation to LBBC. Visit stores in Ardmore,
King of Prussia or Paoli, or visit chicos.com.
7. Young gymnasts compete and
support LBBC at the second annual
Pink Invitational˜Gymnasts Unite,
presented by AJS Pancott Gymnastics
Center and spearheaded by Sue Weldon
Feb. 26-28, 2010, at the United Sports
Training Center in Downingtown. For more
information, visit pinkinvitational.com.
8. Stretch your body and mind, and help
raise funds at the eighth annual Yoga Unites ®
for Living Beyond Breast Cancer on May
16, 2010, on the steps of the Philadelphia
Museum of Art. All proceeds benefit
LBBC. Contact Lauren Ainsworth at
(610) 645-4567.
L10 www.mainlinetoday.com october 2009