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Recipes for health and wellness: trout and lentil salad

As naturopathic doctors and researchers with the Patterson Institute for Integrative Oncology Research, we are very interested in the effects of nutrition on the body, especially as it relates to cancer outcomes. Today we share with you a delicious, summery recipe from the World Cancer Research Fund (WCRF), and breakdown why we think its ingredients are so great for our health.

It is important to remember that everyone is different; diets that work for some may not work for others. For example, someone in a flare-up of diverticulitis or Inflammatory Bowel Disease may wish to avoid high-fibre foods, and someone with chronic kidney disease may need to avoid certain fruits and vegetables, however for others without these conditions, these foods could be very beneficial. Additionally, someone in eating disorder recovery may wish to avoid tracking calories and macronutrients, which are listed in the recipe below. This recipe is for educational and inspirational purposes only; however, if you are looking to change your diet, it may be best to consult a healthcare provider educated in nutrition, like a naturopathic doctor or dietician, prior to making changes.

recipe trout

The recipe

The World Cancer Research fund has a database of recipes, including this trout and lentil salad, by nutritionist Sarah Drabble.

(Photo taken from: https://www.wcrf-uk.org/recipes/trout-with-a-warm-lentil-salad/ )

Let’s take a closer look at the ingredients below:

 

Trout  

Trout is a type of fish rich in omega-3 fatty acids. Omega-3 fatty acids have anti-inflammatory properties, possibly beneficial for conditions such as osteoarthritis and Inflammatory Bowel Disease, among others. (1-3) Eating fish several times a week also aligns with The Mediterranean Diet (TMD), a diet which is often recommended for its potential to improve cardiovascular outcomes and lower cancer risk. (4,5) Fish is also an excellent source of protein, which is essential for maintaining muscle mass and overall health during and after cancer treatment. (6) 

Lentils 

Lentils are a powerhouse of nutrients, providing an excellent plant-based source of protein, as well as fibre and essential minerals like iron and magnesium. The fibre content in lentils is a particular highlight; fibre aids digestion and can help lower the risk of colorectal cancer by promoting regular bowel movements and reducing inflammation in the gut. (7) Consuming fibre has been inversely associated with risk of certain cancers such as lung (8) and colorectal cancer. (8,9)

Spinach 

Spinach is a leafy green vegetable high in vitamins A, vitamin K, antioxidants, as well as folate and fibre. We already discussed the benefits of fibre, but antioxidants also play a big role in protecting our health. Antioxidants help neutralize harmful free radicals in the body and play a crucial role in cancer prevention by protecting cells from damage that could lead to cancer development. 

Although there is no “anti-cancer” diet, there are certain nutrients and dietary patterns associated with cancer risk. Here is a summary of strategies to aim for: 

  • Fruit and vegetable consumption: ideally at least 5 servings a day 
  • Higher intake of dietary fibre: aim for 25-35 grams a day. Sources of dietary fibre include whole grains, legumes (chickpeas, lentils, beans, peas), oatmeal and quinoa, among many others 
  • Limiting fast food and ultra-processed foods 
  • Limiting red meat intake: red meats are considered a class 2A carcinogen by the World Health Organization, meaning there is some evidence showing an association between eating red meat and developing cancer. Ideally, aim for a maximum of 2 servings (~18 ounces) a week. Red meat includes beef, mutton, lamb, veal, and pork 
  • Avoiding processed meats: processed meats are considered a class 1 carcinogen by the World Health Organization, meaning there is sufficient evidence, or convincing evidence, that these cause cancer—colorectal cancer in particular. Examples of processed meat include luncheon/deli meats, pepperoni, sausages, hot dogs, and bacon. 
  • Avoiding over-eating, which can lead to excess fat gain, a risk factor for cancer 

This trout and lentil recipe aligns well with these guidelines – it contains fish, counts towards your daily fibre intake, contains no fast food, ultra processed food, red or processed meats, and contains more than 1 serving of vegetables!  

 

Did you know? 

One of the trials we are currently running at the Patterson Institute for Integrative Oncology Research called the “POISE” trial involves naturopathic doctors providing care to patients with thoracic cancers before and after surgery. Naturopathic care heavily involves nutritional guidance, and in this study, we have aligned nutrition recommendations with a modified Mediterranean Diet, with an emphasis on protein. 

If you aren’t familiar with the Mediterranean Diet already, you can read more about it from this article published by Harvard Health. 

 

Other resources: 

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Erica is a licensed naturopathic doctor at The Centre for Health Innovation, where she works with people affected by cancer, as well as other conditions such as anxiety, eating disorders, and digestive health concerns. Erica joined the team at The Patterson Institute for Integrative Oncology Research as a research assistant in 2022, and continues to support research initiatives. She is also a member of the research committee for the Oncology Association of Naturopathic Physicians.

References

  1. Simopoulos AP. Omega-3 fatty acids in inflammation and autoimmune diseases. J Am Coll Nutr. Dec 2002;21(6):495-505. doi:10.1080/07315724.2002.10719248
  2. Borsini A, Nicolaou A, Camacho-Muñoz D, et al. Omega-3 polyunsaturated fatty acids protect against inflammation through production of LOX and CYP450 lipid mediators: relevance for major depression and for human hippocampal neurogenesis. Mol Psychiatry.Nov 2021;26(11):6773-6788.doi:10.1038/s41380-021-01160-8
  3. Krupa KN, Fritz K, Parmar M. Omega-3 Fatty Acids. StatPearls. StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.; 2024. 
  4.  Schwingshackl L, Schwedhelm C, Galbete C, Hoffmann G. Adherence to Mediterranean Diet and Risk of Cancer: An Updated Systematic Review and Meta-Analysis. Nutrients. Sep 26 2017;9(10)doi:10.3390/nu9101063
  5. Laffond A, Rivera-Picón C, Rodríguez-Muñoz PM, et al. Mediterranean Diet for Primary and Secondary Prevention of Cardiovascular Disease and Mortality: An Updated Systematic Review. Nutrients. Jul 28 2023;15(15)doi:10.3390/nu15153356
  6. Capitão C, Coutinho D, Neves PM, et al. Protein intake and muscle mass maintenance in patients with cancer types with high prevalence of sarcopenia: a systematic review. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. Apr 2022;30(4):3007-3015. doi:10.1007/s00520-021-06633-8
  7. Liu T, Wang C, Wang YY, et al. Effect of dietary fiber on gut barrier function, gut microbiota, short-chain fatty acids, inflammation, and clinical outcomes in critically ill patients: A systematic review and meta-analysis. JPEN J Parenter Enteral Nutr. Jul 2022;46(5):997-1010. doi:10.1002/jpen.2319
  8. Wei X, Zhu C, Ji M, et al. Diet and Risk of Incident Lung Cancer: A Large Prospective Cohort Study in UK Biobank. Am J Clin Nutr. Dec 1 2021;114(6):2043-2051. doi:10.1093/ajcn/nqab298
  9. Kumar A, Chinnathambi S, Kumar M, Pandian GN. Food Intake and Colorectal Cancer. Nutrition and cancer. 2023;75(9):1710-1742. doi:10.1080/01635581.2023.2242103

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