Poor nutrition and lack of exercise
My wife was diagnosed with Stage III last year, had surgery, and is otherwise doing well.
I am very concerned about her health and the risk of recurrence, because she is clinically obese (her BMI exceeds 30), she will not exercise, and she makes very poor decisions concerning food and nutrition.
Last year, I encouraged her to see a nutritionist, and she did. All she did was pick up a few copies of information.
I'm at my wit's end. According to everything I can find, she is at high risk for recurrence because of her lifestyle. I can't convince her that she needs to take control of these high-risk factors, when I do she gets defensive and doesn't even make an effort to try.
I am so afraid that she'll be gone before our children grow up.
Any advice would be appreciated.
Comments
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I understand your concern. Many of us make poor choices and have a difficult time loosing weight. Some of us continue smoking, having wine, eating meat, french fries, soy products, or many of the other things that have been written about that can possibly increase our chances of recurrance.
Life changes are very difficut to begin. Other than referring her to a nutritionist, what have you done to assist her in these life changes?
Have you offered to begin an exercise program with her?
Have you considered doing all the grocery shopping and cooking healthy meals? That may be a way to keep from tempting her with all that is bad for her in the market.
Perhaps a pantry of only healthy foods would be the way to go? I've read that for a real life change, we have to totally clean out the pantry and throw away all the bad stuff and start over. What do you think?
I know when my dh had a heart attack, that's what I did to keep him from making poor choices. Can you do that? -
Hearing someone telling me what I need to do brings out the rebellious teenager in me. So you may need to change the way you are approaching her about it. Maybe some honest compassion on how much you love and need her. Wanting to grow old together type of thing. The best incentive to clean up an act is having a partner, so maybe if you offer support and love along with some other things she may want to make lifestyle changes. Maybe you could find a cooking class dealing with healthy meal choices and take it with her. Doing things together makes things alot more fun and gives you all that bonding time you should be enjoying. Did you think about dancing classes? That is really good exercise or kick boxing, Ty Kwon Do(spelling???) they are great excercise and you can have fun too.
Also, keep in mind, risk factors do not always direct what will happen in the future. I was not a high risk of recurrance, Stage II, no nodes with cancer. Did very aggressive tx and rads. Eight years later I am now battling metastic disease. Even my doctor was surprised at the return of my cancer. We just don't know who it is going to come back in and the more you worry about what might be is time you are losing in the here and now. Go enjoy your wife!
LuAnn -
Okay. . . you did say any advice.
Lay off.
Your wife's risk of recurrence is high because she was stage III. That never leaves her mind. Having you be judgmental ("very poor decisions" "doesn't make an effort") about her lifestyle choices and coping methods is NOT helpful. She'd love to be slim and active, believe me. She is not doing this because she wants to die young and leave you and the kids. If you love her, understand that this is still very tough for her.
She probably had chemo last year, right? She is still recovering from that. That also probably threw her into menopause - she won't recover from that. She is dealing with a whole different metabolism. The steroids she had to take during that time made her gain weight. If she is on Tamoxifen or Aromatase Inihibitors (do you even kknow?) she is having a laundry list of side effects that affect both her appetite, mood and pain/activity level.
Let her know you adore her. Let her know you think she is awesome for having survived a most horrible year. Ask her if she'd like to go for a walk after dinner. Or just sit on the front porch with you - it doesn't have to be active if her joints are killing her. The suggestions above that you take over a goodly portion of the shopping/cooking will help to make choices easier for the whole family and relieve some of her burdens. Maybe she'd rather have the time to take a yoga class than the spinning class you might suggest. It must be HER idea for it to work.
Please be patient. Just love her up good.
All the best
Lisa -
Lisa--You go girl. Love ya.
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I think it is great that you care enough about your wife to post here. However, it is not as easy as one may think. I was one who exercised, ate healthy and still got breast cancer. I have made it my priority to continue to exercise and eat healthy since my diagnosis but it has not been easy. Other things have had to suffer. For example, I have no deisre or energy to cook for my family anymore or clean or pick up the house. My husband finally got a maid. I work full time and my work and exercise is about all I can handle. Chemo does a lot to our bodies and if you add hormone therapy onto that it can be even worse. Many of us suffer from fatigue, depression, have muscle aches and pains, memory loss, etc etc. I suspect it is even harder for someone who did not exercise before breast cancer. My sister was diagnosed a year and a half before me. She was overweight at diagnosis and was not a very healthy eater. I had a discussion with her one time and we discussed the studies that suggest a healthy diet and exercise can reduce our chance for recurrence. It took her a year after our discussion and 3 years after her diagnosis to finally decide to join weight watchers, which has been wonderful for her. She has now lost 40 pounds and she takes a walk every night with her daughter. I suspect your wife thinks about and fears recurrence 24/7 as most of us do and she wants more than anything to live a long life with those who love her. I totally agree with the other women who have suggested emptying out your cupboards and keeping only health food in the house. That is an important first step. Weight watchers may also be an option as well. However, remember she is only a year out of treatment. Changing ones lifestyle can take a while. Be patient.
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I have always been a healthy eater, just BIG portions; I was not much into exercise and decided before my bc diagnosis to get the help of a nutritionist first and try to change my lifestyle after I got my portions, and food combinations etc in line. I am so glad that I had lost 20 pounds before I discovered my cancer. I am thrilled having someone to go see every few weeks about healthy choices, my nutritionist. She is part of my team. Knowing that I will get on the scale there keeps me honest during my off weeks. Once I began to lose the weight I added short walks and now I am at 60 minutes a day. I am an addicted walker since I think that helps more than anything else. I have a walking trails park close to home so it is easy. I cleared my cupboards years ago and nothing comes into my house or mouth that doesn't help me. I don't feel like I am being deprived because food is just something we have to do. There are many other things in life for pleasure. I have switched from wine to soda water with a twist of lemon when I go out. It works beautifully. I am at the end of radiation: to be honest, I feel terrific. I feel guilty about it kind of. But as the other ladies have so aptly put it, your wife has to be the one to make the choices. No one could have done this for me but myself. What got me going: my dad's death.
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