Can Cancer Patients take Sticky Rice Dumplings (Zongzi)?

Can Cancer Patients take Sticky Rice Dumplings (Zongzi)?
What Should Cancer Patients Pay Attention to When Eating Sticky Rice Dumplings (Zongzi)? 
Ingredients and Nutritional Values of Different Types of Sticky Rice Dumplings 
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Recommendations for Cancer Patients Eating Sticky Rice Dumplings 
References
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What Should Cancer Patients Pay Attention to When Eating Sticky Rice Dumplings (Zongzi)? 

As the Dragon Boat Festival is approaching, families traditionally enjoy sticky rice dumplings to celebrate. They can choose from a wide variety of styles commercially available, including both the traditional and the modern ones. When enjoying this festive food, what should cancer patients take note of? 

Ingredients and Nutritional Values of Different Types of Sticky Rice Dumplings 

 

Ingredients and Nutritional Values of Different Types of Sticky Rice Dumplings 

1. Salted pork sticky rice dumpling: Among the traditional-style sticky rice dumplings, one of the most common types is, without doubt, the salted pork rice dumpling. It is made with sticky rice, mung beans, salted egg yolks, fatty pork, Jinhua ham, shiitake mushrooms, etc., giving a savory and enticing flavor. According to the data provided by the Centre for Food Safety (HKSAR Government), one salted pork rice dumpling (~250g) contains approximately 17g of fat. If we take a daily total calorie intake of 2000 kcal as an example, 17g of fat is already close to one-third of the recommended fat intake. Additionally, the calorie content of one salted pork rice dumpling is higher than that of one and a half bowls of white rice1, 2. Meanwhile, there are only few ingredients that can supply abundant dietary fiber or micronutrients (including vitamins and minerals). Therefore, the overall nutritional value of salted pork rice dumplings is not considered high.  

2. Supreme sticky rice dumpling (Kwoh Ching sticky rice dumpling): Another traditional type of savory sticky rice dumpling is the Kwoh Ching rice dumpling. It is known for containing an even more abundant amount of ingredients. In addition to those of the salted pork rice dumpling, lotus seeds, chestnuts, roasted duck, roasted pork belly, etc. are also commonly found in the supreme rice dumpling, which, therefore, is particularly satisfying to people's appetite. Similar to the salted pork rice dumpling, there are only few ingredients with a high nutritional value in the supreme rice dumpling. Its overall calorie and fat content is higher as well, because the amount of its ingredients is larger.  

3. Alkaline sticky rice dumpling (Jianshui zongzi): The yellow-coloured alkaline sticky rice dumpling is also a commonly found traditional type of sweet sticky rice dumplings in Hong Kong. Its ingredients are simpler compared to the savory rice dumplings mentioned above. It usually consists of just alkaline water-soaked sticky rice without any filling, or is stuffed with lotus seed paste or red bean paste. In terms of nutritional value, the alkaline rice dumpling mainly provides carbohydrates, with a lower calorie and fat content compared to the savory ones. However, the alkaline rice dumpling tends to contain more sticky rice, and those with fillings contain more sugar. If it is consumed with additional sugar or syrup, the overall calorie content will be even higher. This type of sticky rice dumplings also lack nutritious ingredients such as meat and beans, resulting in a lower protein and dietary fiber content. Therefore, the overall nutritional value of the alkaline rice dumpling is not considered high.  

4. Five-grain rice dumpling: To make the five-grain rice dumpling, five grains are used to replace sticky rice and green beans. Its fillings are a combination of the traditional and healthier ingredients. Compared to the sticky rice dumplings made with sticky rice and mung beans, five-grain rice dumplings provide more nutrients such as vitamins, minerals and dietary fiber. It has a higher nutritional value and has become a healthier option. However, it is important to note that, similar to sticky rice dumplings, oil, salt and sugar are also needed to make five-grain rice dumplings. Individuals should also pay attention to the ingredients of the fillings, as they can also affect the fat and calorie content, as well as the nutritional value, of the rice dumplings.  

 

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Is Sticky Rice a “Stimulating Food” (Fawu)? Can Cancer Patients Eat Sticky Rice? 

Sticky rice is an essential ingredient for traditional sticky rice dumplings. It is believed that sticky rice is a “stimulating food” (fawu), so cancer patients may worry whether it is suitable for them to eat sticky rice dumplings. According to traditional Chinese medicine, sticky rice belongs to the category of “stimulating foods” that induce damp-heat. Individuals with impaired digestive function may experience indigestion after consuming this type of foods3. Whether one can consume a “stimulating food” depends on his/ her individual health condition4. If a patient has good digestive function, moderate consumption of sticky rice is generally not a problem. What the patients should avoid is excessive dietary restrictions of the foods being considered “stimulating”, solely because of worries that they are unfit for consuming them. It is more important for the patients to have a diverse and nutritionally balanced diet that helps them obtain adequate nutrition to fight cancer.  

 

Recommendations for Cancer Patients Eating Sticky Rice Dumplings 

  1. Choose sticky rice dumplings with more natural ingredients: Although sticky rice dumplings are generally high-calorie food, cancer patients can make healthier choices by selecting those that contain more nutritious ingredients, such as five-grain rice dumplings made of five grains instead of sticky rice, to obtain more nutrients. Other preferable ingredients include shiitake mushrooms, dried scallops, dried shrimps, lotus seeds and abalones. Meanwhile, the patients are advised to avoid fatty ingredients like roasted pork, fatty pork, Jinhua ham and Chinese sausages etc. 

    Among these ingredients, Jinhua ham and Chinese sausages are processed meats, which are classified as Group 1 carcinogens, as the consumption of these meats has been found to be related to an increased risk of developing colorectal cancer. They are also high in fat and sodium content. Therefore, the patients should try to stay away from sticky rice dumplings that contain processed meats.


  2. Practise portion control: Sticky rice dumplings, as a festive food for the Dragon Boat Festival, can be hard to resist. By controlling the portion size, cancer patients can enjoy them carefree. For instance, they can divide a sticky rice dumpling into several portions and share them with their families. This approach helps them reduce the amount they consume while allowing them more room for trying more types of sticky rice dumplings. Additionally, the patients can choose to supplement sticky rice dumplings with highly nutritious foods, such as vegetables, fruits and protein-rich foods, to obtain the nutrients that may be unavailable in the rice dumplings. It is also important for the patients to pay attention to the frequency of eating sticky rice dumplings. They should avoid replacing nutritious foods in their regular healthy diet with an excessive amount of sticky rice dumplings, which could hinder their intake of essential nutrients. 

 

In summary, if cancer patients do not have specific dietary needs, eating sticky rice dumplings is generally fine to them. The most important thing is that, while enjoying the festive foods, they should ensure an adequate intake of nutrients in order to maintain good health. Finally, I wish everyone a happy Dragon Boat Festival! 

 

References

  1. Food Nutrient Finder. Hong Kong: Centre for Food Safety; [revised 2024 February 27; accessed 2024 March 26]. https://www.cfs.gov.hk/english/nutrient/presearch3.php

  2. Eating Rice Dumpling the Healthy Way. Hong Kong: Centre for Health Protection; c2017 [revised 2023 August 25; accessed 2024 March 26]. https://www.chp.gov.hk/en/static/90054.html

  3. 發物有七大類,隻要吃對了,也能達到養生防病的效果![In Chinese]. China: 安徽省發展和改革委員會; 2021 April 15 [accessed 2024 April 7]. https://fzggw.ah.gov.cn/ywdt/ztzl/fyzt/jkkp/145718251.html

  4. 從中醫角度看癌症病人「不」應該吃什麼戒口的問題[In Chinese]. Hong Kong: Hong Kong Anti-Cancer Society; 2022 April [accessed 2024 April 7]. https://www.cancercarers.org.hk/中醫食療/從中醫角度看癌症病人「不」應該吃什麼——戒口的問題 

 

Written by Mr. Leung David Chung Wai (Food & Nutritional Science student, HKU) 

Reviewed by Dr. Daphne Wu (Food & Nutritional Science, HKU)