饮食干预:癌症预防和患者生存的选择

H. Mukhtar
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引用次数: 0

摘要

尽管在治疗方面取得了重大进展,但癌症仍然是世界上第二大死亡原因。众所周知,饮食对整体健康有重大影响,限制卡路里可能有利于治疗一些疾病,甚至延长患者的生存时间。肥胖和癌症已被证明在流行病学上有很强的联系,而健康的饮食已被证明可以降低患癌症的风险。还有证据表明,肥胖患者在被诊断患有乳腺癌、结肠癌、前列腺癌、胰腺癌、卵巢癌和血液癌后,预后更差,死亡率更高。然而,一旦发现癌症,营养如何影响癌症,特别是饮食如何影响癌症治疗,我们知之甚少[1]。美国癌症研究所(AICR)根据最新的证据制定了生活方式建议。以下建议可以提高癌症诊断后的总体生存率:保持健康的体重;从事体育活动的;吃富含纤维和大豆的食物;限制脂肪的摄入,尤其是饱和脂肪酸。先前的研究也支持饮食干预在癌症患者中的临床应用。这些干预措施旨在确保化疗期间足够的能量和营养摄入,这也可能提高患者对药物抗癌治疗的反应并减轻其毒性。此外,通过减少癌症合并症,改变生活方式,如饮食和锻炼,可能会减少治疗方案的长期负面影响,并在长期内改善总体健康状况[2]。食用木脂素、生蔬菜、膳食纤维、地中海饮食、各种饮食来源、低肉类消费、素食主义或纯素食主义、特定维生素(或生物标志物)的饮食摄入,如维生素D、维生素K2或维生素C,都与降低患癌症的风险有关。癌症死亡率的增加与食物质量差、饮酒、摄入果汁等软饮料以及某些脂肪酸的摄入有关。肥胖显著增加癌症死亡风险[3]。饮食在生活方式,疾病预防中起着重要的作用,可以作为免疫增强剂,但饮食干预在癌症治疗中是一个不奇怪的话题。如果发现饮食干预对癌症的治疗和预防有益,具有治疗效果,则可能毒性很小或没有毒性。在这一点上,不可能确定哪种饮食策略是最好的,饮食效果可能因患者、治疗方案和癌症类型而异。当在诊所实施这些策略时,可能需要一些个性化的饮食,因为治疗超重和肥胖患者的医生意识到,有时最好的饮食是患者愿意并能够遵循的。为了改善癌症的预后和患者的生存,需要进一步研究更好的饮食干预癌症患者
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diet Intervention: Choice for Cancer Prevention and Patients Survival
Cancer remains a second leading cause of death in the world, despite significant advances in treatment. It is well known that diet has a significant impact on overall health, calorie restriction may be beneficial for treating a number of diseases and even lengthening patients survival. Obesity and cancer have been shown to have strong epidemiological links, and healthy diets have been shown to lower the risk of developing cancer. There is also evidence that obese patients have a worse outcome and a higher mortality rate after being diagnosed with breast, colon, prostate, pancreatic, ovarian, and hematologic cancers. However, little is known about how nutrition may affect cancer once it has been detected, particularly how diet may influence cancer therapy [1]. The American Institute for Cancer Research (AICR) developed lifestyle recommendations based on the most recent evidence. Following these suggestions may increase overall survival after cancer diagnosis: preserving a healthy body weight; engaging in physical activity; eating a diet high in fiber and soy; and limiting the consumption of fats, particularly saturated fatty acids. Previous study also supports the clinical utility of diet interventions in cancer patients. These interventions aim to ensure adequate energy and nutrient intake during chemotherapy, which may also improve patient response to and alleviate the toxicity of pharmacological anti-cancer therapies. Furthermore, by reducing cancer comorbidities, modifications in lifestyle, like as diet and exercise, might lessen the long-term negative effects of treatment regimens and improve general health over the long term [2]. Consumption of lignans, raw vegetables, dietary fiber, the Mediterranean diet, various dietary sources, low meat consumption, vegetarianism, or veganism, dietary intake (or biomarkers) of specific vitamins, like vitamin D, vitamin K2, or vitamin C, were all linked to a lower risk of developing cancer. An increased risk of cancer mortality was associated with poor food quality, alcohol usage, the intake of soft beverages like juice, and to a lesser extent, the consumption of certain fatty acids. The risk of dying from cancer was significantly enhanced by obesity [3]. The diet play important role in the lifestyle, disease prevention and may act as an immune booster but diet intervention is not surprising topic of discussion in the therapy of cancer. If the dietary intervention found beneficial in cancer treatment and prevention with therapeutic efficacy, it may have little or no toxicity. At this point, it is impossible to be sure which dietary strategy is best, and diet efficacies are likely to vary depending on patient, therapeutic regimen and cancer type. When implementing these strategies in the clinic, some personalization may be required because physician who treat overweight and obese patients are aware that sometimes the best diet is the one the patient is willing and able to follow. Further studies are needed on better diet intervention to cancer patients in order to improve cancer prognosis and patients survival
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