营养在癌症护理中的重要性:叙述性综述。

IF 4.6 3区 医学 Q1 NUTRITION & DIETETICS
Current Nutrition Reports Pub Date : 2024-12-01 Epub Date: 2024-09-15 DOI:10.1007/s13668-024-00578-0
Camilla Horn Soares, Amanda Guterres Beuren, Heloisa Jacques Friedrich, Carolina Pagnoncelli Gabrielli, Giovanna Potrick Stefani, Thais Steemburgo
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引用次数: 0

摘要

审查目的:癌症是一种影响全球数百万人的复杂疾病,给患者和医疗服务提供者都带来了巨大的挑战。在广泛的癌症治疗过程中,营养在支持患者的整个治疗过程中发挥着关键作用。这篇叙述性综述探讨了营养在癌症护理中的作用,探讨了营养对治疗效果、营养状况、当前饮食建议、体育锻炼、姑息治疗的影响,最后还探讨了营养对癌症幸存者的鼓励作用:有证据表明,癌症和抗癌治疗经常会导致营养不良和肌肉质量下降,从而加重症状、损害免疫功能并阻碍康复。因此,充足的营养支持对癌症患者保持体力、控制症状和优化治疗耐受性至关重要。影响营养需求和饮食建议的因素有很多,包括癌症类型、治疗方法和患者的个体特征。营养护理的目的不仅在于确保摄入足够的能量和蛋白质,还在于控制特殊症状,如消化不良、恶心和吞咽困难。注册营养师在提供个性化营养指导、监测营养状况和实施干预措施以应对癌症护理中新出现的挑战方面发挥着至关重要的作用。此外,最近的研究强调了饮食干预在癌症治疗中的益处。从有针对性的营养补充剂到更具侵入性的营养支持,人们对营养如何影响癌症风险和治疗效果的兴趣与日俱增。总之,本综述强调了营养护理在癌症综合治疗中的关键作用。通过认识和满足整个癌症治疗过程中的饮食需求,医护人员可以改善患者的健康状况、对治疗的反应以及长期预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Importance of Nutrition in Cancer Care: A Narrative Review.

Purpose of review: Cancer, a complex disease affecting millions globally, presents considerable challenges for both patients and health care providers. Within the broad spectrum of cancer care, nutrition plays a key role in supporting patients throughout their journey. This narrative review examines the role of nutrition in cancer care, exploring its impact on treatment outcomes, nutritional status, current dietary recommendations, physical activity, palliative care, and finally, as a nutritional encouragement for cancer survivors.

Recent findings: Evidence indicates that cancer and anticancer treatments frequently cause malnutrition and loss of muscle mass, which can exacerbate symptoms, impair immune function, and hamper recovery. Therefore, adequate nutritional support is crucial for maintaining strength, controlling symptoms, and optimizing treatment tolerance in patients with cancer. Several factors influence nutritional needs and dietary recommendations, including cancer type, treatment, and individual patient characteristics. Nutritional care aims not only to ensure sufficient energy and protein intake, but also to manage specific symptoms such as dysgeusia, nausea, and dysphagia. Registered dietitians play a crucial role in providing personalized nutritional guidance, monitoring nutritional status, and implementing interventions to address emerging challenges in cancer care. Furthermore, recent research has underscored the benefits of dietary interventions in cancer treatment. From targeted nutritional supplements to more invasive nutritional support, interest in how nutrition can affect cancer risk and treatment outcomes is increasing. Overall, this review highlights the critical role of nutritional care in comprehensive cancer treatment. By recognizing and meeting dietary demands throughout the entire cancer journey, health care professionals can improve patients' well-being, response to treatment, and long-term prognosis.

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来源期刊
Current Nutrition Reports
Current Nutrition Reports Agricultural and Biological Sciences-Food Science
CiteScore
7.70
自引率
2.00%
发文量
59
期刊介绍: This journal aims to provide comprehensive review articles that emphasize significant developments in nutrition research emerging in recent publications. By presenting clear, insightful, balanced contributions by international experts, the journal intends to discuss the influence of nutrition on major health conditions such as diabetes, cardiovascular disease, cancer, and obesity, as well as the impact of nutrition on genetics, metabolic function, and public health. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 25 internationally diverse members reviews the annual table of contents, suggests topics of special importance to their country/region, and ensures that topics and current and include emerging research.
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