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癌症幸存者的护理:营养和体力活动
1Department of Family Medicine - University of Michigan Medical School, 1018 Fuller St, Ann Arbor, MI 48104-1213.
FP essentials
|June 12, 2023
概括
大多数癌症幸存者不符合营养和体力活动指南,增加肥胖,营养不良和生存率低下的风险. 早期查和干预措施,如饮食师咨询和炼,对于更好的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 运动生理学 运动生理学
背景情况:
- 许多癌症幸存者面临着满足推的营养和体力活动指南的挑战.
- 成年癌症幸存者中普遍存在肥胖症,与癌症复发率增加和生存率降低有关.
- 营养不良也很常见,特别是在老年患者,晚期癌症患者或影响消化系统的癌症中.
研究的目的:
- 为癌症幸存者强调遵守营养和身体活动指南的重要性.
- 强调需要定期查营养不良以及早期干预的好处.
- 概述推的营养策略和身体活动方案,以优化癌症幸存者的健康.
主要方法:
- 定期查营养不良风险,使用经过验证的工具,如营养不良查工具 (MST).
- 由营养学家提供个性化的营养咨询,以确保足够的热量和蛋白质摄入量.
- 维生素/矿物质缺乏的纠正和考虑omega-3脂肪酸补充.
- 对体力活动的建议,包括监督的炼计划和行为干预措施.
主要成果:
- 在癌症幸存者中,遵守营养和体育活动指南是不理想的.
- 早期识别和管理营养不良可以改善患者的治疗结果.
- 建议制定特定的热量 (25-30 kcal/kg) 和蛋白质 (>1 g/kg) 目标.
- 身体活动,最好是每周300分钟,有监督的计划和行为支持,是有益的.
结论:
- 癌症幸存者需要积极管理营养和体力活动,以减轻与肥胖和营养不良相关的风险.
- 营养学家的支持和定期查是幸存者护理的重要组成部分.
- 结构化的运动和行为干预措施提高了癌症幸存者的身体活动建议的有效性.
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