在癌症治疗期间高蛋白质补充剂的影响:系统性审查和元分析
Camila E Orsso1, Anne Caretero1, Taiara Scopel Poltronieri2
1Human Nutrition Research Unit, Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada.
The American journal of clinical nutrition
|December 4, 2024
概括
高蛋白质补充剂有助于癌症患者保持体重,增强肌肉力量,减少住院治疗. 虽然通常是安全的,但需要更多高质量的研究来证实这些好处.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 临床研究 临床研究
背景情况:
- 癌症治疗往往会导致体重减轻和生活质量下降等副作用.
- 有效的干预措施以减轻这些副作用对于患者的福祉至关重要.
研究的目的:
- 评估在接受治疗的癌症患者中高蛋白补充剂的有效性和安全性.
- 评估对体重,健康相关生活质量 (HRQoL) 和其他临床结果的影响.
主要方法:
- 35个随机对照试验 (3701名患者) 的系统综述和随机效应元分析.
- 纳入标准:含≥10g蛋白质/份的补充剂,成年癌症患者,≥20名参与者.
- 评估结果:体重,HRQoL,身体组成,肌肉功能,住院,毒性,生存和炎症.
主要成果:
- 高蛋白质补充剂显著减少了体重减轻 (1.45公斤的差异).
- 在更高质量的研究中观察到对肌肉质量和力量的有益影响.
- 在更高质量的研究中发现了医院住院率的降低;没有报告严重的不良影响.
结论:
- 高蛋白质补充剂似乎可以减轻体重减轻,提高肌肉力量,降低癌症患者住院率.
- 这些发现表明在临床实践中具有潜在价值,但由于现有研究中存在偏差的高风险,需要谨慎解释.
- 建议进一步进行高质量的试验,以巩固这些结论.
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