坚持世界癌症研究基金/美国癌症研究所推乳腺癌妇女的决定因素
Vanessa Pachón Olmos1, Marina Pollán2,3, Nerea Fernández de Larrea-Baz2,3
1Preventive Medicine Department, La Paz-Carlos III-Cantoblanco University Hospital, Po de la Castellana 261, 28046 Madrid, Spain.
Cancers
|February 26, 2025
概括
遵守世界癌症研究基金/美国癌症研究所 (WCRF/AICR) 的癌症预防指南在乳腺癌患者之间有所不同. 需要个性化干预,因为依据年龄,并发病症和生活方式因素,坚持不同.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 2018年世界癌症研究基金/美国癌症研究所 (WCRF/AICR) 的指导方针支持癌症预防和改善幸存者的结果.
- 在诊断乳腺癌之前评估这些指南的遵守对于了解患者行为至关重要.
研究的目的:
- 评估在乳腺癌诊断前一年遵守WCRF/AICR癌症预防建议.
- 确定与不同程度的坚持相关的临床和社会人口因素.
主要方法:
- 一组来自西班牙的915名乳腺癌患者填写了有关饮食和生活方式的问卷.
- 按照七个WCRF/AICR建议进行了评分,并使用后勤回归模型分析了遵守水平.
- 标准化流行率 (SPRs) 被计算出来,以比较不同患者特征的坚持.
主要成果:
- 平均坚持是7分之3.5,高坚持是避免含糖饮料 (54.4%),但低坚持是纤维摄入 (4.4%).
- 年龄较大的女性 (≥60岁) 总体上表现出更好的坚持,而热量摄入量较高 (≥2000千卡/天) 或多种并发症 (≥2) 的女性的坚持较低.
- 具体的建议,如纤维摄入量和限制红肉/加工肉,在大多数子组中都表现不佳. 根据年龄,吸烟状况,并发性疾病,瘤阶段和热量摄入量,坚持有显著差异.
结论:
- 乳腺癌患者在遵守WCRF/AICR建议方面存在显著差异,受个人特征的影响.
- 这些发现强调了需要量身定制的,个性化的干预措施,以改善这一群体的准则遵守.
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