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癌症患者的BMI和化疗诱导的外周神经病变之间的关系:剂量-反应元分析
Li Yanbing1, Li Zijun1, Zuo Hongbo1
1Department II of Oncology, The First People'S Hospital of Jiujiang, Jiujiang city, Jiangxi province, 332000, China.
World journal of surgical oncology
|March 7, 2025
概括
较高的体重指数 (BMI) 显著增加了化疗诱导的周围神经病变 (CIPN) 的风险. 这种剂量依赖关系表明,体重管理可能有助于减轻这种常见的化疗副作用.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 临床药理学 临床药理学
背景情况:
- 化疗诱导的周围神经病变 (CIPN) 是一种常见的剂量限制性毒性.
- 身体质量指数 (BMI) 是CIPN.的潜在可修改的风险因素.
- 了解BMI和CIPN之间的关系对于患者管理至关重要.
研究的目的:
- 为了评估BMI和CIPN风险之间的剂量反应关系.
- 量化增加BMI和CIPN发病率之间的关联.
- 确定患有较高风险的患者子组.
主要方法:
- 对10项研究进行了剂量反应元分析.
- 包括6,841名癌症患者,报告了BMI和CIPN结果.
- 利用随机效应模型和受限制的立方线来进行分析.
主要成果:
- 在较高的BMI和增加的CIPN风险 (OR 1.55) 之间发现了显著的关联.
- 观察到一种线性剂量-反应关系:BMI增加5kg/m2将CIPN风险提高了~15%.
- 在乳腺癌患者和使用税/白金疗法的人群中,发现了更强的关联.
结论:
- 体重指数升高是CIPN的重要危险因素,表现出剂量依赖的效应.
- 体重管理策略 (饮食,运动) 可以降低高BMI患者的CIPN风险.
- 这凸显了神经毒性化疗中BMI评估和管理的重要性.
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