诊断后饮食和生活方式对前列腺癌幸存者的临床结果的影响:系统性审查
Ryan Allen1, Vivian Liu2,3, June M Chan2,4
1Chicago College of Osteopathic Medicine, Midwestern University, Chicago, Illinois.
The Journal of urology
|November 21, 2025
概括
在被诊断为前列腺癌后,健康的饮食和生活方式选择可能会改善结果并降低死亡率. 采用植物性食物和地中海模式显示出更好的生存率和二次预防的前景.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 预防医学 预防医学
背景情况:
- 前列腺癌 (PCa) 幸存率和二次预防策略对于患者的治疗结果至关重要.
- 诊断后的生活方式因素,包括饮食,可能会影响PCa进展和死亡率.
研究的目的:
- 评估诊断后饮食模式和生活方式因素与前列腺癌患者的临床结果之间的关联.
- 为PCa生存率和二次预防提供基于证据的策略.
主要方法:
- 临床试验和队列研究的系统审查和元分析.
- 在PubMed,Embase和Cochrane图书馆 (2005-2025) 搜索了关于PCa进展,复发和死亡率的研究.
- 包括评估个体水平诊断后饮食或生活方式暴露的研究.
主要成果:
- 包括21项研究;证据表明,基于植物的饮食和健康的生活方式模式可能会降低PCa的进展和死亡率.
- 地中海,健康饮食指数和谨慎饮食与较低的全因死亡率 (ACM) 相关.
- 西方饮食和高胰岛素含量食物与增加的ACM有关.
结论:
- 健康的饮食习惯和生活方式行为 (例如,不吸烟,体力活动,健康体重) 可能会减少PCa进展和ACM.
- 需要进一步进行强大的队列和干预研究,特别是长时间的后续研究.
- 建议将健康饮食和生活方式原则纳入PCa幸存者护理.
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