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在辅助治疗后患有早期乳腺癌的女性的身体组成变化:系统性审查
Valdemar Mendez1, Simone Diedrichsen Marstrand2, August Nielsen2
1Department of Nephrology and Hormonal Diseases, Centre for Cancer and Organ Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. valdemar.mendez.brockdorff@regionh.dk.
Acta oncologica (Stockholm, Sweden)
|December 8, 2025
概括
早期乳腺癌治疗始终增加脂肪质量和内脏脂肪,但瘦体质量的变化是不一致的. 代谢监测,饮食和运动对于改善生活质量和预防复发至关重要.
科学领域:
- 在瘤学瘤学.
- 代谢健康 代谢健康
- 身体组成分析 身体成分分析
背景情况:
- 早期乳腺癌治疗可以显著影响患者的生理学.
- 了解与治疗相关的身体成分变化对于长期健康结果至关重要.
研究的目的:
- 系统地审查乳腺癌早期治疗后身体组成的变化.
- 综合关于脂肪质量,瘦身质量和内脏脂肪的发现.
主要方法:
- 在2018-2024年间发表的10项研究 (n=1,062) 的系统综述.
- 包括使用双X射线吸收计 (DXA),MRI或CT测量身体组成的研究.
- 排除了仅依赖于生物电阻分析的研究.
主要成果:
- 在不同研究中观察到总脂肪量 (3.3-9.2%) 的持续增加.
- 在两项研究中报告的内脏脂肪质量的统计显著增加.
- 瘦身体重变化在包括的研究中是不一致的.
结论:
- 早期的乳腺癌治疗 (化疗,内分泌疗法) 与脂肪质量和内脏脂肪增加有关.
- 瘦体质量的变化是不那么可预测的.
- 强调需要代谢监测,饮食和运动干预措施,以提高生活质量,并可能预防复发.
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