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乳腺癌幸存者的饮食和营养干预措施:一个总体审查
Joan Ern Xin Tan1, Mattias Wei Ren Kon1, Charmaine Su Min Tan1
1NUS Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, Singapore 117597, Singapore.
Nutrients
|January 10, 2026
概括
饮食干预改善了乳腺癌幸存者的饮食质量,体重和生活质量. 结构化,营养师支持和地中海式饮食显示出对长期健康的最大希望.
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:
- 乳腺癌是全球女性的主要恶性瘤,越来越多的幸存者需要关注长期健康.
- 饮食和营养是影响乳腺癌幸存者的复发,并发症和生活质量 (QoL) 的可改变因素,但基于证据的指导是有限的.
研究的目的:
- 综合来自系统审查对饮食和营养干预措施对成人乳腺癌幸存者的影响的证据.
- 评估这些干预措施对人体测量,代谢,心理社会和生存结果的影响.
主要方法:
- 在六个数据库中系统搜索关于乳腺癌幸存者的饮食或营养干预措施的系统评论和元分析.
- 使用AMSTAR-2工具对方法质量的评估和发现的叙述综合.
- 包括9项系统性审查,涵盖超过1万名乳腺癌幸存者.
主要成果:
- 干预措施持续改善饮食质量和水果和蔬菜摄入量.
- 观察到体重,体重指数 (BMI) 和身体脂肪的适度但有意义的减少.
- 报告了改善生活质量 (QoL) 领域,包括疲劳,身体功能和身体形象.
- 更多地坚持地中海式饮食与较低的死亡率有关,尽管证据的确定性有限.
结论:
- 饮食和营养干预措施,特别是结构化,饮食师支持和地中海风格的方法,改善饮食质量,支持体重管理,并提高乳腺癌幸存者的QOL.
- 未来的研究应该专注于将营养护理纳入幸存者的途径.
- 对长期维持,生存终点和多样化的种群的证据仍然稀少.
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