food-based intervention

  • 文章类型: Journal Article
    目前针对乳腺癌患者的饮食指南(BCP)未能解决可以改善患者营养状况的大量和微量营养素的充足饮食摄入问题。这篇综述包括过去15年来自PubMed和BiomedCentral数据库的信息,涉及BCP的饮食指南和个性化的潜在影响,特定营养饮食对抗肿瘤治疗期间和之后患者营养状况的影响。结果表明,BCP应在诊断后立即接受营养评估。此外,应鼓励他们追求和保持健康的体重[体重指数(BMI;以kg/m2为单位)20-24.9],保持他们的瘦体重,避免增加脂肪量。因此,在营养状况诊断后,在适当的饮食干预中,可以考虑保守的能量限制为500-1000kcal/d。根据审查的信息,我们建议在抗肿瘤治疗期间和之后对BCP进行个性化营养干预。营养治疗的规范应基于患者的营养状况,饮食习惯,时间表,活动,文化偏好。BCP的每日能量摄入应分配如下:<30%脂肪/天(主要是单不饱和和多不饱和脂肪酸),55%的碳水化合物(主要是全食物,如燕麦,糙米,和水果),和1.2-1.5g蛋白质·kg-1·d-1,以避免节肢性肥胖。研究结果表明,应鼓励5-9份/d的水果(~150克/份)和蔬菜(~75克/份)。大蒜和十字花科蔬菜也必须是营养疗法的一部分。充足的膳食摄入以富含β-胡萝卜素和维生素A的食物为基础的大量和微量营养素,E,C和C都可以预防BCP的营养状况恶化,并改善其整体健康和预后。
    Current dietary guidelines for breast cancer patients (BCPs) fail to address adequate dietary intakes of macro- and micronutrients that may improve patients\' nutritional status. This review includes information from the PubMed and Biomed Central databases over the last 15 y concerning dietary guidelines for BCPs and the potential impact of a personalized, nutrient-specific diet on patients\' nutritional status during and after antineoplastic treatment. Results indicated that BCPs should receive a nutritional assessment immediately after diagnosis. In addition, they should be encouraged to pursue and maintain a healthy body weight [body mass index (BMI; in kg/m2) 20-24.9], preserving their lean mass and avoiding an increase in fat mass. Therefore, after nutritional status diagnosis, a conservative energy restriction of 500-1000 kcal/d could be considered in the dietary intervention when appropriate. Based on the reviewed information, we propose a personalized nutrition intervention for BCPs during and after antineoplastic treatment. Specifications in the nutritional therapy should be based on the patients\' nutritional status, dietary habits, schedule, activities, and cultural preferences. BCPs\' daily energy intake should be distributed as follows: <30% fat/d (mainly monounsaturated and polyunsaturated fatty acids), ∼55% carbohydrates (primarily whole foods such as oats, brown rice, and fruits), and 1.2-1.5 g protein ⋅ kg-1 ⋅ d-1 to avoid sarcopenic obesity. Findings suggest that 5-9 servings/d of fruits (∼150 g/serving) and vegetables (∼75 g/serving) should be encouraged. Garlic and cruciferous vegetables must also be part of the nutrition therapy. Adequate dietary intakes of food-based macro- and micronutrients rich in β-carotene and vitamins A, E, and C can both prevent deterioration in BCPs\' nutritional status and improve their overall health and prognosis.
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