Barnard R James
Evid Based Complement Alternat Med. 2004 Dec;1(3):233-239. doi: 10.1093/ecam/neh036. Epub 2004 Oct 6.
Cancer is the second leading cause of death in the USA and an abundance of evidence suggests that lifestyle factors including smoking, the typical high-fat, refined-sugar diet and physical inactivity account for the majority of cancer. This review focuses on diet and inactivity as major factors for cancer promotion by inducing insulin resistance and hyperinsulinemia. Elevated levels of serum insulin impact on the liver primarily, increasing the production of insulin-like growth factor I (IGF-I) while reducing the production of insulin-like growth factor binding protein 1 (IGFBP-1) resulting in stimulation of tumor cell growth and inhibition of apoptosis (programmed cell death). Adopting a diet low in fat and high in fiber-rich starch foods, which would also include an abundance of antioxidants, combined with regular aerobic exercise might control insulin resistance, reduce the resulting serum factors and thus reduce the risk for many different cancers commonly seen in the USA.
癌症是美国第二大死因,大量证据表明,包括吸烟、典型的高脂肪、精制糖饮食以及缺乏体育锻炼在内的生活方式因素是大多数癌症的成因。本综述着重探讨饮食和缺乏运动这两个通过诱发胰岛素抵抗和高胰岛素血症而促进癌症发生的主要因素。血清胰岛素水平升高主要影响肝脏,增加胰岛素样生长因子I(IGF-I)的产生,同时减少胰岛素样生长因子结合蛋白1(IGFBP-1)的产生,从而刺激肿瘤细胞生长并抑制细胞凋亡(程序性细胞死亡)。采用低脂肪、富含纤维的淀粉类食物(其中也应包含大量抗氧化剂)的饮食方式,再结合定期的有氧运动,或许能够控制胰岛素抵抗,降低由此产生的血清因子水平,进而降低美国常见的多种不同癌症的发病风险。