Jones Lee W, Demark-Wahnefried Wendy
Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Lancet Oncol. 2006 Dec;7(12):1017-26. doi: 10.1016/S1470-2045(06)70976-7.
Every year, more than 10 million people are diagnosed with cancer worldwide. In view of the substantial improvements in early detection and treatment, even more patients can expect to be alive 5 years after diagnosis. With improvements in longevity, the late-occurring adverse effects of cancer and its treatment are becoming increasingly apparent. Healthy lifestyle behaviours that encompass regular exercise, weight control, healthy nutrition, and some complementary practices--eg, support groups, imagery--have the potential to greatly reduce cancer-treatment-associated morbidity and mortality in cancer survivors and can enhance quality of life. Here, we aim to review the strength of evidence for recommendations for exercise, weight management, nutritional practices, and related complementary therapies; assess the perceived needs of cancer survivors for health information and how they can access this information; and discuss the resources available to oncology care providers and patients about healthy lifestyle behaviours. Overall, this review provides important information to oncology care providers who counsel their patients on preventive lifestyle practices to maximise health and longevity after a diagnosis of cancer.
全球每年有超过1000万人被诊断患有癌症。鉴于早期检测和治疗有了显著改善,更多患者有望在确诊后存活5年。随着寿命的延长,癌症及其治疗的晚期不良反应日益明显。包括定期锻炼、体重控制、健康营养以及一些辅助疗法(如支持小组、意象疗法)在内的健康生活方式,有可能大幅降低癌症幸存者与癌症治疗相关的发病率和死亡率,并能提高生活质量。在此,我们旨在综述关于运动、体重管理、营养实践及相关辅助疗法建议的证据强度;评估癌症幸存者对健康信息的感知需求以及他们获取这些信息的途径;并讨论肿瘤护理提供者和患者可获得的有关健康生活方式的资源。总体而言,本综述为肿瘤护理提供者提供了重要信息,这些提供者会就预防性生活方式为患者提供咨询,以在癌症诊断后最大化健康和寿命。