Holm L E
Department of Cancer Prevention, Radiumhemmet, Karolinska Hospital, Stockholm, Sweden.
Med Oncol Tumor Pharmacother. 1990;7(2-3):209-15. doi: 10.1007/BF02988550.
Nutritional intervention trials are important tools in the search for efficient cancer prevention strategies. They can be divided into two types of trials; chemoprevention in which intervention is a defined chemical agent or a micronutrient, and diet trials in which intervention is a change in dietary habits. The most commonly used chemopreventive agents are retinoids, beta-carotene, and vitamins. The chemopreventive trials are directed to general cancer prevention or focus on target organs. The diet intervention studies include subjects at increased risk for cancer, cancer patients and community-based intervention programs. Although several completed chemopreventive studies indicate that certain micronutrients can prevent neoplastic growth, the follow-up period is still too short for most nutritional intervention studies to determine whether their preventive strategies are effective.
营养干预试验是探寻有效癌症预防策略的重要工具。它们可分为两类试验:化学预防试验,其中干预措施是特定的化学制剂或微量营养素;饮食试验,其中干预措施是饮食习惯的改变。最常用的化学预防剂是类视黄醇、β-胡萝卜素和维生素。化学预防试验旨在预防总体癌症或聚焦于目标器官。饮食干预研究包括癌症风险增加的受试者、癌症患者以及基于社区的干预项目。尽管一些已完成的化学预防研究表明某些微量营养素可预防肿瘤生长,但对于大多数营养干预研究而言,随访期仍太短,无法确定其预防策略是否有效。