Amalia Fleming General Hospital, Athens, Greece.
Clin Lung Cancer. 2013 Jul;14(4):342-50. doi: 10.1016/j.cllc.2012.12.002. Epub 2013 Jan 31.
Lung cancer is the leading cause of cancer death worldwide. Because of high incidence rates and low survival rates, it is important to study the risk factors that may help prevent the disease from developing. It has been well established that cigarette smoking is the most important risk factor for lung cancer. Nonetheless it is likely that there are other modifiable risk factors that would assist in the prevention of lung cancer. Research on factors such as nutrition and physical activity and their influence on lung cancer has been carried out for nearly 3 decades. A systematic review in the MEDLINE database of published studies was conducted, focusing on systematic reviews, meta-analyses, and large prospective studies. The association between physical activity and lung cancer has been conflicting. Among the researched studies, 10 showed an inverse association, whereas 11 reported no association. A meta-analysis that was conducted from 1996 to October 2003 showed that leisure physical activity (LPA) prevents lung cancer. Data from 11 cohort and case-control studies showed an inverse relationship between fruit and vegetable consumption and lung cancer. Evidence from case-control studies suggests a positive association between meat intake and risk of lung cancer, although several more recent studies have presented doubts about these findings. The possible association of physical activity, nutrition, and the risk of lung cancer development remains controversial. Further prospective studies should be conducted to determine the potential influence of these 2 risk factors.
肺癌是全球癌症死亡的主要原因。由于发病率高和生存率低,研究可能有助于预防疾病发展的风险因素非常重要。已经明确指出,吸烟是肺癌的最重要危险因素。尽管如此,可能还有其他可改变的风险因素可以帮助预防肺癌。近 30 年来,一直对营养和体力活动等因素及其对肺癌的影响进行研究。在 MEDLINE 数据库中对已发表的研究进行了系统综述,重点是系统评价、荟萃分析和大型前瞻性研究。体力活动与肺癌之间的关联一直存在争议。在所研究的研究中,有 10 项显示出反比关联,而 11 项则没有关联。1996 年至 2003 年 10 月进行的荟萃分析表明,休闲体力活动(LPA)可预防肺癌。来自 11 项队列和病例对照研究的数据表明,水果和蔬菜的摄入量与肺癌呈反比关系。来自病例对照研究的证据表明,肉类摄入与肺癌风险之间存在正相关,尽管最近的几项研究对这些发现提出了质疑。体力活动、营养与肺癌发展风险之间的可能关联仍存在争议。应进一步开展前瞻性研究,以确定这两个风险因素的潜在影响。