Lin Pao-Hwa, Aronson William, Freedland Stephen J
Department of Medicine, Division of Nephrology, Duke University Medical Center, Durham 27710, NC, USA.
BMC Med. 2015 Jan 8;13:3. doi: 10.1186/s12916-014-0234-y.
Prostate cancer (PCa) remains a leading cause of mortality in US men and the prevalence continues to rise world-wide especially in countries where men consume a 'Western-style' diet. Epidemiologic, preclinical and clinical studies suggest a potential role for dietary intake on the incidence and progression of PCa. 'This minireview provides an overview of recent published literature with regard to nutrients, dietary factors, dietary patterns and PCa incidence and progression. Low carbohydrates intake, soy protein, omega-3 (w-3) fat, green teas, tomatoes and tomato products and zyflamend showed promise in reducing PCa risk or progression. A higher saturated fat intake and a higher β-carotene status may increase risk. A 'U' shape relationship may exist between folate, vitamin C, vitamin D and calcium with PCa risk. Despite the inconsistent and inconclusive findings, the potential for a role of dietary intake for the prevention and treatment of PCa is promising. The combination of all the beneficial factors for PCa risk reduction in a healthy dietary pattern may be the best dietary advice. This pattern includes rich fruits and vegetables, reduced refined carbohydrates, total and saturated fats, and reduced cooked meats. Further carefully designed prospective trials are warranted.
前列腺癌(PCa)仍是美国男性死亡的主要原因,而且在全球范围内其患病率持续上升,尤其是在男性食用“西式”饮食的国家。流行病学、临床前和临床研究表明,饮食摄入在前列腺癌的发生和发展中可能发挥作用。本综述概述了近期发表的有关营养素、饮食因素、饮食模式与前列腺癌发生和发展的文献。低碳水化合物摄入、大豆蛋白、ω-3(w-3)脂肪酸、绿茶、番茄及番茄制品和齐墩果烷显示出降低前列腺癌风险或进展的前景。较高的饱和脂肪摄入量和较高的β-胡萝卜素水平可能会增加风险。叶酸、维生素C、维生素D和钙与前列腺癌风险之间可能存在“U”形关系。尽管研究结果不一致且尚无定论,但饮食摄入在前列腺癌预防和治疗中的潜在作用前景广阔。在健康饮食模式中综合所有降低前列腺癌风险的有益因素可能是最佳饮食建议。这种模式包括丰富的水果和蔬菜、减少精制碳水化合物、总脂肪和饱和脂肪的摄入,以及减少熟肉的摄入。有必要进一步开展精心设计的前瞻性试验。