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阿根廷中部地区的饮食习惯、生活方式因素与前列腺癌风险:一项涉及诊断后自我激励健康行为改变的病例对照研究。

Food Habits, Lifestyle Factors, and Risk of Prostate Cancer in Central Argentina: A Case Control Study Involving Self-Motivated Health Behavior Modifications after Diagnosis.

作者信息

Pacheco Sandaly O S, Pacheco Fabio J, Zapata Gimena M J, Garcia Julieta M E, Previale Carlos A, Cura Héctor E, Craig Winston J

机构信息

Center for Health Sciences Research, School of Medicine & Health Sciences, Universidad Adventista del Plata, Libertador San Martín, 25 de Mayo 99, Entre Ríos 3103, Argentina.

Institute for Food Science and Nutrition, Universidad Adventista del Plata, Libertador San Martín, 25 de Mayo 99, Entre Ríos 3103, Argentina.

出版信息

Nutrients. 2016 Jul 9;8(7):419. doi: 10.3390/nu8070419.

Abstract

Cancer is the second most important non-communicable disease worldwide and disproportionately impacts low- to middle-income countries. Diet in combination with other lifestyle habits seems to modify the risk for some cancers but little is known about South Americans. Food habits of Argentinean men pre- and post-diagnosis of prostate cancer (n = 326) were assessed along with other lifestyle factors. We studied whether any of the behaviors and risk factors for prostate cancer were found in men with other cancers (n = 394), compared with control subjects (n = 629). Before diagnosis, both cases reported a greater mean consumption of meats and fats and lower intakes of fruits, green vegetables, cruciferous vegetables, legumes, nuts, seeds, and whole grains than the controls (all p < 0.001). After diagnosis, cases significantly reduced the intake of meats and fats, and reported other dietary modifications with increased consumption of fish, fruits (including red fruits in prostate cancer), cruciferous vegetables, legumes, nuts, and black tea (all p < 0.001). Additional lifestyle aspects significantly predominant in cases included a reduced quality of sleep, emotional stress, low physical activity, tobacco smoking, alcohol consumption, living in rural areas, and being exposed to environmental contaminants. Argentinian men were predisposed to modify their unhealthy dietary habits and other lifestyle factors after cancer diagnosis.

摘要

癌症是全球第二重要的非传染性疾病,对低收入和中等收入国家的影响尤为严重。饮食与其他生活习惯相结合似乎会改变某些癌症的风险,但对于南美洲人却知之甚少。我们评估了前列腺癌确诊前后阿根廷男性(n = 326)的饮食习惯以及其他生活方式因素。我们研究了与对照对象(n = 629)相比,其他癌症患者(n = 394)中是否存在前列腺癌的任何行为和风险因素。在确诊前,与对照组相比,两组病例报告的肉类和脂肪平均摄入量更高,而水果、绿色蔬菜、十字花科蔬菜、豆类、坚果、种子和全谷物的摄入量更低(所有p < 0.001)。确诊后,病例显著减少了肉类和脂肪的摄入量,并报告了其他饮食调整,包括鱼类、水果(包括前列腺癌患者中的红色水果)、十字花科蔬菜、豆类、坚果和红茶的摄入量增加(所有p < 0.001)。病例中其他显著占主导的生活方式因素包括睡眠质量下降、情绪压力、身体活动不足、吸烟、饮酒、居住在农村地区以及接触环境污染物。阿根廷男性在癌症诊断后倾向于改变其不健康的饮食习惯和其他生活方式因素。

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