Kruk Joanna, Aboul-Enein Hassan
Dept. of Prevention and Occupational Therapy, Faculty of Physical Culture and Health Promotion, University of Szczecin, Szczecin, Poland.
Dept. of Pharmaceutical and Medicinal Chemistry, Pharmaceutical and Drug Industries Research Division, National Research Center, Dokki, Giza, Egypt.
Iran J Public Health. 2016 Dec;45(12):1558-1567.
Prostate cancer (PCa) is the second most common malignancy in men worldwide. The purpose of this study was to provide a brief synthesis the current knowledge for the effects of physical activity (PA) and nutrition on PCa risk.
A systematic review of English languages reviews, meta-analysis, and original articles published from 2009 to 2015 extracted from the following websites: MEDLINE, Web of Science, Health Source, Science Direct, and their references.
The review of the literature led to the selection of 12 review or meta-analysis studies and 15 lately published observational studies. Most of studies reported relationship of recreational and occupational PA and vegetables, fruits, vitamins, red/processed meats, and fats consumption with risk of PCa. Decreased risk for PCa associated with exercise was reported in seven of the ten articles on this topic. The inverse association of vegetables and/or fruit intake with PCa risk was reported in eight of 13 papers. The effect of meat/fat intake on PCa was estimated in four articles finding increased risk. There was heterogeneity between studies, and findings are inconsistent.
Physical activity does not significantly reduce the risk of PCa; however, vigorous exercise may reduce the risk of aggressive tumor. Besides, there is a lack of definitive evidence supporting the preventive role of diet against PCa. Due to many other benefits of regular moderate-vigorous PA and a diet high in vegetables and fruits and low in red/processed meats and fats, these lifestyle patterns may be recommended.
前列腺癌(PCa)是全球男性中第二常见的恶性肿瘤。本研究的目的是简要综述当前关于体育活动(PA)和营养对前列腺癌风险影响的知识。
对2009年至2015年发表的英文综述、荟萃分析和原创文章进行系统回顾,这些文章从以下网站提取:MEDLINE、科学引文索引、健康源、科学Direct及其参考文献。
文献回顾筛选出12项综述或荟萃分析研究以及15项近期发表的观察性研究。大多数研究报告了休闲和职业性体育活动以及蔬菜、水果、维生素、红肉/加工肉类和脂肪摄入与前列腺癌风险之间的关系。关于该主题的十篇文章中有七篇报告了运动与前列腺癌风险降低相关。13篇论文中有八篇报告了蔬菜和/或水果摄入与前列腺癌风险呈负相关。四篇文章估计了肉类/脂肪摄入对前列腺癌的影响,发现风险增加。研究之间存在异质性,结果不一致。
体育活动并不能显著降低前列腺癌的风险;然而,剧烈运动可能会降低侵袭性肿瘤的风险。此外,缺乏确凿证据支持饮食对前列腺癌的预防作用。由于定期进行适度剧烈的体育活动以及高蔬菜、高水果、低红肉/加工肉类和低脂肪饮食还有许多其他益处,因此可能推荐这些生活方式。