Newberne P M, Conner M W
Department of Pathology, Boston University School of Medicine, Massachusetts 02118.
Prog Clin Biol Res. 1988;259:105-29.
The foregoing review of current risk factors associated with single nutrients and nutritional status in human populations, supported by animal studies, point clearly to a possibility for manipulation of nutrients in our diet, which may be a major tool for prevention of cancer. Migrant populations exhibit changes in incidence and frequency of certain types of cancer indicating external causes for cancer with diets high on the list of suspects. The foods we eat are probably the most important risk factors that human populations encounter and they offer a major focus for hope of preventing cancer. Food is also the most complex mixture to which we are exposed. Of all lifestyle factors associated with cancer, diet is one over which we exercise control. Epidemiologic observations, supported by controlled animal model research on carcinogenesis strongly suggest that through dietary control, some types of cancer are preventable. The evidence to date suggest that of all dietary factors of significance, those most likely to affect risk include total calories, protein, fat, vitamin A and carotene, the lipotropic factors methionine and choline, and the minerals zinc and selenium.
上述对与人群中单一营养素和营养状况相关的当前风险因素的综述,得到了动物研究的支持,清楚地表明在我们的饮食中对营养素进行调控是有可能的,这可能是预防癌症的主要手段。移民人群中某些类型癌症的发病率和频率出现变化,这表明癌症存在外部病因,而饮食是主要嫌疑因素之一。我们所吃的食物可能是人群面临的最重要的风险因素,也是预防癌症希望的主要关注点。食物也是我们接触到的最复杂的混合物。在与癌症相关的所有生活方式因素中,饮食是我们能够控制的一个因素。由关于致癌作用的对照动物模型研究所支持的流行病学观察强烈表明,通过饮食控制,某些类型的癌症是可以预防的。迄今为止的证据表明,在所有具有重要意义的饮食因素中,最有可能影响风险的因素包括总热量、蛋白质、脂肪、维生素A和胡萝卜素、促脂因素蛋氨酸和胆碱,以及矿物质锌和硒。