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癌症患者在电子健康信息时代是否会改变他们的饮食?文献综述和调查以及对意大利人口的建议。

Do cancer patients change their diet in the e-health information era? A review of the literature and a survey as a proposal for the Italian population.

机构信息

Department of Experimental Oncology, European Institute of Oncology, Milano, Italy; University of Parma, Parma, Italy.

Department of Experimental Oncology, European Institute of Oncology, Milano, Italy; Fondazione Tera, Novara, Italy.

出版信息

Food Res Int. 2018 Feb;104:59-68. doi: 10.1016/j.foodres.2017.10.021. Epub 2017 Oct 16.

DOI:10.1016/j.foodres.2017.10.021
PMID:29433784
Abstract

In recent years, there has been an explosion in the amount of available information on cancer in parallel with an ever-increasing number of cancer survivors. Cancer patients and long-term survivors are known to be more sensitive to health-related information and dietary changes could represent a potential consequence of this huge availability of messages. In our review about dietary changes after cancer diagnosis, we found that this topic is particularly investigated among the breast cancer population. The literature examined show that breast cancer patients modify their eating habits after diagnosis in a percentage that varies between approximately 30% and 60%. The most reported changes were an increased consumption of fruit and vegetables, a decrease in the consumption of red meat, fats and sugary foods. Patients who reported changes were more likely to be younger, with higher educational levels and with a longer period of time since their diagnosis of cancer. It also emerged that cancer patients are often more likely to use supplements. This topic has not been investigated in cancer patients in Italy, therefore, we propose an approach to explore it with a structured questionnaire: The "ECHO SURVEY - Eating habits CHanges in Oncologic patients".

摘要

近年来,癌症相关信息呈爆炸式增长,与此同时,癌症幸存者的数量也在不断增加。众所周知,癌症患者和长期幸存者对健康相关信息更为敏感,而饮食的改变可能是这种大量信息传播的潜在后果之一。在我们关于癌症诊断后饮食变化的综述中,我们发现这个话题在乳腺癌人群中特别受到关注。所检查的文献表明,乳腺癌患者在诊断后会改变饮食习惯,这一比例在大约 30%到 60%之间变化。报告中最常见的变化是增加水果和蔬菜的摄入,减少红色肉类、脂肪和含糖食物的摄入。报告有变化的患者往往更年轻,教育程度更高,且距癌症诊断的时间更长。此外,癌症患者往往更倾向于使用补充剂。在意大利的癌症患者中,尚未对此进行过研究,因此,我们提出了一种使用结构化问卷来探讨这一问题的方法:“ECHO 调查-肿瘤患者的饮食习惯变化”。

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