National Engineering Research Center for Functional Food, Collaborative Innovation Center of Food Safety and Quality Control in Jiangsu Province, State Key Lab of Food Science and Technology, School of Food Science and Technology, Jiangnan University, Wuxi, China.
Compr Rev Food Sci Food Saf. 2021 Mar;20(2):1381-1421. doi: 10.1111/1541-4337.12706. Epub 2021 Feb 2.
To improve the difficulties related to malnutrition, nutritional support has become an essential part of multidisciplinary comprehensive treatment for cancer. Lipids are essential nutrient source for the human body, and nowadays in clinical practices, it has a positive interventional effect on patients suffering from cancer. However, contribution of lipids in nutritional support of cancer patients is still poorly understood. Moreover, the sensory and physicochemical properties of lipids can severely restrict their applications in lipid-rich formula foods. In this review article, for the first time, we have presented a summary of the existing studies which were related to the associations between different lipids and improved malnutrition in cancer patients and discussed possible mechanisms. Subsequently, we discussed the challenges and effective solutions during processing of lipids into formula foods. Further, by considering existing problems in current lipid nutritional support, we proposed a novel method for the treatment of malnutrition, including developing individualized lipid nutrition for different patients depending on the individual's genotype and enterotype. Nonetheless, this review study provides a new direction for future research on nutritional support and the development of lipid-rich formula foods for cancer patients, and probably will help to improve the efficacy of lipids in the treatment of cancer malnutrition.
为改善营养不良相关问题,营养支持已成为癌症多学科综合治疗的重要组成部分。脂肪是人体必需的营养物质来源,目前在临床实践中,它对癌症患者具有积极的干预作用。然而,脂肪在癌症患者营养支持中的作用仍知之甚少。此外,脂肪的感官和物理化学性质严重限制了其在富含脂肪配方食品中的应用。在这篇综述文章中,我们首次总结了现有研究,这些研究涉及不同脂肪与改善癌症患者营养不良之间的关系,并讨论了可能的机制。随后,我们讨论了在将脂肪加工成配方食品过程中面临的挑战和有效解决方案。此外,通过考虑当前脂质营养支持中存在的问题,我们提出了一种针对营养不良的新治疗方法,包括根据个体基因型和肠型为不同患者制定个性化的脂质营养方案。尽管如此,这项综述研究为癌症患者脂质营养支持和富含脂质配方食品的开发提供了新的研究方向,并可能有助于提高脂质治疗癌症营养不良的疗效。