Faculty of Pharmacy, Universitat de València, 46100 Valencia, Spain.
Nutrients. 2021 Nov 15;13(11):4075. doi: 10.3390/nu13114075.
Cancer is a prevalent disease worldwide, and treatments such as radiotherapy and chemotherapy sometimes lead to adverse events. Oral mucositis is one of the most disabling adverse events, and clinical guidelines do not take into account nutritional interventions. The primary endpoint was to gather the evidence about the efficacy of nutritional interventions in the prevention and/or treatment of antineoplastic-induced oral mucositis in oncological patients. A bibliographic review was carried out in the PubMed data base by combining MeSH terms with Boolean operators. Articles were selected based on inclusion and exclusion criteria; 50 final articles were found. Although further evidence is needed, glutamine, honey, and vitamins appear to be good therapeutic options. The rest of the compounds presented controversial or insufficient results, making it difficult to draw conclusions over their utilization as prevention or treatment options. Little evidence is reported about oral mucositis nutritional interventions in spite of them being attainable and affordable compounds. Scarce evidence is shown in paediatric patients compared with adults. Developing higher quality studies and combinations with the compounds researched is necessary for creating a stronger body of evidence.
癌症是一种全球普遍存在的疾病,放射治疗和化学疗法等治疗方法有时会导致不良反应。口腔黏膜炎是最具致残性的不良反应之一,而临床指南并未考虑营养干预措施。主要终点是收集关于营养干预措施在预防和/或治疗肿瘤患者抗肿瘤诱导性口腔黏膜炎方面的疗效的证据。通过使用 MeSH 术语和布尔运算符,在 PubMed 数据库中进行了文献回顾。根据纳入和排除标准选择文章;共发现 50 篇最终文章。尽管需要进一步的证据,但谷氨酰胺、蜂蜜和维生素似乎是很好的治疗选择。其余化合物的结果存在争议或不充分,因此难以得出关于它们作为预防或治疗选择的使用结论。尽管口腔黏膜炎营养干预措施是可行且负担得起的化合物,但报告的证据很少。与成人相比,在儿科患者中显示出的证据较少。有必要开展更高质量的研究并将研究中的化合物进行联合,以提供更有力的证据。