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[尿路上皮肿瘤学中与实践相关的饮食建议]

[Practice-relevant dietary recommendations in uro-oncology].

作者信息

Schmidt Luca, Mathies V, von Grundherr J

机构信息

Klinik für Innere Medizin II, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.

UniversitätsTumorCentrum Jena, Universitätsklinikum Jena, Bachstraße 18, 07743, Jena, Deutschland.

出版信息

Urologie. 2023 Jan;62(1):17-22. doi: 10.1007/s00120-022-01984-4. Epub 2022 Dec 2.

Abstract

BACKGROUND

A healthy lifestyle is recommended for prevention, during therapy and in the survivorship of various medical conditions.

OBJECTIVES

This article aims to give an overview of the current dietary recommendations and currently discussed topics which are useful for patient counseling.

METHODS

The literature with a focus on uro-oncology, on prevention, during cancer therapy and survivorship was reviewed for healthy lifestyle recommendations. In addition, issues perceived in practice were researched, discussed with examples, and critically evaluated.

RESULTS

The current recommendations of the professional associations are intended to encourage all healthy or already ill patients to adopt a healthy lifestyle that includes a balanced diet, physical activity and healthy body weight. Consistent with current evidence, neither general supplementation of dietary supplements nor avoidance of entire food groups (such as meat or dairy products) is recommended.

CONCLUSIONS

In the counseling situation, patients should be encouraged in a healthy lifestyle or supported in an appropriate change of behavior. Any perceived uncertainty or questions from patient's perspective should be clarified and, if necessary, referred to a dietician, oecotrophologist or nutritionist.

摘要

背景

对于各种疾病的预防、治疗期间及康复期,建议采用健康的生活方式。

目的

本文旨在概述当前的饮食建议以及目前正在讨论的、对患者咨询有用的话题。

方法

回顾了以泌尿肿瘤学为重点、关于预防、癌症治疗期间及康复期的健康生活方式建议的文献。此外,研究了实践中察觉到的问题,举例进行了讨论,并进行了批判性评估。

结果

专业协会目前的建议旨在鼓励所有健康或已患病的患者采用包括均衡饮食、体育活动和健康体重在内的健康生活方式。与当前证据一致,既不建议普遍补充膳食补充剂,也不建议避免食用整个食物类别(如肉类或奶制品)。

结论

在咨询过程中,应鼓励患者采用健康的生活方式,或支持其进行适当的行为改变。应澄清患者所察觉到的任何不确定性或问题,如有必要,可转介给营养师、生态营养学家或营养学家。

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