Nagy Stephanie, Petrosky Stephanie N, Demory Beckler Michelle, Kesselman Marc M
Rheumatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Nutrition, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Cureus. 2023 Oct 7;15(10):e46639. doi: 10.7759/cureus.46639. eCollection 2023 Oct.
Cancer is a leading cause of mortality around the world, despite continued advancements in the management of cancer. Recent research efforts have shifted to evaluating the role that modifiable risk factors play in cancer risk and development, as diet and nutrition have been found to play a significant role in the onset and progression of cancer. As a result, there has been an increasing focus on the impact of dietary modifications on preventing the onset, progression, and reoccurrence of cancer. In this systematic review, data were collected on three common diets, the Mediterranean diet (MD), ketogenic diet (KD), and plant-based diet, to gain insight into the application of these three dietary modification approaches for risk prevention and limitation of cancer burden. Initially, 4,397 articles were identified from three databases (Ovid, Web of Science, and CINHAL). After removing studies based on the exclusion criteria, only 23 studies were eligible to be included in the systematic review of which 15 evaluated the MD, four assessed the ketogenic diet, and four evaluated the plant-based diet. Each article was considered for its methods, procedures, and findings. The findings indicate that dietary interventions may effectively reduce the odds of cancer development and the advancement of diagnosed cancers. With the introduction of the MD, KD, and plant-based diets, significant improvements in lowering cancer development, recurrence-free status, and limiting tumor growth were noted across numerous cancer types. Currently, the MD has been extensively studied in the literature, and amongst the widest variety of cancer types. Additional information and evaluation are required on the ketogenic and plant-based diets to fully understand their impact on the cancer burden across a wider subset of cancers. Clinicians should evaluate and recommend nutritional adaptations to their patients to limit the development of specific cancers and as an adjunctive therapy to traditional pharmacological treatment options for patients with diagnosed cancers.
尽管癌症治疗不断取得进展,但癌症仍是全球主要的死亡原因。最近的研究工作已转向评估可改变的风险因素在癌症风险和发展中所起的作用,因为饮食和营养已被发现对癌症的发生和发展起着重要作用。因此,人们越来越关注饮食调整对预防癌症发生、发展和复发的影响。在这项系统评价中,收集了三种常见饮食(地中海饮食、生酮饮食和植物性饮食)的数据,以深入了解这三种饮食调整方法在预防风险和限制癌症负担方面的应用。最初,从三个数据库(Ovid、科学网和CINHAL)中识别出4397篇文章。根据排除标准剔除研究后,只有23项研究符合纳入该系统评价的条件,其中15项评估了地中海饮食,4项评估了生酮饮食,4项评估了植物性饮食。对每篇文章的方法、程序和研究结果进行了考量。研究结果表明,饮食干预可能有效降低癌症发生几率和已确诊癌症的进展。随着地中海饮食、生酮饮食和植物性饮食的引入,在多种癌症类型中,癌症发生、无复发状态以及限制肿瘤生长方面都有显著改善。目前,地中海饮食在文献中已得到广泛研究,涉及的癌症类型也最为广泛。对于生酮饮食和植物性饮食,还需要更多信息和评估,以全面了解它们对更广泛癌症子集的癌症负担的影响。临床医生应评估并向患者推荐营养调整方案,以限制特定癌症的发生,并作为已确诊癌症患者传统药物治疗选择的辅助治疗方法。