Lippi Lorenzo, de Sire Alessandro, Folli Arianna, Turco Alessio, Moalli Stefano, Marcasciano Marco, Ammendolia Antonio, Invernizzi Marco
Department of Health Sciences, University of Eastern Piedmont "A. Avogadro", 28100 Novara, Italy.
Translational Medicine, Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Cancers (Basel). 2024 Jan 25;16(3):521. doi: 10.3390/cancers16030521.
Obesity is a global health challenge with increasing prevalence, and its intricate relationship with cancer has become a critical concern in cancer care. As a result, understanding the multifactorial connections between obesity and breast cancer is imperative for risk stratification, tailored screening, and rehabilitation treatment planning to address long-term survivorship issues. The review follows the SANRA quality criteria and includes an extensive literature search conducted in PubMed/Medline, Web of Science, and Scopus. The biological basis linking obesity and cancer involves complex interactions in adipose tissue and the tumor microenvironment. Various mechanisms, such as hormonal alterations, chronic inflammation, immune system modulation, and mitochondrial dysfunction, contribute to cancer development. The review underlines the importance of comprehensive oncologic rehabilitation, including physical, psychological, and nutritional aspects. Cancer rehabilitation plays a crucial role in managing obesity-related symptoms, offering interventions for physical impairments, pain management, and lymphatic disorders, and improving both physical and psychological well-being. Personalized and technology-driven approaches hold promise for optimizing rehabilitation effectiveness and improving long-term outcomes for obese cancer patients. The comprehensive insights provided in this review contribute to the evolving landscape of cancer care, emphasizing the importance of tailored rehabilitation in optimizing the well-being of obese cancer patients.
肥胖是一个患病率不断上升的全球性健康挑战,其与癌症之间错综复杂的关系已成为癌症护理中的一个关键问题。因此,了解肥胖与乳腺癌之间的多因素联系对于风险分层、个性化筛查以及制定康复治疗计划以解决长期生存问题至关重要。本综述遵循SANRA质量标准,包括在PubMed/Medline、科学网和Scopus上进行的广泛文献检索。将肥胖与癌症联系起来的生物学基础涉及脂肪组织和肿瘤微环境中的复杂相互作用。各种机制,如激素改变、慢性炎症、免疫系统调节和线粒体功能障碍,都有助于癌症的发展。本综述强调了综合肿瘤康复的重要性,包括身体、心理和营养方面。癌症康复在管理肥胖相关症状、提供身体损伤干预、疼痛管理和淋巴疾病治疗以及改善身体和心理健康方面发挥着关键作用。个性化和技术驱动的方法有望优化康复效果并改善肥胖癌症患者的长期预后。本综述提供的全面见解有助于推动癌症护理领域的发展,强调了个性化康复对于优化肥胖癌症患者健康状况的重要性。