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饮食模式与癌症。

Dietary Pattern and Cancer.

机构信息

National University of Medical Sciences (NUMS), Rawalpindi, Pakistan.

University of Concepcion, Concepcion, Chile.

出版信息

Cancer Treat Res. 2024;191:191-216. doi: 10.1007/978-3-031-55622-7_8.

Abstract

Diet play an important role in the development of cancer. A lot of research has been done on the role of individual nutrients or phytochemicals and cancer risk. Both harmful and beneficial associations of this nutrient have been observed with cancer. However, there is an interaction of individual dietary constituents to influence disease risk. On the other hand, examining the diet as a whole as is done in dietary patterns research may produce more accurate estimates and data that can be more easily translated into dietary recommendations. Dietary patterns and cancer research are becoming increasingly common in the epidemiology literature, and novel dietary patterns are being generated at a rapid pace. However, major issues remain over whether one general "healthy" dietary pattern can be suggested for cancer prevention or whether several diets should be advocated for different forms of cancer protection. It is challenging to study typical human diet in animal model that is appropriate for cancer prevention. Some dietary patterns, such as the ketogenic diet or macronutrient composition alteration, have been investigated more extensively in animal models than in humans in terms of cancer prevention, and bigger human observational studies are now needed to advise dietary guidelines. The question of whether to adapt nutritional guidelines to population subgroups based on susceptibility factors (for example, family history, sex, age, other lifestyle factors or comorbidities, metabolomics signatures, or microbiota-based profiles) is still open and will be crucial in moving the field forward.

摘要

饮食在癌症的发展中起着重要作用。大量研究已经探讨了个体营养物质或植物化学物质与癌症风险之间的关系。已经观察到这种营养素与癌症之间存在有害和有益的关联。然而,个体饮食成分的相互作用会影响疾病风险。另一方面,像在饮食模式研究中那样,将饮食作为一个整体进行研究可能会产生更准确的估计值和数据,这些数据更容易转化为饮食建议。在流行病学文献中,饮食模式与癌症研究越来越普遍,新的饮食模式正在快速产生。然而,主要问题仍然是是否可以为癌症预防提出一种普遍的“健康”饮食模式,或者是否应该为不同形式的癌症保护提倡几种饮食。在适合癌症预防的动物模型中研究典型的人类饮食具有挑战性。一些饮食模式,如生酮饮食或宏量营养素组成改变,在动物模型中比在人类中更广泛地研究了癌症预防,现在需要更大规模的人类观察性研究来为饮食指南提供建议。根据易感性因素(例如家族史、性别、年龄、其他生活方式因素或合并症、代谢组学特征或基于微生物组的特征)是否要调整营养指南以适应人群亚组的问题仍然存在,这将是推动该领域向前发展的关键。

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