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营养在癌症治疗中的重要性:一篇叙述性综述。

The Importance of Nutrition in Cancer Care: A Narrative Review.

机构信息

Graduate Program in Food, Nutrition, and Health, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande Do Sul, Brazil.

Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande Do Sul, Brazil.

出版信息

Curr Nutr Rep. 2024 Dec;13(4):950-965. doi: 10.1007/s13668-024-00578-0. Epub 2024 Sep 15.

Abstract

PURPOSE OF REVIEW

Cancer, a complex disease affecting millions globally, presents considerable challenges for both patients and health care providers. Within the broad spectrum of cancer care, nutrition plays a key role in supporting patients throughout their journey. This narrative review examines the role of nutrition in cancer care, exploring its impact on treatment outcomes, nutritional status, current dietary recommendations, physical activity, palliative care, and finally, as a nutritional encouragement for cancer survivors.

RECENT FINDINGS

Evidence indicates that cancer and anticancer treatments frequently cause malnutrition and loss of muscle mass, which can exacerbate symptoms, impair immune function, and hamper recovery. Therefore, adequate nutritional support is crucial for maintaining strength, controlling symptoms, and optimizing treatment tolerance in patients with cancer. Several factors influence nutritional needs and dietary recommendations, including cancer type, treatment, and individual patient characteristics. Nutritional care aims not only to ensure sufficient energy and protein intake, but also to manage specific symptoms such as dysgeusia, nausea, and dysphagia. Registered dietitians play a crucial role in providing personalized nutritional guidance, monitoring nutritional status, and implementing interventions to address emerging challenges in cancer care. Furthermore, recent research has underscored the benefits of dietary interventions in cancer treatment. From targeted nutritional supplements to more invasive nutritional support, interest in how nutrition can affect cancer risk and treatment outcomes is increasing. Overall, this review highlights the critical role of nutritional care in comprehensive cancer treatment. By recognizing and meeting dietary demands throughout the entire cancer journey, health care professionals can improve patients' well-being, response to treatment, and long-term prognosis.

摘要

目的综述

癌症是一种影响全球数百万人的复杂疾病,给患者和医疗保健提供者都带来了巨大的挑战。在癌症治疗的广泛领域中,营养在支持患者全程治疗中起着关键作用。本综述探讨了营养在癌症治疗中的作用,研究了其对治疗结果、营养状况、当前饮食建议、体力活动、姑息治疗以及最后癌症幸存者营养鼓励的影响。

最近发现

有证据表明,癌症和抗癌治疗常常导致营养不良和肌肉量损失,这会加重症状、损害免疫功能并阻碍康复。因此,充足的营养支持对于维持癌症患者的体力、控制症状和优化治疗耐受性至关重要。一些因素会影响营养需求和饮食建议,包括癌症类型、治疗方法和个体患者特征。营养护理的目标不仅是确保足够的能量和蛋白质摄入,还要管理特定的症状,如味觉障碍、恶心和吞咽困难。注册营养师在提供个性化营养指导、监测营养状况和实施干预措施以应对癌症护理中出现的挑战方面发挥着至关重要的作用。此外,最近的研究强调了饮食干预在癌症治疗中的益处。从靶向营养补充剂到更具侵入性的营养支持,人们对营养如何影响癌症风险和治疗结果的兴趣日益浓厚。总的来说,本综述强调了营养护理在全面癌症治疗中的关键作用。通过在整个癌症治疗过程中识别和满足患者的饮食需求,医疗保健专业人员可以改善患者的幸福感、对治疗的反应和长期预后。

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