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营养与部分生活方式元素作为结直肠癌患者的三级预防。

Nutrition and Selected Lifestyle Elements as a Tertiary Prevention in Colorectal Cancer Patients.

机构信息

Doctoral School, Medical University of Silesia, 40-055 Katowice, Poland.

Department of Internal Diseases Propaedeutics and Emergency Medicine, Faculty of Public Health in Bytom, Medical University of Silesia, 40-055 Katowice, Poland.

出版信息

Nutrients. 2024 Sep 16;16(18):3129. doi: 10.3390/nu16183129.

DOI:10.3390/nu16183129
PMID:39339729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11435162/
Abstract

BACKGROUND

Nutrition and lifestyle elements can significantly support the therapeutic process in colorectal cancer () patients, which is the basis for tertiary prevention. The study aimed to assess the nutritional strategies and lifestyle of patients and to determine differences in these behaviors depending on gender and age.

METHODS

The study group included 202 patients. The research was carried out in two hospitals and using the snowball method. The research tool was an original questionnaire. Data were processed in statistical programs. < 0.05 was considered statistically significant.

RESULTS

Patients reported many behavioral-nutritional side effects. Half of them did not use a therapeutic diet ( = 101; 50.0%). The majority of patients declared that they ate three meals a day (57.4%). Fruits and vegetables were mainly eaten raw (69.3%). Almost a quarter of patients were not physically active at all (22.3%). Men chose to fry meat significantly more often than women (27.7% vs. 19.3%) ( = 0.003). The elderly consumed fast food significantly less often than middle-aged (88.5% vs. 72.3%) ( = 0.03).

CONCLUSIONS

Patients showed both pro- and anti-health activities. The findings revealed several noteworthy disparities in dietary habits and lifestyle choices based on gender and age, indicating that these factors can significantly influence the health management of patients. The patients' behaviors should be constantly monitored and intensified, especially through regular consultations and educational meetings with an oncology dietitian for nutritional tertiary prevention of chronic disease.

摘要

背景

营养和生活方式因素可以显著支持结直肠癌患者的治疗过程,这是三级预防的基础。本研究旨在评估患者的营养策略和生活方式,并确定这些行为在性别和年龄上的差异。

方法

研究组包括 202 名患者。研究在两家医院进行,使用雪球法。研究工具是原始问卷。数据在统计程序中进行处理。<0.05 被认为具有统计学意义。

结果

患者报告了许多行为-营养方面的副作用。他们中有一半人没有使用治疗饮食(=101;50.0%)。大多数患者表示他们每天吃三顿饭(57.4%)。水果和蔬菜主要生吃(69.3%)。将近四分之一的患者根本不进行身体活动(22.3%)。男性选择煎肉的频率明显高于女性(27.7%对 19.3%)(=0.003)。老年人食用快餐的频率明显低于中年人(88.5%对 72.3%)(=0.03)。

结论

患者表现出促进健康和不利于健康的活动。这些发现表明,基于性别和年龄的饮食习惯和生活方式选择存在一些值得注意的差异,表明这些因素会对结直肠癌患者的健康管理产生重大影响。应持续监测和加强患者的行为,特别是通过定期咨询和与肿瘤营养师进行教育会议,以进行慢性病的营养三级预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8175/11435162/4bd6f4433164/nutrients-16-03129-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8175/11435162/109a911dbc58/nutrients-16-03129-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8175/11435162/4bd6f4433164/nutrients-16-03129-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8175/11435162/109a911dbc58/nutrients-16-03129-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8175/11435162/4bd6f4433164/nutrients-16-03129-g002.jpg

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Managing Colorectal Cancer from Ethology to Interdisciplinary Treatment: The Gains and Challenges of Modern Medicine.从行为学到跨学科治疗:现代医学的收益与挑战。管理结直肠癌
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Relationships between gut microbiota, red meat consumption and colorectal cancer.
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Impact of malnutrition on early outcomes after cancer surgery: an international, multicentre, prospective cohort study.营养不良对癌症手术后早期结局的影响:一项国际多中心前瞻性队列研究
Lancet Glob Health. 2023 Mar;11(3):e341-e349. doi: 10.1016/S2214-109X(22)00550-2.
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Clin Epidemiol. 2023 Jan 12;15:55-71. doi: 10.2147/CLEP.S388323. eCollection 2023.
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