Storz Maximilian Andreas, Schmidt Carla, Ronco Alvaro Luis
Department of Internal Medicine II, Center for Complementary Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
Unit of Oncology and Radiotherapy, Pereira Rossell Women's Hospital, Montevideo, Uruguay.
Nutr Cancer. 2025;77(2):188-199. doi: 10.1080/01635581.2024.2408766. Epub 2024 Oct 6.
There are currently more than 3.3 million prostate cancer (PC) survivors in the United States. Conformance with national dietary guidelines and a good diet quality may lower the risk for Gleason grade progression in PC patients. Assessing the nutritional status of PC survivors is thus of paramount importance from a public health nutrition perspective. We used 24-h dietary recall data from the National Health and Nutrition Examination Surveys (NHANES) to systematically estimate nutrient intakes in = 360 PC survivors (which may be extrapolated to represent = 1,841,030 PC survivors) aged 70.69 years on average, and contrasted the results to the daily nutritional goals (DNG) in the 2020-2025 Dietary Guidelines for Americans (DGA). Diet quality in PC survivors was found to be generally poor, and the DNG as specified in the DGA were not met for many micronutrients, including calcium, magnesium and potassium. PC survivors had an insufficient intake of many vitamins (including vitamins A, C, D and E), and did not meet the intake recommendations for dietary fiber. Racial disparities in PC were reflected in the lower overall DQ in Non-Hispanic Black participants. Our results reiterate the need for nutritional assessment and counseling to improve DQ in PC patients.
目前,美国有超过330万前列腺癌(PC)幸存者。遵循国家饮食指南并保持良好的饮食质量可能会降低PC患者格里森分级进展的风险。因此,从公共卫生营养的角度来看,评估PC幸存者的营养状况至关重要。我们使用了来自美国国家健康与营养检查调查(NHANES)的24小时饮食回忆数据,系统地估计了平均年龄为70.69岁的360名PC幸存者(这一数据可外推以代表1841030名PC幸存者)的营养素摄入量,并将结果与《2020 - 2025年美国人饮食指南》(DGA)中的每日营养目标(DNG)进行了对比。结果发现,PC幸存者的饮食质量普遍较差,许多微量营养素未达到DGA规定的DNG,包括钙、镁和钾。PC幸存者多种维生素(包括维生素A、C、D和E)的摄入量不足,膳食纤维的摄入量也未达到推荐标准。非西班牙裔黑人参与者较低的总体饮食质量(DQ)反映了PC患者中的种族差异。我们的结果再次强调了进行营养评估和咨询以改善PC患者饮食质量的必要性。