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生活方式医学干预对乳腺癌幸存者有益的证据。

Evidence for the benefits of lifestyle medicine interventions in breast cancer survivorship.

作者信息

Wright Laura E, Sudheendra Preeti K

机构信息

Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH, United States.

The James Cancer Hospital and Solove Research Institute, The Ohio State University Medical Center, Columbus, OH, United States.

出版信息

Oncologist. 2025 Jul 4;30(7). doi: 10.1093/oncolo/oyae303.

Abstract

There are currently 4 million breast cancer survivors in the United States, and this number is expected to substantially increase in the decades to come. Breast cancer survivors experience treatment- and cancer-related debility, stress, and isolation that exceed rates in the general population. This review provides evidence for survival and quality of life benefits in patients living with breast cancer with the implementation of the 6 pillars of lifestyle medicine, which include physical activity, nutrition, social connection, adequate sleep, stress management, and avoidance of toxic substances. Overwhelmingly, lifestyle modifications and support of psychosocial health improve survival and quality of life in patients living with breast cancer. Data presented here suggest that patients living with breast cancer would benefit from a comprehensive lifestyle medicine approach to survivorship and formal implementation of such programs could significantly impact cancer mortality and morbidity.

摘要

目前美国有400万乳腺癌幸存者,预计在未来几十年这个数字将大幅增加。乳腺癌幸存者经历的与治疗和癌症相关的虚弱、压力和孤独感超过了普通人群的比例。本综述提供了证据,表明通过实施生活方式医学的六大支柱,即体育活动、营养、社交联系、充足睡眠、压力管理和避免接触有毒物质,乳腺癌患者的生存和生活质量会得到改善。绝大多数情况下,生活方式的改变和对心理社会健康的支持能提高乳腺癌患者的生存和生活质量。此处呈现的数据表明,乳腺癌患者将从全面的生活方式医学方法中受益,以实现生存目标,正式实施此类计划可能会显著影响癌症的死亡率和发病率。

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本文引用的文献

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Psychosocial experiences of breast cancer survivors: a meta-review.乳腺癌幸存者的社会心理体验:元分析。
J Cancer Surviv. 2024 Feb;18(1):84-123. doi: 10.1007/s11764-023-01336-x. Epub 2023 Mar 1.
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Breast Cancer: A Lifestyle Medicine Approach.乳腺癌:一种生活方式医学方法。
Am J Lifestyle Med. 2020 Apr 26;14(5):483-494. doi: 10.1177/1559827620913263. eCollection 2020 Sep-Oct.

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