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从医学营养治疗(MNT)角度对神经胶质瘤癌症全程生酮饮食的批判性综述:见解

Critical Review of Ketogenic Diet Throughout the Cancer Continuum for Neuroglioma: Insights from a Medical Nutrition Therapy (MNT) Perspective.

作者信息

Thomopoulos-Titomihelakis Kristina D, Sachs Hillary, McCann Rayna, Zhang Qianhui, Kurnit Sydney, De Juan Genesis Codoni, Rushing Amanda

机构信息

Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Hillary Sachs Nutrition, Scotch Plains, NJ, 07076, USA.

出版信息

Curr Nutr Rep. 2025 Jan 30;14(1):24. doi: 10.1007/s13668-025-00609-4.

Abstract

PURPOSE OF REVIEW

A Ketogenic diet (KD; a diet comprised of 75% fat, 20% protein and 5% carbohydrates) has gained much popularity in recent years, especially regarding neurogliomas (or "gliomas"). This review critically assesses literature on the application of KD throughout the cancer continuum from a Medical Nutrition Therapy (MNT) perspective. RECENT FINDINGS: 2021 revised classification standards for Central Nervous System (CNS) tumors are available. Despite research on KD and CNS tumors increasing, the role and benefits of MNT to augment side effects of traditional treatment and KD throughout the cancer continuum remain unclear. Glioma cancer survivors may benefit from a KD. It is a challenging, yet feasible non-pharmacological adjuvant approach. More research is needed regarding KD for prevention and post-treatment of glioma. Standard guidelines regarding macronutrient composition of KD for glioma are warranted. The need and benefits of nutritional guidance provided by a Registered Dietitian Nutritionist (RD or RDNs) during adherence to KD are understated.

摘要

综述目的

生酮饮食(KD;一种由75%脂肪、20%蛋白质和5%碳水化合物组成的饮食)近年来颇受关注,尤其是在神经胶质瘤(或“胶质瘤”)方面。本综述从医学营养治疗(MNT)角度批判性地评估了关于KD在整个癌症连续过程中应用的文献。最新发现:2021年中枢神经系统(CNS)肿瘤的修订分类标准已出台。尽管关于KD与CNS肿瘤的研究不断增加,但在整个癌症连续过程中,MNT增强传统治疗副作用及KD的作用和益处仍不明确。胶质瘤癌症幸存者可能从KD中获益。这是一种具有挑战性但可行的非药物辅助方法。关于KD在胶质瘤预防和治疗后的研究还需要更多。制定关于胶质瘤KD宏量营养素组成的标准指南很有必要。在坚持KD期间,注册营养师(RD或RDN)提供营养指导的必要性和益处未得到充分重视。

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