Motevalli Mohamad, Stanford Fatima Cody
Department of Sport Science, University of Innsbruck, 6020 Innsbruck, Austria.
Harvard Medical School, Boston, MA 02115, USA.
Cancers (Basel). 2025 Apr 8;17(8):1255. doi: 10.3390/cancers17081255.
The increasing global burden of cancer necessitates innovative approaches to prevention and treatment. Lifestyle factors such as diet, physical activity, and smoking significantly contribute to cancer. At the same time, current guidelines are based on a one-size-fits-all approach, which limits their effectiveness across diverse populations. Obesity is a well-documented risk factor for cancer, directly affecting 13 types of cancer. The complex interplay of genetic, metabolic, hormonal, and environmental factors in obesity's etiology highlights the need for more tailored approaches to obesity-related cancers. This perspective article advocates for a shift toward an integrative, personalized approach that considers a variety of intrinsic and extrinsic factors associated with the etiology of obesity-related cancers. Lifestyle-based cancer prevention strategies should be tailored to an individual's biological profile, demographic background, behaviors, and environmental exposures. Following a diagnosis, a comprehensive treatment approach should consider how these genetic, physiological, lifestyle, and environmental factors interact in the onset and progression of the disease while also taking cancer type and stage into account. This approach paves the way for more precise and effective strategies in tackling cancer. Fulfilling collaboration across research, healthcare, and policy sectors is essential to achieve these goals.
全球癌症负担日益加重,这就需要创新的预防和治疗方法。饮食、体育活动和吸烟等生活方式因素在很大程度上导致了癌症。与此同时,当前的指南采用的是一刀切的方法,这限制了它们在不同人群中的有效性。肥胖是一个有充分记录的癌症风险因素,直接影响13种癌症。肥胖病因中遗传、代谢、激素和环境因素的复杂相互作用凸显了针对肥胖相关癌症采取更具针对性方法的必要性。这篇观点文章主张转向一种综合、个性化的方法,该方法要考虑与肥胖相关癌症病因相关的各种内在和外在因素。基于生活方式的癌症预防策略应根据个人的生物学特征、人口背景、行为和环境暴露情况进行调整。在确诊后,全面的治疗方法应考虑这些遗传、生理、生活方式和环境因素在疾病发生和发展过程中是如何相互作用的,同时还要考虑癌症的类型和阶段。这种方法为应对癌症制定更精确、有效的策略铺平了道路。实现研究、医疗保健和政策部门之间的充分合作对于实现这些目标至关重要。