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含糖饮料(SSB)的消费与乳腺癌:一项叙述性综述。

Consumption of Sugar Sweetened Beverages (SSBs) and Breast Cancer: A Narrative Review.

作者信息

Iqbal Sehar, Malik Zoha Imtiaz, Farooq Umar, Abid Juweria, Shah Hassan Bin Usman, Ahmad Abdul Momin Rizwan

机构信息

College of Pharmacy, Al-Ain University, Abu Dhabi Campus, Abu Dhabi, United Arab Emirates.

Department of Public Health, Health Services Academy, Islamabad, Pakistan.

出版信息

Iran J Public Health. 2025 Mar;54(3):489-498. doi: 10.18502/ijph.v54i3.18242.

Abstract

Sugar sweetened beverages (SSBs) have become a cause of concern because of their growing consumption levels across age groups and associated chronic diseases such as diabetes mellitus, cardiovascular diseases and cancers. The aim of this review was to provide a detailed profile of the SSBs trends and associated health risk, with special focus on its role in breast cancer development. A review of current literature has depicted increased in-takes of SSBs across the globe with servings ranging from 3 to 11 per day in different countries, while children, adolescents and young adults report the highest intake levels. These increased intakes further contribute to different metabolic diseases via increased body adiposity, blood glucose and insulin levels, and increased post-menopausal estrogen levels, all of which contribute to chronic diseases, including cancers. Nutrition interventions including ones that target SSBs reduction seem to have a positive impact on reducing the development of these non-communicable diseases and are also associated with better prognosis and survival chances in cancer patients. However, the implementation of SSBs taxation and mass awareness campaign interventions remains poor due to lack of policy development and regulation for these beverages. The control of SSBs intake across the world requires rigorous research to construct efficient and practical policies to reduce the accessibility and marketing of SSBs while simultaneously increasing awareness in the public regarding the health risks of these beverages. To achieve this, a coordinated approach involving different public and private sectors is needed.

摘要

含糖饮料(SSB)因其在各年龄组中的消费量不断增加以及相关的慢性疾病,如糖尿病、心血管疾病和癌症,已成为一个令人担忧的问题。本综述的目的是详细介绍含糖饮料的趋势及其相关的健康风险,特别关注其在乳腺癌发展中的作用。对当前文献的综述表明,全球范围内含糖饮料的摄入量有所增加,不同国家每天的摄入量从3份到11份不等,而儿童、青少年和年轻人的摄入量最高。这些摄入量的增加通过增加身体肥胖、血糖和胰岛素水平以及绝经后雌激素水平,进一步导致了不同的代谢疾病,所有这些都促成了包括癌症在内的慢性疾病。营养干预措施,包括旨在减少含糖饮料摄入的措施,似乎对减少这些非传染性疾病的发生有积极影响,并且还与癌症患者更好的预后和生存机会相关。然而,由于缺乏针对这些饮料的政策制定和监管,含糖饮料征税和大众意识宣传活动干预措施的实施情况仍然很差。全球范围内对含糖饮料摄入量的控制需要进行严格的研究,以制定有效和切实可行的政策,减少含糖饮料的可及性和营销,同时提高公众对这些饮料健康风险的认识。要实现这一目标,需要不同公共和私营部门采取协调一致的方法。

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