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在癌症幸存者中实施生活方式医学:全球模式的叙述性综述

Implementing Lifestyle Medicine in Cancer Survivorship: A Narrative Review of Global Models.

作者信息

Hundal Jasmin, Peshin Supriya, Ghazanfar Rahat, Hayes Sandi, Mansfield Sami, Sirotin Nicole, Comander Amy

机构信息

Taussig Cancer Institute, Department of Hematology and Oncology, Cleveland Clinic, Cleveland Ohio.

Department of Internal Medicine, Ballad Health, Norton VA.

出版信息

Am J Lifestyle Med. 2025 Jul 12:15598276251359525. doi: 10.1177/15598276251359525.

Abstract

Cardiovascular disease and cancer are the leading causes of mortality in developed countries. Advances in screening and treatment have led to a growing population of cancer survivors who require long-term supportive care. Many experience persistent health challenges, including fatigue, functional decline, and cardiometabolic comorbidities. Lifestyle medicine, which includes nutrition, physical activity, stress management, sleep, social connections, and risk reduction, provides a structured approach to optimizing survivorship outcomes.This narrative review examines the role of Lifestyle Medicine in oncology and highlights global implementation models. Programs analyzed include the Mass General Cancer Center's Lifestyle Medicine Clinic, the Clinical Oncology Society of Australia's exercise oncology framework, the Cleveland Clinic Abu Dhabi's Lifestyle Medicine Oncology Program, and Kansas City's community-based Cancer Wellness for Life initiative. Across diverse clinical settings, structured lifestyle interventions have been associated with improved treatment tolerance, quality of life, and the potential to reduce cardiometabolic risk factors. Hospital-based programs integrate multidisciplinary support, while community-driven initiatives expand access to lifestyle interventions. Despite strong evidence supporting these approaches, barriers to widespread adoption include gaps in clinician training, limited institutional support, and disparities in patient access. Global models show the feasibility and advantages of integrating Lifestyle Medicine into survivorship care. Increasing access, overcoming implementation challenges, and using technology can improve survivorship outcomes. Including Lifestyle Medicine in standard oncology care can improve long-term health and encourage survivors to manage their well-being actively.

摘要

心血管疾病和癌症是发达国家的主要死因。筛查和治疗方面的进展导致癌症幸存者群体不断扩大,他们需要长期的支持性护理。许多人经历着持续的健康挑战,包括疲劳、功能衰退和心血管代谢合并症。生活方式医学包括营养、体育活动、压力管理、睡眠、社交关系和风险降低等方面,它提供了一种结构化的方法来优化生存结果。本叙述性综述探讨了生活方式医学在肿瘤学中的作用,并强调了全球实施模式。分析的项目包括麻省总医院癌症中心的生活方式医学诊所、澳大利亚临床肿瘤学会的运动肿瘤学框架、克利夫兰诊所阿布扎比的生活方式医学肿瘤项目以及堪萨斯城基于社区的“癌症健康生活”倡议。在不同的临床环境中,结构化的生活方式干预与改善治疗耐受性、生活质量以及降低心血管代谢风险因素的可能性相关。基于医院的项目整合了多学科支持,而社区驱动的倡议扩大了生活方式干预的可及性。尽管有强有力的证据支持这些方法,但广泛采用的障碍包括临床医生培训方面的差距、机构支持有限以及患者获取机会的差异。全球模式显示了将生活方式医学纳入生存护理的可行性和优势。增加可及性、克服实施挑战以及利用技术可以改善生存结果。将生活方式医学纳入标准肿瘤护理可以改善长期健康状况,并鼓励幸存者积极管理自身健康。

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