Miller Karly, Zick Suzanna, Ploutz-Snyder Robert, Ruiz-Narváez Edward A, Knoerl Robert
School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, USA.
Department of Family Medicine, School of Public Health, Michigan Medicine, and Nutritional Sciences, Ann Arbor, MI, 48105, USA.
Support Care Cancer. 2025 Aug 23;33(9):806. doi: 10.1007/s00520-025-09827-6.
PURPOSE: Determine the association of food group and micronutrient intake with chemotherapy-induced peripheral neuropathy (CIPN) among survivors of cancer. METHODS: In this cross-sectional study, participants completed the PRO-CTACE™ numbness and tingling severity item and VioScreen™ Research Food Frequency Questionnaire to determine CIPN status and dietary intake, respectively. Separate covariate-adjusted linear, logistic, and ordered logistic regression models were used to calculate the mean food group and micronutrient amounts and the associations with CIPN status and severity. As a secondary analysis of prior research that was not powered to detect these associations, we considered p ≤ 0.10 as an indicator of relevance for future study. RESULTS: A total of 136 participants completed the surveys and questionnaires. Participants with greater daily intake of refined grains (OR = 2.05; 95% CI, 1.22, 3.46) and less intake of tomatoes (OR = 0.10; 95% CI, 0.10, 1.14), fish (OR = 0.21; 95% CI, 0.06, 0.75), eggs (OR = 0.06; 95% CI, 0.01, 0.34), and selenium (OR = 0.96; 95% CI, 0.92, 1.00) were associated with increased odds of having CIPN. The odds of experiencing worse CIPN severity increased with each additional serving of refined grains (OR = 1.66; 95% CI, 1.11, 2.48) and decreased with each extra serving of poultry (OR = 0.58; 95% CI, 0.31, 1.08), fish (OR = 0.18; 95% CI, 0.05, 0.61), egg (OR = 0.08; 95% CI, 0.02, 0.39), legumes (OR = 0.04; 95% CI, 0.00, 1.49), and selenium (OR = 0.96; 95% CI, 0.93, 1.35). CONCLUSION: There are meaningful intake differences between participants with and without CIPN. Further research is needed to establish a dietary intervention using the findings in a larger population.
目的:确定癌症幸存者中食物组和微量营养素摄入量与化疗引起的周围神经病变(CIPN)之间的关联。 方法:在这项横断面研究中,参与者分别完成了PRO-CTACE™麻木和刺痛严重程度项目以及VioScreen™研究食物频率问卷,以确定CIPN状态和饮食摄入量。使用单独的协变量调整线性、逻辑和有序逻辑回归模型来计算食物组和微量营养素的平均摄入量以及与CIPN状态和严重程度的关联。作为一项先前研究的二次分析,该研究没有足够的能力检测这些关联,我们将p≤0.10视为未来研究相关性的指标。 结果:共有136名参与者完成了调查和问卷。精制谷物每日摄入量较高(OR = 2.05;95% CI,1.22,3.46)以及番茄(OR = 0.10;95% CI,0.10,1.14)、鱼类(OR = 0.21;95% CI,0.06,0.75)、蛋类(OR = 0.06;95% CI,0.01,0.34)和硒(OR = 0.96;95% CI,0.92,1.00)摄入量较低的参与者患CIPN的几率增加。每多摄入一份精制谷物,CIPN严重程度加重的几率增加(OR = 1.66;95% CI,1.11,2.48),而每多摄入一份家禽(OR = 0.58;95% CI,0.31,1.08)、鱼类(OR = 0.18;95% CI,0.05,0.61)、蛋类(OR = 0.08;95% CI,0.02,0.39)、豆类(OR = 0.04;95% CI,0.00,1.49)和硒(OR = 0.96;95% CI,0.93,1.35),该几率则降低。 结论:有CIPN和无CIPN的参与者之间在摄入量上存在显著差异。需要进一步研究以利用这些结果在更大规模人群中建立饮食干预措施。
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