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降低前列腺癌风险:有前景的预防措施与见解。

Prostate cancer risk reduction: promising prevention practices and insights.

作者信息

Obeagu Emmanuel Ifeanyi

机构信息

Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.

出版信息

Ann Med Surg (Lond). 2025 May 30;87(7):4344-4355. doi: 10.1097/MS9.0000000000003451. eCollection 2025 Jul.

Abstract

Prostate cancer is among the leading causes of cancer-related morbidity and mortality in men worldwide. Despite advancements in diagnostic and therapeutic approaches, prevention remains a critical strategy to curb its prevalence. This review examines promising prevention practices, including lifestyle modifications, dietary interventions, and the use of chemopreventive agents. It also delves into emerging insights from genetic, epigenetic, and molecular studies, offering a comprehensive framework for reducing prostate cancer risk through tailored and evidence-based approaches. Lifestyle changes, such as maintaining a healthy weight, engaging in regular physical activity, and adopting a plant-based diet, have shown substantial potential in mitigating prostate cancer risk. Specific dietary components, like antioxidants found in fruits and vegetables and omega-3 fatty acids in fish, demonstrate protective properties, while reducing the intake of red and processed meats is encouraged. Chemopreventive agents, including 5-alpha reductase inhibitors and anti-inflammatory medications, offer additional strategies but require careful assessment of risks and benefits.

摘要

前列腺癌是全球男性癌症相关发病和死亡的主要原因之一。尽管诊断和治疗方法取得了进展,但预防仍然是遏制其流行的关键策略。本综述探讨了有前景的预防措施,包括生活方式改变、饮食干预以及化学预防剂的使用。它还深入研究了基因、表观遗传和分子研究的新见解,为通过量身定制和基于证据的方法降低前列腺癌风险提供了一个全面的框架。生活方式的改变,如保持健康体重、定期进行体育活动和采用以植物为基础的饮食,在降低前列腺癌风险方面已显示出巨大潜力。特定的饮食成分,如水果和蔬菜中的抗氧化剂以及鱼类中的omega-3脂肪酸,具有保护作用,同时鼓励减少红肉和加工肉类的摄入量。化学预防剂,包括5-α还原酶抑制剂和抗炎药物,提供了额外的策略,但需要仔细评估风险和益处。

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本文引用的文献

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Integrative Approaches to the Treatment of Cancer.癌症治疗的综合方法
Cancers (Basel). 2022 Nov 30;14(23):5933. doi: 10.3390/cancers14235933.
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Epidemiology and Prevention of Prostate Cancer.前列腺癌的流行病学与预防。
Eur Urol Oncol. 2021 Dec;4(6):877-892. doi: 10.1016/j.euo.2021.09.006. Epub 2021 Oct 26.
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Influence of Diet and Nutrition on Prostate Cancer.饮食与营养对前列腺癌的影响。
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