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探索结直肠癌患者的饮食和生活方式概况:三级预防的假设生成性见解

Exploring Dietary and Lifestyle Profiles in Colorectal Cancer Patients: Hypothesis-Generating Insights for Tertiary Prevention.

作者信息

Mąkosza Kamil, Wierzgoń Janusz, Muc-Wierzgoń Małgorzata, Dzięgielewska-Gęsiak Sylwia

机构信息

Doctoral School, Medical University of Silesia, 40-055 Katowice, Poland.

Department of Internal Diseases Propaedeutics and Emergency Medicine, Faculty of Public Health in Bytom, Medical University of Silesia, 41-902 Bytom, Poland.

出版信息

Cancers (Basel). 2025 Aug 14;17(16):2654. doi: 10.3390/cancers17162654.

DOI:10.3390/cancers17162654
PMID:40867283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12384565/
Abstract

: Colorectal cancer (CRC) is one of the most prevalent malignancies worldwide, particularly affecting the elderly. Tertiary prevention-focused on nutrition and lifestyle-may play an important role in improving treatment outcomes and quality of life. This exploratory study aimed to describe dietary and lifestyle behaviors among CRC patients, considering age, body mass index (BMI), and educational background as potential differentiating factors. : A cross-sectional study was conducted among 202 CRC patients using a validated paper-based questionnaire. Sociodemographic data and health behaviors were analyzed using chi-square tests. : Age-related differences revealed that middle-aged patients consumed vegetables and legumes more frequently but also reported higher fast-food intake. Elderly individuals more often abstained from alcohol and tobacco. Overweight and obese participants were more likely to consume meat and sweets regularly and preferred frying over other cooking methods. Higher education was associated with lower rates of smoking and alcohol use. : The findings suggest that dietary and lifestyle profiles among CRC patients may vary by age, BMI, and education. While causal relationships cannot be established, the results may help generate hypotheses for future research and support the development of individualized tertiary prevention strategies.

摘要

结直肠癌(CRC)是全球最常见的恶性肿瘤之一,尤其影响老年人。以营养和生活方式为重点的三级预防可能在改善治疗效果和生活质量方面发挥重要作用。这项探索性研究旨在描述CRC患者的饮食和生活方式行为,将年龄、体重指数(BMI)和教育背景视为潜在的区分因素。

一项横断面研究对202名CRC患者使用经过验证的纸质问卷进行。使用卡方检验分析社会人口统计学数据和健康行为。

与年龄相关的差异表明,中年患者更频繁地食用蔬菜和豆类,但也报告了更高的快餐摄入量。老年人更常戒酒和戒烟。超重和肥胖参与者更有可能经常食用肉类和甜食,并且比起其他烹饪方法更喜欢油炸。高等教育与较低的吸烟和饮酒率相关。

研究结果表明,CRC患者的饮食和生活方式特征可能因年龄、BMI和教育程度而异。虽然无法建立因果关系,但结果可能有助于为未来研究提出假设,并支持制定个性化三级预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea3/12384565/d36effe39cf2/cancers-17-02654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea3/12384565/a033e44a7caf/cancers-17-02654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea3/12384565/d36effe39cf2/cancers-17-02654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea3/12384565/a033e44a7caf/cancers-17-02654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ea3/12384565/d36effe39cf2/cancers-17-02654-g002.jpg

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本文引用的文献

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A randomized controlled trial of a digital lifestyle intervention involving postoperative patients with colorectal cancer.一项针对结直肠癌术后患者的数字生活方式干预的随机对照试验。
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Global, regional, and national trends in colorectal cancer burden from 1990 to 2021 and projections to 2040.1990年至2021年全球、区域和国家结直肠癌负担趋势及到2040年的预测。
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Associations Between Dietary Patterns and Quality of Life in a Longitudinal Cohort of Colorectal Cancer Survivors.膳食模式与结直肠癌幸存者纵向队列生活质量的相关性研究。
Nutrients. 2024 Nov 12;16(22):3860. doi: 10.3390/nu16223860.
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Nutrition and Selected Lifestyle Elements as a Tertiary Prevention in Colorectal Cancer Patients.营养与部分生活方式元素作为结直肠癌患者的三级预防。
Nutrients. 2024 Sep 16;16(18):3129. doi: 10.3390/nu16183129.
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Obesity-Associated Colorectal Cancer.肥胖相关性结直肠癌。
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