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体育活动在癌症预防中的作用:最新进展。

Role of physical activity in cancer prevention: An update.

作者信息

Dhamnetiya Deepak, Sharma Aishwarya

机构信息

Department of Community Medicine, ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, Delhi, India.

出版信息

World J Clin Oncol. 2025 Aug 24;16(8):107765. doi: 10.5306/wjco.v16.i8.107765.

Abstract

Cancer prevention regular physical activity has been studied across the world. This minireview aimed to present the latest updates in research in the context of the role of physical activity in the cancer prevention. The various mechanisms at the molecular level were studied in depth. The essential processes at play involving hormonal balance, weight reduction, adiposity, inflammation, immunity, sunlight exposure and vitamin D levels and insulin resistance were critically analyzed here. The dose response of exercise with respect to cancer prevention was appraised. Strong evidence supports an inverse relationship between physical activity and cancer risk, particularly for breast, liver, lung and colorectal cancers. There is limited evidence for hematologic, head and neck, ovarian, pancreas, prostate, brain, thyroid and rectal cancer. Prehabilitation plays a key role in tertiary prevention of cancer and patient symptom alleviation. The role of physical activity was studied under the entire cancer continuum, from primary to tertiary prevention. The minireview highlights the need for interventional trials involving holistic methods combing modern and traditional medicine/therapies in cancer prevention.

摘要

癌症预防 世界各地都对规律的体育活动进行了研究。本综述旨在介绍体育活动在癌症预防中的作用这一背景下的最新研究进展。深入研究了分子水平上的各种机制。在此对涉及激素平衡、体重减轻、肥胖、炎症、免疫、阳光照射、维生素D水平和胰岛素抵抗等关键过程进行了批判性分析。评估了运动对癌症预防的剂量反应。有力证据支持体育活动与癌症风险之间存在负相关,尤其是对乳腺癌、肝癌、肺癌和结直肠癌。血液学、头颈癌、卵巢癌、胰腺癌、前列腺癌、脑癌、甲状腺癌和直肠癌方面的证据有限。术前康复在癌症的三级预防和缓解患者症状方面起着关键作用。在从一级预防到三级预防的整个癌症连续过程中研究了体育活动的作用。本综述强调了在癌症预防中开展涉及结合现代医学和传统医学/疗法的整体方法的干预试验的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df3/12400211/a5e09c5e414c/wjco-16-8-107765-g001.jpg

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