以饮食为基础的癌症干预措施

James S. J. Choi
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引用次数: 1

摘要

在人类临床试验中,人们研究了不同的以饮食为基础的方法作为标准癌症治疗的潜在佐剂。然而,这些饮食已被证明有并发症,如不遵守和不良副作用。本文研究了人体临床试验中使用的四种不同类型的基于饮食的方法,并比较了它们的并发症。本文评估的四种基于饮食的方法是生酮饮食(KD),蛋白质限制,禁食和禁食模拟饮食(FMD)以及联合干预。研究表明,有大量受试者报告不遵守KDs,受试者也会出现明显的体重减轻、便秘和疲劳。蛋白质限制饮食具有较高的依从性,但可能导致有害的血液学毒性。禁食和FMD的依从性高于KDs,毒性低于限制蛋白质饮食的受试者,但头痛、饥饿和头晕的主诉数量更多。最后,联合干预的副作用和不依从性报告最少,但案例研究数量有限。鉴于这些结果,以饮食为基础的干预措施需要进一步研究,以尽量减少副作用和不依从性,然后才能成为标准癌症治疗的公认辅助手段。
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Diet-Based Interventions Against Cancer
Different diet-based approaches have been studied as potential adjuvants to standard cancer therapies in human clinical trials. However, these diets have been shown to have complications such as non-compliance and adverse side effects. This paper investigates four different types of diet-based approaches used in human clinical trials and compares their complications. The four diet-based approaches evaluated in this paper are ketogenic diet (KD), protein restriction, fasting and fasting mimicking diets (FMD), and combined interventions. Research shows that KDs have large reports of non-compliance from subjects, with subjects also experiencing significant weight loss, constipation, and fatigue. Protein restriction diets have greater levels of adherence from subjects but may lead to harmful hematological toxicities. Fasting and FMD showed greater adherence than subjects on KDs, and lower toxicities than subjects on protein restriction diets, but had a greater number of complaints of headaches, hunger, and dizziness. Finally, combined interventions have the fewest reports of side effects and non-compliance but suffer from a limited number of case studies. Given these results, diet-based interventions require further research to minimize side effects and non-compliance before becoming an accepted adjuvant to standard cancer therapy.
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