Adriana Albini, Carlo La Vecchia, Francesca Magnoni, Ornella Garrone, Danilo Morelli, Jaak Ph Janssens, Alain Maskens, Gad Rennert, Viviana Galimberti, Giovanni Corso
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引用次数: 0
摘要
体力活动(PA)在促进健康、增强体质和预防疾病方面具有公认的作用。预期的总体益处包括降低全因发病率和死亡率、控制体重、提高生活质量、改善骨骼健康和减少老年人跌倒、加深认知、降低抑郁、焦虑和失眠的风险。目前,运动疗法是治疗心血管疾病、代谢综合征、糖尿病和骨骼健康的主要方法。最近,人们对其在癌症一级和二级预防、拦截和治疗中的作用的认识也越来越重要。定期步行是最简单的活动量类型,与降低全因死亡率和心血管疾病死亡率有关,在癌症预防中的作用也越来越受到关注。此外,体育锻炼还能改善癌症患者的生活质量,减轻化疗的副作用,减少肌肉疏松症,增强体质,抑制某些癌症类型的复发和恶化。它还能促进患者的情绪和心理健康,诱发积极的变化。虽然 PA 的机制、有效水平和有用的练习量在心脏病学中已得到充分确定,但在肿瘤学中仍有待充分确定。尽管如此,人们还是建议通过体育锻炼来降低普通人群患癌的风险,并将其引入了预防第二种癌症的计划中。从长远来看,它将有助于癌症患者和癌症幸存者的综合治疗。本综述强调了在癌症持续治疗过程中的许多有益效果。
Physical activity and exercise health benefits: cancer prevention, interception, and survival.
Physical activity (PA) has an established role in the promotion of health and fitness and the prevention of disease. Expected overall benefits include reduction of all-cause morbidity and death, weight control, improved quality of life, improved bone health and decreased falls of elderly subjects, , deeper cognition, and reduced risk of depression, anxiety, and sleeplessness. Currently, PA is a mainstay in the management of cardiovascular diseases, metabolic syndrome, diabetes, and bone health. Recently, the perception of its role in primary and secondary prevention, interception, and treatment of cancer, however, is also gaining importance. Regular walking, the simplest type of PA, is associated with reduced all-cause and cardiovascular disease mortality, and a role in cancer prevention is of increasing interest. Furthermore, PA improves the quality of life of cancer patients, attenuating side effects of chemotherapy, decreasing sarcopenia, increasing fitness, and inhibiting the recurrence and progression of some cancer types. It promotes emotional and psychological benefits in patients, inducing positive changes. While mechanisms, effective levels and useful amount of PA practice are well established in cardiology, they are yet to be fully determined in oncology. Nevertheless, PA is recommended to reduce cancer risk in the general population, and it has been introduced in programs for the prevention of second cancers. In perspective, it will help as integrative therapy in cancer patients and for cancer survivors. The number of beneficial effects in the cancer continuum is highlighted in this review.
期刊介绍:
European Journal of Cancer Prevention aims to promote an increased awareness of all aspects of cancer prevention and to stimulate new ideas and innovations. The Journal has a wide-ranging scope, covering such aspects as descriptive and metabolic epidemiology, histopathology, genetics, biochemistry, molecular biology, microbiology, clinical medicine, intervention trials and public education, basic laboratory studies and special group studies. Although affiliated to a European organization, the journal addresses issues of international importance.