回顾:旧石器时代营养干预治疗妇科癌症的潜在有效性

R. Fatima, Hadia Fatima
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引用次数: 0

摘要

背景:利用古饮食干预治疗妇科疾病的研究有限。需要进行大量的随机对照试验来证明其有效性。这篇综述指出了妇科肿瘤学中最重要的文献空白之一。古营养最近成为妇科相关疾病的一种治疗选择,这种潜在的益处在一些短期临床试验和与妇科癌症和恶性肿瘤相关的病例报告中得到了证实。目的:本荟萃分析旨在探讨营养干预的重要性,重点关注古营养在妇科癌症、恶性肿瘤前疾病和女性术后恢复中的作用。资料:使用PubMed、Scopus、scibars、Mayo Clinic、Cochrane Library、Covance Laboratory和ASRM数据库收集病例报告、研究文章、综述、临床试验、期刊和书籍等形式的数据。设计:在400份出版物中,有7份因其与妇科肿瘤学和古营养干预的相关性而入围。2000-2020年间的病例报告和短期临床试验纳入了古饮食及其变体与其他营养干预措施的比较分析。结果:古营养对妇科癌症的遗传和分子影响尚无科学数据报道。临床报告表明,通过古饮食干预对妇科肿瘤患者治疗前和治疗后检查的人体测量指标和代谢有显著改善。可用于古饮食和其他饮食干预的比较分析的数据非常有限。结论:古营养是一种尚待研究的未来干预措施,并有可能影响妇科患者的治疗策略。针对每个种族群体的大量随机对照试验可以帮助控制全球的癌症负担。
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Review: Potential Effectiveness of Paleolithic Nutritional Interventions in Treatment of Gynecological Cancers
Background: Limited research has been performed for treating gynecological disease conditions using paleodiet intervention. It is in demand to conduct many randomized controlled trials to prove its effectiveness. This review indicates one of the most important literature gaps in gynae-oncology. Paleo nutrition has recently emerged as a treatment option in conditions related to gynecology, and such potential benefits are indicated in few short-term clinical trials and case reports related to gynecological cancers and malignancies. Objective: This meta-analysis is aimed to address the importance of nutritional intervention, with emphasis on paleo nutrition, in treatment of gynecological cancers, pre-malignancy conditions, and post-operative recovery in women. Materials: PubMed, Scopus, SciPubs, Mayo Clinic, Cochrane Library, Covance Laboratory and ASRM databases were used for collecting data in the form of case reports, research articles, reviews, clinical trials, journals, and books. Design: Out of 400 publications, 7 are shortlisted for their relevance to gynecological oncology and paleo nutrition interventions. Case reports and short-term clinical trials between year 2000-2020 are included for comparative analysis of Paleodiet and its variants with other nutritional interventions. Results: There is no scientific data that has been reported on genetic and molecular impacts of paleo-nutrition on gynecological cancers. Clinical reports suggest significant improvement through paleodiet intervention in anthropometric markers and metabolism in pre-treatment and post-treatment examination of patients of gynae-oncology. Very limited data is available for comparative analysis of paleodiet and other dietary interventions. Conclusion: Paleo nutrition is an under-researched future intervention and has a potential to impact treatment strategies for gynecological patients. A large volume of randomized controlled trials for each ethnic group can help manage the cancer burden globally.
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