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乳腺癌患者的营养管理

Nutritional management for breast cancer patients.

作者信息

Kim Minjeong, Lee Minkyoung, Sa Jisun

机构信息

Ewha Womans University College of Medicine, Seoul, Korea.

Nutrition Team, Ewha Womans University Mokdong Hospital, Seoul, Korea.

出版信息

Ewha Med J. 2025 Jan;48(1):e11. doi: 10.12771/emj.2025.e11. Epub 2025 Jan 31.

Abstract

Breast cancer is a complex disease influenced by environmental, genetic, dietary, and hormonal factors. This underscores the importance of postoperative nutritional management in supporting recovery, minimizing complications, and enhancing long-term outcomes. This review synthesizes clinical guidelines, expert recommendations, and observational studies to provide a comprehensive overview of dietary interventions for breast cancer patients following surgery. Post-surgical nutritional care is centered around three primary objectives: supporting wound healing through high-quality protein intake, maintaining optimal nutritional status to prevent malnutrition, and promoting healthy lifestyle habits to reduce the risk of recurrence. To achieve these objectives, postoperative dietary strategies focus on several key components: ensuring adequate hydration for metabolic processes and tissue repair, consuming a balanced diet rich in fresh vegetables and fruits to mitigate oxidative stress, incorporating whole grains to support overall healing, and maintaining sufficient intake of high-quality protein from sources such as fish, meat, and dairy products to aid tissue repair and immune system recovery. Patients are also advised to avoid alcohol, limit saturated fats, and reduce intake of salty, sugary, and smoked foods to minimize inflammation. As research progresses, the implementation of personalized dietary plans remains essential for optimizing recovery outcomes in breast cancer patients.

摘要

乳腺癌是一种受环境、遗传、饮食和激素因素影响的复杂疾病。这凸显了术后营养管理在支持康复、减少并发症和改善长期预后方面的重要性。本综述综合了临床指南、专家建议和观察性研究,以全面概述乳腺癌患者术后的饮食干预措施。术后营养护理围绕三个主要目标展开:通过摄入优质蛋白质支持伤口愈合、维持最佳营养状况以预防营养不良,以及促进健康的生活方式习惯以降低复发风险。为实现这些目标,术后饮食策略着重于几个关键要素:确保充足的水分摄入以支持代谢过程和组织修复,食用富含新鲜蔬菜和水果的均衡饮食以减轻氧化应激,纳入全谷物以支持整体愈合,以及从鱼类、肉类和奶制品等来源维持足够的优质蛋白质摄入以帮助组织修复和免疫系统恢复。还建议患者避免饮酒、限制饱和脂肪摄入,并减少盐、糖和烟熏食品的摄入以尽量减少炎症。随着研究的进展,实施个性化饮食计划对于优化乳腺癌患者的康复结局仍然至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d42d/12277886/13b971cfcc84/emj-48-1-13-g1.jpg

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