How to eat, exercise, and weight management during the treatment of tumor patients?ASCO Guide to guide

*For medical professionals for reading reference

Points: Treatment period

Common sense or misunderstanding

Exercise helps skeletal development, and can also prevent osteoporosis in the elderly is a recognized common sense. But after fractures, most people often think that the body is very fragile during this period, and must be kept at least 100 days, not any exercise.

In fact, it is not necessary to start muscle static contraction within 2 weeks after the fracture, and then gradually increase active activities and weight -bearing activities to promote swelling and bone healing.

The same is true for tumors.

We all know that reasonable diet and regular exercise can help anti -cancer, and long -term accumulation of obesity and bad living habits will increase the risk of cancer. Cancer patients have been advocated for sports and nutritional diets such as exercise and nutritional diets in the rehabilitation period or stable period. However, during tumor treatment, how patients should benefit from these aspects have always lacked scientific guidance.

Recently, the United States Clinical Oncology Society (ASCO) reports a systematic review of literature reports including breast cancer, lung cancer, colorectal cancer and prostate cancer, and set up random control tests, which aims to exercise, diet and diet and diet and diet and diet and Weight management provides guidance and solves three major clinical problems.

1. Can the exercise during tumor treatment improve the results of the quality of life, the treatment of toxic or cancer control?

It is recommended that tumor patients perform aerobic and resistance exercises during treatment to reduce the side effects of cancer treatment. (Evidence quality: medium, recommended intensity: strong)

Patients with lung cancer surgery are recommended to perform preoperative exercise to reduce hospitalization and postoperative complications. (Evidence quality: low, recommendation intensity: weak)

Note: exercise intervention during treatment can reduce fatigue, maintain cardiopulmonary health, physical function and strength, and can also improve the quality of life to a certain extent, reduce anxiety and depression. In addition, the probability of adverse events during the treatment during treatment is low. However, there is not enough evidence to be recommended during the treatment period to improve the cancer ending or treatment completion rate.

2. Does a specific diet mode or specific food during tumor treatment can improve the results of the quality of life, the treatment of toxic or cancer control?

There are currently no sufficient evidence recommendation or opposition to dietary intervention, including ketogenic or low -carbohydrate diet, low -fat diet, functional food or fasting, which can improve the results of the quality of life, toxic or cancer control.

It is not recommended to use neutral granulocytes to reduce diet (cooking all raw materials, including fruits and vegetables, that is, not eaten) to prevent cancer infections during treatment. (Evidence quality: low, recommendation intensity: weak)

3. Can intervention measures intended to lose weight or avoid weight gain during tumor treatment can improve the results of the quality of life, toxic or cancer control?

At present, there is no enough evidence recommendation or opposition to intend to lose weight during treatment or take intervention to prevent weight gain, which can improve the results of the quality of life, toxic or cancer control.

Note: The expert group strongly believes that diet and weight management can bring health benefits. Therefore, we should not prevent clinicians from discussing this in this regard. Considering the lack of evidence of diet and weight management intervention during cancer treatment, specific suggestions can be made.

In summary, tumor patients during treatment should regularly perform aerobic and anti -resistance exercise, and it is recommended that patients with lung cancer surgery exercise before surgery; it is not recommended to use neutral granulocytes to reduce diet to prevent infection during treatment.

Regarding specific diet and weight loss intervention measures are not recommended or opposed.

Even with the recommendation of the ASCO guide, I believe there are still many patients with friends who have the following doubts, and let Xiaobian answer them one by one.

What are the aerobic and anti -resistance exercises?

Aerobic exercise includes walking, fast walking, jogging, up and down stairs, riding bicycles, square dance, Tai Chi, eight sections, swimming, etc., patients can choose the exercise that suits themselves. It is appropriate to 20 ~ 30 minutes.

The difficulty of resistance to resistance is relatively difficult. You need to mobilize muscle contraction to fight external resistance. You can complete it through elastic bands, barbells, dumbbells and other equipment. You can also start with simple squats and sit -ups. Do your best.

What is neutral granulocytes reduced diet?

Some tumor treatment has side effects such as bone marrow suppression, causing patients with neutral granulocytes to be reduced, and the do not recommend neutral granulocytes here to reduce diet. Bacteria, such as cooking all the ingredients such as vegetables and fruits before eating.

Do patients in advanced and progressive periods also recommend exercise?

The literature on the feasibility and safety of patients with advanced cancer patients and potential benefits is relatively limited. Essence Therefore, it is recommended to do some physical activity appropriately when conditions permit.

At the end

After the diagnosis of tumor patients, nearly 75%will actively change their diet and exercise habits. These changes do help them maintain healthy weight, reduce cardiovascular disease, metabolic disorders, and other chronic disease risks.

Although the positive changes during tumor treatment may not necessarily ensure that we gain health, but it can add an additional weight on the health end of the balance of life. references:

[1] Ligibel Ja, Bohlke K, May Am, Clinton SK, DEMARK-WAHNEFRIED W, Gilchrist SC, Irwin Ml, Late M, Marshall Tf, Meyerhardt Ja, Thomson Ca, WOOD WA, ALFANOEEEERERS. , And Weight Management During During Cancer Treatment: Asco Guideline. J Clin Oncol. 2022 May 16: JCO2200687.

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Source of this article: Meizhong Jiahe Tumor Prevention and Control

Editor in charge: Sweet

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