乳癌病人營養建議
Other Title
Nutrition recommendation for breast cancer
Journal
台灣營養學會雜誌
Journal Volume
44
Journal Issue
2
Pages
41
Date Issued
2020-06-01
Author(s)
Abstract
Nutrition is thought to play an important role in breast cancer prevention and intervention. In this study, we review the scientific literature related to nutritional assessments and nutrient requirements of patients being treated for breast cancer and the anticancer strategy proposed by the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR). We found that nutrition assessments for breast cancer should include the body composition. Breast cancer patients should be encouraged to maintain their body-mass index (BMI) within 18.5-24 kg/m2 during antitumor therapy, at which time their caloric requirements should be similar to those of the healthy population (25-30 kcal/kg/day) but can be adjusted based on clinical conditions. Overweight or obese breast cancer patients were suggested to reduce their caloric input to 500-1000 kcal/day to avoid sarcopenic obesity. Dietary fat, carbohydrate, and protein requirements should be limited to <30%, <55%, and 1.2-1.5 g protein/kg/day, respectively, and patients should be encouraged to consume up to 25-30 g/day of dietary fiber and up to five to nine servings fruits and vegetables each day. Foods rich in beta-carotene and vitamins A, C, and E are also encouraged. While vitamin and mineral intake should meet dietary reference intakes (DRIs, 7th edition), they should not be consumed in excessive amounts. Plant-based dietary patterns rich in seeds, nuts, mushrooms, soybeans, soy products, seaweed, and root vegetables are recommended. In terms of preventing breast cancer, adherence to cancer prevention recommendations established by WCRF is an important strategy for reducing cancer risks and mortality/recurrence for cancer survivors.
Subjects
Asian breast cancer
breast cancer subtype
nutritional recommendation
WCRF/AICR recommendations
Type
journal article