Impact of Lifestyle Interventions on Gynecologic Cancers: Beyond Diet and Exercise.

Autor: McKenzie ND; Gynecologic Oncology Program, AdventHealth Cancer Institute, Orlando, FL, USA., Ahmad S; Gynecologic Oncology Program, AdventHealth Cancer Institute, Orlando, FL, USA.
Jazyk: angličtina
Zdroj: American journal of lifestyle medicine [Am J Lifestyle Med] 2022 Sep 14; Vol. 18 (1), pp. 7-20. Date of Electronic Publication: 2022 Sep 14 (Print Publication: 2024).
DOI: 10.1177/15598276221123764
Abstrakt: A Lifestyle Medicine approach to compliment cancer care is less commonly researched or implemented for women with gynecologic cancers as compared to better funded malignancies such as breast, prostate, and colorectal. Yet, several gynecologic malignancies are linked to obesity, estrogen/metabolic signaling pathways, and altered tumor microenvironment which could benefit greatly from a lifestyle medicine program. Lifestyle medicine, an evidenced-based branch of science, has expanded to the prevention and treatment of disorders caused by lifestyle factors (including cancer). Modifiable lifestyle factors such as obesity, lack of physical activity/nutrient density, microbial dysbiosis, sleep disturbance, and chronic stressors contribute greatly to cancer morbidity and mortality worldwide. This overarching area of research is evolving with some subtopics in their infancy requiring further investigation. Modern tools have allowed for better understanding of mechanisms by which adiposity and inactivity affect tumor promoting signaling pathways as well as the local tumor environment. Through the evolving use of these sophisticated techniques, novel prognostic biomarkers have emerged to explore efficacy of pharmacologic and lifestyle interventions in cancer. This state-of-the-art review article appraises recent evidence for a lifestyle medicine approach, beyond diet and exercise, to optimize survivorship and quality of life for patients with gynecologic cancers and introduces the 8-week web-based comprehensive HEAL-GYN program.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(Copyright © 2022 The Author(s).)
Databáze: MEDLINE