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These studies suggest that diets rich in antioxidants, anti-inflammatory nutrients, fibers, fruits, and vegetables may reduce cancer risk and improve overall health, while maintaining a healthy weight and limiting alcohol intake are also beneficial.
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The Mediterranean diet, rich in antioxidants and anti-inflammatory nutrients, has been shown to have a protective effect against various chronic diseases, including cancer. This diet helps reduce oxidative stress, inflammation, DNA damage, and cell proliferation, which are key factors in cancer development. Studies have demonstrated a strong inverse relationship between adherence to the Mediterranean diet and the incidence of several types of cancer, making it a powerful dietary approach for cancer prevention .
The ketogenic diet (KD), characterized by low carbohydrate and high fat intake, has been explored for its potential anti-tumor effects. Research indicates that KD can induce oxidative stress in tumor cells, inhibit the expression of matrix metalloproteinase-9 (MMP-9), and promote the polarization of tumor-associated macrophages from the M2 to the M1 phenotype, which is associated with anti-tumor activity. However, clinical evidence for the effectiveness of KD in cancer patients remains inconclusive due to methodological limitations and heterogeneous study results. Most studies report significant weight loss and mild to moderate side effects, with low adherence rates among patients .
Antioxidant vitamins and micronutrients play a crucial role in cancer prevention and treatment by regulating specific genes and signaling pathways. Nutrients such as vitamins A, C, E, selenium, and zinc strengthen the body's antioxidant defenses and may inhibit tumor cell proliferation. These micronutrients are involved in the regulation of pathways like WNT/β-catenin, NF-kB, and others, which are critical in cancer pathogenesis. Their antioxidative, anti-inflammatory, and anti-apoptotic properties make them valuable in reducing cancer risk and supporting treatment .
A diet rich in vegetables, fruits, whole grains, dietary fiber, and certain fatty acids has been associated with a reduced risk of various cancers. Conversely, factors such as obesity, alcohol consumption, and certain food preparation methods can increase cancer risk. Maintaining a healthy body weight, moderating alcohol intake, and consuming a diet high in fruits and vegetables while limiting red and processed meats are recommended strategies for cancer prevention .
Nutrition can significantly influence the immune response against cancer, potentially enhancing the effectiveness of immunotherapy. Diets like the Mediterranean, vegetarian, Japanese, and microbiota-regulating diets have been shown to lower cancer risk and mortality. Supplements such as omega-3 fatty acids and polyphenols may also support immune function and improve outcomes in cancer patients undergoing immunotherapy.
Diet plays a pivotal role in cancer prevention and treatment. Adhering to dietary patterns like the Mediterranean diet, incorporating antioxidant-rich foods, and maintaining a healthy lifestyle can significantly reduce cancer risk and support treatment. While some diets like the ketogenic diet show promise, more robust clinical evidence is needed to confirm their efficacy. Overall, a balanced diet rich in fruits, vegetables, whole grains, and healthy fats, combined with regular physical activity, remains a cornerstone of cancer prevention strategies.
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