肿瘤代谢与营养电子杂志2023年2月9日第10卷第1期Electron J Metab Nutr Cancer,Fe山.9,2023,Val.10,No.1.57,·共识、指南与标准·D0L:10.16689/j.cnki.m11-9349/m.2023.01.009抗炎饮食预防肿瘤的专家共识中国抗癌协会肿霜营养专业委员会,中国营养学会社区营养与健康管理分会,中国营养学会临床营养分会摘要:肿瘤是严重威胁人类生命健康的恶性消耗性疾病,其发生率和死亡率逐年增加。影响肿瘤发生、发展的因素复杂,其中饮食作为主要的可预防因素,其潜在作用不容忽视。饮食具有促炎特性和抗炎特性,不合理的膳食所引起的机体长期慢性炎症与肿瘤密切相关,并降低了肿瘤的治疗效果。科学合理的膳食可改善机体慢性炎症状态,改变肿瘤微环境,从而达到预防肿瘤发生和促进忠者康复的作用。能够客观评估膳食对机体的炎症效应,无论对科学研究还是临床防治都具有积极意义。膳食炎症指数(D川)是一种评估个人膳食炎症潜能的新方法,具有客观、方便、可重现的特点,近些年较多研究探索了D川与多种肿瘤的关系。本共识以D川为研究工具,总结了促炎性饮食与各类肿瘤的发病关系,并提出肿瘤防治的抗炎性膳食模式,从抗炎饮食角度为肿瘤患者提供预防和辅助治疗策略。提倡科学健康的饮食行为,鼓励居民调整膳食结构,为肿瘤患者的营养治疗提供新策略。关键词:肿瘤:抗炎饮食:膳食模式;膳食炎症指数;专家共识Expert consensus on anti-inflammatory diet for cancer preventionChinese Society of Nutritional Oncolog,Community Nutrition and Health Management Branch of Chinese Nutrition Society,ClinicalNutrition Branch of Chinese Nutrition SocietyAbstract:Tumor is a kind of malignant wasting disease which seriously threatens human life and health.Its incidence andmortality are increasing year by year.There are complex factors affecting the occurrence and development of tumors,among which dietis the main preventable factor,and its potential role cannot be ignored.Diet has both pro-inflammatory and anti-inflammatoryproperties.Long-term chronic inflammation caused by irrational diet is closely related to tumor,and reduces the therapeutic effect oftumor.Scientific and reasonable diet can improve the chronic inflammation state of the body,change the tumor microenvironment,soas to achieve the role of preventing tumor occurrence and promoting the recovery of patients.It is of positive significance for scientificresearch and clinical prevention and treatment to objectively evaluate the inflammatory effect of diet on the body.Dietary inflammationindex (DI)is a new method to evaluate individual dietary inflammatory potential,which is objective,convenient and reproducible.Inrecent years,many studies have explored the relationship between DII and various tumors.This consensus,using DII as the researchtool,summarizes the relationship between pro-inflammatory diet and the incidence of various types of tumors,and proposes ananti-inflammatory dietary model for cancer prevention and treatment,so as to provide prevention and adjuvant treatment strategies forcancer patients from the perspective of anti-inflammatory diet.To promote scientific and healthy eating behavior,encourage residentsto adjust the dietary structure,and provide a new strategy for nutritional treatment of cancer patients.Key words:Tumor;Anti-inflammatory diet;Dietary patterns;Dietary inflammation index;Expert consensus中国癌症报告,肿瘤的发生率和死亡率逐年增炎症指数(dietary inflammation index,D)是评估机加,严重威胁人类生命健康[)。膳食模式及膳食体的整体膳食炎症潜力的客观工具,为探究膳食致营养素在肿瘤发生、发展中起着重要作用。膳食炎潜力与肿瘤的关系提供了新思路,近几年被国内外学者关注。本共识从抗炎饮食角度为肿瘤患者提供预防和辅助治疗策略,根据国内外研究证据和我国居民膳食特点,形成本专家共识。制订本共识的方法基金项目:河北省重点研发计划项目(21377728D)学参考了《WH0指南编写手册》和指南研究与评价河北省卫生健康委员会医学科学研究课题计划(20190476)(Appraisal of Guideline Research and Evaluation,A-中国老年保健医学研究会合作(HZ202102)GREE)协作网发表的临床指南编写规范(表1)。证通信作者:李增宁