Lifestyle behaviors, such as diet and physical activity, are factors that influence risk of numerous cancers.  They are also decisive during and after cancer for the course of oncological treatment, but also in the immediate and long-term prognosis, and quality of life during and after treatment.

生活方式行为，例如饮食和身体活动，是影响多种癌症风险的因素。它们在肿瘤治疗过程中和癌症治疗后也具有决定性意义，而且在治疗期间和治疗后的即时和长期预后以及生活质量方面也具有决定性意义。

Separately, physical activity and nutritional support can reduce the risk of sarcopenia and its consequences, and improve quality of life during treatment.

另外，身体活动和营养支持可以降低肌肉减少症及其后果的风险，并提高治疗期间的生活质量。

Their combination, in particular proposed early, increases their prognostic benefits.

（原法文：Leur combinaison, en particulier proposée précocement, augmente leurs bénéfices pronostiques. 原英文：Whan introduced early, such a combination, increases the prognostic benefits. 似乎英文翻译有误。）

早期引入食物与运动的组合将有助于提升预后方面的获益。

In remission, particularly in overweight patients, the APA-diet combination reduces the risk of cancer relapse and improves cardiovascular performance.

在缓解期，特别是在超重患者中，APA 饮食组合可降低癌症复发的风险并改善心血管功能。

These programs require a precise assessment of capacities and habits of each patient, and interventions of trained professionals (certified exercise instructor, dietician trained in oncology).

这些计划需要对每位患者的能力和习惯进行精确评估，并需要经过培训的专业人员（经过认证的运动教练、接受过肿瘤学培训的营养师）进行干预。

The funding conditions for these programs exist for cancer survivors and should be considered for oncological treatment period.

这些项目适用于癌症幸存者，应考虑在肿瘤治疗全程予以实施。

Keywords: Adapted physical activity; Cancer; Deconditioning; Dietary counselling;  Fatigue; Sarcopenia

癌症治疗期间和之后的营养和锻炼：治疗获益、病理生理学、推荐意见、临床处理

Reference：

Gouez M, Raynard B, Marijnen P, Ho Hio Hen N, Fervers B.

Nutrition and physical activity (AP) during and after cancer treatment: Therapeutic benefits, pathophysiology, recommendations, clinical managment

 Bull Cancer. 2022;S0007-4551(22)00082-0. doi:10.1016/j.bulcan.2022.02.008