Habitual high intake of salt-preserved foods, pickled vegetables, and high-salt dishes (>...
Детермінований перегляд YAML-сутності з джерельної бази. Клінічний авторитет лишається за вказаними source ID та статусом клінічного sign-off.
| ID | RF-LIFESTYLE-SALTY-PICKLED-DIET-GASTRIC-PREVENTION |
|---|---|
| Тип | Тривожна ознака |
| Статус | переглянуто 2026-05-19 | очікує клінічного підпису |
| Хвороби | DIS-GASTRIC |
| Джерела | SRC-ESMO-GASTRIC-2024 |
Походження тривожної ознаки
| Визначення | Habitual high intake of salt-preserved foods, pickled vegetables, and high-salt dishes (>5 g/day sodium chronically). IARC + WCRF/AICR evidence supports salt-preserved foods as a probable cause of gastric cancer (RR ~1.5-2.0 in high-intake vs low-intake quartiles; Ge et al. Gastroenterology 2012 meta-analysis). Mechanism: chronic mucosal irritation + Helicobacter pylori synergy + N-nitroso compound formation in salted/cured foods (kimchi, salted fish, pickled vegetables, jaroma/sauerkraut depending on preparation, soy sauce, cured meats). Particularly relevant in East Asian + Eastern European populations with high baseline H. pylori prevalence + high pickled- food consumption. WHO recommends <5 g/day salt for cancer + cardio- vascular prevention. Prevention-persona RedFlag (§20 v0.3 lifestyle expansion). |
|---|---|
| Клінічний напрям | investigate |
| Категорія | other |
Логіка спрацьовування
{
"any_of": [
{
"finding": "salt_intake_ge_5g_daily",
"value": true
},
{
"finding": "pickled_food_daily_consumption",
"value": true
},
{
"finding": "salt_preserved_diet_high",
"value": true
}
],
"type": "lab_value"
}
Нотатки
Prevention-persona RedFlag for salt/pickle-heavy diet. Counseling: reduce to WHO <5 g/day; co-test for H. pylori in high-intake + high-prevalence settings (Eastern Europe, East Asia); diet-quality intervention (Mediterranean / DASH patterns) provides additional cardiovascular benefit. STUB pending two-Co-Lead signoff per CHARTER §6.1 dev-mode.
Де використовується
Indications
IND-LIFESTYLE-SALTY-PICKLED-DIET-GASTRIC-PREVENTION-OBSERVATION- IND-LIFESTYLE-SALTY-PICKLED-DIET-GASTRIC-PREVENTION-OBSERVATIONIND-LIFESTYLE-SALTY-PICKLED-DIET-GASTRIC-PREVENTION-SURVEILLANCE- IND-LIFESTYLE-SALTY-PICKLED-DIET-GASTRIC-PREVENTION-SURVEILLANCE