Health
Study Finds Calorie Restriction Can Boost Chemotherapy Effectiveness in Sarcoma Treatment
A new Portuguese-Brazilian study suggests that controlling calorie intake can improve the effectiveness of chemotherapy in treating sarcomas, a rare type of cancer, while also protecting healthy cells from treatment damage. The research, conducted by the RISE Health Research Unit in collaboration with the Federal University of Piauí in Brazil, was released on World Cancer Day, February 4, a day promoted by the International Union Against Cancer (UICC) to raise awareness of cancer prevention, early diagnosis, and access to treatments.
The study found that moderate calorie restriction, alone or in combination with chemotherapy drugs such as doxorubicin, significantly reduced tumour size and weight, increased tumour inhibition rates, and protected normal cells from chemotherapy-induced damage. Researchers reported that a 40 percent reduction in calorie intake induced metabolic stress in the tumour microenvironment, disrupting processes essential for cancer growth.
“From this experimental study, carried out on animal models, we observed that calorie restriction for short periods can be favourable to cancer treatment,” said Moisés Tolentino Bento da Silva of RISE Health, who led the research in Portugal. He explained that higher energy intake fuels cancer progression, so reducing calorie intake limits the energy supply to the tumour and enhances chemotherapy effectiveness.
The study also highlighted additional benefits of calorie restriction. It supports DNA repair in healthy tissues damaged by chemotherapy and reprogrammes lipid metabolism, lowering cholesterol and triglyceride levels that feed malignant cells. Researchers noted that these effects may also have broader implications for managing chronic conditions such as type II diabetes, cardiovascular disease, and neurodegenerative disorders.
Alongside dietary control, the study emphasized the importance of regular physical exercise during cancer treatment. “If cancer patients exercise adequately and regularly during chemotherapy, they will experience fewer side effects in various systems, such as the gastrointestinal tract,” Tolentino Bento da Silva said. “Physical exercise, together with a good diet, has great benefits for the patient’s quality of life, whether it is preventative, during treatment, or after oncological therapy.”
The research, published in the journal Cancers, provides new evidence that lifestyle interventions, including calorie management and physical activity, can complement traditional cancer therapies. While the study was conducted on animal models, the findings open pathways for clinical research and potential integration into patient care protocols.
As cancer treatment continues to evolve, experts suggest that non-pharmacological approaches such as diet and exercise may play an increasingly important role in supporting patients, improving treatment outcomes, and enhancing overall well-being during chemotherapy.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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