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2025 ; 24
(1
): 162
Nephropedia Template TP
gab.com Text
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English Wikipedia
Feasibility of using Simple Diet Self-Assessment Tool (SDSAT) to explore patterns
of dietary intake for patients undergoing chemotherapy
#MMPMID41131566
Zhu WJ
; Yang M
; Zou BH
; Qu HM
; Yu HF
; Dong QT
; Zhang X
; Huang JX
; Chen XD
; Du ZG
; Li N
; Zhao C
; Tian L
; Liu JF
; Tang M
; Qin SL
; Qin R
; Sun R
; Yu L
; Li J
; Shen X
; Shi Q
; Cong MH
Nutr J
2025[Oct]; 24
(1
): 162
PMID41131566
show ga
BACKGROUND: Chemotherapy is often accompanied by impaired dietary intake, which
is linked to poor clinical outcomes if not effectively addressed. Predicting
dietary changes can facilitate early nutritional support, but the dynamic
patterns and interindividual variability in dietary intake during chemotherapy
remain unclear. Our aim was thus to evaluate the feasibility of using the Simple
Diet Self-Assessment Tool (SDSAT) to establish dietary intake patterns in
patients undergoing chemotherapy. METHODS: This is an ongoing, prospective cohort
study. Patients receiving chemotherapy from the Cancer Hospital, Chinese Academy
of Medical Sciences were enrolled. Diet was assessed using the SDSAT once before
the treatment and at least three times during one chemotherapy cycle. We applied
a group-based trajectory model to identify trajectories of dietary intake. The
24-hour dietary recall (24HR) was used to verify the validity of energy and
protein intake estimated by SDSAT; compliance with SDSAT was also assessed.
RESULTS: Five trajectory groups were identified for food intake based on 217
chemotherapy cycles by 56 patients. The compliance rate accounted for 81.11% for
4 cumulative responses per cycle. The agreement between the SDSAT score and the
dietary energy and protein intake estimated from 24HR was high (?: 0.888?1.0,
P?0.001). Groups 1 and 2 had significantly lower dietary energy/protein intake
than Groups 4 and 5 (P?0.001) but with distinct dietary patterns. Group 4 was
the most common dietary trajectory (35.10%). Furthermore, Groups 1, 2, and 3 had
significantly weaker handgrip strength (OR: 1.10, 95% CI: 1.01?1.19, P?=?0.031)
compared with Groups 4 and 5. CONCLUSIONS: SDSAT can be used to establish dietary
trajectories during one chemotherapy cycle. Longitudinal analysis highlights the
interindividual differences in dietary intake patterns among patients receiving
chemotherapy and may help to inform proactive and individually tailored
nutritional interventions. TRAIL REGISTRATION: Chictr.org.cn Identifier:
ChiCTR2100047535 (Date: 2021-06-20) https://www.chictr.org.cn/indexEN.html.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material
available at 10.1186/s12937-025-01223-4.