Evidence map›Paper›PMID 40104812›Full record

ArticleFrontiers in nutrition2025

Factors influencing nutrition literacy in patients of colorectal cancer: a cross-sectional study.

Jing Zhang, Dan Li, Jiai Yan, Ju Yang, Jing Sun, Yiran Liu, Yanping Xia, Hong Cao, Jiao Hua, Feng Zhang and 1 more

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jing ZhangNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Dan LiNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Jiai YanNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Ju YangNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Jing SunNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yiran LiuNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yanping XiaNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Hong CaoNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Jiao HuaNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Feng ZhangNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Yingyu WangNutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colorectal cancer (CRC) patients often experience varying degrees of malnutrition both pre-and post-treatment, highlighting the importance of their nutritional knowledge. However, studies on nutrition literacy (NL) in this population remain scarce. This study aims to evaluate the level of NL in colorectal cancer patients and identify key factors influencing NL. Methods: A total of 245 colorectal cancer patients participated in this study. The questionnaire included five sections: sociodemographic information, the Chinese Version of the Nutrition Literacy Assessment Instrument (CHI-NLit), the Montreal Cognitive Assessment Scale (MoCA), and the Hospital Anxiety and Depression Scale (HADS). Both univariate and multivariate analyses were performed to examine sociodemographic determinants of NL. We used Pearson and Spearman correlation coefficients to assess relationships between NL, MoCA and HADS. Results: The overall NL level among CRC patients was moderately low, with an average score of 19.224 ± 4.391-significantly below the normative neutrophil score of 21.5. Among the assessed dimensions, food groups received the lowest scores while food label calculation achieved the highest. Significant predictors influencing NL levels included age, years of education, family annual income, in review duration of illness, number of hospitalizations, memory and attention abilities and anxiety and depress symptoms. Conclusion: This study provides a comprehensive examination of NL in CRC patients. The findings indicate a relatively low level of NL within this group. Younger age, higher income levels, and urban residency correlated positively with elevated NL. Factors such as illness duration, number of hospitalizations, cognitive function measured by relevant scales are also emerged as significant determinants impacting NL. To enrich the research on NL, it is essential to conduct further data collection. From a clinical perspective, this evidence-based framework enables the development of stratified nutritional intervention protocols, specifically targeting vulnerable subgroups (e.g., elderly patients, rural dwellers, and those with extended illness duration). Such precision approaches hold significant potential to optimize dietary adherence, mitigate treatment-related complications, and ultimately enhance long-term quality of life in cancer survivorship care.

Indexed as

colorectal cancerinfluencing factorsnutritional educationnutrition literacyquality of life

Identifiers

PMID40104812
PMCPMC11913670

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.