Zhang Jing, Li Dan, Yan Jiai, Yang Ju, Sun Jing, Liu Yiran, Xia Yanping, Cao Hong, Hua Jiao, Zhang Feng, Wang Yingyu
Nutritional Department, Affiliated Hospital of Jiangnan University, Wuxi, China.
Wuxi Medical College, Jiangnan University, Wuxi, China.
Front Nutr. 2025 Mar 4;12:1526388. doi: 10.3389/fnut.2025.1526388. eCollection 2025.
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.
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.
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.
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.
结直肠癌（CRC）患者在治疗前后常经历不同程度的营养不良，这凸显了他们营养知识的重要性。然而，针对这一人群的营养素养（NL）研究仍然匮乏。本研究旨在评估结直肠癌患者的NL水平，并确定影响NL的关键因素。
共有245名结直肠癌患者参与了本研究。问卷包括五个部分：社会人口学信息、中文版营养素养评估工具（CHI-NLit）、蒙特利尔认知评估量表（MoCA）和医院焦虑抑郁量表（HADS）。进行单因素和多因素分析以检验NL的社会人口学决定因素。我们使用Pearson和Spearman相关系数来评估NL、MoCA和HADS之间的关系。
CRC患者的总体NL水平中等偏低，平均得分为19.224±4.391，显著低于标准中性粒细胞得分21.5。在所评估的维度中，食物类别得分最低，而食品标签计算得分最高。影响NL水平的显著预测因素包括年龄、受教育年限、家庭年收入、病程、住院次数、记忆和注意力能力以及焦虑和抑郁症状。
本研究对CRC患者的NL进行了全面检查。研究结果表明该组患者的NL水平相对较低。年龄较小、收入水平较高和城市居住与NL升高呈正相关。病程、住院次数、相关量表测量的认知功能等因素也被发现是影响NL的重要决定因素。为丰富NL研究，有必要进一步收集数据。从临床角度来看，这一基于证据的框架有助于制定分层营养干预方案，特别针对脆弱亚组（如老年患者、农村居民和病程较长者）。这种精准方法具有显著潜力，可优化饮食依从性、减轻治疗相关并发症，并最终提高癌症生存护理中的长期生活质量。
