Awareness and usage of a dietary guide by cancer patients and clinicians a national survey study

Electronic Journal of Metabolism and Nutrition of Cancer ›› 2025, Vol. 12 ›› Issue (5) : 631-642.

1Zhang Xi,1Dai Xiangting,1Huang Jiaxin,2Yuan Peng,1Li Ning,3Yu Kang,4Ling Yiqun,5Ye Wenfeng,6 Wang Kun,7 Fang Yu,8Yao Qinghua,9Yu Huiqing,10 Gao Shuqing,11Li Jufang,12 Kong Yongxia,13 Guo Zengqing,14Zhou Lan,15Li Shuluan,16 BaiJinghui,17 Ma Lin,1? Cong Minghua

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1 Department of Comprehensive Oncology National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China 2Department of VIP Medical Services National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China 3 Department of Clinical Nutrition & Health Medicine Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China 4 Department of Nutrition Fudan University Shanghai Cancer Center Shanghai 200032 China 5 Department of Clinical Nutrition Sun Yat-sen University Cancer Center Guangzhou 510060 Guangdong China 6 Department of Pain Relief Tianjin Medical University Cancer Institute and Hospital Tianjin 300060 China 7 Department of Nutrition Key Laboratory of Carcinogenesis and Translational Research Ministry of Education / Beijing Peking University Cancer Hospital Beijing 100142 China 8 Department of Integrated Chinese and Western Medicine Institute of Basic Medicine and Cancer IBMC The Cancer Hospital of the University of Chinese Academy of Sciences Zhejiang Cancer Hospital Chinese Academy of Sciences Hangzhou 310022 Zhejiang China 9 Department of Clinical Nutrition Chongqing University Cancer Hospital School of Medicine Chongqing University Chongqing 400030 China 10 Department of Clinical Nutrition The Fourth Hospital of Hebei Medical University Shijiazhuang 050011 Hebei China 11 Department of Clinical Nutrition Shanxi Provincial Cancer Hospital / Shanxi Hospital of the Cancer Hospital Chinese Academy of Medical Sciences / Affiliated Cancer Hospital of Shanxi Medical University Taiyuan 030013 Shanxi China 12 Department of Clinical Nutrition Henan Cancer Hospital Zhengzhou 450000 Henan China 13 Department of Clinical Nutrition Fujian Medical University Cancer Hospital Fujian Cancer Hospital Fuzhou 350014 Fujian China 14 Department of Clinical Nutrition Yunnan Provincial Tumor Hospital The Third Affiliated Hospital of Kunming Medical University Kunming 650118 Yunnan China 15 Department of Clinical Nutrition National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital and Shenzhen Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Shenzhen 518116 China 16 Department of General Internal Medicine Cancer Hospital of China Medical University / Liaoning Cancer Hospital Shenyang 110042 Liaoning China 17 Department of Chronic Non-communicable Disease Control Shanxi Provincial Center for Disease Control and Prevention Taiyuan 030012 Shanxi China

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Abstract

Objective This study aims to evaluate the current implementation status influencing factors and optimization pathways of the 􀆵Dietary Guide for Cancer Patients guidelines among cancer patients and clinicians. Method This survey was organized by the Cancer Hospital of the Chinese Academy of Medical Sciences and 14 other medical centers across the country and included 504 patients with cancer and 238 clinicians. Based on the Delphi method the survey was conducted using separate questionnaires related to the 􀆵Dietary Guide for Cancer Patients comprising patient- and clinician-specific questionnaires. Result A total of 504 patients with malignant tumors and 238 clinical physicians were included. Approximately 35. 12% of patients with cancer and 78. 15% of clinicians were aware of the dietary guide. Cancer patients with time of tumor onset ≥3 years 41. 05% and those engaged in education of healthy diet 49. 40% demonstrated higher awareness of the dietary guide. Similarly clinicians with senior professional titles 90. 48% and ≥10 years experience 90. 63% in oncology nutrition showed greater knowledge of the guide. The primary pathway to understand the guide were the internet TV and radio 49. 15% for patients with cancer and institution-sponsored training 66. 67% among clinicians. The primary dietary guide item of concern for cancer patients was balanced diet and moderate exercise 82. 54% followed by increased intake of protein -rich foods 71. 03% and vegetables fruits and plant -origin foods 70. 04% . In terms of recommended intakes of nutrients protein 85. 32% was the main concern for patients followed by energy requirements 60. 32% . Approximately 65. 87% of the patients received dietary prescriptions from their providers and 82. 23% of these patients deemed the prescriptions effective. The survey revealed that 97. 41% of the clinicians believed that dietary guide training should be conducted regularly with a preference for online training courses. Clinicians primarily applied the dietary guide in public science communication 79. 57% followed by professional training 64. 52% and education and scientific research 26. 34% . Conclusion The "Dietary Guide for Cancer Patients" standard is highly accepted among clinicians but remains insufficiently popularized among patients necessitating the adoption of differentiated promotion strategies to enhance awareness of the standard. Furthermore it is imperative to elaborate on the guideline entries that patients prioritize while intensifying the promotion of less attention-grabbing entries in order to elevate the prescription rate and utilization of dietary prescriptions.

Key words

Malignant tumor / Dietary guide / Nutrition / Dietary guide for cancer patients / Clinicians / Application status / Guiding standards / Questionnaire survey

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1Zhang Xi,1Dai Xiangting,1Huang Jiaxin,2Yuan Peng,1Li Ning,3Yu Kang,4Ling Yiqun,5Ye Wenfeng,6 Wang Kun,7 Fang Yu,8Yao Qinghua,9Yu Huiqing,10 Gao Shuqing,11Li Jufang,12 Kong Yongxia,13 Guo Zengqing,14Z. Awareness and usage of a dietary guide by cancer patients and clinicians a national survey study[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2025, 12(5): 631-642