Evidence map›Paper›PMID 41886140›Full record

ArticleJournal of cancer survivorship : research and practice2026

Dietary intervention among young cancer survivors within the CARE for CAYA program.

Julia von Grundherr, Simon Elmers, Luisa Samland, Raika Mühlberg, Sarah Dwinger, Jannike Baumann, Barbara Koch, Franziska Wolters, Lesley-Ann Hail, Gabriele Escherich and 27 more

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Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

37 authors.

Julia von GrundherrDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany. j.von-grundherr@uke.de.ORCID http://orcid.org/0000-0001-6148-6604
Simon ElmersDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Luisa SamlandDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Raika MühlbergDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Sarah DwingerDepartment for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Germany.
Jannike BaumannDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Barbara KochDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Franziska WoltersDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Lesley-Ann HailDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Gabriele EscherichDepartment of Pediatric Hematology and Oncology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Martinistr. 52, 20246, Germany.
Corinna BergeltDepartment for Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Germany.
Wiebke JensenDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Eik VettorazziInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Germany.
Hans PinnschmidtInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Germany.
Luzia ValentiniUniversity of Applied Sciences, Faculty of Agriculture and Food Sciences, Brodaer Straße 2, Neubrandenburg, 17033, Germany.
Freerk T BaumannDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf, University Hospital of Cologne, Kerpener Str. 62, Cologne, 50937, Germany.
Susanne SingerDepartment Quality of Life, Comprehensive Cancer Center-Mecklenburg-Vorpommern, University Medical Center Rostock, Rostock, 18057, Germany.
Rüdiger ReerInstitute of Human Movement Science, Faculty of Psychology and Human Movement, University of Hamburg, Turmweg 2, Hamburg, 20148, Germany.
Claudia MetzClinic for Pediatrics III, Department of Pediatric Hematology/Oncology, West German Cancer Centre, University Hospital Essen, Essen, Hufelandstraße 55, Germany.
Gabriele CalaminusPediatric Hematology and Oncology, University Hospital Bonn, Venusberg Campus 1, Bonn, Germany.
Jörg FaberDepartment of Pediatric Hematology/Oncology, Center for Pediatric and Adolescent Medicine - University Cancer Center (UCT), University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstraße 1, Mainz, 55131, Germany.
Dana SchmidtUniversitätsmedizin Rostock, Univ.-Kinder- und Jugendklinik Rostock, Ernst-Heydemann-Str. 8, Rostock, 18057, Germany.
Thorsten LangerPediatric Oncology, Children's Hospital, University Hospital of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, Luebeck, 23538, Germany.
Inken HilgendorfKlinik für Innere Medizin II, Abteilung für Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Am Klinikum 1, Jena, 07747, Deutschland.
Michael KoehlerDepartment of Hematology and Oncology, University Hospital Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany.
Alexander PuzikDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, Children's Hospital, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 62, Freiburg, D-79106, Germany.
Madeleine AschhoffUniversity Hospital Muenster, Medical Clinic B for Gastroenterology, Hepatology, Endocrinology, Clinical Infectiology, Department for Endocrinology, Diabetology and Nutritional Medicine, Albert-Schweitzer Campus 1, Muenster, 48149, Germany.
Annette SanderMedizinische Hochschule Hannover, Klinik für Pädiatrische Hämatologie-Onkologie, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Lisa SchiffmannInstitute of Clinical Epidemiology and Biometry, Julius Maximilians-Universität Würzburg, Würzburg, Germany.
Magdalena Sokalska-DuhmeDepartment of Pediatric Hematology, Oncology & Immunology, Olgahospital, Klinikum Stuttgart, Kriegsbergstrasse 62, Stuttgart, 70174, Germany.
Sonja SchusterAbteilung für pädiatrische Hämatologie und Onkologie, Kinder- und Jugendklinik, Universitätsklinikum Erlangen, Loschgestr. 15, Erlangen, 91054, Germany.
Ann-Kristin Kock-SchoppenhauerInstitute of Medical Biometry and Statistics, Section for Clinical Research IT, University of Luebeck and University Hospital Schleswig-Holstein, Ratzeburger Allee 160, Luebeck, 23562, Germany.
Martin SmollichInstitute of Nutritional Medicine, University Hospital Schleswig-Holstein, Luebeck, 23538, Germany.
Matthias RostockDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Carsten BokemeyerDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Alexander SteinDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Marianne SinnDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Tumor Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.

Funding

Innovation Fund of the German Federal Joint Committee (G-BA) 01NVF17023
6 · The paper itself

Abstract

purposeA healthy diet and weight can reduce the risk of secondary diseases in child, adolescent, and young adult (CAYA) cancer survivors.

methodsThe nutrition module of the CARE for CAYA program, a multimodal survivorship program, implemented needs-based dietary interventions for CAYAs (aged 15-39 years) at 14 German university clinics between December 2017 and July 2020 (RCT: January 2018 to July 2019). Individual needs were determined at baseline (T1), and those with high need for dietary intervention received intensified intervention (intervention group (IG)), while the control group (CG) received one basic counseling. Dietary quality was measured after 52 weeks (T3) using the HEI-EPIC. Changes in Mediterranean dietary adherence (MEDAS-FFQ), phase angle, BMI, nutrition-related barriers, fatigue, and quality of life, as well as subjective and objective taste perception were assessed.

resultsOverall, 74.4% (n = 267; 134 IG; 133 CG) had a high need for dietary intervention. Median age was 24.8 (interquartile range 19.6-31.6) and 66.7% were female. The dietary quality improved in IG (T1 = 50.0 pts; T3 = 58.0 pts) and in CG (T1 = 49.0 pts; T3 = 57.5 pts, intergroup difference p = 0.773). The Mediterranean dietary adherence improved significantly (IG) (p = 0.040). Both groups had improvements in fatigue and quality of life, empowerment for lifestyle changes, and high satisfaction with the intervention.

conclusionThe dietary intervention within a multimodal program had a positive impact on dietary quality and mental health in CAYAs. Implications for Cancer Survivors  These findings may guide the development of future (dietary) programs in the follow-up care of CAYA cancer survivors.

trial registrationThe trial was registered with the German Clinical Trial Register on 19 January 2018 (DRKS00012504| http://www.germanctr.de/ ).

Indexed as

CAYA cancer survivorDietary qualityFatigueMediterranean dietary adherenceNutritional counselingQuality of life

Identifiers

PMID41886140

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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 OpenQuestion graph.