ArticleFrontiers in nutrition2026
Association of dietary practice, rather than knowledge or attitude, with health-related quality of life in elderly NMIBC survivors: a cross-sectional study.
Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Health-related quality of life (HRQoL) is a critical concern in elderly non-muscle-invasive bladder cancer (NMIBC) survivors, but modifiable dietary factors remain underexplored. Using a cross sectional design, this study aimed to investigate the association between dietary knowledge-attitude-practice (KAP) scores and HRQoL in recurrence-free elderly NMIBC patients 12 months after TURBT, and to identify which KAP dimension shows the strongest independent association. Methods: We enrolled 106 patients (aged ≥60 years) recurrence-free at 12 months post-TURBT who completed intravesical therapy. Dietary KAP was assessed using a culturally adapted questionnaire, analyzed both continuously and dichotomized at the median (42) for descriptive purposes. HRQoL was measured with the FACT-Bl total and Trial Outcome Index (TOI). Multivariable linear regression adjusted for age, sex, education, smoking, tumor stage, and therapy type. Results: The High-KAP group ( Conclusion: Higher dietary KAP strongly is associated with better HRQoL, and this association appears primarily attributable to actual practice, not knowledge or attitude. These findings support behavior-focused, culturally tailored dietary support in survivorship care, although causality cannot be inferred due to the cross sectional design.
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