Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients
Summary: Background: Monitoring the psychosocial, emotional, and hedonic aspects of food behaviour is important for understanding cancer patients' distress and reducing the risk of malnutrition. However, there is no specific tool to measure food-related quality of life of cancer patients. This...
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Elsevier
2025-02-01
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| Series: | Clinical Nutrition Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268525000014 |
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| author | Kenza Drareni Catherine Mercier Reisya Rizki Riantiningtyas Anestis Dougkas Benjamin Riche Pascale Roux Chantal Fingal Hélène Labrosse Fadila Farsi David Dayde Mélanie Roche Julie Anne Nazare Arnaud Fournel Delphine Maucort-Boulch Moustafa Bensafi Véronique Mourier Amandine Bruyas Agnès Giboreau |
| author_facet | Kenza Drareni Catherine Mercier Reisya Rizki Riantiningtyas Anestis Dougkas Benjamin Riche Pascale Roux Chantal Fingal Hélène Labrosse Fadila Farsi David Dayde Mélanie Roche Julie Anne Nazare Arnaud Fournel Delphine Maucort-Boulch Moustafa Bensafi Véronique Mourier Amandine Bruyas Agnès Giboreau |
| author_sort | Kenza Drareni |
| collection | DOAJ |
| description | Summary: Background: Monitoring the psychosocial, emotional, and hedonic aspects of food behaviour is important for understanding cancer patients' distress and reducing the risk of malnutrition. However, there is no specific tool to measure food-related quality of life of cancer patients. This study aimed to develop and validate a questionnaire that assesses food-related quality of life in cancer patients. Methods: Relevant items from existing food-related quality of life assessment tools were selected to compose the present 46-item questionnaire. The questionnaire was validated in 276 healthy controls and 173 cancer patients. Exploratory Factor Analysis (EFA) and multiple correspondence analysis were performed for both groups to determine construct and discriminant validity. Analysis of test-retest reliability was also performed to evaluate reproducibility. Results: Out of the 46 items, 39 items showed significant differences between patients and healthy controls. The EFA allowed the identification of 9 factors in the food-related quality of life: 1. Cooking enjoyment/COOK; 2. Attention to nutrition/NUTRI; 3. Attention to meal quality and variety/QUAL; 4. Adaptive dietary practices/ADAPT; 5. Hedonic appreciation/HEDO; 6. Sensory alteration/ALT-SENS; 7. Meal experience/ALT-MEAL; 8. Altered digestion/ALT-DIGE; and 9. Dining & commensality/SOCIO. Four subscores (ADAPT, ALT-SENS, ALT-MEAL, ALT-DIGE) exhibited significant discriminant validity across controls and patients. ALT-SENS (p=0.016), ALT-MEAL (p=0.04), and ALT-DIGE (p=0.009) were higher in patients undergoing chemotherapy compared to patients not undergoing chemotherapy. The questionnaire showed good test-retest reliability. Conclusions: This questionnaire offers valuable insights for clinical research on the impact of cancer on patients' relationships with food. |
| format | Article |
| id | doaj-art-ca5c224a090e4117b738fd7782870f12 |
| institution | Kabale University |
| issn | 2667-2685 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj-art-ca5c224a090e4117b738fd7782870f122025-01-19T06:26:53ZengElsevierClinical Nutrition Open Science2667-26852025-02-0159143158Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patientsKenza Drareni0Catherine Mercier1Reisya Rizki Riantiningtyas2Anestis Dougkas3Benjamin Riche4Pascale Roux5Chantal Fingal6Hélène Labrosse7Fadila Farsi8David Dayde9Mélanie Roche10Julie Anne Nazare11Arnaud Fournel12Delphine Maucort-Boulch13Moustafa Bensafi14Véronique Mourier15Amandine Bruyas16Agnès Giboreau17Neuroscience Research Center of Lyon, Lyon, France; Institute Lyfe Research Centre, Ecully, FranceUniversité de Lyon, Villeurbanne, Lyon, F-69000, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique et Bioinformatique, F-69003, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, F-69100, Villeurbanne, FranceInstitute Lyfe Research Centre, Ecully, France; Laboratory of Health Systemic Process UR4129, University Lyon 1, France; Corresponding author. Institute Lyfe Research Center, Chateau Du Vivier, BP 25, Cedex, 69131, Ecully, France.Institute Lyfe Research Centre, Ecully, France; Centre de Recherche en Nutrition Humaine Rhône-Alpes, Univ-Lyon, CarMeN Laboratory, INSERM, INRA, INSA Lyon, Université Claude Bernard Lyon 1, F-CRIN/FORCE Network, 69310, Pierre Bénite, FranceUniversité de Lyon, Villeurbanne, Lyon, F-69000, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique et Bioinformatique, F-69003, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, F-69100, Villeurbanne, FranceCentre Léon Bérard, Lyon, FranceCentre Léon Bérard, Lyon, FranceRéseau Régional de Cancérologie Auvergne-Rhône-Alpes, Lyon, FranceRéseau Régional de Cancérologie Auvergne-Rhône-Alpes, Lyon, FranceHospices Civils de Lyon Cancer Institute, Pierre Bénite, FranceHospices Civils de Lyon Cancer Institute, Pierre Bénite, FranceCentre de Recherche en Nutrition Humaine Rhône-Alpes, Univ-Lyon, CarMeN Laboratory, INSERM, INRA, INSA Lyon, Université Claude Bernard Lyon 1, F-CRIN/FORCE Network, 69310, Pierre Bénite, FranceNeuroscience Research Center of Lyon, Lyon, FranceUniversité de Lyon, Villeurbanne, Lyon, F-69000, France; Hospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique et Bioinformatique, F-69003, Lyon, France; CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive, Équipe Biostatistique-Santé, F-69100, Villeurbanne, FranceNeuroscience Research Center of Lyon, Lyon, FranceElior France, Lyon, FranceHospices Civils de Lyon Cancer Institute, Medical Oncology Unit, Lyon, FranceInstitute Lyfe Research Centre, Ecully, France; Laboratory of Health Systemic Process UR4129, University Lyon 1, FranceSummary: Background: Monitoring the psychosocial, emotional, and hedonic aspects of food behaviour is important for understanding cancer patients' distress and reducing the risk of malnutrition. However, there is no specific tool to measure food-related quality of life of cancer patients. This study aimed to develop and validate a questionnaire that assesses food-related quality of life in cancer patients. Methods: Relevant items from existing food-related quality of life assessment tools were selected to compose the present 46-item questionnaire. The questionnaire was validated in 276 healthy controls and 173 cancer patients. Exploratory Factor Analysis (EFA) and multiple correspondence analysis were performed for both groups to determine construct and discriminant validity. Analysis of test-retest reliability was also performed to evaluate reproducibility. Results: Out of the 46 items, 39 items showed significant differences between patients and healthy controls. The EFA allowed the identification of 9 factors in the food-related quality of life: 1. Cooking enjoyment/COOK; 2. Attention to nutrition/NUTRI; 3. Attention to meal quality and variety/QUAL; 4. Adaptive dietary practices/ADAPT; 5. Hedonic appreciation/HEDO; 6. Sensory alteration/ALT-SENS; 7. Meal experience/ALT-MEAL; 8. Altered digestion/ALT-DIGE; and 9. Dining & commensality/SOCIO. Four subscores (ADAPT, ALT-SENS, ALT-MEAL, ALT-DIGE) exhibited significant discriminant validity across controls and patients. ALT-SENS (p=0.016), ALT-MEAL (p=0.04), and ALT-DIGE (p=0.009) were higher in patients undergoing chemotherapy compared to patients not undergoing chemotherapy. The questionnaire showed good test-retest reliability. Conclusions: This questionnaire offers valuable insights for clinical research on the impact of cancer on patients' relationships with food.http://www.sciencedirect.com/science/article/pii/S2667268525000014CancerChemotherapyFood behaviourOncologyQuality of lifeSmell |
| spellingShingle | Kenza Drareni Catherine Mercier Reisya Rizki Riantiningtyas Anestis Dougkas Benjamin Riche Pascale Roux Chantal Fingal Hélène Labrosse Fadila Farsi David Dayde Mélanie Roche Julie Anne Nazare Arnaud Fournel Delphine Maucort-Boulch Moustafa Bensafi Véronique Mourier Amandine Bruyas Agnès Giboreau Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients Clinical Nutrition Open Science Cancer Chemotherapy Food behaviour Oncology Quality of life Smell |
| title | Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients |
| title_full | Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients |
| title_fullStr | Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients |
| title_full_unstemmed | Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients |
| title_short | Development and validation of a food-related quality of life questionnaire (CANUT-QVA) for cancer patients |
| title_sort | development and validation of a food related quality of life questionnaire canut qva for cancer patients |
| topic | Cancer Chemotherapy Food behaviour Oncology Quality of life Smell |
| url | http://www.sciencedirect.com/science/article/pii/S2667268525000014 |
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