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Nutrition and Dietary Guidelines for Colorectal Cancer Patients

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: 25 July 2025 | Viewed by 678

Special Issue Editor


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Guest Editor
Department of Surgery, School of Medicine, Keimyung University Dongsan Medical Center, Daegu 42601, Republic of Korea
Interests: colorectal cancer nutrition; cancer-specific dietary interventions; nutritional support in oncology; diet and cancer prevention; nutritional epidemiology in colorectal cancer

Special Issue Information

Dear Colleagues,

Colorectal cancer remains a major global health concern, representing a significant burden on healthcare systems and affecting millions of lives each year. Evidence has increasingly highlighted the critical role of nutrition not only in colorectal cancer prevention but also in improving patient outcomes during treatment and throughout survivorship. Nutritional strategies can alleviate treatment-related side effects, enhance recovery, and reduce the risk of recurrence, making dietary interventions an integral part of comprehensive colorectal cancer care.

This Special Issue of Nutrients invites high-quality research and review articles that focus on nutrition and dietary guidelines specifically tailored to colorectal cancer patients. Topics of interest include but are not limited to the following:

  • Evidence-based dietary recommendations for colorectal cancer prevention and post-diagnosis management.
  • The role of macro- and micronutrients in tumor biology, progression, and recurrence.
  • Dietary strategies to address chemotherapy and radiotherapy side effects, such as malnutrition, fatigue, or gastrointestinal discomfort.
  • The impact of gut microbiota and dietary modulation on colorectal cancer progression and patient well-being.
  • Nutritional interventions targeting inflammation, oxidative stress, and immune modulation in cancer patients.
  • Personalized nutrition approaches integrating genetic, epigenetic, and metabolic profiling to optimize care.
  • Clinical trials exploring the efficacy of specific diets, supplements, or functional foods in colorectal cancer management.

Submissions should aim at advancing our understanding of the interplay between diet and colorectal cancer or provide practical insights that inform clinical practice and public health policies. Contributions with strong scientific foundations and translational potential are particularly encouraged.

By gathering cutting-edge research and fostering interdisciplinary dialogue, this Special Issue seeks to advance the science of nutrition in colorectal cancer care and offer valuable guidance for clinicians, researchers, and policymakers. We welcome your innovative and impactful contributions to this important topic.

The current Special Issue aims to include original works and literature reviews that further explore the role of the diet in the prevention and recovery of esophageal cancer, providing new insights into clinical and nutritional strategies.  

Dr. Sung Uk Bae
Guest Editor

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nutrition
  • microbiota
  • inflammation
  • diet
  • micronutrients
  • oncology
  • metabolism
  • recurrence
  • malnutrition
  • biomarkers

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Published Papers (2 papers)

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Research

16 pages, 849 KiB  
Article
Effect of Preoperative Inflammatory Diet on Clinical and Oncologic Outcomes Following Colorectal Cancer Surgery
by Minjoon Kim, Haewon Kim, Kyeongeui Kim, Jaemin Cho, Woonkyung Jeong, Seongkyu Baek, Jaeho Lee and Sunguk Bae
Nutrients 2025, 17(9), 1522; https://doi.org/10.3390/nu17091522 - 30 Apr 2025
Abstract
Objectives: The dietary inflammatory index (DII), a validated tool for assessing the inflammatory potential of diet, has been widely identified as a significant risk factor for colorectal cancer (CRC). However, its role as a prognostic factor for CRC remains unexplored. This study examined [...] Read more.
Objectives: The dietary inflammatory index (DII), a validated tool for assessing the inflammatory potential of diet, has been widely identified as a significant risk factor for colorectal cancer (CRC). However, its role as a prognostic factor for CRC remains unexplored. This study examined the impact of preoperative dietary inflammation on clinical and oncologic outcomes following CRC surgery. Methods: The study population consisted of 126 patients who had surgical procedures for CRC and completed a food frequency questionnaire (FFQ) preoperatively between January 2018 and June 2020. Results: An optimal DII cut-off value of 0.90182 was used to categorize patients into the high-DII (n = 28) and low-DII (n = 98) groups. The high-DII group exhibited an older age (71.5 vs. 67.0, p = 0.020) and a significantly higher complication risk within 30 days postoperatively than the low-DII group (57.1% vs. 35.7%, p = 0.042). Other perioperative clinical outcomes did not demonstrate any significant differences between the two groups. The 5-year overall survival (OS) rates were 90.4% and 41.3% in the low-DII and high-DII groups, respectively, in univariate survival analysis (p = 0.044). However, no statistical difference was observed in the disease-free survival (DFS) rate. In the multivariate survival analysis, low-DII (hazard ratio [HR]: 0.118; 95% confidence interval [CI]: 0.023–0.613, p = 0.011) and M1 stage (HR: 10.910; 95% CI: 1.491–79.847, p = 0.019) were identified as independent prognostic factors for OS, while perineural invasion (HR: 3.495; 95% CI: 1.059–11.533, p = 0.040) served as an independent prognostic factor for DFS. Conclusions: A high preoperative DII score, indicative of an inflammatory dietary pattern, was correlated with increased postoperative complications and functioned as an independent prognostic indicator for OS. Full article
(This article belongs to the Special Issue Nutrition and Dietary Guidelines for Colorectal Cancer Patients)
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23 pages, 4431 KiB  
Article
Burden and Trends of Diet-Related Colorectal Cancer in OECD Countries: Systematic Analysis Based on Global Burden of Disease Study 1990–2021 with Projections to 2050
by Zegeye Abebe, Molla Mesele Wassie, Amy C. Reynolds and Yohannes Adama Melaku
Nutrients 2025, 17(8), 1320; https://doi.org/10.3390/nu17081320 - 10 Apr 2025
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Abstract
Background: An unhealthy diet is a major risk factor for colorectal cancer (CRC). This study assessed the diet-related CRC burden from 1990 to 2021 in Organisation for Economic Co-operation and Development (OECD) nations and estimated the burden until 2050. Methods: Data [...] Read more.
Background: An unhealthy diet is a major risk factor for colorectal cancer (CRC). This study assessed the diet-related CRC burden from 1990 to 2021 in Organisation for Economic Co-operation and Development (OECD) nations and estimated the burden until 2050. Methods: Data for OECD countries on diet-related CRC disability-adjusted life years (DALYs) and deaths were obtained from the Global Burden of Disease 2021 study. The estimated annual percent change (EAPC) was calculated to analyse the CRC burden attributable to dietary factors. A generalised additive model with a negative binomial distribution was used to predict the future burden of CRC attributable to dietary factors from 2021 to 2050. Results: In 2021, the age-standardised percentages of diet-related CRC DALYs and deaths were 39.1% (95% uncertainty interval (UI): 9.3, 61.3) and 39.0% (95% UI: 9.7, 60.9), respectively, in the OECD countries. Between 1990 and 2021, the age-standardised DALYs decreased from 185 to 129 per 100,000, and deaths decreased from 8 to 6 per 100,000 population for OECD countries. Similarly, the EAPC in the rates showed a downward trend (EAPCdeaths = −1.26 and EAPCDALYs = −1.20). The estimated diet-related CRC DALYs and deaths are projected to increase to 4.1 million DALYs and 0.2 million deaths by 2050. There is a downward trend in CRC deaths (EAPC = 1.33 for both sexes) and in DALYs (−0.90 for males and −1.0 for females) from 1990 to 2050. Conclusions: The diet-related CRC burden remains significant. Implementing nutrition intervention programmes is necessary to promote access to affordable and nutritious foods and raise awareness about the importance of a healthy diet in reducing CRC risk. Full article
(This article belongs to the Special Issue Nutrition and Dietary Guidelines for Colorectal Cancer Patients)
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