{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:44:07Z","timestamp":1782233047586,"version":"3.54.5"},"reference-count":75,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["W81XWH\u201021\u20101\u20100243"],"award-info":[{"award-number":["W81XWH\u201021\u20101\u20100243"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004917","name":"Cancer Prevention and Research Institute of Texas","doi-asserted-by":"publisher","award":["RP210042"],"award-info":[{"award-number":["RP210042"]}],"id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diet quality is a modifiable factor impacting treatment outcomes in oropharyngeal cancer (OPC), yet the effect of dysphagia and self\u2010reported eating\u2010related symptoms remains unclear. This study examined their associations with diet quality in OPC patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional analysis was conducted with two parallel cohorts from MD Anderson Cancer Center and Michael E. DeBakey Veterans Affairs Medical Center as part of the Uncovering the Long\u2010Term Impact of OPC and Dysphagia on Dietary Quality and Nutrition Among Cancer Survivors (U\u2010DINE) Study. Participants at varying survivorship stages (prediagnosis, 3\u20136 and 18+ months posttreatment) were assessed for dysphagia (DIGEST scale) and six individual eating\u2010related symptoms (MDASI\u2010HN). Diet quality was measured using HEI\u20102020 scores from two 24\u2010h dietary recalls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 178 survivors, mean HEI\u20102020 was 49.5\u2009\u00b1\u200911.3. In multivariable models, moderate\u2013severe dysphagia (18.5% of the sample) was associated with higher diet quality (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20097.11, <jats:italic>p<\/jats:italic>\u2009=\u20090.004), while eating\u2010related symptoms showed no significant association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Unexpectedly, poor swallowing function correlated with better diet quality. However, overall diet quality was suboptimal, highlighting the need for interventions for all OPC survivors, regardless of swallowing function, to address diet quality as an independent risk factor throughout survivorship.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28206","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T03:29:18Z","timestamp":1748834958000},"page":"2816-2826","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining the Relationship Between Dysphagia, Eating\u2010Related Symptoms, and Diet Quality Among Oropharyngeal Cancer Patients During Critical Stages of Cancer Survivorship: The U\u2010<scp>DINE<\/scp> Study"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-8373","authenticated-orcid":false,"given":"Beatrice","family":"Manduchi","sequence":"first","affiliation":[{"name":"Department of Epidemiology The University of Texas Health Science Center at Houston School of Public Health  Houston Texas USA"},{"name":"Department of Head and Neck Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9205-385X","authenticated-orcid":false,"given":"Vlad C.","family":"Sandulache","sequence":"additional","affiliation":[{"name":"Bobby R. Alford Department of Otolaryngology Head and Neck Surgery Baylor College of Medicine  Houston Texas USA"},{"name":"ENT Section, Operative CareLine Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Yun","family":"Tark","sequence":"additional","affiliation":[{"name":"Department of Epidemiology The University of Texas Health Science Center at Houston School of Public Health  Houston Texas USA"},{"name":"Section of Epidemiology and Population Sciences, Department of Medicine Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreela","family":"Sharma","sequence":"additional","affiliation":[{"name":"Center for Health Equity, Department of Epidemiology The University of Texas Health Science Center at Houston School of Public Health  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruosha","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Epidemiology The University of Texas Health Science Center at Houston School of Public Health  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Roller","sequence":"additional","affiliation":[{"name":"Speech Pathology Section, Rehabilitation and Extended Care Line Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Bevelhimer","sequence":"additional","affiliation":[{"name":"Speech Pathology Section, Rehabilitation and Extended Care Line Michael E. 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