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Individual needs were determined at baseline (T1), and those with\n                      <jats:italic>high need for dietary intervention<\/jats:italic>\n                      received intensified intervention (intervention group (IG)), while the control group (CG) received one basic counseling. Dietary quality was measured after 52\u00a0weeks (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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 74.4% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009267; 134 IG; 133 CG) had a high need for dietary intervention. Median age was 24.8 (interquartile range 19.6\u201331.6) and 66.7% were female. The dietary quality improved in IG (T1\u2009=\u200950.0 pts; T3\u2009=\u200958.0 pts) and in CG (T1\u2009=\u200949.0 pts; T3\u2009=\u200957.5 pts, intergroup difference\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.773). The Mediterranean dietary adherence improved significantly (IG) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040). Both groups had improvements in fatigue and quality of life, empowerment for lifestyle changes, and high satisfaction with the intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The dietary intervention within a multimodal program had a positive impact on dietary quality and mental health in CAYAs.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Implications for Cancer Survivors\u00a0<\/jats:bold>\n                    <\/jats:p>\n                    <jats:p>These findings may guide the development of future (dietary) programs in the follow-up care of CAYA cancer survivors.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial registration<\/jats:bold>\n                      : The trial was registered with the German Clinical Trial Register on 19 January 2018 (DRKS00012504|\n                    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Prof. Dr. Inken Hilgendorf is the head of the board of trustees of the German Foundation for young adults with cancer, head of the working group AYA-Network of the German Society for Hematology and Medical Oncology, and member of the advisory board of the German Society for Hematology and Medical Oncology. Prof. Dr. Marianne Sinn received honoraria from Astellas, Falk, Roche and research funding from Abbvie, Amgen, Astra Zeneca, Biontech, Boehringer-Ingelheim, and Novartis. All remaining authors have declared no conflicts of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}