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Studies were assessed using the\n                      <jats:styled-content style=\"fixed-case\">JBI<\/jats:styled-content>\n                      Critical Appraisal Checklist. Meta\u2010aggregation was used to synthesise findings, and the\n                      <jats:styled-content style=\"fixed-case\">ConQual<\/jats:styled-content>\n                      method assessed confidence levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Embase, CINAHL, PsycINFO, Cochrane Library, CNKI and WanFang.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies from 10 countries were included, reflecting the perspectives of patients, caregivers and healthcare professionals. Four synthesised findings were identified. At the individual level,\n                      <jats:styled-content style=\"fixed-case\">CRA<\/jats:styled-content>\n                      was linked to physical decline, emotional distress and changes in identity. The interpersonal level involved feeding\u2010related tensions and caregiver burden. Organisational barriers included delayed care and poor cultural responsiveness. Policy\u2010level factors such as limited insurance coverage and rural access further impeded care. Overall confidence in these synthesised findings was low to moderate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">CRA<\/jats:styled-content>\n                      is not solely a biological condition but a multidimensional experience. Addressing\n                      <jats:styled-content style=\"fixed-case\">CRA<\/jats:styled-content>\n                      requires integrated and context\u2010sensitive strategies across personal, relational, organisational and policy domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Nurses and clinicians should address not only physical symptoms but also the emotional and social dimensions of eating. Structured support for caregivers and improved service access, particularly in underserved settings, are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study provides a multi\u2010level understanding of CRA. The findings support better patient care, caregiver support and more equitable healthcare policy design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>JBI methodology and ENTREQ guideline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PROSPERO<\/jats:styled-content>\n                      Database:\n                      <jats:styled-content style=\"fixed-case\">CRD420251041265<\/jats:styled-content>\n                    <\/jats:p>\n                  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