{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T06:00:10Z","timestamp":1785218410203,"version":"3.55.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Women living with and beyond breast cancer or a gynecologic malignancy frequently face a combined burden of endocrine disruption, treatment-related symptoms, psychological distress, fatigue, fear of recurrence, and conflicting dietary information. These factors may impair nutrition literacy, weaken confidence in dietary self-management, and reduce adherence to evidence-informed nutrition recommendations. This Mini Review examines the behavioral pathway linking psychological and educational barriers to dietary behaviors in women with breast and gynecologic malignancies. We focus on four interconnected domains: hormone-related emotional vulnerability and treatment-related symptom burden; anxiety, depression, fatigue, and fear of recurrence as drivers of avoidant or inconsistent eating behaviors; nutrition misconceptions and restrictive dietary beliefs that may increase malnutrition risk; and structured nutrition education as a self-management strategy. Existing guidelines support nutrition screening, individualized counseling, healthy dietary patterns, weight management, and physical activity as survivorship priorities, but implementation is often limited by low health literacy, fragmented communication, and insufficient psychosocial support. We propose that survivorship nutrition programs should integrate psychological screening, myth correction, plain-language nutrition literacy education, symptom-responsive meal planning, family involvement, and digital follow-up. Such behaviorally informed education should be evaluated using measurable outcomes, including dietary adherence, nutritional status, body weight and body composition, symptom control, quality of life, and sustained self-management across survivorship.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1902901","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:35:09Z","timestamp":1785216909000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutrition literacy and dietary self-management in breast and gynecologic cancer survivorship"],"prefix":"10.3389","volume":"14","author":[{"given":"Shuai","family":"Teng","sequence":"first","affiliation":[{"name":"School of Education, Weifang University","place":["Weifang, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengfeng","family":"Teng","sequence":"additional","affiliation":[{"name":"Changle Hetou Primary School","place":["Weifang, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuguang","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Binzhou Development Zone No. 1 Middle School","place":["Binzhou, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenyan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Linyi No. 2 Experimental Primary School","place":["Linyi, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saisai","family":"Zhao","sequence":"additional","affiliation":[{"name":"Hanting Experimental Primary School","place":["Weifang, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqin","family":"Yao","sequence":"additional","affiliation":[{"name":"Fangzi Industrial Development Zone Experimental School","place":["Weifang, Shandong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.breast.2022.08.010","article-title":"Current and future burden of breast cancer: global statistics for 2020 and 2040","volume":"66","author":"Arnold","year":"2022","journal-title":"Breast"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"230","DOI":"10.3322\/caac.21719","article-title":"American Cancer Society nutrition and physical activity guideline for cancer survivors","volume":"72","author":"Rock","year":"2022","journal-title":"CA Cancer J Clin"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.clnu.2016.07.015","article-title":"ESPEN guidelines on nutrition in cancer patients","volume":"36","author":"Arends","year":"2017","journal-title":"Clin Nutr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1007\/s00520-025-10065-z","article-title":"The impact of nutritional intervention on postoperative prognosis in gynecological cancer patients: a systematic review and meta-analysis","volume":"33","author":"Li","year":"2025","journal-title":"Support Care Cancer"},{"key":"ref6","volume-title":"Diet, Nutrition, Physical Activity and body Weight for People living with and beyond Breast cancer. 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