{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T23:19:58Z","timestamp":1771024798249,"version":"3.50.1"},"reference-count":65,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The purpose of this study was to investigate Healthy Eating Index 2015 (HEI-2015) and Energy-Adjusted Dietary Inflammatory Index (E-DIITM) scores in women\u2019s cancer survivors and to examine socio-economic (SES) characteristics associated with these two diet indices. In this cross-sectional study, survivors of women\u2019s cancers completed a demographic questionnaire and up to three 24-h dietary recalls. HEI-2015 and E-DII scores were calculated from average intakes. One-way ANOVA was used to examine the association of various demographic factors on HEI-2015 and E-DII scores. Pearson Correlation was used to calculate the correlation between the two scores. The average HEI-2015 score was 55.0 \u00b1 13.5, lower than the national average, and average E-DII was \u22121.14 \u00b1 2.24, with 29% of women having a more pro-inflammatory and 71% a more anti-inflammatory diet. Diets with higher HEI-2015 scores were associated with more anti-inflammatory diets (r = \u22120.67, p &lt; 0.001). Those having a graduate degree (F(2,49) = 3.6, p = 0.03) and completing cancer treatment &gt; 4 years ago (F(2,49) = 4.8, p = 0.01) had higher HEI-2015 scores. There were no associations between SES and E-DII scores. The diet quality of women\u2019s cancer survivors is comparatively low, but many achieved an anti-inflammatory diet; a promising avenue for preventing recurrence. There is an urgent need to involve health care professionals in the guidance of women\u2019s cancer survivors to improve diet quality and prevent cancer recurrence.<\/jats:p>","DOI":"10.3390\/ijerph19041916","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T21:22:15Z","timestamp":1644441735000},"page":"1916","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Diet Quality and Dietary Inflammatory Index Score among Women\u2019s Cancer Survivors"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5637-1706","authenticated-orcid":false,"given":"Sibylle","family":"Kranz","sequence":"first","affiliation":[{"name":"Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7329-288X","authenticated-orcid":false,"given":"Faten","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Zoellner","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin A","family":"Guertin","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Shivappa","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0677-2672","authenticated-orcid":false,"given":"James R","family":"H\u00e9bert","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Cohn","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22903, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"ref_1","unstructured":"US Cancer Statistics Working Group (2021, January 26). Cancer Statistics Data Visualizations Tool, Based on 2019 Submission Data (1999\u20132017); U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute, Available online: https:\/\/www.cdc.gov\/cancer\/dataviz\/."},{"key":"ref_2","unstructured":"American Cancer Society (2019). Cancer Treatment & Survivorship Facts & Figures 2019\u20132021, American Cancer Society."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"3437","DOI":"10.1200\/JCO.2008.18.9068","article-title":"Elevated Biomarkers of Inflammation Are Associated with Reduced Survival Among Breast Cancer Patients","volume":"27","author":"Pierce","year":"2009","journal-title":"J. Clin. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1158\/1055-9965.EPI-13-0852","article-title":"Postdiagnosis C-Reactive Protein and Breast Cancer Survivorship: Findings from the WHEL Study","volume":"23","author":"Villasenor","year":"2014","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1177\/0884533610385703","article-title":"Diet and inflammation","volume":"25","author":"Galland","year":"2010","journal-title":"Nutr. Clin. Pract."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s12905-018-0555-7","article-title":"Dietary pattern and health-related quality of life among breast cancer survivors","volume":"18","author":"Kim","year":"2018","journal-title":"BMC Women\u2019s Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1093\/nutrit\/nuw045","article-title":"Effect of diet on mortality and cancer recurrence among cancer survivors: A systematic review and meta-analysis of cohort studies","volume":"74","author":"Schwedhelm","year":"2016","journal-title":"Nutr. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"De Cicco, P., Catani, M.V., Gasperi, V., Sibilano, M., Quaglietta, M., and Savini, I. (2019). Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients, 11.","DOI":"10.3390\/nu11071514"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"245","DOI":"10.3322\/caac.21591","article-title":"American Cancer Society guideline for diet and physical activity for cancer prevention","volume":"70","author":"Rock","year":"2020","journal-title":"CA Cancer J. Clin."},{"key":"ref_10","unstructured":"World Cancer Research Fund\/American Institute for Cancer Research (2020, October 14). Recommendations and Public Health and Policy Implications. Available online: https:\/\/www.wcrf.org\/wp-content\/uploads\/2021\/01\/Recommendations.pdf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.jand.2018.05.021","article-title":"Update of the Healthy Eating Index: HEI-2015","volume":"118","author":"Pannucci","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1017\/S1368980013002115","article-title":"Designing and developing a literature-derived, population-based dietary inflammatory index","volume":"17","author":"Shivappa","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1017\/S1368980013002565","article-title":"A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS)","volume":"17","author":"Shivappa","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1017\/S000711451400395X","article-title":"Associations between dietary inflammatory index and inflammatory markers in the Asklepios Study","volume":"113","author":"Shivappa","year":"2015","journal-title":"Br. J. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.annepidem.2015.03.009","article-title":"Construct validation of the dietary inflammatory index among postmenopausal women","volume":"25","author":"Tabung","year":"2015","journal-title":"Ann. Epidemiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s12603-016-0775-1","article-title":"Construct Validation of the Dietary Inflammatory Index among African Americans","volume":"21","author":"Wirth","year":"2017","journal-title":"J. Nutr. Health Aging"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1158\/1055-9965.EPI-17-0092","article-title":"Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends","volume":"26","author":"Blake","year":"2017","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s41687-020-00264-z","article-title":"Impact of comorbidities and treatment burden on general well-being among women\u2019s cancer survivors","volume":"5","author":"Anderson","year":"2021","journal-title":"J. Patient-Rep. Outcomes"},{"key":"ref_19","unstructured":"U.S. Department of Agriculture Economic Research Service (2021, March 22). Rural-Urban Commuting Area Codes, Available online: https:\/\/www.ers.usda.gov\/data-products\/rural-urban-commuting-area-codes.aspx."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1016\/S0002-8223(21)07997-9","article-title":"Sources of data for developing and maintaining a nutrient database","volume":"88","author":"Schakel","year":"1988","journal-title":"J. Am. Diet Assoc."},{"key":"ref_21","unstructured":"Nutrition Coordinating Center (2020, December 01). Healthy Eating Index (HEI). Available online: http:\/\/www.ncc.umn.edu\/healthy-eating-index-hei\/#:~:text=The%20Healthy%20Eating%20Index%20(HEI,the%20Dietary%20Guidelines%20for%20Americans."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/j.jand.2018.05.019","article-title":"Evaluation of the Healthy Eating Index-2015","volume":"118","author":"Reedy","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/j.jand.2018.07.002","article-title":"Diet Quality: The Key to Healthy Eating","volume":"118","author":"Hiza","year":"2018","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Phillips, C., Shivappa, N., H\u00e9bert, J., and Perry, I. (2018). Dietary Inflammatory Index and Biomarkers of Lipoprotein Metabolism, Inflammation and Glucose Homeostasis in Adults. Nutrients, 10.","DOI":"10.3390\/nu10081033"},{"key":"ref_25","unstructured":"Bruce, P., and Bruce, A. (2017). Statistical Machine Learning in Practical Statistics for Data Scientists, O\u2019Reilly Media Inc."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Kirch, W. (2008). Encyclopedia of Public Health, Springer.","DOI":"10.1007\/978-1-4020-5614-7"},{"key":"ref_27","unstructured":"U.S Department of Agriculture Food and Nutrition Service (2021, March 18). Healthy-Eating Index\u20142015 Data Tables, Available online: https:\/\/www.fns.usda.gov\/healthy-eating-index-hei."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s11764-019-00748-y","article-title":"Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors","volume":"13","author":"Springfield","year":"2019","journal-title":"J. Cancer Surviv."},{"key":"ref_29","first-page":"175","article-title":"Dietary practices and nutritional status in survivors of breast cancer","volume":"69","author":"Kaledkiewicz","year":"2018","journal-title":"Rocz. Panstw. Zakl. Hig."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1600707","DOI":"10.1002\/mnfr.201600707","article-title":"Association between dietary inflammatory index and inflammatory markers in the HELENA study","volume":"61","author":"Shivappa","year":"2017","journal-title":"Mol. Nutr. Food Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s10552-019-01257-0","article-title":"Dietary inflammatory index, risk and survival among women with endometrial cancer","volume":"31","author":"Nagle","year":"2020","journal-title":"Cancer Causes Control"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Shivappa, N., Godos, J., H\u00e9bert, J., Wirth, M., Piuri, G., Speciani, A., and Grosso, G. (2017). Dietary Inflammatory Index and Colorectal Cancer Risk\u2014A Meta-Analysis. Nutrients, 9.","DOI":"10.3390\/nu9091043"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.1002\/ijc.30922","article-title":"Meta\u2014Analysis of the association between dietary inflammatory index (DII) and cancer outcomes","volume":"141","author":"Fowler","year":"2017","journal-title":"Int. J. Cancer"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jand.2012.08.011","article-title":"Diet quality of Americans differs by age, sex, race\/ethnicity, income, and education level","volume":"113","author":"Hiza","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1093\/ajcn\/87.5.1107","article-title":"Does social class predict diet quality?","volume":"87","author":"Darmon","year":"2008","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1093\/nutrit\/nuv027","article-title":"Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: A systematic review and analysis","volume":"73","author":"Darmon","year":"2015","journal-title":"Nutr. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.nutres.2015.11.009","article-title":"Anti-inflammatory Dietary Inflammatory Index scores are associated with healthier scores on other dietary indices","volume":"36","author":"Wirth","year":"2016","journal-title":"Nutr. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3322\/caac.21319","article-title":"American Cancer Society\/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline","volume":"66","author":"Runowicz","year":"2016","journal-title":"CA Cancer J. Clin."},{"key":"ref_39","unstructured":"American College of Surgeons Commission on Cancer (2020). Optimal Resources for Cancer Care (2020 Standards), American College of Surgeons Commission on Cancer."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jand.2016.05.010","article-title":"Oncology Evidence-Based Nutrition Practice Guideline for Adults","volume":"117","author":"Thompson","year":"2017","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e13337","DOI":"10.1111\/obr.13337","article-title":"Obesity and mortality among endometrial cancer survivors: A systematic review and meta-analysis","volume":"22","author":"Elmrayed","year":"2021","journal-title":"Obes. Rev."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"105184","DOI":"10.18632\/oncotarget.21917","article-title":"High visceral fat percentage is associated with poor outcome in endometrial cancer","volume":"8","author":"Mauland","year":"2017","journal-title":"Oncotarget"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1111\/jog.14560","article-title":"Does visceral adiposity have an effect on the survival outcomes of the patients with endometrial cancer?","volume":"47","author":"Celik","year":"2021","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_44","first-page":"1","article-title":"Associations of the Dietary Inflammatory Index with total adiposity and ectopic fat through the gut microbiota, lipopolysaccharides, and C-reactive protein in the Multiethnic Cohort-Adiposity Phenotype Study","volume":"00","author":"Lozano","year":"2021","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1101\/gad.346312.120","article-title":"Chronic tissue inflammation and metabolic disease","volume":"35","author":"Lee","year":"2021","journal-title":"Genes Dev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ygyno.2015.10.020","article-title":"Body mass index and mortality in endometrial cancer: A systematic review and meta-analysis","volume":"140","author":"Secord","year":"2016","journal-title":"Gynecol. Oncol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/S2213-8587(18)30288-2","article-title":"Association of BMI with overall and cause-specific mortality: A population-based cohort study of 3\u00b76 million adults in the UK","volume":"6","author":"Bhaskaran","year":"2018","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ygyno.2015.01.540","article-title":"Body mass index and the quality of life of endometrial cancer survivors--a systematic review and meta-analysis","volume":"137","author":"Smits","year":"2015","journal-title":"Gynecol. Oncol."},{"key":"ref_49","first-page":"410","article-title":"Obese Breast Cancer Patients and Survivors: Management Considerations","volume":"32","author":"Sheng","year":"2018","journal-title":"Oncology"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s10552-012-0115-7","article-title":"Body mass index, tumor characteristics, and prognosis following diagnosis of early-stage breast cancer in a mammographically screened population","volume":"24","author":"Kamineni","year":"2013","journal-title":"Cancer Causes Control"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1136\/bmj.38356.424606.8F","article-title":"Identifying outcome reporting bias in randomised trials on PubMed: Review of publications and survey of authors","volume":"330","author":"Chan","year":"2005","journal-title":"BMJ"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.2217\/fon.14.180","article-title":"BMI variation increases recurrence risk in women with early-stage breast cancer","volume":"10","author":"Fedele","year":"2014","journal-title":"Future Oncol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"djv275","DOI":"10.1093\/jnci\/djv275","article-title":"Weight Gain After Breast Cancer Diagnosis and All-Cause Mortality: Systematic Review and Meta-Analysis","volume":"107","author":"Playdon","year":"2015","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/978-3-319-48382-5_25","article-title":"Obesity-associated Breast Cancer: Analysis of risk factors","volume":"960","author":"Engin","year":"2017","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1200\/JCO.1990.8.8.1327","article-title":"Weight change in women treated with adjuvant therapy or observed following mastectomy for node-positive breast cancer","volume":"8","author":"Camoriano","year":"1990","journal-title":"J. Clin. Oncol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.breast.2019.02.006","article-title":"Predictors of weight gain in a cohort of premenopausal early breast cancer patients receiving chemotherapy","volume":"45","author":"Gandhi","year":"2019","journal-title":"Breast"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/j.1467-789X.2010.00805.x","article-title":"Weight gain in breast cancer survivors: Prevalence, pattern and health consequences","volume":"12","author":"Vance","year":"2011","journal-title":"Obes. Rev."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Anwar, S.L., Cahyono, R., Prabowo, D., Avanti, W.S., Choridah, L., Dwianingsih, E.K., Harahap, W.A., and Aryandono, T. (2021). Metabolic comorbidities and the association with risks of recurrent metastatic disease in breast cancer survivors. BMC Cancer, 21.","DOI":"10.1186\/s12885-021-08343-0"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/0284186X.2017.1407496","article-title":"Influence of specific comorbidities on survival after early-stage breast cancer","volume":"57","author":"Ewertz","year":"2018","journal-title":"Acta Oncol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s10549-013-2521-2","article-title":"Comorbidities and breast cancer survival: A report from the Shanghai Breast Cancer Survival Study","volume":"139","author":"Nechuta","year":"2013","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s10549-018-4982-9","article-title":"Dietary intervention among breast cancer survivors increased adherence to a Mediterranean-style, anti-inflammatory dietary pattern: The Rx for Better Breast Health Randomized Controlled Trial","volume":"173","author":"Zuniga","year":"2019","journal-title":"Breast Cancer Res. Treat."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"231","DOI":"10.4162\/nrp.2007.1.3.231","article-title":"Underreporting of dietary intake by body mass index in premenopausal women participating in the Healthy Women Study","volume":"1","author":"Park","year":"2007","journal-title":"Nutr. Res. Pract."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1079\/PHN2001124","article-title":"Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living","volume":"4","author":"Johansson","year":"2001","journal-title":"Public Health Nutr."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Singh, K.P., Kober, K.M., Ernst, B., Sachdev, J., Brewer, M., Zhu, Q., Gu, H., Melisko, M., Paul, S.M., and Cooper, B.A. (2021). Multiple Gastrointestinal Symptoms Are Associated With Chemotherapy-Induced Nausea in Patients with Breast Cancer. Cancer Nurs., in press.","DOI":"10.1097\/NCC.0000000000000976"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1007\/s12282-019-01001-1","article-title":"Chemotherapy-induced nausea and vomiting in patients with breast cancer: A prospective cohort study","volume":"27","author":"Naito","year":"2020","journal-title":"Breast Cancer"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/4\/1916\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:16:41Z","timestamp":1760134601000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/4\/1916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,9]]},"references-count":65,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["ijerph19041916"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19041916","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,9]]}}}