{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:29:36Z","timestamp":1788863376952,"version":"build-2803163510"},"reference-count":42,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Sufficient postoperative dietary intake is crucial for ensuring a better surgical outcome. This study aimed to investigate the postoperative dietary intake achievement and predictors of postoperative dietary intake among gynecologic cancer patients. A total of 118 participants were included in this secondary analysis. Postoperative dietary data was pooled and re-classified into early postoperative dietary intake achievement (EDIA) (daily energy intake (DEI) \u2265 75% from the estimated energy requirement (EER)) and delay dietary intake achievement (DDIA) (DEI &lt; 75% EER) There was a significant difference in postoperative changes in weight (p = 0.002), muscle mass (p = 0.018), and handgrip strength (p = 0.010) between the groups. Postoperative daily energy and protein intake in the EDIA was significantly greater than DDIA from operation day to discharged (p = 0.000 and p = 0.036). Four significant independent postoperative dietary intake predictors were found: preoperative whey protein-infused carbohydrate loading (p = 0.000), postoperative nausea vomiting (p = 0.001), age (p = 0.010), and time to tolerate clear fluid (p = 0.016). The multilinear regression model significantly predicted postoperative dietary intake, F (4, 116) = 68.013, p = 0.000, adj. R2 = 0.698. With the four predictors\u2019 recognition, the integration of a more specific and comprehensive dietitian-led supportive care with individualized nutrition intervention ought to be considered to promote functional recovery.<\/jats:p>","DOI":"10.3390\/nu14010222","type":"journal-article","created":{"date-parts":[[2022,1,9]],"date-time":"2022-01-09T20:21:56Z","timestamp":1641759716000},"page":"222","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Postoperative Dietary Intake Achievement: A Secondary Analysis of a Randomized Controlled Trial"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3778-7631","authenticated-orcid":false,"given":"Chiou Yi","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan 43400, Malaysia"},{"name":"Department of Dietetics and Food Service, Institut Kanser Negara, Ministry of Health, 4, Jalan P7, Presint 7, Putrajaya 62250, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6210-0443","authenticated-orcid":false,"given":"Zuriati","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan 43400, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zalina","family":"Abu Zaid","sequence":"additional","affiliation":[{"name":"Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan 43400, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4017-107X","authenticated-orcid":false,"given":"Zulfitri Azuan","family":"Mat Daud","sequence":"additional","affiliation":[{"name":"Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan 43400, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nor Baizura","family":"Mohd Yusop","sequence":"additional","affiliation":[{"name":"Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan 43400, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd Norazam","family":"Mohd Abas","sequence":"additional","affiliation":[{"name":"Department Surgical Oncology, Institut Kanser Negara, Ministry of Health, 4, Jalan P7, Presint 7, Putrajaya 62250, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil","family":"Omar","sequence":"additional","affiliation":[{"name":"Department Surgical Oncology, Institut Kanser Negara, Ministry of Health, 4, Jalan P7, Presint 7, Putrajaya 62250, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1007\/s002689910113","article-title":"Metabolic Response to Severe Surgical Illness: Overview","volume":"24","author":"Wilmore","year":"2000","journal-title":"World J. 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