Abstract
Purpose: To describe food intake and overall diet quality during neoadjuvant concomitant chemotherapy and radiation therapy (nCRT) for rectal cancer. We also explored associations between Prime Diet Quality Score (PDQS) and short-chain-fatty acids (SCFA) levels at the end of nCRT in a subset of participants. Methods: Thirty-two participants provided a 24-hr dietary recall while eighteen provided stool samples for SCFA. Results: Reported intakes of eleven healthy food groups (e.g., dark green vegetables, fish) were low (<50% of participants) before treatment, while four unhealthy food groups (e.g., processed meat, sugar-sweetened beverages) were high (> 50%) for both before and after treatment. Higher propionate levels were associated with higher PDQS. Conclusion: Participants report lower dietary intake and quality during nCRT treatment. Additional work is warranted to understand if gut metabolites may mediate the impact of low diet quality
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