Sex-related differences in eating-related distress experienced by patients with advanced cancer

Koshimoto, Saori, Amano, Koji, Hopkinson, Jane B. ORCID: https://orcid.org/0000-0002-3915-9815, Okamura, Satomi, Sakaguchi, Tatsuma, Arakawa, Sayaka, Tokoro, Akihiro, Mori, Naoharu, Nozato, Junko, Iriyama, Tetsuji, Sato, Shingo and Takeuchi, Takashi 2025. Sex-related differences in eating-related distress experienced by patients with advanced cancer. Supportive Care in Cancer 33 (3) , 241. 10.1007/s00520-025-09302-2

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Abstract

Sex-related differences in eating-related distress (ERD) experienced by cancer patients have not previously been clarified. We conducted a multicenter survey among advanced cancer patients referred to palliative care. Data on patient characteristics were collected from the electronic medical records, and data on measurement outcomes were obtained from a questionnaire. Patients were categorized into male and female groups. We measured ERD using the Questionnaire for Eating-Related Distress among Patients with advanced cancer (QERD-P). The QERD-P comprises 3 items in each of the 7 factors, for a total of 21 items, and each item is rated on a 7-point Likert scale. High scores indicate worse distress. Comparisons were calculated using the Mann-Whitney U test. To assess associations between sexes and ERD, multivariate logistic regression analysis was performed. A total of 192 patients were enrolled and divided into the male (n = 92) and female (n = 100) groups. The total score of the QERD-P was significantly higher in the male group (p = 0.018). The subtotal scores of "reasons why I cannot eat," "insufficient information," and "arguments with my family" were significantly higher in the male group (p = 0.035, 0.032, and 0.003, respectively). The male group had significantly higher risks for ERD associated with "arguments with my family" and "time with my family" (odds ratio [OR] 2.69, 95% confidence interval [CI] 1.38-5.24; OR 2.28, 95% CI 1.15-4.53). Males had significantly worse ERD and were at higher risk of ERD in family relationships than females. [Abstract copyright: © 2025. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.]

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Healthcare Sciences
Publisher:	Springer
ISSN:	0941-4355
Date of Acceptance:	22 February 2025
Last Modified:	19 Mar 2025 11:15
URI:	https://orca.cardiff.ac.uk/id/eprint/176993

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