Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.

Background and aims: Adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention Recommendations is associated with reduced risk for cancer and all-cause mortality. The aim of this study was to develop and validate a short screener to assess adher...

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Autores: Chaplin, Alice, Nafría, Mar, Prohens, Lara, Morey, Margarita, Rayo, Elena, Shams-White, Marissa M, Brockton, Nigel T., Reedy, Jill, Mitrou, Panagiota, Castello, Adela, Toledo, Estefanía, Fitó, Montserrat, Castañer-Niño, Olga, Zomeño, María Dolors, Eguaras, Sonia, Sesé, Albert, Romaguera, Dora
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/24527
Acceso en línea:https://hdl.handle.net/20.500.13003/24527
Access Level:acceso abierto
Palabra clave:Cancer prevention
Diet
Lifestyle
Nutritional assessment
Screener
Validation
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spelling Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.Chaplin, AliceNafría, MarProhens, LaraMorey, MargaritaRayo, ElenaShams-White, Marissa MBrockton, Nigel T.Reedy, JillMitrou, PanagiotaCastello, AdelaToledo, EstefaníaFitó, MontserratCastañer-Niño, OlgaZomeño, María DolorsEguaras, SoniaSesé, AlbertRomaguera, DoraCancer preventionDietLifestyleNutritional assessmentScreenerValidationBackground and aims: Adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention Recommendations is associated with reduced risk for cancer and all-cause mortality. The aim of this study was to develop and validate a short screener to assess adherence to these guidelines. Methods: The study was divided into two phases: Screener development (Phase I) and a validation study (Phase II). A subsample of participants from the PREDIMED-Plus study, an ongoing randomised lifestyle intervention trial which focuses on cardiovascular disease prevention, were invited from two recruiting centres in Spain for the pilot testing (n = 110) and validation (n = 148) of the tool. Participants completed the WCRF/AICR Screener, and dietary and lifestyle data were collected using validated methods (anthropometric measurements by trained staff, and validated diet and physical activity (PA) questionnaires). A score reflecting adherence to the recommendations was derived for each method (Screener and validated instruments), adapted from the 2018 WCRF/AICR Score. Relative agreement between the total scores was evaluated by Spearman correlation (r) and intraclass correlation coefficients (ICC). Cross-classification and Kappa coefficient (κ) were used for individual recommendations. Results: The WCRF/AICR Screener has 13 questions covering seven recommendations (regarding body weight; PA; plant-based foods; fast and processed foods; red and processed meat; sugar-sweetened drinks; and alcoholic drinks) with a score range of 0-7 (higher scores indicated greater adherence). There was a significant correlation (r = 0.70) and a moderate agreement (ICC = 0.68) between the WCRF/AICR Screener (mean ± SD, 3.20 ± 0.92) and validated methods (3.05 ± 1.01) scores. The scores for individual recommendations showed very good agreement for body weight (κ = 0.84), substantial agreement for alcoholic drinks (κ = 0.71), moderate agreement for PA (κ = 0.58), red and processed meat (κ = 0.58) and sugar-sweetened drinks (κ = 0.56). Fair agreement was observed for plant-based foods (κ = 0.30) and fast and processed foods (κ = 0.27). Conclusions: The WCRF/AICR Screener is a valid tool for assessing adherence to the WCRF/AICR Cancer Prevention Recommendations at an individual level, and could be useful for rapid assessment of diet and lifestyle in clinical settings for cancer prevention strategies.Elsevier20252025-03-0120252025-03-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/24527reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/245272026-06-22T12:44:07Z
dc.title.none.fl_str_mv Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
title Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
spellingShingle Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
Chaplin, Alice
Cancer prevention
Diet
Lifestyle
Nutritional assessment
Screener
Validation
title_short Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
title_full Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
title_fullStr Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
title_full_unstemmed Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
title_sort Development and validation of a short screener to evaluate adherence to the World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations.
dc.creator.none.fl_str_mv Chaplin, Alice
Nafría, Mar
Prohens, Lara
Morey, Margarita
Rayo, Elena
Shams-White, Marissa M
Brockton, Nigel T.
Reedy, Jill
Mitrou, Panagiota
Castello, Adela
Toledo, Estefanía
Fitó, Montserrat
Castañer-Niño, Olga
Zomeño, María Dolors
Eguaras, Sonia
Sesé, Albert
Romaguera, Dora
author Chaplin, Alice
author_facet Chaplin, Alice
Nafría, Mar
Prohens, Lara
Morey, Margarita
Rayo, Elena
Shams-White, Marissa M
Brockton, Nigel T.
Reedy, Jill
Mitrou, Panagiota
Castello, Adela
Toledo, Estefanía
Fitó, Montserrat
Castañer-Niño, Olga
Zomeño, María Dolors
Eguaras, Sonia
Sesé, Albert
Romaguera, Dora
author_role author
author2 Nafría, Mar
Prohens, Lara
Morey, Margarita
Rayo, Elena
Shams-White, Marissa M
Brockton, Nigel T.
Reedy, Jill
Mitrou, Panagiota
Castello, Adela
Toledo, Estefanía
Fitó, Montserrat
Castañer-Niño, Olga
Zomeño, María Dolors
Eguaras, Sonia
Sesé, Albert
Romaguera, Dora
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Cancer prevention
Diet
Lifestyle
Nutritional assessment
Screener
Validation
topic Cancer prevention
Diet
Lifestyle
Nutritional assessment
Screener
Validation
description Background and aims: Adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention Recommendations is associated with reduced risk for cancer and all-cause mortality. The aim of this study was to develop and validate a short screener to assess adherence to these guidelines. Methods: The study was divided into two phases: Screener development (Phase I) and a validation study (Phase II). A subsample of participants from the PREDIMED-Plus study, an ongoing randomised lifestyle intervention trial which focuses on cardiovascular disease prevention, were invited from two recruiting centres in Spain for the pilot testing (n = 110) and validation (n = 148) of the tool. Participants completed the WCRF/AICR Screener, and dietary and lifestyle data were collected using validated methods (anthropometric measurements by trained staff, and validated diet and physical activity (PA) questionnaires). A score reflecting adherence to the recommendations was derived for each method (Screener and validated instruments), adapted from the 2018 WCRF/AICR Score. Relative agreement between the total scores was evaluated by Spearman correlation (r) and intraclass correlation coefficients (ICC). Cross-classification and Kappa coefficient (κ) were used for individual recommendations. Results: The WCRF/AICR Screener has 13 questions covering seven recommendations (regarding body weight; PA; plant-based foods; fast and processed foods; red and processed meat; sugar-sweetened drinks; and alcoholic drinks) with a score range of 0-7 (higher scores indicated greater adherence). There was a significant correlation (r = 0.70) and a moderate agreement (ICC = 0.68) between the WCRF/AICR Screener (mean ± SD, 3.20 ± 0.92) and validated methods (3.05 ± 1.01) scores. The scores for individual recommendations showed very good agreement for body weight (κ = 0.84), substantial agreement for alcoholic drinks (κ = 0.71), moderate agreement for PA (κ = 0.58), red and processed meat (κ = 0.58) and sugar-sweetened drinks (κ = 0.56). Fair agreement was observed for plant-based foods (κ = 0.30) and fast and processed foods (κ = 0.27). Conclusions: The WCRF/AICR Screener is a valid tool for assessing adherence to the WCRF/AICR Cancer Prevention Recommendations at an individual level, and could be useful for rapid assessment of diet and lifestyle in clinical settings for cancer prevention strategies.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-03-01
2025
2025-03-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/24527
url https://hdl.handle.net/20.500.13003/24527
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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