Clinical and Sociodemographic Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Recommendations in Breast Cancer Survivors-Health-EpiGEICAM Study.

Breast cancer (BC) survivors are advised to follow the WCRF/AICR cancer prevention recommendations, given their high risk of developing a second tumour. We aimed to explore compliance with these recommendations in BC survivors and to identify potentially associated clinical and sociodemographic fact...

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Detalles Bibliográficos
Autores: Lope, V, Guerrero-Zotano, A, Ruiz-Moreno, E, Bermejo, B, Antolin, S, Montano, A, Baena-Canada, JM, Vazquez, MR, de Larrea-Baz, NF, Chacon, JI, Garcia-Saenz, JA, Olier, C, Munoz, M, Anton, A, Rovira, PS, Lanza, AA, Gonzalez, S, Oltra, A, Brunet, J, Gregori, JG, Martinez, MT, Calvo, L, Rosell, L, Bezares, S, Pastor-Barriuso, R, Perez-Gomez, B, Martin, M, Pollan, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p16934
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/16934
Access Level:acceso abierto
Palabra clave:Health-EpiGEICAM
WCRF/AICR guidelines
breast cancer
cancer prevention recommendations
compliance
health behaviours
healthy lifestyle
lifestyle recommendations
survival
Descripción
Sumario:Breast cancer (BC) survivors are advised to follow the WCRF/AICR cancer prevention recommendations, given their high risk of developing a second tumour. We aimed to explore compliance with these recommendations in BC survivors and to identify potentially associated clinical and sociodemographic factors. A total of 420 BC survivors, aged 31-80, was recruited from 16 Spanish hospitals. Epidemiological, dietary and physical activity information was collected through questionnaires. A 7-item score to measure compliance with the recommendations was built according to the 2018 WCRF/AICR scoring criteria. Standardized prevalences and standardized prevalence ratios of moderate and high compliance across participant characteristics were estimated using multinomial and binary logistic regression models. The mean score was 3.9 (SD: 1.0) out of 7 points. Recommendations with the worst adherence were those of limiting consumption of red/processed meats (12% of compliance, 95% CI: 8.2-15.0) and high fibre intake (22% of compliance, 95% CI: 17.6-27.0), while the best compliance was observed for the consumption of fruits and vegetables (73% of compliance, 95% CI: 69.2-77.7). Overall, adherence was worse in women with university education and in those with first-degree relatives with BC. This information may be of interest to design and implement personalized preventive measures adapted to the characteristics of these patients.