Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research Recommendations in Women with Breast Cancer

Background/objectives: The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations benefit primary prevention and survivor outcomes. This study evaluated the adherence to these recommendations during the year prior to breast cancer diagnos...

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Detalles Bibliográficos
Autores: Pachón Olmos, Vanessa, Pollan-Santamaria, Marina, Fernandez de Larrea-Baz, Nerea, Fernández-Morata, Julia, Ruiz Moreno, Emma, García-Pérez, Javier, Castelló Pastor, Adela, Sierra, Maria Angeles, de Lucas, Maria Pilar, Alonso Ledesma, Isabel, Stradella, Agostina, Cantos, Blanca, Ramón Y Cajal, Teresa, Santisteban, Marta, Seguí, Miguel Ángel, Santaballa Bertrán, Ana, Granja, Mónica, Camps-Herrero, Julia, Recalde, Sabela, Mendez, Miriam, Calvo Verges, Nuria, Perez-Gomez, Beatriz, Pastor-Barriuso, Roberto, Lope Carvajal, Virginia
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/26692
Acceso en línea:https://hdl.handle.net/20.500.12105/26692
Access Level:acceso abierto
Palabra clave:WCRF/AICR guidelines
Breast cancer patients
Cancer prevention recommendations
Compliance
Health behaviors
Healthy lifestyle
Lifestyle recommendations
Descripción
Sumario:Background/objectives: The 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations benefit primary prevention and survivor outcomes. This study evaluated the adherence to these recommendations during the year prior to breast cancer diagnosis and identified related clinical and sociodemographic factors. Methods: A total of 915 patients with breast cancer were recruited from eight hospitals in four regions of Spain. The participants completed an epidemiologic questionnaire and a food frequency questionnaire. The compliance with the WCRF/AICR recommendations was assessed using a standardized score based on seven recommendations. Standardized prevalences and standardized prevalence ratios (SPRs) for moderate and high adherence were calculated based on participant characteristics using binary and multinomial logistic regression models. Results: The mean adherence was 3.5 points out of 7. The recommendations with the best and worst adherence were avoiding sugar-sweetened drinks (54.4% adherence) and maintaining a fiber-rich diet (4.4% consumed ≥30 g/day). The overall adherence was better in women aged ≥60 years (SPR = 1.55; 95% CI = 1.09-2.22), and worse in those with a caloric intake ≥2000 kcal/day (SPR = 0.48; 95% CI = 0.37-0.62) or ≥2 comorbidities (SPR = 0.66; 95% CI = 0.49-0.89). The adherence to maintaining a healthy weight was worse in those with ≥2 comorbidities and stage III-IV tumors. The physical activity adherence was worse in working women and those with ≥2 comorbidities. The alcohol restriction adherence was worse in smokers. Younger women, smokers and those with a low calorie intake were less adherent to the fruit/vegetable recommendation. The consumption of fiber and limited consumption of red/processed meat adherence was poor in all the subgroups. The adherence to a limited consumption of fast food and sugary drinks was worse in younger women and high-calorie-diet consumers. Conclusions: The differences in the adherence to recommendations according to patient characteristics justify the design of personalized interventions for breast cancer patients.

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