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

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Pachon Olmos, Vanessa
  • POLLÁN, MARINA
  • de Larrea-Baz, Nerea Fernandez
  • Fernandez-Morata, Julia
  • Ruiz-Moreno, Emma
  • Garcia-Perez, Javier
  • Castello, Adela
  • Sierra, Maria angeles
  • Lucas, Pilar
  • Alonso-Ledesma, Isabel
  • Stradella, Agostina
  • Cantos, Blanca
  • Y Cajal, Teresa Ramon
  • Santisteban, Marta
  • Segui, Miguel angel
  • Granja, Monica
  • Camps-Herrero, Julia
  • Recalde, Sabela
  • Mendez, Miriam
  • Calvo Verges, Nuria
  • Perez-Gomez, Beatriz
  • Pastor-Barriuso, Roberto
  • Lope, Virginia

Grupos

Abstract

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.

Datos de la publicación

ISSN/ISSNe:
2072-6694, 2072-6694

Cancers  MDPI

Tipo:
Article
Páginas:
-
PubMed:
40002301
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
1,349 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 2

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Keywords

  • lifestyle recommendations; WCRF/AICR guidelines; cancer prevention recommendations; compliance; health behaviors; healthy lifestyle; breast cancer patients

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