Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research Recommendations in Women with Breast Cancer
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| Názov: | Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research Recommendations in Women with Breast Cancer |
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| Autori: | Vanessa Pachón Olmos, Marina Pollán, Nerea Fernández de Larrea-Baz, Julia Fernández-Morata, Emma Ruiz-Moreno, Javier García-Pérez, Adela Castelló, María Ángeles Sierra, Pilar Lucas, Isabel Alonso-Ledesma, Agostina Stradella, Blanca Cantos, Teresa Ramón y Cajal, Marta Santisteban, Miguel Ángel Seguí, Ana Santaballa Bertrán, Mónica Granja, Julia Camps-Herrero, Sabela Recalde, Miriam Mendez, Nuria Calvo Verges, Beatriz Pérez-Gómez, Roberto Pastor-Barriuso, Virginia Lope |
| Prispievatelia: | Instituto de Salud Carlos III |
| Zdroj: | Cancers (Basel) Cancers r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe Instituto de Investigación Sanitaria La Fe (IIS La Fe) r-FISABIO. Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) Repisalud Instituto de Salud Carlos III (ISCIII) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) Dipòsit Digital de la UB instname |
| Informácie o vydavateľovi: | MDPI AG, 2025. |
| Rok vydania: | 2025 |
| Predmety: | cancer prevention recommendations, lifestyle recommendations, Cancer prevention recommendations, Healthy lifestyle, compliance, Article, Càncer de mama, Medical protocols, health behaviors, Breast cancer, healthy lifestyle, breast cancer patients, Breast cancer patients, WCRF/AICR guidelines, Protocols clínics, Health behaviors, Compliance, Lifestyle recommendations |
| Popis: | 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. |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 2072-6694 |
| DOI: | 10.3390/cancers17040708 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/40002301 https://fundanet.iislafe.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=22383 https://fisabio.portalinvestigacion.com/publicaciones/18472 https://hdl.handle.net/20.500.12105/26692 https://hdl.handle.net/2445/221339 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....95e363cc86b0e49afd97067ac75a5d2d |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | 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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| ISSN: | 20726694 |
| DOI: | 10.3390/cancers17040708 |