Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research Recommendations in Women with Breast Cancer
Por:
Olmos, VP, Pollán, M, de Larrea-Baz, NF, Fernández-Morata, J, Ruiz-Moreno, E, García-Pérez, J, Castelló, A, Sierra, MA, Lucas, P, Alonso-Ledesma, I, Stradella, A, Cantos, B, Cajal, TRY, Santisteban, M, Seguí, MA, Bertrán, AS, Granja, M, Camps-Herrero, J, Recalde, S, Mendez, M, Verges, NC, Pérez-Gómez, B, Pastor-Barriuso, R, Lope, V
Publicada:
1 feb 2025
Resumen:
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.
Filiaciones:
Olmos, VP:
La Paz Carlos III Cantoblanco Univ Hosp, Prevent Med Dept, Po Castellana 261, Madrid 28046, Spain
Pollán, M:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
de Larrea-Baz, NF:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Fernández-Morata, J:
Univ Nacl Educ Distancia EIDUNED, Programa Doctorado Ciencias Biomed & Salud Publ IM, Escuela Int Doctorado, Avda Monforte Lemos 5, Madrid 28029, Spain
Ruiz-Moreno, E:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
García-Pérez, J:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Castelló, A:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Sierra, MA:
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Lucas, P:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Alonso-Ledesma, I:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Stradella, A:
Inst Catala Oncol, Dept Med Oncol, Multidisciplinary Breast Canc Unit, Idibell, Avinguda Granvia Hosp 199, Madrid 08908, Spain
Cantos, B:
Hosp Univ Puerta Hierro, Dept Med Oncol, C Joaquin Rodrigo 1, Majadahonda 28222, Spain
Cajal, TRY:
Hosp Santa Creu & Sant Pau, Dept Med Oncol, Consulta Canc Familiar, Carrer St Quinti 89,Horta Guinardo, Barcelona 08025, Spain
Santisteban, M:
Clin Univ Navarra, Dept Med Oncol, Breast Canc Unit, IdiSNA, Ave Pio XII 36, Pamplona 31008, Spain
Seguí, MA:
Consorcio Hosp Univ Parc Tauli, Dept Med Oncol, Parc Tauli 1, Sabadell 08208, Spain
Bertrán, AS:
La Fe Univ Hosp, La Fe Hlth Res Inst IISLaFe, Med Oncol Dept, Avinguda Fernando Abril Martorell,106,Quatre Carre, Valencia 46026, Spain
Granja, M:
Hosp Univ Clin San Carlos, Dept Med Oncol, Calle Prof Martin Lagos,S-N,Moncloa-Aravaca, Madrid 28040, Spain
Camps-Herrero, J:
Hosp Univ La Ribera, Dept Radiol, Ctra Corbera km 1, Alzira 46600, Spain
Recalde, S:
Inst Catala Oncol Hosp, Dept Med Oncol, Multidisciplinary Breast Canc Unit, Avinguda Granvia Hosp 199, L?Hospitalet De Llobregat 08908, Spain
Mendez, M:
Hosp Univ Puerta Hierro, Dept Med Oncol, C Joaquin Rodrigo 1, Majadahonda 28222, Spain
Verges, NC:
Hosp Santa Creu & Sant Pau, Dept Med Oncol, Consulta Canc Familiar, Carrer St Quinti 89,Horta Guinardo, Barcelona 08025, Spain
Pérez-Gómez, B:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Pastor-Barriuso, R:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
Lope, V:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Dept Epidemiol Chron Dis, Canc & Environm Epidemiol Unit, Avda Monforte Lemos 5, Madrid 28029, Spain
Consortium Biomed Res Epidemiol & Publ Hlth CIBERE, Avda Monforte Lemos 3-5, Madrid 28029, Spain
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