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
| Autor: | Virginia Lope, Angel Guerrero-Zotano, Emma Ruiz-Moreno, Begoña Bermejo, Silvia Antolín, Álvaro Montaño, José Manuel Baena-Cañada, Manuel Ramos Vázquez, Nerea Fernández de Larrea-Baz, José Ignacio Chacón, José Angel García-Sáenz, Clara Olier, Montserrat Muñoz, Antonio Antón, Pedro Sánchez Rovira, Angels Arcusa Lanza, Sonia González, Amparo Oltra, Joan Brunet, Joaquín Gavilá Gregori, María Teresa Martínez, Lourdes Calvo, Libertad Rosell, Susana Bezares, Roberto Pastor-Barriuso, Beatriz Pérez-Gómez, Miguel Martín, Marina Pollán |
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| Přispěvatelé: | Asociación Española Contra el Cáncer |
| Rok vydání: | 2022 |
| Předmět: |
Cancer Research
Survival AICR guidelines Cancer prevention recommendations Healthy lifestyle lifestyle recommendations WCRF/AICR guidelines cancer prevention recommendations compliance health behaviours healthy lifestyle survival breast cancer Health-EpiGEICAM Breast cancer WCRF Oncology Health behaviours Lifestyle recommendations Compliance |
| Zdroj: | Repisalud Instituto de Salud Carlos III (ISCIII) Cancers; Volume 14; Issue 19; Pages: 4705 Cancers r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname |
| ISSN: | 2072-6694 |
| Popis: | Simple Summary There is insufficient evidence on the impact of sociodemographic and clinical factors on health-related lifestyles in breast cancer (BC) survivors. The International guidelines for cancer prevention are recommended not only for the general population but also for people who already have cancer. We sought to explore the degree of adherence to 2018 WCRF/AICR cancer prevention recommendations and to identify potentially influential factors, in 420 BC survivors in Spain. Global adherence was moderate, higher for the consumption of fruits and vegetables and lower for limiting red/processed meat consumption and having a high fibre intake. Compliance was worse in more educated survivors and in women with first-degree relatives with BC. There were differences in compliance with specific recommendations according to sociodemographic and clinical characteristics. This information is of interest to promote behavioural changes towards healthier lifestyles in BC survivors. 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. |
| Databáze: | OpenAIRE |
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