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
Year: 2022
Type: article
Study design: Observational Study
Abstract: 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.
Source: Cancers
Authors: 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
Institutions: Instituto de Salud Carlos III, Centro Nacional de Epidemiología, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, GEICAM – Spanish Breast Cancer Group, Fundación Instituto Valenciano de Oncología, Universitat de València, INCLIVA Health Research Institute, Centro de Investigación Biomédica en Red de Cáncer, Complexo Hospitalario Universitario A Coruña, Hospital Universitario Virgen del Rocío, Biomedical Research and Innovation Institute of Cadiz, Hospital Universitario Puerta del Mar, Centro Oncológico de Galicia, Hospital Universitario de Toledo, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Hospital Universitario Fundación Alcorcón, Consorci Institut D'Investigacions Biomediques August Pi I Sunyer, Hospital Universitario Miguel Servet, Complejo Hospitalario de Jaén, Consorci Sanitari de Terrassa, University Hospital Mútua de Terrassa, Mútua Terrassa, Hospital Virgen de los Lirios, Institut Català d'Oncologia, Institut d'Investigació Biomèdica de Girona, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón
Language: English
Topic: Cancer survivorship and care
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,513
OpenAlex ID: W4297348409