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

• Published in: Cancers Vol. 14; no. 19; p. 4705
• Main Authors: Lope, Virginia, Guerrero-Zotano, Angel, Ruiz-Moreno, Emma, Bermejo, Begoña, Antolín, Silvia, Montaño, Álvaro, Baena-Cañada, José Manuel, Ramos Vázquez, Manuel, Fernández de Larrea-Baz, Nerea, Chacón, José Ignacio, García-Sáenz, José Angel, Olier, Clara, Muñoz, Montserrat, Antón, Antonio, Sánchez Rovira, Pedro, Arcusa Lanza, Angels, González, Sonia, Oltra, Amparo, Brunet, Joan, Gavilá Gregori, Joaquín, Martínez, María Teresa, Calvo, Lourdes, Rosell, Libertad, Bezares, Susana, Pastor-Barriuso, Roberto, Pérez-Gómez, Beatriz, Martín, Miguel, Pollán, Marina
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 27.09.2022; MDPI
• Subjects: Breast cancer; cancer prevention recommendations; Cancer research; Cancer survivors; Cancer therapies; compliance; Demographic aspects; Diet; Disease prevention; Epidemiology; Food; Food consumption; Health aspects; health behaviours; healthy lifestyle; Hospitals; Life style; lifestyle recommendations; Medical research; Patient compliance; Physical activity; Quality of life; Questionnaires; Regression analysis; Sociodemographics; Tumors; Variables; Vegetables; WCRF/AICR guidelines; Weight control; Spain
• ISSN: 2072-6694; 2072-6694
• DOI: 10.3390/cancers14194705

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.