Adherence to the WCRF/AICR 2018 recommendations for cancer prevention and risk of cancer: prospective cohort studies of men and women

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Kaluza, JoannaKarolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden; Warsaw Univ Life Sci SGGW, Dept Human Nutr, Warsaw, Poland (author)

Adherence to the WCRF/AICR 2018 recommendations for cancer prevention and risk of cancer : prospective cohort studies of men and women

Article/chapterEnglish2020

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2020-03-25
Springer Science and Business Media LLC,2020
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LIBRIS-ID:oai:DiVA.org:uu-423846
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-423846URI
https://doi.org/10.1038/s41416-020-0806-xDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:143272383URI

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BackgroundIn 2018, the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) issued revised recommendations for cancer prevention. We examined the relation between adherence to these recommendations and risk of total cancer in two population-based Swedish prospective cohorts (29,451 men and 25,349 women).MethodsStandardized-WCRF/AICR 2018 and simplified-WCRF/AICR 2018 adherence scores were constructed based on the WCRF/AICR recommendations for body weight, physical activity, diet, alcohol consumption and dietary supplement use. Data were collected using a self-administered questionnaire.ResultsDuring the 15.4 years of follow-up, 12,693 incident cancers were ascertained. The multivariable HR between extreme categories of the Standardized-WCRF/AICR 2018 score (4.1–7 vs. 0–2) was 0.88 (95% CI = 0.82–0.95) and for the Simplified score (5–8 vs. 0–2) was 0.85 (95% CI = 0.80–0.90); each 1-score increment in recommendation adherence was associated with 3% (95% CI = 1–5%) and 4% (95% CI = 2–5%) decreased risk, respectively. Based on the Simplified scoring, most participants (>90%) did not meet WCRF/AICR 2018 recommendations regarding consumption of plant foods, limited consumption of red/processed meat and ‘fast food’/processed food, and <50% of participants met the weight and physical activity recommendations.ConclusionsAdherence to the 2018WCRF/AICR recommendations substantially reduced the risk of total cancer. Given that many people do not meet the recommendations, there is a great potential for cancer prevention.

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Harris, Holly R.Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Program Epidemiol, 1124 Columbia St, Seattle, WA 98104 USA; Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA (author)
Håkansson, NiclasKarolinska Institutet (author)
Wolk, AlicjaKarolinska Institutet,Uppsala universitet,Ortopedi,Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden(Swepub:uu)alwol516 (author)
Karolinska Inst, Inst Environm Med, Unit Cardiovasc & Nutr Epidemiol, Stockholm, Sweden; Warsaw Univ Life Sci SGGW, Dept Human Nutr, Warsaw, PolandFred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Program Epidemiol, 1124 Columbia St, Seattle, WA 98104 USA; Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA (creator_code:org_t)

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In:British Journal of Cancer: Springer Science and Business Media LLC122:10, s. 1562-15700007-09201532-1827

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