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oai:repisalud.isciii.es:20.500.12105/253752025-12-18T12:57:22Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16961col_20.500.12105_16969col_20.500.12105_16978col_20.500.12105_16984

00925njm 22002777a 4500 dc Lope Carvajal, Virginia author Guerrero-Zotano, Ángel author Fernandez de Larrea-Baz, Nerea author Antolín, Silvia author Benavent Viñuales, Marta author Bermejo, Begoña author Ruiz Moreno, Emma author Baena-Cañada, José Manuel author París, Lorena author Antón, Antonio author Chacón, José Ignacio author Muñoz, Montserrat author García-Sáenz, José Ángel author Olier, Clara author Sánchez Rovira, Pedro author Arcusa Lanza, Angels author González, Sonia author Brunet, Joan author Oltra, Amparo author Bezares, Susana author Rosell, Libertad author Perez-Gomez, Beatriz author Pastor-Barriuso, Roberto author Martín, Miguel author Pollan-Santamaria, Marina author 2024-08 Objectives: Adherence to healthy lifestyle recommendations has been reported to improve health-related quality of life (HRQL) in breast cancer (BC) patients, but the influence of long-term behavioral changes remains unknown. We evaluated the association between adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations and HRQL both, at BC diagnosis and the change 7-12 years later. Design: Prospective cohort study. Settings and participants: A total of 406 breast cancer survivors, from the EpiGEICAM study, were recruited in 16 Spanish hospitals. Measurements: Epidemiological, clinical, dietary, physical activity and HRQL information was collected both at recruitment and 7-12 years later. A 7-item score to measure compliance with recommendations was assessed according to the 2018 WCRF/AICR scoring criteria. HRQL was evaluated using SF-36 questionnaire. Linear mixed models for longitudinal data were used to assess the cross-sectional and longitudinal association between adherence score and the physical and mental component summary scores. Results: At diagnosis, for each unit increase in WCRF/AICR score adherence, the HRQL physical domain increased 0.78 points (95%CI: -0.04 to 1.60; P trend:0.06). The mean change in physical HRQL from diagnosis to follow-up per unit increase in within-subject adherence score was 0.73 points (95%CI: -0.18 to 1.65; P trend: 0.12). For the mental domain, no association was observed with compliance with the recommendations at diagnosis, nor with changes in adherence over time. Conclusions: Our results suggest that Increased adherence to WCRF/AICR cancer prevention recommendations over time could contribute to slightly improved long-term physical HRQoL in BC survivors. J Nutr Health Aging. 2024 Aug;28(8):100312. 10.1016/j.jnha.2024.100312 1760-4788 The Journal of nutrition, health and aging 38970849 https://hdl.handle.net/20.500.12105/25375 Breast cancer survivors Cancer prevention guidelines Health behaviors Health-related quality of life WCRF/AICR recommendations Cross-sectional and longitudinal associations of adherence to WCRF/AICR cancer prevention recommendations with health-related quality of life in breast cancer survivors. Health-EpiGEICAM study