2026-07-23T17:12:31Zhttps://repisalud.isciii.es/rest/oai/requestoai: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
Repisalud
author
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
funder
Asociación Española Contra el Cáncer
funder
Instituto de Salud Carlos III
2024-10-30T10:56:44Z
2024-10-30T10:56:44Z
2024-08
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
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.
eng
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
research article
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