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Abbreviated Score to Assess Adherence to the 2018 WCRF/AICR Cancer Prevention Recommendations and Risk of Cancer in the UK Biobank
Indexado
WoS WOS:001181303800009
Scopus SCOPUS_ID:85182027575
DOI 10.1158/1055-9965.EPI-23-0923
Año 2024
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: The World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR) Cancer Prevention Recommendations are lifestyle-based guidelines which aim to reduce cancer risk. This study investigated, in the UK Biobank, associations between an abbreviated score to assess adherence to these Recommendations and the risk of all cancers combined and of 14 cancers for which there is strong evidence for links with diet, adiposity, and physical activity. Methods: We used data from 288,802 UK Biobank participants (mean age 56.2 years), cancer-free at baseline. An abbreviated version of the 2018 WCRF/AICR Score was calculated to assess adherence to five Recommendations on (i) body weight, (ii) physical activity, (iii) fruits, vegetables, and dietary fiber, (iv) red and processed meat, and (v) alcohol. Multivariable Cox proportional hazards models were used to analyze associations between the abbreviated score (range, 0-5 points) and cancer incidence, adjusting for confounders. Results: During a median follow-up of 8.2 years (interquartile range, 7.4-8.9), 23,448 participants were diagnosed with cancer. The abbreviated score was inversely associated with risk of cancer overall [HR: 0.93; 95% confidence interval (CI): 0.92-0.95 per 1-point increment], and breast (HR: 0.90; 95% CI: 0.87-0.94), colorectal (HR: 0.86; 95% CI: 0.83-0.90), lung (HR: 0.89; 95% CI: 0.84-0.94), kidney (HR: 0.83; 95% CI: 0.76-0.90), pancreatic (HR: 0.86; 95% CI: 0.79-0.94), uterine (HR: 0.79; 95% CI: 0.73-0.86), esophageal (HR: 0.82; 95% CI: 0.75-0.90), stomach (HR: 0.89; 95% CI: 0.79-0.99), and liver (HR: 0.80; 95% CI: 0.72- 0.90) cancers. Conclusions: Greater adherence to the Cancer Prevention Recommendations, assessed using an abbreviated score, was associated with reduced risk of all cancers combined and of nine sitespecific cancers. Impact: Our findings support compliance to these Recommendations for cancer prevention.

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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Oncology
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Malcomson, Fiona C. Mujer Newcastle University - Reino Unido
Newcastle Univ - Reino Unido
2 Parra-Soto, Solange Mujer University of Glasgow - Reino Unido
Universidad del Bío Bío - Chile
Univ Glasgow - Reino Unido
3 Ho, Frederick K. Hombre University of Glasgow - Reino Unido
Univ Glasgow - Reino Unido
4 CELIS-MORALES, CARLOS ALBERTO Hombre University of Glasgow - Reino Unido
Universidad Católica del Maule - Chile
Univ Glasgow - Reino Unido
5 Sharp, Linda Mujer Newcastle University - Reino Unido
Newcastle Univ - Reino Unido
6 Mathers, John C. Hombre Newcastle University - Reino Unido
Newcastle Univ - Reino Unido

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Financiamiento



Fuente
World Cancer Research Fund International
ANID-Becas
Wereld Kanker Onderzoek Fonds
Wereld Kanker Onderzoek Fonds (WKOF), as part of the World Cancer Research Fund International grant programme
Wereld Kanker Onderzoek Fonds (WKOF)

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
F.C. Malcomson reports grants from World Cancer Research Fund International during the conduct of the study. L. Sharp reports grants from WCRF during the conduct of the study. J.C. Mathers reports grants from Wereld Kanker Onderzoek Fonds (WKOF) during the conduct of the study. No disclosures were reported by the other authors.
This research was funded by grant number IIG_FULL_2020_032 from the Wereld Kanker Onderzoek Fonds (WKOF), as part of the World Cancer Research Fund International grant programme, awarded to J.C. Mathers, F.C. Malcomson,
F.C. Malcomson reports grants from World Cancer Research Fund International during the conduct of the study. L. Sharp reports grants from WCRF during the conduct of the study. J.C. Mathers reports grants from Wereld Kanker Onderzoek Fonds (WKOF) during the conduct of the study. No disclosures were reported by the other authors.
This research was funded by grant number IIG_FULL_2020_032 from the Wereld Kanker Onderzoek Fonds (WKOF), as part of the World Cancer Research Fund International grant programme, awarded to J.C. Mathers, F.C. Malcomson, and L. Sharp. S. Parra-Soto received financial support from the Chilean Government for their PhD (ANID-Becas Chile, project 72200012).

Muestra la fuente de financiamiento declarada en la publicación.