Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis
Background The World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations are lifestyle‐based guidelines that aim to reduce cancer risk. A systematic review and meta‐analysis of studies investigating associations between a score for adherence to the 2018 Canc...
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| Veröffentlicht in: | Cancer 2023-09, Vol.129 (17), p.2655-2670 |
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| creator | Malcomson, Fiona C. Wiggins, Christopher Parra‐Soto, Solange Ho, Frederick K. Celis‐Morales, Carlos Sharp, Linda Mathers, John C. |
| description | Background
The World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations are lifestyle‐based guidelines that aim to reduce cancer risk. A systematic review and meta‐analysis of studies investigating associations between a score for adherence to the 2018 Cancer Prevention Recommendations and cancer risk was conducted.
Methods
MEDLINE, Embase, Web of Science, and Scopus were searched for studies published to November 28, 2022. In meta‐analysis, the estimated risk ratios and 95% CIs for adherence score as a continuous (per 1‐point increment) and categorical (highest vs. lowest score category) variable using random‐effects models were estimated.
Results
Eighteen studies (11 cohort; seven case‐control) were included investigating incidence of breast (n = 7), colorectal (n = 5), prostate (n = 2), lung (n = 2), pancreatic (n = 1), endometrial (n = 1), unknown primary cancer (n = 1), chronic lymphocytic leukemia (n = 1), and overall (any) cancer (n = 1). The summary risk ratio per 1‐point increment in adherence score was 0.89 (95% CI, 0.85–0.93; I2 = 76.5%; n = 7) for breast cancer, 0.88 (95% CI, 0.84–0.91; I2 = 26.2%; n = 4) for colorectal cancer, and 0.92 (95% CI, 0.86–0.98, I2 = 66.0%; n = 2) for lung cancer. There were no significant associations with prostate or other cancers. Meta‐analysis results using categorical adherence score variables were consistent with these findings.
Conclusions
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, colorectal, and lung cancers. Future studies investigating associations with risk of other forms of cancer are warranted.
PROSPERO registration number
CRD42022313327.
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, lung, and colorectal cancers. Future studies investigating associations with risk of other forms of cancer are warranted. |
| doi_str_mv | 10.1002/cncr.34842 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2825503641</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2847558619</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3932-8e46370ffb68a653955fe5a5b3c7d6d6a117f0d016b12d53c68068f2944920e83</originalsourceid><addsrcrecordid>eNp90U9u1DAUBnALUdGhsOEAyBIbhJTW_-OwG0UUKlUtqkCwizz2iyYlsYudUM2OI3AE7sANepSepJ5mYAESK-vZP3960ofQM0oOKSHsyHobD7nQgj1AC0qqsiBUsIdoQQjRhRT88z56nNJlHksm-SO0z0tOKkblAv1aujVE8BbwGPC4BswI1fhTiL3Dtcn3EV9AAhPtGh9P3h0tB4idNR6f-DR24zQCbkP8x-7m9xG-gR-74POTDcMA3pntmLDxDttZxS59eY2XNz_TJo0wZGBx_tjB9b0aYDS3338Yb_pN6tITtNeaPsHT3XmAPh6_-VC_K07P357Uy9PC8oqzQoNQvCRtu1LaKMkrKVuQRq64LZ1yylBatsQRqlaUOcmt0kTpllVCVIyA5gfo5Zx7FcPXCdLYDF2y0PfGQ5hSwzSTknAlaKYv_qKXYYp5360SpZRa0SqrV7OyMaQUoW2uYjeYuGkoabZVNtsqm_sqM36-i5xWA7g_9Hd3GdAZXHc9bP4T1dRn9cUcegc69Kuu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2847558619</pqid></control><display><type>article</type><title>Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Online Library Free Content</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Malcomson, Fiona C. ; Wiggins, Christopher ; Parra‐Soto, Solange ; Ho, Frederick K. ; Celis‐Morales, Carlos ; Sharp, Linda ; Mathers, John C.</creator><creatorcontrib>Malcomson, Fiona C. ; Wiggins, Christopher ; Parra‐Soto, Solange ; Ho, Frederick K. ; Celis‐Morales, Carlos ; Sharp, Linda ; Mathers, John C.</creatorcontrib><description>Background
The World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations are lifestyle‐based guidelines that aim to reduce cancer risk. A systematic review and meta‐analysis of studies investigating associations between a score for adherence to the 2018 Cancer Prevention Recommendations and cancer risk was conducted.
Methods
MEDLINE, Embase, Web of Science, and Scopus were searched for studies published to November 28, 2022. In meta‐analysis, the estimated risk ratios and 95% CIs for adherence score as a continuous (per 1‐point increment) and categorical (highest vs. lowest score category) variable using random‐effects models were estimated.
Results
Eighteen studies (11 cohort; seven case‐control) were included investigating incidence of breast (n = 7), colorectal (n = 5), prostate (n = 2), lung (n = 2), pancreatic (n = 1), endometrial (n = 1), unknown primary cancer (n = 1), chronic lymphocytic leukemia (n = 1), and overall (any) cancer (n = 1). The summary risk ratio per 1‐point increment in adherence score was 0.89 (95% CI, 0.85–0.93; I2 = 76.5%; n = 7) for breast cancer, 0.88 (95% CI, 0.84–0.91; I2 = 26.2%; n = 4) for colorectal cancer, and 0.92 (95% CI, 0.86–0.98, I2 = 66.0%; n = 2) for lung cancer. There were no significant associations with prostate or other cancers. Meta‐analysis results using categorical adherence score variables were consistent with these findings.
Conclusions
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, colorectal, and lung cancers. Future studies investigating associations with risk of other forms of cancer are warranted.
PROSPERO registration number
CRD42022313327.
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, lung, and colorectal cancers. Future studies investigating associations with risk of other forms of cancer are warranted.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.34842</identifier><identifier>PMID: 37309215</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>2018 WCRF/AICR Cancer Prevention Recommendations ; Breast cancer ; Breast Neoplasms - epidemiology ; Cancer ; Cancer research ; cancer risk ; Chronic lymphocytic leukemia ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - epidemiology ; Diet ; Disease prevention ; Endometrium ; Exercise ; Health risks ; Humans ; Incidence ; Leukemia ; Life Style ; lifestyle ; lifestyle score ; Lung cancer ; Lymphatic leukemia ; Male ; Medical research ; Meta-analysis ; Oncology ; physical activity ; Prevention ; Prostate ; Risk ; Risk Factors ; Systematic review ; United States - epidemiology</subject><ispartof>Cancer, 2023-09, Vol.129 (17), p.2655-2670</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of American Cancer Society.</rights><rights>2023 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-8e46370ffb68a653955fe5a5b3c7d6d6a117f0d016b12d53c68068f2944920e83</citedby><cites>FETCH-LOGICAL-c3932-8e46370ffb68a653955fe5a5b3c7d6d6a117f0d016b12d53c68068f2944920e83</cites><orcidid>0000-0001-9515-1722 ; 0000-0001-5072-7644</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.34842$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.34842$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37309215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malcomson, Fiona C.</creatorcontrib><creatorcontrib>Wiggins, Christopher</creatorcontrib><creatorcontrib>Parra‐Soto, Solange</creatorcontrib><creatorcontrib>Ho, Frederick K.</creatorcontrib><creatorcontrib>Celis‐Morales, Carlos</creatorcontrib><creatorcontrib>Sharp, Linda</creatorcontrib><creatorcontrib>Mathers, John C.</creatorcontrib><title>Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background
The World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations are lifestyle‐based guidelines that aim to reduce cancer risk. A systematic review and meta‐analysis of studies investigating associations between a score for adherence to the 2018 Cancer Prevention Recommendations and cancer risk was conducted.
Methods
MEDLINE, Embase, Web of Science, and Scopus were searched for studies published to November 28, 2022. In meta‐analysis, the estimated risk ratios and 95% CIs for adherence score as a continuous (per 1‐point increment) and categorical (highest vs. lowest score category) variable using random‐effects models were estimated.
Results
Eighteen studies (11 cohort; seven case‐control) were included investigating incidence of breast (n = 7), colorectal (n = 5), prostate (n = 2), lung (n = 2), pancreatic (n = 1), endometrial (n = 1), unknown primary cancer (n = 1), chronic lymphocytic leukemia (n = 1), and overall (any) cancer (n = 1). The summary risk ratio per 1‐point increment in adherence score was 0.89 (95% CI, 0.85–0.93; I2 = 76.5%; n = 7) for breast cancer, 0.88 (95% CI, 0.84–0.91; I2 = 26.2%; n = 4) for colorectal cancer, and 0.92 (95% CI, 0.86–0.98, I2 = 66.0%; n = 2) for lung cancer. There were no significant associations with prostate or other cancers. Meta‐analysis results using categorical adherence score variables were consistent with these findings.
Conclusions
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, colorectal, and lung cancers. Future studies investigating associations with risk of other forms of cancer are warranted.
PROSPERO registration number
CRD42022313327.
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, lung, and colorectal cancers. Future studies investigating associations with risk of other forms of cancer are warranted.</description><subject>2018 WCRF/AICR Cancer Prevention Recommendations</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Cancer</subject><subject>Cancer research</subject><subject>cancer risk</subject><subject>Chronic lymphocytic leukemia</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Diet</subject><subject>Disease prevention</subject><subject>Endometrium</subject><subject>Exercise</subject><subject>Health risks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Leukemia</subject><subject>Life Style</subject><subject>lifestyle</subject><subject>lifestyle score</subject><subject>Lung cancer</subject><subject>Lymphatic leukemia</subject><subject>Male</subject><subject>Medical research</subject><subject>Meta-analysis</subject><subject>Oncology</subject><subject>physical activity</subject><subject>Prevention</subject><subject>Prostate</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Systematic review</subject><subject>United States - epidemiology</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp90U9u1DAUBnALUdGhsOEAyBIbhJTW_-OwG0UUKlUtqkCwizz2iyYlsYudUM2OI3AE7sANepSepJ5mYAESK-vZP3960ofQM0oOKSHsyHobD7nQgj1AC0qqsiBUsIdoQQjRhRT88z56nNJlHksm-SO0z0tOKkblAv1aujVE8BbwGPC4BswI1fhTiL3Dtcn3EV9AAhPtGh9P3h0tB4idNR6f-DR24zQCbkP8x-7m9xG-gR-74POTDcMA3pntmLDxDttZxS59eY2XNz_TJo0wZGBx_tjB9b0aYDS3338Yb_pN6tITtNeaPsHT3XmAPh6_-VC_K07P357Uy9PC8oqzQoNQvCRtu1LaKMkrKVuQRq64LZ1yylBatsQRqlaUOcmt0kTpllVCVIyA5gfo5Zx7FcPXCdLYDF2y0PfGQ5hSwzSTknAlaKYv_qKXYYp5360SpZRa0SqrV7OyMaQUoW2uYjeYuGkoabZVNtsqm_sqM36-i5xWA7g_9Hd3GdAZXHc9bP4T1dRn9cUcegc69Kuu</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Malcomson, Fiona C.</creator><creator>Wiggins, Christopher</creator><creator>Parra‐Soto, Solange</creator><creator>Ho, Frederick K.</creator><creator>Celis‐Morales, Carlos</creator><creator>Sharp, Linda</creator><creator>Mathers, John C.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9515-1722</orcidid><orcidid>https://orcid.org/0000-0001-5072-7644</orcidid></search><sort><creationdate>20230901</creationdate><title>Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis</title><author>Malcomson, Fiona C. ; Wiggins, Christopher ; Parra‐Soto, Solange ; Ho, Frederick K. ; Celis‐Morales, Carlos ; Sharp, Linda ; Mathers, John C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-8e46370ffb68a653955fe5a5b3c7d6d6a117f0d016b12d53c68068f2944920e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>2018 WCRF/AICR Cancer Prevention Recommendations</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Cancer</topic><topic>Cancer research</topic><topic>cancer risk</topic><topic>Chronic lymphocytic leukemia</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Diet</topic><topic>Disease prevention</topic><topic>Endometrium</topic><topic>Exercise</topic><topic>Health risks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Leukemia</topic><topic>Life Style</topic><topic>lifestyle</topic><topic>lifestyle score</topic><topic>Lung cancer</topic><topic>Lymphatic leukemia</topic><topic>Male</topic><topic>Medical research</topic><topic>Meta-analysis</topic><topic>Oncology</topic><topic>physical activity</topic><topic>Prevention</topic><topic>Prostate</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Systematic review</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malcomson, Fiona C.</creatorcontrib><creatorcontrib>Wiggins, Christopher</creatorcontrib><creatorcontrib>Parra‐Soto, Solange</creatorcontrib><creatorcontrib>Ho, Frederick K.</creatorcontrib><creatorcontrib>Celis‐Morales, Carlos</creatorcontrib><creatorcontrib>Sharp, Linda</creatorcontrib><creatorcontrib>Mathers, John C.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malcomson, Fiona C.</au><au>Wiggins, Christopher</au><au>Parra‐Soto, Solange</au><au>Ho, Frederick K.</au><au>Celis‐Morales, Carlos</au><au>Sharp, Linda</au><au>Mathers, John C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>129</volume><issue>17</issue><spage>2655</spage><epage>2670</epage><pages>2655-2670</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>Background
The World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations are lifestyle‐based guidelines that aim to reduce cancer risk. A systematic review and meta‐analysis of studies investigating associations between a score for adherence to the 2018 Cancer Prevention Recommendations and cancer risk was conducted.
Methods
MEDLINE, Embase, Web of Science, and Scopus were searched for studies published to November 28, 2022. In meta‐analysis, the estimated risk ratios and 95% CIs for adherence score as a continuous (per 1‐point increment) and categorical (highest vs. lowest score category) variable using random‐effects models were estimated.
Results
Eighteen studies (11 cohort; seven case‐control) were included investigating incidence of breast (n = 7), colorectal (n = 5), prostate (n = 2), lung (n = 2), pancreatic (n = 1), endometrial (n = 1), unknown primary cancer (n = 1), chronic lymphocytic leukemia (n = 1), and overall (any) cancer (n = 1). The summary risk ratio per 1‐point increment in adherence score was 0.89 (95% CI, 0.85–0.93; I2 = 76.5%; n = 7) for breast cancer, 0.88 (95% CI, 0.84–0.91; I2 = 26.2%; n = 4) for colorectal cancer, and 0.92 (95% CI, 0.86–0.98, I2 = 66.0%; n = 2) for lung cancer. There were no significant associations with prostate or other cancers. Meta‐analysis results using categorical adherence score variables were consistent with these findings.
Conclusions
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, colorectal, and lung cancers. Future studies investigating associations with risk of other forms of cancer are warranted.
PROSPERO registration number
CRD42022313327.
Greater adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations was associated with lower risk of breast, lung, and colorectal cancers. Future studies investigating associations with risk of other forms of cancer are warranted.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37309215</pmid><doi>10.1002/cncr.34842</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0001-9515-1722</orcidid><orcidid>https://orcid.org/0000-0001-5072-7644</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | 2018 WCRF/AICR Cancer Prevention Recommendations Breast cancer Breast Neoplasms - epidemiology Cancer Cancer research cancer risk Chronic lymphocytic leukemia Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - epidemiology Diet Disease prevention Endometrium Exercise Health risks Humans Incidence Leukemia Life Style lifestyle lifestyle score Lung cancer Lymphatic leukemia Male Medical research Meta-analysis Oncology physical activity Prevention Prostate Risk Risk Factors Systematic review United States - epidemiology |
| title | Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Cancer Prevention Recommendations and cancer risk: A systematic review and meta‐analysis |
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