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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 2/2019

01-04-2019 | Breast Cancer

Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors

Authors: Sparkle Springfield, Angela Odoms-Young, Lisa Tussing-Humphreys, Sally Freels, Melinda Stolley

Published in: Journal of Cancer Survivorship | Issue 2/2019

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Abstract

Purpose

The American Cancer Society (ACS) and the American Institute for Cancer Research (AICR) each created dietary and physical activity guidelines to improve cancer survivorship. Despite African American breast cancer survivors (AABCS) having the lowest survival rates of any racial or ethnic group, limited information exists on their adherence to cancer-specific lifestyle recommendations. The study’s purpose was to measure adherence to ACS/AICR dietary recommendations in AABCS.

Methods

Two hundred ten AABCS enrolled in the Moving Forward intervention trial, a randomized, community-based, 6-month weight loss study, were assessed for socio-demographics, dietary intake (via food frequency questionnaire), and related health factors at baseline. We operationalized the dietary recommendations put forth by ACS/AICR and created component and total adherence index scores. Descriptive statistics were used to calculate the proportion of women who met recommendations. Student’s t test and χ2 tests were used to compare participant characteristics by median adherence scores.

Results

The mean total ACS/AICR score was 12.7 ± 2.5 out of 21 points (median, 13; range, 5 to 21). Over 90% were moderately or completely adherent to limiting alcohol and red & processed meat consumption, but the majority failed to meet the other recommendations to eat whole grains, legumes, fruits, vegetables, and avoid added sugars. Women with total scores below the median were younger, with higher BMI, had fewer years of education, and lower income levels.

Implications for Cancer Survivors

The present study extends the literature on AABCS adherence to cancer survivor–specific dietary guidelines. Findings will inform future dietary lifestyle interventions in this population.
Appendix
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Metadata
Title
Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors
Authors
Sparkle Springfield
Angela Odoms-Young
Lisa Tussing-Humphreys
Sally Freels
Melinda Stolley
Publication date
01-04-2019
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 2/2019
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-019-00748-y

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