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Pre-diagnostic concordance with the WCRF/AICR guidelines and survival in European colorectal cancer patients: a cohort study

Dora Romaguera 1, 2, 3, * Heather Ward 1 Petra Wark 4 Anne-Claire Vergnaud 1 Petra Peeters 1, 5 Carla van Gils 5 Pietro Ferrari 6 Veronika Fedirko 7 Mazda Jenab 6 Marie-Christine Boutron-Ruault 8 Laure Dossus 8 Laureen Dartois 8 Camilla Plambeck Hansen 9 Christina Catherine Dahm 9 Genevieve Buckland 10 Maria-José Sánchez 11, 12 Miren Dorronsoro 11, 12 Carmen Navarro 12, 13, 14 Aurelio Barricarte 12, 15 Timothy Key 16 Antonia Trichopoulou 17, 18 Christos Tsironis 17 Pagona Lagiou 18, 19, 20 Giovanna Masala 21 Valeria Pala 22 Rosario Tumino 23 Paolo Vineis 24, 1 Salvatore Panico 25 Bas Bueno-De-Mesquita 26, 1, 27, 28 Peter Siersema 29 Bodil Ohlsson 30 Karin Jirström 31 Maria Wennberg 32 Lena Nilsson 33 Elisabete Weiderpass 34, 35, 36, 37 Tilman Kühn 38 Verena Katzke 38 Kay-Tee Khaw 39 Nick Wareham 40 Anne Tjønneland 41 Heiner Boeing 42 José Ramón Quirós 43 Marc Gunter 1 Elio Riboli 1 Teresa Norat 1
* Corresponding author
1 Department of Epidemiology and Public Health
2 IdISPa - Instituto de Investigación Sanitaria de Palma
3 (CIBEROBN) - CIBER Fisiopatología de la Obesidad y Nutrición
4 Department of Primary Care and Public Health
5 Department of Epidemiology
6 Nutrition and Metabolism Section
7 Department of Epidemiology
8 CESP - Centre de recherche en épidémiologie et santé des populations
9 Section for Epidemiology
10 Unit of Nutrition, Environment and Cancer
11 Granada Cancer Registry
12 CIBERESP - Consorcio de Investigación Biomédica en Red especializado en Epidemiología y Salud Pública
13 Department of Epidemiology
14 Department of Health and Social Sciences
15 Navarre Public Health Institute
16 Cancer Epidemiology Unit
17 Hellenic Health Foundation
18 Bureau of Epidemiologic Research
19 Department of Hygiene, Epidemiology and Medical Statistics
20 Department of Epidemiology
21 Molecular and Nutritional Epidemiology Unit
22 Epidemiology and Prevention Unit
23 Cancer Registry and Histopathology Unit
24 HuGeF - Human Genetics Foundation
25 Dipartimento di Medicina Clinica e Chirurgia
26 Department of Social and Preventive Medicine, Faculty of Medicine
27 DCD - Department for Determinants of Chronic Diseases
28 Department of Gastroenterology and Hepatology
29 Department of Gastroenterology and Hepatology
30 Division of Internal Medicine
31 Division of Oncology and Pathology
32 Department of Public Health and Clinical Medicine, Nutritional Research
33 Arctic Research Centre
34 Department of Community Medicine
35 Department of Research
36 MEB - Department of Medical Epidemiology and Biostatistics
37 Genetic Epidemiology Group [Helsinki]
Folkhälsan Research Center
38 Division of Cancer Epidemiology
39 Clinical Gerontology Unit
40 MRC Epidemiology Unit
41 Danish Cancer Society Research Center
42 Department of Epidemiology
43 Public Health Directorate
Abstract : Background: Cancer survivors are advised to follow lifestyle recommendations on diet, physical activity, and body fatness proposed by the World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) for cancer prevention. Previous studies have demonstrated that higher concordance with these recommendations measured using an index score (the WCRF/AICR score) was associated with lower cancer incidence and mortality. The aim of this study was to evaluate the association between pre-diagnostic concordance with WCRF/AICR recommendations and mortality in colorectal cancer (CRC) patients. Methods: The association between the WCRF/AICR score (score range 0–6 in men and 0–7 in women; higher scores indicate greater concordance) assessed on average 6.4 years before diagnosis and CRC-specific (n = 872) and overall mortality (n = 1,113) was prospectively examined among 3,292 participants diagnosed with CRC in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort (mean follow-up time after diagnosis 4.2 years). Multivariable Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality.
Keywords : Healthy lifestyle Colorectal cancer Diet Physical activity Survival Weight
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Journal articles
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https://www.hal.inserm.fr/inserm-01264492
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Submitted on : Friday, January 29, 2016 - 12:42:50 PM
Last modification on : Wednesday, December 23, 2020 - 10:30:02 AM
Long-term archiving on: : Friday, November 11, 2016 - 7:58:31 PM

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Dora Romaguera, Heather Ward, Petra Wark, Anne-Claire Vergnaud, Petra Peeters, et al.. Pre-diagnostic concordance with the WCRF/AICR guidelines and survival in European colorectal cancer patients: a cohort study. BMC Medicine, BioMed Central, 2015, 13 (1), pp.107. ⟨10.1186/s12916-015-0332-5⟩. ⟨inserm-01264492⟩

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