Table 1.
Description of ACS cancer prevention guidelines scores
| ACS recommendation | Worst score (0) | Middle score (1) | Best score (2) |
|---|---|---|---|
| 1. "Maintain a healthy weight throughout life." | BMI at age 18 y: ≥30 kg/m2, or BMI at baseline: ≥30 kg/m2 | BMI at age 18 y: 25 to <30 kg/m2, or BMI at baseline: 25 to <30 kg/m2 | BMI at age 18 y: <25 kg/m2, and BMI at baseline: <25 kg/m2 |
| 2. "Adopt a physically active lifestyle with 30 min or more of moderate to vigorous intentional physical activity at least 5 d/wk; 45–60 min are preferable." | <8.75 MET h/wk | 8.75–17.5 MET h/wk | >17.5 MET h/wk |
| 3. "Consume a healthy diet with an emphasis on plant sources." | 0–2 diet points | 3–6 diet points | 7–9 diet points |
| 3A. "Eat 5 or more servings of a variety of vegetables and fruits each day." | 1 point for consuming ≥5 servings/d fruits + vegetables, plus 1 or 2 points for being in the second or third tertile of total carotenoids,a respectively. | ||
| 3B. "Choose whole grains in preference to processed (refined) grains)." | Percentage of grains consumed as whole grains divided into quartiles and assigned a score of 0–3 (lowest quartile = 0) | ||
| 3C. "Limit consumption of processed and red meats." | Intake of red + processed meat (servings/wk) divided into quartiles and assigned a score of 0–3 (lowest quartile = 3) | ||
| 4. "If you drink, limit consumption to 1 drink/d for women." | >1 drink/d | >0–≤1 drink/d | Nondrinker at baseline |
a
Tertiles of carotenoids consumed was used to capture quality of fruit and vegetables, modified from the original diversity score.