Table 1.
WCRF/AICR Guidelines and Adherence Scores
| Recommendation | Component Definition | Adherence Categories | Score | Cohort N (%) |
|---|---|---|---|---|
| Baseline WCRF/AICR Adherence Score | Sum of Scores (Maximum = 7.0) | >4.0 points | High | 3,610 (8.5) |
| 3.0 – 4.0 points | Moderate | 19,310 (45.5) | ||
| <3.0 points | Low | 19,566 (46.1) | ||
| Baseline WCRF/AICR Diet Adherence Score | Sum of Dietary Recommendation Scores (Maximum = 5.0) | >3.0 points | High | 2,538 (5.4) |
| 2.0 – 3.0 points | Moderate | 30,275 (64.2) | ||
| <2 points | Low | 12,328 (30.4) | ||
| Maintain body weight within normal range and avoid weight gain in adulthood. | Normal BMI: 18.5 - <25 kg/m2 Overweight BMI: 25 - <30 kg/m2 Obese BMI: ≥ 30 kg/m2 + Adult weight change (kg)= current weight – weight at 18 years |
Normal BMI and ≤ +6.80 kg | 1 | 7,2413(15.1) |
| Overweight BMI and/or +6.81-13.61 kg | 0.5 | 12,017 (25.1) | ||
| Obese BMI and/or ≥ +13.62 kg | 0 | 28,628 (59.9) | ||
| Be moderately physically active for at least 30 minutes per day and limit sedentary habits. | PA levels: walking for exercise and vigorous activity levels (High PA: ≥ 3-4 hrs./wk. vigorous or ≥ 5-6 hrs./wk. walking for exercise; Moderate PA: 1-2 hrs/wk. vigorous or 1-4 hrs./wk. walking for exercise); Low PA: <1 hr/wk vigorous or walking for exercise) + Sedentary behavior: hours spent sitting at work or watching television/computer per day. (High sedentary: ≥8 hrs./day sitting; Moderate sedentary: >5-<8 hrs./day sitting; Low sedentary ≤5 hrs./day) |
High PA and Low/Moderate Sedentary | 1 | 10,939 (24.6) |
| High PA and High Sedentary or Moderate PA and Low/Moderate Sedentary or Low PA and Low Sedentary | 0.5 | 19,356 (43.6) | ||
| Moderate PA and High Sedentary or Low PA and High/Moderate Sedentary | 0 | 14,153 (31.8) | ||
| Consume energy dense foods sparingly + Limit intake of sugary drinks. |
Data on caloric intake by food gram was not available. | Not included. | --- | --- |
| Sugar beverage intake (g/d) | 0 g/d | 1 | 848 (1.7) | |
| < 250 g/d | 0.5 | 17993 (36.9) | ||
| ≥ 250 g/d | 0 | 29,908 (61.4) | ||
| Eat at least 5 servings of fruits and vegetables each day and eat relatively unprocessed grains and legumes. | Servings of fruits and vegetables (FV) per day.1 + Total grams of fiber per week. |
≥ 5 FV and ≥25 g fiber | 1 | 854 (1.8) |
| 3 - <5 FV and/or 12.5 - <25 g fiber | 0.5 | 8,892 (18.8) | ||
| <3 FV and/or <12.5 g fiber | 0 | 37,688 (79.5) | ||
| Consume less than 500 grams red meat a week and consume very little or no processed meat. | Total red and processed meat (RP) intake (g/wk) and processed meat (P) intake (g/wk) | < 500 g/wk RP and < 3 g/wk P | 1 | 8,564 (17.6) |
| < 500 g/wk RP and 3 - < 50 g/wk P | 0.5 | 27,807 (57.0) | ||
| ≥ 500 g/wk RP and ≥ 50 g/wk P | 0 | 12,378 (25.4) | ||
| Limit alcohol consumption to no more than one drink per day (women). | Servings of alcohol per week. (1 standard alcohol serving = 10 g) | < 7 servings/wk | 1 | 45,651 (94.2) |
| 7 - 13 servings/wk | 0.5 | 1,826 (3.8) | ||
| ≥ 14 servings/wk | 0 | 977 (2.0) | ||
| Avoid salt-preserved, salted or salty foods. | Sodium intake (mg/d) | ≤ 1500 mg/day | 1 | 10,703 (22.0) |
| > 1500 – 2400 mg/day | 0.5 | 17,879 (36.7) | ||
| > 2400 mg/day | 0 | 20,148 (41.4) | ||
| Do not take supplements to prevent cancer. Aim to meet nutrient needs through diet. | Not included. Insufficient information on supplement usage and reasons for use. | Not included | --- | --- |
1
servings = 400 g, 3 servings = 200 g