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. Author manuscript; available in PMC: 2017 Jul 1.
Published in final edited form as: Cancer Epidemiol Biomarkers Prev. 2016 Jun 23;25(7):1018–1028. doi: 10.1158/1055-9965.EPI-16-0121

Table 3.

WCRF/AICR recommendations and adherence score breakdown of selected studies.

World Cancer Research Fund/American Institute for Cancer Research
Recommendation Hastert, 2013 &
2014x
Catsburg, 2014 Makarem, 2015 Harris, 2016 Vergnaud, 2013
Romaguera, 2012
Nomura, 2016
“Be as lean as possible
within the normal range
of body weight”
18.5 ≤ BMIxi <25 18.5 ≤ BMI ≤25 0: <18.5 BMI
>30.0
0.5: 25-29.9
1: 18.5-24.9
18.5 ≤ BMI
<25
0: <18.5 BMI >30.0
0.5: 25-29.9
1: 18.5-24.9
0: <18.5 BMI
≥30.0
0.5: 25-<30
1: 18.5-<25
“Be physically active as
part of everyday life”
≥30 min/d of
moderate/fast
walking and/or
moderate/strenuo
us activity ≥5
days/wk in ≥7 of
the past 10 yrs
≥210 min/wk 0: <30 PAIxii
0.5: 30-33
1: >33
≥30 min/dxiii 0: <15 min/dxiv
0.5: 15-30 min/dv
1: Manual/heavy manual job, or
>2h/wk vigorous, or
>30 min/dv
0: all other
0.5: 2-4x/wk
moderate or 1x/wk
vigorous
1: ≥2x/wk
vigorous or
≥5x/wk moderate
“Eat mostly foods of
plant origin”
≥5 servings of
fruits + veg and
≥1 serving whole
grains and/or
legumes/d
>400g veg +fruit
plus ≥25g whole
grains +
legumes/d
Fruit + Veg
(servings/d)
0: <2.5
0.5: 2.5-<5
1: ≥5

Refined Grains
(g/d)
Tertiles

Vegetables
(g/week)
0: Sxv>503;
NSxvi <2,471.4 or
S>503; NS
>2,471.4
0.5: S<503;
NS>2,471.4
1: S<503;
NS>2,471.4
>400g veg +
fruit plus ≥25g
whole grains
and legumes/d
Fruit + Veg (g/d)
0: <200
0.5: 200 to <400
1: >400

Dietary Fiber (g/d)
0: <12.5
0.5: 12.5 to <25
1: ≥25
Fruit + Veg
(servings/d)
0: <3
0.5: 3-<5
1: ≥5

Dietary Fiber (g/d)
0: <12.5 0.5: 12.5 to <25
1: ≥25
“Limit intake of red meat
and avoid processed
meat”
<18 oz red and/or
processed meat
per week
<500g red and
<25g processed
meat per week
0: ≥500 g/wk or
≥50 g/d
0.5: <500 g/wk &
3 to <50 g/d
1: <500 g/wk &
<3 g/d
<500g red and
<25g processed
meat/wk
0: ≥500 g/wk or ≥50
g/d
0.5: <500 g/wk & 3
to <50 g/d
1: <500 g/wk & <3
g/d
0: ≥500 g/wk
RPxvii or ≥50 g/wk
Pxviii
0.5: <500 g/wk RP
& 3 to <50 g/wk P
1: <500 g/wk RP &
<3 g/wk P
“Limit alcoholic drinks” ≤1 drink/d for
women; ≤2
drink/d for men
≤1 standard
drink per day
Wome
n
g/day:
0: >21
0.5: 14-
24 1: ≤14
Men
g/day:
0: >42
0.5: 28-
42
1: ≤28
<10g alcohol/d Women
g/d:
0: >20
0.5: >10-
20 1: ≤10
Men
g/d:
0: >30
0.5:
>20-30
1: ≤20
0: >20 g/d
0.5: >10-20
1: ≤10
“Limit consumption of
EDxix foods; avoid
sugary drinks”
ED of diet <125
kcal/100g or <1
sugary drink/wk
ED of food
<125kcal/100g.
No soda or
drinks with
added sugar
ED Foods
(servings/wk)
Tertiles
<14
servings/wk of
ED foods and
<2 glasses/d of
soda/juice
0: ED: >175xx
0.5:>125 to <175
1: ≤125
0: >250 g/d sugary
drink
0.5: ≤250 g/d
1: 0 g/d
0: ≥250 g/d
sugary
drink
0.5: <250 g/d
1: 0 g/d
“Limit consumption of
salt”
Not included <2.4g sodium/d Salty Foods
Tertiles
Sodium Intake g/d
0: >3.6
0.5: 2.4-3.6
1: <2.4
Not included Not included 0: >2400 mg/d
0.5: >1500-2400
mg/d
1: ≤1500 mg/d
“Dietary supplements not
recommended for cancer
prevention”
Not included Not included Not included Did not report
consuming on a
regular basis
Not included Not included
“Mothers to breastfeed” Not included Not included Not included Not included 0: No BFxxi
0.5: >0 to <6
months
1: ≥6 months
Not included
x

Hastert 2014 evaluated both men and women

xi

Body Mass Index kg/m2

xii

Physical Activity Index

xiii

Walking/cycling + leisure time exercise

xiv

Cycling or sports

xv

Starchy vegetable

xvi

Non-starchy vegetable

xvii

Red and processed meat

xviii: Processed meat

xix

Energy dense/density

xx

kcal/100g/day

xxi

Breastfeeding