Table 3.

Health promotion for breast cancer survivors

CATEGORY	RECOMMENDATIONS	LEVEL OF EVIDENCE*
Weight management	• Counsel patients to achieve and maintain a healthy weight	III
	• Counsel patients who are overweight or obese to change dietary habits and increase physical activity to promote and maintain weight loss	I
Physical activity	• Counsel patients to avoid inactivity and return to daily activities as soon as possible after diagnosis	II
	• Aim for at least 150 min of moderate or 75 min of vigorous physical activity weekly	I
	• Include strength training exercises at least 2 d/wk	I
Nutrition	• Counsel patients to have a dietary pattern high in vegetables, fruits, whole grains, and legumes; low in saturated fats; and limited in processed and red meats	I
	• Limit alcohol to 1 unit/d	III
	• Consider supplements only if deficiencies are demonstrated	III
Smoking cessation	• Counsel patients to avoid smoking; offer or refer for cessation counseling and resources	I

^*Level I evidence includes at least 1 properly conducted randomized controlled trial, systematic review, or meta-analysis. Level II evidence includes other comparison trials; non-randomized, cohort, case-control, or epidemiologic studies; and preferably more than 1 study. Level III evidence includes expert opinion or consensus statements and influential reports or studies.

Data from Runowicz et al.¹⁵