Table 1. Adherence score assignment for each WCRF/AICR recommendation.

WCRF/AICR recommendation	Data available within the DISC Study	Operationalisation of recommendation	Score
1. Body fatness Maintain body weight within the normal range from age 21.	BMI	18.5 - ≤ 24.9 ≥25.0	1 0
2. Physical activity Be moderately physically active, equivalent to brisk walking, for at least 30 minutes every day.	Physical activity level (Lifestyle Questionnaire)	≥30mins moderate PA/d <30mins moderate PA/d	1 0
3. Plant foods a)Eat at least five portions/servings (at least 400g) of a variety of non-starchy vegetables and of fruits every day. b)Relatively unprocessed cereals (grains) and/or pulses (legumes), and other foods that are a natural source of dietary fibre, to contribute to a population average of at least 25g non-starch polysaccharide (NSP) daily.	Total daily fruit and vegetable intake (FFQ) Total dietary fibre intake (FFQ)	≥5 servings/d <5 servings/d ≥25g per day <25g per day	0.5 0 0.5 0
4. Animal foods People who eat red meat to consume less than 500g a week, very little if any to be processed.	Total weekly red meat and processed meat intake (FFQ)	<500g/week ≥500g/week	1 0
5. Alcoholic drinks If alcoholic drinks are consumed, limit consumption to no more than two drinks a day for men and one drink a day for women.	Daily alcohol intake (FFQ)	≤2 (♂) or ≤1 (♀) standard drink/d >2 (♂) or >1 (♀) standard drink/d	1 0
6. Preservation, processing, preparation Limit consumption of processed foods with added salt to ensure an intake of less than 6g (2.4g sodium) a day.	Daily salt intake (FFQ)	<2.4g sodium/day ≥2.4g sodium/day	1 0
7. Dietary supplements Dietary supplements are not recommended for cancer prevention.	Dietary supplement use	No dietary supplements Any dietary supplement	1 0
8. Smoking Avoid tobacco in any form (2).	Smoking status (Lifestyle Questionnaire)	Never smoked Current or former smoker	1 0

BMI, body mass index; FFQ, food frequency questionnaire; NSP, non-starch polysaccharide; PA, physical activity