TABLE 1.

AMERICAN CANCER SOCIETY (ACS) AND AMERICAN INSTUTITE FOR CANCER RESEARCH (AICR) NUTRITION RECOMMENDATIONS, PERSONAL GOALS, AND OPERATIONALIZED SCORING CRITERIA

ACS and AICR Recommendation	Associated ACS personal goal	Associated AICR personal goal	ACS/AICR Dietary Adherence Scoring Criteria
			0=Non Adherent	1=Modestly Adherent	2=Moderately Adherent	3=Completely Adherent
Eat a healthy diet, with an emphasis on plant-based foods	Eat at least 2 1/2 cups of vegetables and fruits each day	Eat at least five portions/servings (at least 400 g or 14 oz.) of a variety of non-starchy vegetables and fruits every day	Intake of ≤1 serving daily	Intake of 1–2.99 servings daily	Intake of 3–4.99 servings daily	Daily intake ≥5 servings daily
	Choose whole grains instead of refined grain products	Eat relatively unprocessed cereals (grains) and/or pulses (legumes) with every meal Limit refined starchy foods. People who consume starchy roots or tubers as staples also to ensure intake of sufficient non-starchy vegetables, fruits, and pulses (legumes)	<30% of grains are whole grains and/or <0.50 servings of legumes daily	30–39.99% of grains are whole grains and/or 0.50–0.74 servings of legumes daily	40–49.99% of grains are whole grains and/or or 0.75–0.99 servings of legumes daily	Less than 50% of grains are refined and/or 1+ servings of legumes daily
Limit intake of red meat and avoid processed meats	Limit how much red processed meat you eat	People who eat red meat should consume less than 500 g (18 oz.) per week. Consume very little, if any, processed meat	>30 oz. red meat weekly >3 oz. processed meat daily	24.01–30 oz. red meat weekly 2.01–3 oz. processed meat daily	18.01–24 oz. red meat weekly 1.01–2 oz. processed meat daily	≤18 oz. red meat weekly ≤1 oz. of processed meat daily points
Limit consumption of energy dense foods; avoid sugary drinks	Choose foods and drinks in the amounts that help you get to and maintain a healthy weight	Consume energy dense foods sparingly Avoid sugary drinks Consume 'fast foods' sparingly, if at all	≥225 kcals/100 grams of food daily >14 tsp. daily	176–225 kcals/100 grams of food daily 10.01–14 tsp. daily	126–175 kcals/100 grams of food daily 6.01–10 tsp. daily	≤125 kcals per 100 grams of food daily ≤6 tsp. daily
Salt-preserved foods: Limit consumption of salt	Choose foods and drinks in the amounts that help you get to and maintain a healthy weight	Avoid salt-preserved, salted, or salty foods; preserve foods without using salt Limit consumption of processed foods with added salt to ensure an intake of less than 6 g (2.4 g sodium) a day				Not operationalized
Limit alcoholic drinks	Drink no more than 1 drink per day (~14 grams of ethanol)	If alcoholic drinks are consumed, limit consumption to no more than two drinks a day for men and one drink a day for women	>2 drinks daily	1.01–2 drinks daily	0.01–1 drink daily	Non-drinkers
Aim to meet nutritional needs through diet alone	Dietary supplements are not recommended for cancer prevention	Dietary supplements are not recommended for cancer prevention				Not operationalized