Table 5.

Health promotion for breast cancer survivors per the included clinical practice guidelines.

	Recommendations	Guidelines	Grading System Used
Weight management	Form: Limited high-calorie foods and beverages intake Duration/Frequency: NR LoE/GoR: IA, III/recommended SoE: NR	ACS-ASCO 2016	Not classified
Physical activity	Form: Aerobic exercise Duration/Frequency: “150 min of moderate or 75 min of vigorous aerobic exercise per wk” (Runowicz et al., 2016, p. 64) LoE/GoR: I, IA/recommended SoE: NR Form: Strength training exercises Duration/Frequency: at least 2d per wk LoE/GoR: IA/recommended SoE: NR	ACS-ASCO 2016	Not classified
	Form: Vigorous physical activity Duration/Frequency: 150 min per week LoE/GoR: NR SoE: systematic review	Barnadas et al. (37)	No grading system
	Form: Strength training exercises and vigorous physical activity Duration/Frequency: “physical activity: 150 minutes of moderate or 75 minutes of vigorous physical activity per week; strength training exercises: 2 d/wk” (Sisler et al., 2016, p. 809) LoE/GoR: I/recommended SoE: systematic review	Sisler et al. (29)	Not classified
	Regular exercise Form: NR Duration/Frequency: NR LoE/GoR: II/B (general recommended) SoE: NR	ESMO (EBC)	Infectious Diseases Society of America–United States Public Health Service Grading System
	Physical exercise	Reese et al. (44)	No grading system
Nutrition	A balanced diet	Reese et al. (44)	No grading system
	Form: nutritional counselling Duration/Frequency: NR LoE/GoR: III/B (generally recommended) SoE: NR	ESMO (EBC)	Infectious Diseases Society of America–United States Public Health Service Grading System
	Form: “high in vegetables, fruits, whole grains, and legumes; low in saturated fats” (Runowicz et al., 2016, p. 65) Duration/Frequency: NR LoE/GoR: IA, III/recommended SoE: NR	ACS-ASCO 2016	Not classified
	Form: “low-fat diet; high in fresh fruits, vegetables, and legumes (at least two pieces of fruit per day); lower their intake of red meat (to 1-2 times per week) and processed meats; increase consumption of blue fish, olive oil use and consume dairy products” (Barnadas et al., 2018, p. 691)	Barnadas et al. (37)	No grading system
	Form: “high in vegetables, fruits, whole grains, and legumes; low in saturated fats and limited in processed and red meats” (Sisler et al., 2016, p. 809) Duration/Frequency: NR LoE/GoR: I/recommended SoE: NR	Sisler et al. (29)	Not classified
Alcohol limitation	Form: “abstain from drinking more than 20g of alcohol per day” (Barnadas et al., 2018, p. 691) LoE/GoR: NR SoE: NR	Barnadas et al. (37)	No grading system
	Limited alcohol consumption LoE/GoR: 0/NR SoE: NR	ACS-ASCO 2016	Not classified
	Limit alcohol to 1 unit/day LoE/GoR: III/recommended SoE: NR	Sisler et al. (29)	Not classified
Smoking cessation	Avoid smoking LoE/GoR: I/NR SoE: NR	ACS-ASCO 2016	Not classified
	Smoking cessation LoE/GoR: I/recommended SoE: NR	Sisler et al. (29)	Not classified

NR, not reported; LoE, level of evidence; GoR, grade of recommendation; SoE, stremgth of evidence; ACS, American Cancer Society; ASCO, American Society of Clinical Oncology; ESMO, European Society for Medical Oncology EBC, early breast cancer.