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Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study

One-third of cancers can be prevented through healthy lifestyles. This study investigates the prevalence of and factors associated with engagement in cancer prevention guidelines in a population-based cohort of 2124 older white and black men and women. We used Health ABC data to construct a score fr...

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Autores principales: Jung, Audrey Y., Miljkovic, Iva, Rubin, Susan, Kritchevsky, Stephen B., Klepin, Heidi D., Newman, Anne B., Cauley, Jane, Ayonayon, Hilsa, Harris, Tamara B., Murphy, Rachel A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566295/
https://www.ncbi.nlm.nih.gov/pubmed/31058834
http://dx.doi.org/10.3390/nu11051008
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author Jung, Audrey Y.
Miljkovic, Iva
Rubin, Susan
Kritchevsky, Stephen B.
Klepin, Heidi D.
Newman, Anne B.
Cauley, Jane
Ayonayon, Hilsa
Harris, Tamara B.
Murphy, Rachel A.
author_facet Jung, Audrey Y.
Miljkovic, Iva
Rubin, Susan
Kritchevsky, Stephen B.
Klepin, Heidi D.
Newman, Anne B.
Cauley, Jane
Ayonayon, Hilsa
Harris, Tamara B.
Murphy, Rachel A.
author_sort Jung, Audrey Y.
collection PubMed
description One-third of cancers can be prevented through healthy lifestyles. This study investigates the prevalence of and factors associated with engagement in cancer prevention guidelines in a population-based cohort of 2124 older white and black men and women. We used Health ABC data to construct a score from 0 (lowest adherence) to 7 (greatest adherence) based on the sum of seven recommendations for cancer prevention from the World Cancer Research Fund/American Institute for Cancer Research; body fatness (maintenance of healthy body weight), physical activity (at least moderately physically active), diet (fruit, vegetables, fiber, and red and processed meat), and alcohol. Mean (SD) scores in men and women were 3.24 (1.09) and 3.17 (1.10). Lower scores were associated with younger age (women only), black race, current smoking, and prevalent cardiovascular disease. Less than 1% of men and women adhered to all recommendations. Of the individual guidelines, adherence was lowest for fiber (9% of men; 6% of women) followed by physical activity (26% of men; 18% of women), and body weight (21% of men; 26% of women). These results suggest a critical public health need, especially given the growing older population. Black older adults, smokers, and those with prevalent disease may be at higher risk and thus warrant additional focus.
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spelling pubmed-65662952019-06-17 Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study Jung, Audrey Y. Miljkovic, Iva Rubin, Susan Kritchevsky, Stephen B. Klepin, Heidi D. Newman, Anne B. Cauley, Jane Ayonayon, Hilsa Harris, Tamara B. Murphy, Rachel A. Nutrients Article One-third of cancers can be prevented through healthy lifestyles. This study investigates the prevalence of and factors associated with engagement in cancer prevention guidelines in a population-based cohort of 2124 older white and black men and women. We used Health ABC data to construct a score from 0 (lowest adherence) to 7 (greatest adherence) based on the sum of seven recommendations for cancer prevention from the World Cancer Research Fund/American Institute for Cancer Research; body fatness (maintenance of healthy body weight), physical activity (at least moderately physically active), diet (fruit, vegetables, fiber, and red and processed meat), and alcohol. Mean (SD) scores in men and women were 3.24 (1.09) and 3.17 (1.10). Lower scores were associated with younger age (women only), black race, current smoking, and prevalent cardiovascular disease. Less than 1% of men and women adhered to all recommendations. Of the individual guidelines, adherence was lowest for fiber (9% of men; 6% of women) followed by physical activity (26% of men; 18% of women), and body weight (21% of men; 26% of women). These results suggest a critical public health need, especially given the growing older population. Black older adults, smokers, and those with prevalent disease may be at higher risk and thus warrant additional focus. MDPI 2019-05-03 /pmc/articles/PMC6566295/ /pubmed/31058834 http://dx.doi.org/10.3390/nu11051008 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jung, Audrey Y.
Miljkovic, Iva
Rubin, Susan
Kritchevsky, Stephen B.
Klepin, Heidi D.
Newman, Anne B.
Cauley, Jane
Ayonayon, Hilsa
Harris, Tamara B.
Murphy, Rachel A.
Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title_full Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title_fullStr Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title_full_unstemmed Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title_short Adherence to Cancer Prevention Guidelines among Older White and Black Adults in the Health ABC Study
title_sort adherence to cancer prevention guidelines among older white and black adults in the health abc study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566295/
https://www.ncbi.nlm.nih.gov/pubmed/31058834
http://dx.doi.org/10.3390/nu11051008
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