Dietary habits, lifestyles, and overall adherence to 2018 WCRF/AICR cancer prevention recommendations among adult women in the EPIC-Florence cohort: Changes from adulthood to older age and differences across birth cohorts

被引:0
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作者
Caini, Saverio [1 ]
Assedi, Melania [1 ]
Bendinelli, Benedetta [2 ]
Ermini, Ilaria [1 ]
Facchini, Luigi [1 ]
Fontana, Miriam [1 ]
Liedl, Davide [3 ]
Palli, Domenico [1 ]
Pastore, Elisa [2 ]
Querci, Andrea [1 ]
Saieva, Calogero [1 ]
Masala, Giovanna [2 ]
机构
[1] Inst Canc Res Prevent & Clin Network ISPRO, Canc Risk Factors & Lifestyle Epidemiol Unit, Florence, Italy
[2] Inst Canc Res Prevent & Clin Network ISPRO, Clin Epidemiol Unit, Florence, Italy
[3] Univ Florence, Med Specializat Sch Hyg & Prevent Med, Florence, Italy
来源
JOURNAL OF NUTRITION HEALTH & AGING | 2024年 / 28卷 / 07期
关键词
Diet; Lifestyle; 2018 WCRF/AICR cancer prevention; recommendations; Birth cohorts; Lifetime trajectories; MOLECULAR EPIDEMIOLOGY PROJECT; SECULAR TRENDS; UNITED-STATES; SMOKING;
D O I
10.1016/j.jnha.2024.100242
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives, setting and participants: We aimed to examine changes in dietary habits, lifestyles (e.g., smoking, physical activity levels, and alcohol intake), anthropometry, other individual health-relevant characteristics, and overall adherence to 2018 WCRF/AICR cancer prevention recommendations, among women enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Florence cohort. Design and measurements: We fitted age- and energy intake-adjusted generalized linear models to describe (a) changes occurring over a person's lifetime in the transition from adulthood to older age, and (b) differences between women aged 56-60 years belonging to two birth cohorts spaced apart by around 25 years (born in 1933-1941 vs. 1958-1964). Results: Dietary habits and overall adherence to cancer prevention recommendations improved among women (n = 3,309) followed from adulthood to older age (mean age 47.4 and 71.8 years, respectively), despite increases in the prevalence of adiposity and sedentary lifestyle. Women in the younger birth cohort (n = 163) showed significantly greater overall adherence to cancer prevention recommendations than in the older birth cohort (n = 355), but had more often a positive smoking history and an average larger waist circumference. Conclusion: A trend toward better adherence to cancer prevention recommendations emerged when analyzing adultto-older-age trajectories and differences across birth cohort, yet some critical issues were also identified. Continuous monitoring is essential to detect changing prevention needs and adapt public health policies and practices. (c) 2024 Published by Elsevier Masson SAS on behalf of SERDI Publisher. This is an open access article under the CC
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