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<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Adherence to the World Cancer Research Fund/American Institute for Cancer Research Recommendations for Cancer Prevention Is Associated With Better Health-Related Quality of Life Among Elderly Female Cancer Survivors</title>
<author>
<name sortKey="Inoue Choi, Maki" sort="Inoue Choi, Maki" uniqKey="Inoue Choi M" first="Maki" last="Inoue-Choi">Maki Inoue-Choi</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lazovich, Deann" sort="Lazovich, Deann" uniqKey="Lazovich D" first="Deann" last="Lazovich">Deann Lazovich</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Prizment, Anna E" sort="Prizment, Anna E" uniqKey="Prizment A" first="Anna E." last="Prizment">Anna E. Prizment</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
</titleStmt>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">23569318</idno>
<idno type="pmc">3641697</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3641697</idno>
<idno type="RBID">PMC:3641697</idno>
<idno type="doi">10.1200/JCO.2012.45.4462</idno>
<date when="2013">2013</date>
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<title xml:lang="en" level="a" type="main">Adherence to the World Cancer Research Fund/American Institute for Cancer Research Recommendations for Cancer Prevention Is Associated With Better Health-Related Quality of Life Among Elderly Female Cancer Survivors</title>
<author>
<name sortKey="Inoue Choi, Maki" sort="Inoue Choi, Maki" uniqKey="Inoue Choi M" first="Maki" last="Inoue-Choi">Maki Inoue-Choi</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lazovich, Deann" sort="Lazovich, Deann" uniqKey="Lazovich D" first="Deann" last="Lazovich">Deann Lazovich</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Prizment, Anna E" sort="Prizment, Anna E" uniqKey="Prizment A" first="Anna E." last="Prizment">Anna E. Prizment</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name>
<affiliation>
<nlm:aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of Clinical Oncology</title>
<idno type="ISSN">0732-183X</idno>
<idno type="eISSN">1527-7755</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Purpose</title>
<p>The 2007 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) diet and physical activity guidelines encourage cancer survivors to follow its cancer prevention recommendations. We evaluated whether adherence to the WCRF/AICR recommendations was associated with health-related quality of life (HRQOL) among elderly female cancer survivors.</p>
</sec>
<sec>
<title>Patients and Methods</title>
<p>A total of 2,193 women with a confirmed cancer diagnosis (1986 through 2002) in the Iowa Women's Health Study were identified. We calculated a WCRF/AICR recommendation adherence score (range, 0 to 7), assigning one point each for seven recommendations. Physical and mental component summary scores (PCS, MCS) from the Medical Outcomes Study Short Form–36 Health Survey were compared by recommendation adherence scores.</p>
</sec>
<sec>
<title>Results</title>
<p>Mean adherence score was 4.0 ± 1.2. Overall, higher adherence to the WCRF/AICR guidelines was significantly associated with better PCS and MCS after adjustment for age, education, marital status, number of comorbidities, smoking, cancer stage, and current cancer treatment (
<italic>P</italic>
<sub>trend</sub>
< .001 for both). PCS was 43.5 versus 37.0 and MCS was 54.2 versus 52.0 among women with adherence scores ≥ 5 compared with women scoring ≤ 3. Adherence to the physical activity recommendation was associated with higher PCS and MCS after adjusting for demographic and medical confounders, body mass index, and dietary recommendation adherence. For the body weight recommendation, adherence was associated with higher PCS but lower MCS, whereas adherence to the dietary recommendations was associated with higher MCS only.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Following the lifestyle guidelines for cancer prevention may improve HRQOL among elderly female cancer survivors. Physical activity may be a key lifestyle factor to improve HRQOL.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Clin Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Clin. Oncol</journal-id>
<journal-id journal-id-type="hwp">jco</journal-id>
<journal-id journal-id-type="pmc">jco</journal-id>
<journal-id journal-id-type="publisher-id">JCO</journal-id>
<journal-title-group>
<journal-title>Journal of Clinical Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0732-183X</issn>
<issn pub-type="epub">1527-7755</issn>
<publisher>
<publisher-name>American Society of Clinical Oncology</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23569318</article-id>
<article-id pub-id-type="pmc">3641697</article-id>
<article-id pub-id-type="publisher-id">54462</article-id>
<article-id pub-id-type="doi">10.1200/JCO.2012.45.4462</article-id>
<article-categories>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Epid3</subject>
<subject>Psc13</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Original Reports</subject>
<subj-group>
<subject>Epidemiology</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Adherence to the World Cancer Research Fund/American Institute for Cancer Research Recommendations for Cancer Prevention Is Associated With Better Health-Related Quality of Life Among Elderly Female Cancer Survivors</article-title>
<alt-title alt-title-type="short">WCRF/AICR Recommendation Adherence and HRQOL in Cancer Survivors</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Inoue-Choi</surname>
<given-names>Maki</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lazovich</surname>
<given-names>DeAnn</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Prizment</surname>
<given-names>Anna E.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Robien</surname>
<given-names>Kim</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<aff id="aff1">All authors: University of Minnesota, Minneapolis, MN; and Kim Robien, George Washington University, Washington, DC.</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">Corresponding author: Maki Inoue-Choi, PhD, MS, 1300 S. Second St, Suite 300, Minneapolis, MN 55454; e-mail:
<email>inou0021@umn.edu</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>10</day>
<month>5</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>8</day>
<month>4</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>10</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>31</volume>
<issue>14</issue>
<fpage>1758</fpage>
<lpage>1766</lpage>
<permissions>
<copyright-statement>© 2013 by American Society of Clinical Oncology</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="zlj014130W1758.pdf"></self-uri>
<abstract>
<sec>
<title>Purpose</title>
<p>The 2007 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) diet and physical activity guidelines encourage cancer survivors to follow its cancer prevention recommendations. We evaluated whether adherence to the WCRF/AICR recommendations was associated with health-related quality of life (HRQOL) among elderly female cancer survivors.</p>
</sec>
<sec>
<title>Patients and Methods</title>
<p>A total of 2,193 women with a confirmed cancer diagnosis (1986 through 2002) in the Iowa Women's Health Study were identified. We calculated a WCRF/AICR recommendation adherence score (range, 0 to 7), assigning one point each for seven recommendations. Physical and mental component summary scores (PCS, MCS) from the Medical Outcomes Study Short Form–36 Health Survey were compared by recommendation adherence scores.</p>
</sec>
<sec>
<title>Results</title>
<p>Mean adherence score was 4.0 ± 1.2. Overall, higher adherence to the WCRF/AICR guidelines was significantly associated with better PCS and MCS after adjustment for age, education, marital status, number of comorbidities, smoking, cancer stage, and current cancer treatment (
<italic>P</italic>
<sub>trend</sub>
< .001 for both). PCS was 43.5 versus 37.0 and MCS was 54.2 versus 52.0 among women with adherence scores ≥ 5 compared with women scoring ≤ 3. Adherence to the physical activity recommendation was associated with higher PCS and MCS after adjusting for demographic and medical confounders, body mass index, and dietary recommendation adherence. For the body weight recommendation, adherence was associated with higher PCS but lower MCS, whereas adherence to the dietary recommendations was associated with higher MCS only.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Following the lifestyle guidelines for cancer prevention may improve HRQOL among elderly female cancer survivors. Physical activity may be a key lifestyle factor to improve HRQOL.</p>
</sec>
</abstract>
<funding-group>
<award-group>
<funding-source id="CS100">National Institutes of Health</funding-source>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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