Adherence to diet, physical activity and body weight recommendations and breast cancer incidence in the Black Women's Health Study

Sarah J.O. Nomura; Chiranjeev Dash; Lynn Rosenberg; Jeffrey Yu; Julie R. Palmer; Lucile L. Adams-Campbell

doi:10.1002/ijc.30410

Adherence to diet, physical activity and body weight recommendations and breast cancer incidence in the Black Women's Health Study

Sarah J.O. Nomura, Chiranjeev Dash, Lynn Rosenberg, Jeffrey Yu, Julie R. Palmer, Lucile L. Adams-Campbell

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

Adherence to cancer prevention recommendations has been associated with lower incidence of breast cancer in previous studies, but evidence in African American women is limited. This project evaluated the association between adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations and breast cancer incidence among African American women. The Black Women's Health Study (analytic cohort = 49,103) is an ongoing prospective cohort study of African American women, ages 21–69 years at baseline (1995). Adherence scores for seven WCRF/AICR recommendations (adherent = 1, partial adherence = 0.5, non-adherence = 0) were calculated using questionnaire data and summed for overall (maximum = 7) and diet only (maximum = 5) scores. Associations between baseline and time-varying adherence scores and breast cancer incidence (N = 1,827 incident cases through 2011) were evaluated using proportional hazards regression. In this cohort, 8.5% adhered >4 recommendations. Adherence at baseline was not associated with breast cancer incidence. Higher overall time-varying adherence (per 0.5 point increase) was associated with lower breast cancer incidence (HR: 0.90, 95% CI: 0.84–0.96). Adherence to physical activity, sugar beverage and red and processed meat recommendations were also associated with reduced risk. Adherence to the WCRF/AICR recommendations was low and may be associated with lower breast cancer incidence in African American women.

Original language	English (US)
Pages (from-to)	2738-2752
Number of pages	15
Journal	International Journal of Cancer
Volume	139
Issue number	12
DOIs	https://doi.org/10.1002/ijc.30410
State	Published - Dec 15 2016
Externally published	Yes

Bibliographical note

Funding Information:
SJON, LLA, LR, JP designed research; SJON and JY analysed data; SJON, CD, LR wrote the paper; SJON and LR had primary responsibility for final content. All authors read and approved the final manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. Data on breast cancer pathology were obtained from several state cancer registries (AZ, CA, CO, CT, DE, DC, FL, GA, IL, IN, KY, LA, MD, MA, MI, NJ, NY, NC, OK, PA, SC, TN, TX, VA) and results reported do not necessarily represent their views. The authors are grateful to the participants and staff of the BWHS. The authors have no conflicts of interest to disclose.

Publisher Copyright:
© 2016 UICC

Keywords

African American
body weight
breast cancer
diet
physical activity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1002/ijc.30410

http://europepmc.org/articles/pmc5515286

Find It

Find It at U of M Libraries

Cite this

@article{a893d271eddc4d13925956075434701d,

title = "Adherence to diet, physical activity and body weight recommendations and breast cancer incidence in the Black Women's Health Study",

abstract = "Adherence to cancer prevention recommendations has been associated with lower incidence of breast cancer in previous studies, but evidence in African American women is limited. This project evaluated the association between adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations and breast cancer incidence among African American women. The Black Women's Health Study (analytic cohort = 49,103) is an ongoing prospective cohort study of African American women, ages 21–69 years at baseline (1995). Adherence scores for seven WCRF/AICR recommendations (adherent = 1, partial adherence = 0.5, non-adherence = 0) were calculated using questionnaire data and summed for overall (maximum = 7) and diet only (maximum = 5) scores. Associations between baseline and time-varying adherence scores and breast cancer incidence (N = 1,827 incident cases through 2011) were evaluated using proportional hazards regression. In this cohort, 8.5% adhered >4 recommendations. Adherence at baseline was not associated with breast cancer incidence. Higher overall time-varying adherence (per 0.5 point increase) was associated with lower breast cancer incidence (HR: 0.90, 95% CI: 0.84–0.96). Adherence to physical activity, sugar beverage and red and processed meat recommendations were also associated with reduced risk. Adherence to the WCRF/AICR recommendations was low and may be associated with lower breast cancer incidence in African American women.",

keywords = "African American, body weight, breast cancer, diet, physical activity",

author = "Nomura, {Sarah J.O.} and Chiranjeev Dash and Lynn Rosenberg and Jeffrey Yu and Palmer, {Julie R.} and Adams-Campbell, {Lucile L.}",

note = "Funding Information: SJON, LLA, LR, JP designed research; SJON and JY analysed data; SJON, CD, LR wrote the paper; SJON and LR had primary responsibility for final content. All authors read and approved the final manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. Data on breast cancer pathology were obtained from several state cancer registries (AZ, CA, CO, CT, DE, DC, FL, GA, IL, IN, KY, LA, MD, MA, MI, NJ, NY, NC, OK, PA, SC, TN, TX, VA) and results reported do not necessarily represent their views. The authors are grateful to the participants and staff of the BWHS. The authors have no conflicts of interest to disclose. Publisher Copyright: {\textcopyright} 2016 UICC",

year = "2016",

month = dec,

day = "15",

doi = "10.1002/ijc.30410",

language = "English (US)",

volume = "139",

pages = "2738--2752",

journal = "International Journal of Cancer",

issn = "0020-7136",

publisher = "Wiley-Liss Inc.",

number = "12",

}

TY - JOUR

T1 - Adherence to diet, physical activity and body weight recommendations and breast cancer incidence in the Black Women's Health Study

AU - Nomura, Sarah J.O.

AU - Dash, Chiranjeev

AU - Rosenberg, Lynn

AU - Yu, Jeffrey

AU - Palmer, Julie R.

AU - Adams-Campbell, Lucile L.

N1 - Funding Information: SJON, LLA, LR, JP designed research; SJON and JY analysed data; SJON, CD, LR wrote the paper; SJON and LR had primary responsibility for final content. All authors read and approved the final manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. Data on breast cancer pathology were obtained from several state cancer registries (AZ, CA, CO, CT, DE, DC, FL, GA, IL, IN, KY, LA, MD, MA, MI, NJ, NY, NC, OK, PA, SC, TN, TX, VA) and results reported do not necessarily represent their views. The authors are grateful to the participants and staff of the BWHS. The authors have no conflicts of interest to disclose. Publisher Copyright: © 2016 UICC

PY - 2016/12/15

Y1 - 2016/12/15

N2 - Adherence to cancer prevention recommendations has been associated with lower incidence of breast cancer in previous studies, but evidence in African American women is limited. This project evaluated the association between adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations and breast cancer incidence among African American women. The Black Women's Health Study (analytic cohort = 49,103) is an ongoing prospective cohort study of African American women, ages 21–69 years at baseline (1995). Adherence scores for seven WCRF/AICR recommendations (adherent = 1, partial adherence = 0.5, non-adherence = 0) were calculated using questionnaire data and summed for overall (maximum = 7) and diet only (maximum = 5) scores. Associations between baseline and time-varying adherence scores and breast cancer incidence (N = 1,827 incident cases through 2011) were evaluated using proportional hazards regression. In this cohort, 8.5% adhered >4 recommendations. Adherence at baseline was not associated with breast cancer incidence. Higher overall time-varying adherence (per 0.5 point increase) was associated with lower breast cancer incidence (HR: 0.90, 95% CI: 0.84–0.96). Adherence to physical activity, sugar beverage and red and processed meat recommendations were also associated with reduced risk. Adherence to the WCRF/AICR recommendations was low and may be associated with lower breast cancer incidence in African American women.

AB - Adherence to cancer prevention recommendations has been associated with lower incidence of breast cancer in previous studies, but evidence in African American women is limited. This project evaluated the association between adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations and breast cancer incidence among African American women. The Black Women's Health Study (analytic cohort = 49,103) is an ongoing prospective cohort study of African American women, ages 21–69 years at baseline (1995). Adherence scores for seven WCRF/AICR recommendations (adherent = 1, partial adherence = 0.5, non-adherence = 0) were calculated using questionnaire data and summed for overall (maximum = 7) and diet only (maximum = 5) scores. Associations between baseline and time-varying adherence scores and breast cancer incidence (N = 1,827 incident cases through 2011) were evaluated using proportional hazards regression. In this cohort, 8.5% adhered >4 recommendations. Adherence at baseline was not associated with breast cancer incidence. Higher overall time-varying adherence (per 0.5 point increase) was associated with lower breast cancer incidence (HR: 0.90, 95% CI: 0.84–0.96). Adherence to physical activity, sugar beverage and red and processed meat recommendations were also associated with reduced risk. Adherence to the WCRF/AICR recommendations was low and may be associated with lower breast cancer incidence in African American women.

KW - African American

KW - body weight

KW - breast cancer

KW - diet

KW - physical activity

UR - http://www.scopus.com/inward/record.url?scp=84992530173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84992530173&partnerID=8YFLogxK

U2 - 10.1002/ijc.30410

DO - 10.1002/ijc.30410

M3 - Article

C2 - 27578546

AN - SCOPUS:84992530173

SN - 0020-7136

VL - 139

SP - 2738

EP - 2752

JO - International Journal of Cancer

JF - International Journal of Cancer

IS - 12

ER -

Adherence to diet, physical activity and body weight recommendations and breast cancer incidence in the Black Women's Health Study

Abstract

Bibliographical note

Keywords

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this