ESPEN 2022 Late Breaking Abstracts
Topic: Nutrition and chronic disease
Abstract Submission Identifier: ESPEN22-LB-2140
EVALUATION OF ADHERENCE TO THE WCRF/AICR CANCER PREVENTION
RECOMMENDATIONS AND METABOLIC SYNDROME RISK IN KOREAN CANCER SURVIVORS
J.-S. Kim*, 1, S.-Y. Kim 1, J.-Y. Kim 1, M.-K. Yoo 1, H.-H. Kang 1, G.-A. Wie 1
1Department of Clinical Nutrition, National Cancer Center, Goyang, Korea, Republic Of
Rationale: Cancer survivors were advised to follow the cancer prevention recommendations to prevent of cancer recurrence or chronic diseases after treatment. We evaluated the adherence to the WCRF/AICR Cancer Prevention Recommendations and Metabolic Syndrome(MetS) risk in Korean cancer survivors.
Methods: Study subjects participated the Cancer Screening Examination Cohort(CSEC) in Korea from 2004 to 2017. Cancer survivors were those who had history of cancer diagnosis. They had been average 5.0±3.6 years since diagnosis cancer. We evaluated adherence to the WCRF/AICR Cancer Prevention recommendations with scoring system and it was consisted of 7 items. Each components were given 0 to 1 points and total 7 points. We used modified ATP Ⅲ criteria to diagnose MetS.
Results: A total of 633 cancer survivors (52.9±9.5 years, 52.1% female) were participated. Cancer types were consisted of GI cancer(44.1%), thyroid cancer(22.6%) and others. The overall prevalence rate of MetS was 15.9%. The adherence score was an average of 5.2 points. Most participants(>95.0%) did meet limitation consumption of “fast foods”, other processed foods and not eat sugar-sweetened drinks(88.7%). They maintained regularly exercise (68.9%), healthy weight (66.3%) and limitation alcohol consumption(57.3%). Half of survivors were followed intake of fruits and vegetables(51.3%) but fiber intake(≥30g) were only 15.2% sufficient. MetS risk group was older(p=0.00), higher BMI(p<0.01) and more fruits intake(p=0.03) than others. After adjustment for the covariate, The highest tertile of score was significantly lower MetS risk (OR=0.38, 95% Cl: 0.22-0.65) than the lowest tertile.
Conclusion: This study provides evidence-based data for Korean cancer survivors. We should focus on increasing fruits, vegetables and fiber intake and reducing alcohol consumption. To the adherence to WCRF/AICR recommendations may reduce the risk of MetS. Further studies were required to clarify the role of diet in cancer survivors.
References: 1.Operationalizing the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention Recommendations: A Standardized Scoring System. Nutrients 2019, 11(7), 1572; https://doi.org/10.3390/nu11071572
This study was supported by a National Cancer Center Research grant [IRB:NCC2018-0152]
Disclosure of Interest: None Declared
Keywords: cancer survivor, diet, metabolic syndrome