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Impact of achievement and change in achievement of lifestyle recommendations in middle-age on risk of the most common potentially preventable cancers
Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Box 113 Cambridge Biomedical Campus, Cambridge, United Kingdom.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0001-6808-4405
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0002-1617-6102
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0003-4942-611x
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2021 (English)In: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 153, article id 106712Article in journal (Refereed) Published
Abstract [en]

This study aimed to assess the association between achievement, and within-person change in achievement, of lifestyle recommendations in middle-age and incidence of the most common potentially preventable cancers. We used data from 44,572 participants from the Swedish Västerbotten Intervention Programme who had attended at least two health checks 9-11 years apart. We assessed the association between the mean number of healthy lifestyle recommendations achieved (lifestyle score), and change in lifestyle score between the health checks, and risk of one or more of the eight most common potentially preventable cancers using Cox regression. Participants were followed-up for 11.0 (SD 4.9) years. A higher mean lifestyle score was associated with a lower hazard of cancer in men (HR 0.81 (95%CI 0.74-0.90) per unit increase) and women (HR 0.90 (0.84-0.96)). There was no evidence of a linear association between change in lifestyle score and risk (HR 0.93 (0.85-1.03) and HR 1.004 (0.94-1.07) per unit change for men and women respectively). When comparing those with an increase in lifestyle score of ≥2 with those who improved less or declined in achievement the HR was 0.74 (0.54-1.00) and 1.02 (0.84-1.24) for men and women respectively. These findings support the inclusion of lifestyle recommendations in cancer prevention guidelines. They further suggest that interventions to change health behaviours in middle-age may reduce risk of the most common preventable cancers in men, but this association was not observed in women. Strategies to encourage healthy lifestyles earlier in the life course may be more effective.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 153, article id 106712
Keywords [en]
Cancer prevention, Change, Lifestyle, Västerbotten intervention programme
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-191016DOI: 10.1016/j.ypmed.2021.106712ISI: 000709483800025PubMedID: 34242663Scopus ID: 2-s2.0-85121958253OAI: oai:DiVA.org:umu-191016DiVA, id: diva2:1624856
Available from: 2022-01-05 Created: 2022-01-05 Last updated: 2022-01-05Bibliographically approved

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Häggström, ChristelWennberg, PatrikLindvall, Kristina

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