RT journal article T1 Clinical and Sociodemographic Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Recommendations in Breast Cancer Survivors—Health-EpiGEICAM Study A1 Lope, Virginia A1 Guerrero Zotano, Angel A1 Ruiz Moreno, Emma A1 Bermejo, Begoña A1 Antolín, Silvia A1 Montaño, Álvaro A1 Baena Cañada, José Manuel A1 Ramos Vázquez, Manuel A1 Fernández de Larrea-Baz, Nerea A1 Chacón, José Ignacio A1 García-Sáenz, José Ángel A1 Olier, Clara A1 Muñoz, Montserrat A1 Antón, Antonio A1 Sánchez Rovira, Pedro A1 Arcusa Lanza, Angels A1 González, Sonia A1 Oltra, Amparo A1 Brunet, Joan A1 Gavilá Gregori, Joaquín A1 Martínez, María Teresa A1 Calvo, Lourdes A1 Rosell, Libertad A1 Bezares, Susana A1 Pastor Barriuso, Roberto A1 Pérez Gómez, Beatriz A1 Martín, Miguel A1 Pollán, Marina A2 Medicina K1 breast cancer K1 cancer prevention recommendations K1 compliance K1 health behaviours K1 Health-EpiGEICAM K1 healthy lifestyle K1 lifestyle recommendations K1 survival K1 WCRF/AICR guidelines AB Breast cancer (BC) survivors are advised to follow the WCRF/AICR cancer prevention recommendations, given their high risk of developing a second tumour. We aimed to explore compliance with these recommendations in BC survivors and to identify potentially associated clinical and sociodemographic factors. A total of 420 BC survivors, aged 31–80, was recruited from 16 Spanish hospitals. Epidemiological, dietary and physical activity information was collected through questionnaires. A 7-item score to measure compliance with the recommendations was built according to the 2018 WCRF/AICR scoring criteria. Standardized prevalences and standardized prevalence ratios of moderate and high compliance across participant characteristics were estimated using multinomial and binary logistic regression models. The mean score was 3.9 (SD: 1.0) out of 7 points. Recommendations with the worst adherence were those of limiting consumption of red/processed meats (12% of compliance, 95% CI: 8.2–15.0) and high fibre intake (22% of compliance, 95% CI: 17.6–27.0), while the best compliance was observed for the consumption of fruits and vegetables (73% of compliance, 95% CI: 69.2–77.7). Overall, adherence was worse in women with university education and in those with first-degree relatives with BC. This information may be of interest to design and implement personalized preventive measures adapted to the characteristics of these patients PB MDPI SN 2072-6694 YR 2022 FD 2022-09-27 LK http://hdl.handle.net/10498/31526 UL http://hdl.handle.net/10498/31526 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-may-2026