title: Alberta's Tomorrow Project: adherence to cancer prevention recommendations pertaining to diet, physical activity and body size.
abstract: OBJECTIVE
  To explore cross-sectional adherence to cancer prevention recommendations by adults enrolled in a prospective cohort in Alberta, Canada.
  
  
  METHODS
  Questionnaire data were used to construct a composite cancer prevention adherence score for each participant, based on selected personal recommendations published by the World Cancer Research Fund/American Institute for Cancer Research (2007). Data were self-reported on health and lifestyle, past-year physical activity and past-year FFQ. The scores accounted for physical activity, dietary supplement use, body size, and intakes of alcohol, fruit, vegetables and red meat. Tobacco exposure was also included. Scores ranged from 0 (least adherent) to 7 (most adherent).
  
  
  METHODS
  Alberta's Tomorrow Project; a research platform based on a prospective cohort.
  
  
  METHODS
  Adult men and women (n 24 988) aged 35-69 years recruited by random digit dialling and enrolled in Alberta's Tomorrow Project between 2001 and 2009.
  
  
  RESULTS
  Of the cohort, 14 % achieved adherence scores ≥5 and 60 % had scores ≤3. Overall adherence scores were higher in women (mean (sd): 3·4 (1·1)) than in men (3·0 (1·2)). The extent of overall adherence was also associated with level of education, employment status, annual household income, personal history of chronic disease, family history of chronic disease and age.
  
  
  CONCLUSIONS
  Reported adherence to selected personal recommendations for cancer prevention was low in this cohort of adults. In the short to medium term, these results suggest that more work is required to identify behaviours to target with cancer prevention strategies at a population level. Future work will explore the associations between adherence scores and cancer risk in this cohort.
authors.affiliation: 1Alberta's Tomorrow Project,CancerControl Alberta,Alberta Health Services,Richmond Road Diagnostic and Treatment Centre,1820 Richmond Road SW,Calgary,AB,Canada,T2T 5C7.
authors.forename: Heather K
authors.initials: HK
authors.lastname: Whelan
authors.affiliation: 1Alberta's Tomorrow Project,CancerControl Alberta,Alberta Health Services,Richmond Road Diagnostic and Treatment Centre,1820 Richmond Road SW,Calgary,AB,Canada,T2T 5C7.
authors.forename: Jian-Yi
authors.initials: JY
authors.lastname: Xu
authors.affiliation: 2Department of Community Health and Epidemiology,College of Medicine,University of Saskatchewan,Saskatoon,SK,Canada.
authors.forename: Sanaz
authors.initials: S
authors.lastname: Vaseghi
authors.affiliation: 1Alberta's Tomorrow Project,CancerControl Alberta,Alberta Health Services,Richmond Road Diagnostic and Treatment Centre,1820 Richmond Road SW,Calgary,AB,Canada,T2T 5C7.
authors.forename: Geraldine
authors.initials: G
authors.lastname: Lo Siou
authors.affiliation: 3Population,Public and Aboriginal Health,Alberta Health Services,Calgary,AB,Canada.
authors.forename: S Elizabeth
authors.initials: SE
authors.lastname: McGregor
authors.affiliation: 4Alberta's Tomorrow Project,CancerControl Alberta,Alberta Health Services,Edmonton,AB,Canada.
authors.forename: Paula J
authors.initials: PJ
authors.lastname: Robson
mesh_terms: D000328:Adult; D000368:Aged; D000416:Alberta / Q000453:epidemiology; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004032:Diet; D019587:Dietary Supplements; D015444:Exercise; D005260:Female; D006801:Humans; D015994:Incidence; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology* / Q000517:prevention & control*; D018673:Nutrition Policy; D010349:Patient Compliance; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Cancer prevention guidelines; Cancer risk factor; Cohort study; Health promotion; Lifestyle