AUTHOR=Suter Flurina , Karavasiloglou Nena , Braun Julia , Pestoni Giulia , Rohrmann Sabine 

TITLE=Is Following a Cancer-Protective Lifestyle Linked to Reduced Cancer Mortality Risk?

JOURNAL=International Journal of Public Health

VOLUME=68

YEAR=2023

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1605610

DOI=10.3389/ijph.2023.1605610

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> This study investigates the association between a cancer protective lifestyle (defined based on the revised World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) cancer prevention recommendations) and mortality in Switzerland.</p><p><bold>Methods:</bold> Based on the cross-sectional, population-based National Nutrition Survey, menuCH (<italic>n</italic> = 2057), adherence to the WCRF/AICR recommendations was assessed <italic>via</italic> a score. Quasipoisson regression models were fitted to examine the association of adherence to the WCRF/AICR recommendations with mortality at the Swiss district-level. Spatial autocorrelation was tested with global Moran’s <italic>I</italic>. Integrated nested Laplace approximation models were fitted when significant spatial autocorrelation was detected.</p><p><bold>Results:</bold> Participants with higher cancer prevention scores had a significant decrease in all-cause (relative risk 0.95; 95% confidence interval 0.92, 0.99), all-cancer (0.93; 0.89, 0.97), upper aero-digestive tract cancer (0.87; 0.78, 0.97), and prostate cancer (0.81; 0.68, 0.94) mortality, compared to those with lower scores.</p><p><bold>Conclusion:</bold> The inverse association between adherence to the WCRF/AICR recommendations and mortality points out the potential of the lifestyle recommendations to decrease mortality and especially the burden of cancer in Switzerland.</p>