Adherence to the lifestyle pattern
cancer, chronic disease, HL
CANCER, CHRONIC DISEASE
An 8-point composite HL score was constructed using the 2018 WCFR/AICR recommendations for cancer prevention. It included the following components: (1) healthy weight, (2) physical activity, (3) plant food, (4) fast food and processed food, (5) red and processed meat, (6) sugar-sweetened beverages, and (7) alcohol consumption. Because of the importance of smoking as a risk factor for chronic disease and morbidity, smoking status was included as another component. Healthy smoking status was defined as low for current smokers, intermediate for former smokers, and high for those who had never smoked. For each healthy factor, participants received a score of 1 point for high adherence, 0.5 points for intermediate adherence, or 0 points for low adherence. However, breastfeeding and multivitamin supplement use for cancer prevention were omitted in our analysis due to the lack of information in relation to breastfeeding, and to the extremely low occurrences of the use of supplements for cancer in our population. More detailed information on the cut-off used for each component of the score has been previously reported[