Table 1.

Description of ACS cancer prevention guidelines scores

ACS recommendationWorst score (0)Middle score (1)Best score (2)
1. “Maintain a healthy weight throughout life.”BMI at age 18 y: ≥30 kg/m2, or BMI at baseline: ≥30 kg/m2BMI at age 18 y: 25 to <30 kg/m2, or BMI at baseline: 25 to <30 kg/m2BMI at age 18 y: <25 kg/m2, and BMI at baseline: <25 kg/m2
2. “Adopt a physically active lifestyle with 30 min or more of moderate to vigorous intentional physical activity at least 5 d/wk; 45–60 min are preferable.”<8.75 MET h/wk8.75–17.5 MET h/wk>17.5 MET h/wk
3. “Consume a healthy diet with an emphasis on plant sources.”0–2 diet points3–6 diet points7–9 diet points
 3A. “Eat 5 or more servings of a variety of vegetables and fruits each day.”1 point for consuming ≥5 servings/d fruits + vegetables, plus 1 or 2 points for being in the second or third tertile of total carotenoids,a respectively.
 3B. “Choose whole grains in preference to processed (refined) grains).”Percentage of grains consumed as whole grains divided into quartiles and assigned a score of 0–3 (lowest quartile = 0)
 3C. “Limit consumption of processed and red meats.”Intake of red + processed meat (servings/wk) divided into quartiles and assigned a score of 0–3 (lowest quartile = 3)
4. “If you drink, limit consumption to 1 drink/d for women.”>1 drink/d>0–≤1 drink/dNondrinker at baseline
  • aTertiles of carotenoids consumed was used to capture quality of fruit and vegetables, modified from the original diversity score.