P202 - PREVALENCE OF CANCER PREVENTION LIFESTYLE RECOMMENDATIONS IN INDIVIDUALS WITH EXCESS BODY WEIGHT

P202

PREVALENCE OF CANCER PREVENTION LIFESTYLE RECOMMENDATIONS IN INDIVIDUALS WITH EXCESS BODY WEIGHT

C. E. Orsso¹, T. Gormaz¹, S. Valentine¹, I. Matias de Sousa¹, M. Ferguson-Pell², S. T. Johnson³, A. A. Kirkham⁴, D. Klein⁵, N. Maeda^2,6, J. F. Mota^7,8, S. E. Neil-Sztramko^9,10, M. Quintanilha¹¹, B. Oladunni Salami¹², C. Prado^1,*

¹Human Nutrition Research Unit, Department of Agricultural, Food and Nutritional Science, ²Faculty of Rehabilitation Medicine, University of Alberta, ³Faculty of Health Disciplines, Athabasca University, Edmonton, ⁴Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, ⁵Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, ⁶My Viva Inc, Edmonton, Canada, ⁷Faculty of Nutrition, Federal University of Goiás, Goiânia, Brazil, ⁸APC Microbiome Ireland, Department of Medicine, School of Microbiology, University College Cork, Cork, Ireland, ⁹Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, ¹⁰National Collaborating Centre for Methods and Tools , Hamilton, ¹¹Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, ¹²Cumming School of Medicine, University of Calgary, Calgary, Canada

Rationale: Excess weight is a major public health concern and a known cancer risk factor. Adopting healthy lifestyle behaviours—eating a balanced diet, engaging in regular physical activity (PA), reducing sedentary time, avoiding smoking, and limiting alcohol—can help manage weight and lower cancer risk. This study examined the prevalence of these behaviours in individuals with excess weight.

Methods: Participants in the Digital Intervention for behaviouR changE and Chronic disease prevenTION (DIRECTION) clinical trial (40–65 y, BMI 30–<35 kg/m²) were assessed at baseline. A 24-h dietary recall was completed using the Automated Self-Administered 24-hour^®-Canada-2018. Nutrient intakes were compared to Dietary Reference Intakes (DRIs), and diet quality was evaluated via the Healthy Eating Index-2015. PA was measured using the Godin-Shephard Leisure-Time Questionnaire. Smoking was self-reported; alcohol intake was assessed with the Alcohol Use Disorders Identification Test. Healthy behaviours included moderate/good diet quality (score ≥60), being moderately/physically active, low-risk alcohol use or abstinence, and never smoking.

Results: Data from 186 participants (51.5±7.2 y, 88.7% women, BMI 32.8±1.7 kg/m²) were analyzed. DRIs for protein, carbohydrate, and fat were met by 77.2%, 47.3%, and 34.9%, respectively; only 15.1% met fibre recommendations. Diet quality was moderate in 33.0% and good in 3.2%. PA levels: 36.6% active, 32.8% moderately active, 30.6% sedentary. Most (64.0%) had never smoked; 28.5% were former smokers. For alcohol, 83.3% were low-risk drinkers, and 14.5% abstainers. Overall, 7.0% had one, 30.6% two, and 62.4% three or more healthy behaviours.

Conclusion: While many participants reported health-promoting behaviours, notable gaps remained, especially in diet quality and fibre intake. DIRECTION’s findings will assess whether digital health interventions can address these gaps.

Disclosure of Interest: C. Orsso Other: Speaker engagement and honoraria from Abbott Nutrition, scholarships from Mitacs Accelerate and KillamTrusts Award, T. Gormaz: None declared, S. Valentine: None declared, I. Matias de Sousa: None declared, M. Ferguson-Pell: None declared, S. Johnson: None declared, A. Kirkham: None declared, D. Klein: None declared, N. Maeda Other: Employee of My Viva Plan, J. F. Mota: None declared, S. Neil-Sztramko: None declared, M. Quintanilha: None declared, B. Oladunni Salami: None declared, C. Prado Grant / Research Support from: Alberta Health, Consultant for: Abbott Nutrition, Nutricia, Novo Nordisk, Other: Speaker engagement with Abbott Nutrition, Nutricia, Nestle Health Science, Novo Nordisk