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Diet and Cancer (Poster Session)

(P21-004-24) Validation of the Nutri S-can, A New Tool That Measures Adherence to the 2018 WCRF/AICR Cancer Prevention Recommendations

Monday, July 1, 2024
12:45 PM – 1:45 PM CT
Location: Poster Board 223

    Presenting Author(s)

  • Alice Chaplin, PhD

    Postdoctoral researcher
    Health Research Institute of the Balearic Islands/CIBER
    Palma, Islas Baleares, Spain

    • Co-Author(s)

  • MN

    Mar Nafria

    Health Research Institute of the Balearic Islands, Spain

  • AS

    Albert Sesé

    University of the Balearic Islands/Health Research Institute of the Balearic Islands, Spain

  • MM

    Marga Morey

    Health Research Institute of the Balearic Islands, Spain

  • LP

    Lara Prohens

    Health Research Institute of the Balearic Islands, Spain

  • ER

    Elena Rayó

    Health Research Institute of the Balearic Islands, Spain

  • DR

    Dora Romaguera

    Health Research Institute of the Balearic Islands, Spain

Disclosure(s):
Alice Chaplin, PhD: No relevant financial relationship(s) with ineligible companies to disclose.


Objectives: The objective was to develop and validate the Nutri S-Can, a short screener which aims to evaluate adherence to seven out of the ten 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations regarding body weight, physical activity (PA) and diet for its use in a clinical setting.

Methods: The Nutri S-Can was developed by an international panel of experts, piloted to test face validity, construct validity and reproducibility, and refined based on the results obtained. A validation study was then carried out in a subset of participants with obesity and the metabolic syndrome from the PREDIMED-Plus study in Spain (n=111, 47% women, average age 71.9±5.1y). Scores of individual recommendations and total score of the screener were compared to scores obtained using validated methods for each construct (anthropometric measurements by trained staff, and validated food frequency and PA questionnaires). Intraclass correlation (ICC) was used to assess relative agreement between total scores (Nutri S-Can vs. validated methods), and Pearson correlation and Kappa coefficient were used for individual components.

Results: The Nutri S-Can has a total of 14 questions covering seven recommendations (body weight, PA, fibre intake, processed foods, red and processed meat, sugary drinks and alcohol consumption) with a score range of 0-7. There was a significant correlation and a moderate agreement between the Nutri S-Can score (3.7±0.9) vs. validated methods (3.4±0.8) (r=0.67, p< 0.001; ICC=0.47, p=0.188). Scores obtained with the Nutri S-Can for individual recommendations were highly correlated with validated measures (r=0.44-0.88, p< 0.000) and showed very good agreement for alcohol (ĸ=0.84), moderate agreement for body weight (ĸ=0.58) and PA (ĸ=0.48), fair agreement for fibre (ĸ=0.29), red and processed meat (ĸ=0.34) and sugary drinks (ĸ=0.34), and slight agreement for processed foods (ĸ=0.16) (p < 0.001 in all cases).

Conclusions: The Nutri S-Can is a short and valid tool for assessing adherence to the 2018 WCRF/AICR cancer prevention recommendations at an individual level which could be useful in clinical settings and cancer prevention strategies.

Funding Sources: (1) Health Research Institute of the Balearic Islands (IdISBa); (2) Centro de Investigación Biomédica en Red (CIBER); (3) Instituto de Salud Carlos III