Health promotion for breast cancer survivors
| CATEGORY | RECOMMENDATIONS | LEVEL OF EVIDENCE* |
|---|---|---|
| Weight management | • Counsel patients to achieve and maintain a healthy weight | III |
| • Counsel patients who are overweight or obese to change dietary habits and increase physical activity to promote and maintain weight loss | I | |
| Physical activity | • Counsel patients to avoid inactivity and return to daily activities as soon as possible after diagnosis | II |
| • Aim for at least 150 min of moderate or 75 min of vigorous physical activity weekly | I | |
| • Include strength training exercises at least 2 d/wk | I | |
| Nutrition | • Counsel patients to have a dietary pattern high in vegetables, fruits, whole grains, and legumes; low in saturated fats; and limited in processed and red meats | I |
| • Limit alcohol to 1 unit/d | III | |
| • Consider supplements only if deficiencies are demonstrated | III | |
| Smoking cessation | • Counsel patients to avoid smoking; offer or refer for cessation counseling and resources | I |
↵* Level I evidence includes at least 1 properly conducted randomized controlled trial, systematic review, or meta-analysis. Level II evidence includes other comparison trials; non-randomized, cohort, case-control, or epidemiologic studies; and preferably more than 1 study. Level III evidence includes expert opinion or consensus statements and influential reports or studies.
Data from Runowicz et al.15