Lifestyle interventions to improve cancer outcomes have long been recommended; however, there has been a resurgence in their importance and relevance, given the increasing number of cancer survivors who seek alternative secondary prevention and treatment options. The American Cancer Society (ACS) estimates there are 16.9 million cancer survivors in the USA, representing an increase in recent years. With this growth, more and more cancer survivors look for ways to prevent cancer recurrence and to offset treatment side effects. Lifestyle interventions such as diet and physical activity offer promise for cancer survivors. The ACS recommends adopting healthful, cancer preventive strategies of 1) reaching and maintaining a healthy weight; 2) engaging in regular physical activity; and 3) consuming meals high in vegetables, fruits, and whole grains as well as limited refined foods, added sugars, and red and processed meats. Similarly, the World Cancer Research Fund (WCFR) and American Institute for Cancer Research recommend in their most recent Continuous Update Project (2018) a renewed focus on diet, nutrition and exercise prevention strategies for cancer.
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