Table 2.

ACS recommendations and adherence score breakdown of selected studies

ACS
McCullough, 2011
RecommendationThomson, 2014aKabat, 2015Catsburg, 2014Warren Andersen, 2016
“Maintain a healthy weight throughout life”0: Obese at both time points or obese at 1 and overweight at the other0: >35.018.5 ≤ BMI ≤2518.5 ≤ BMI ≤25
1: All others1: 30–34.9
2: BMIb 18–<25 at both times2: 25–29.9
3: 18.5–24.9
“Adopt a physically active lifestyle”0: <8.75 METc h/wk0: ≤ 3x/mo≥150 min/wk≥150 min/wk of moderate, ≥75 min/wk of vigorous or ≥150 min/wk of moderate + vigorous
1: 8.75–17.5 MET h/wk1: 1–2x/wk
2: >17.5 MET h/wk2: 3–4x/wk
3: ≥5x/wk
“Eat 5 or more servings of a variety of vegetables and fruits each day”1: ≥5 servings/d fruits +vegQuartiles>400 g of vegetables and fruit per day≥2.5 cups vegetables + fruits/d
+1 or 2 “variety” points for 2nd or 3rd tertile of unique fruits or veg consumed/month
“Choose whole grains instead of refined grains”Quartiles of the ratio of whole grains to total grainsQuartiles of the ratio of whole grains to total grainsRatio of whole: refined grains > 1Highest quartile of the ratio of whole grains to total grains
“Limit consumption of processed and red meats”Quartiles of red + processed meat intake (servings/wk)Quartiles of red + processed meats<500 g of red and processed meat per weekLowest quartile of red + processed meats
“If you drink, limit consumption to 1 drink/day for women or 2 drinks/day for men”Women:Men:Women:Men:≤1 standard drink/dWomen ≤1 drink/d
Men ≤2 drinks/d
0: >10: >20: ≥20: ≥3
1: >0–≤11: >0–≤21: Non1: Non
2: Non2: Non2: 12: 1–2
  • aThomson evaluated BMI as <18.5 excluded 0: BMI ≥ 30 kg/m2 at age 18 or at baseline, 1: BMI 25–<30 at age 18 or baseline, 2: BMI < 25 kg/m2 at age 18 and baseline; diet score plus 1 or 2 “quality” points for being in the second or third tertile of total carotenoids; alcohol score 2 points for nondrinker at baseline.

  • bBMI, kg/m2.

  • cMetabolic equivalent of task.