Prevention of endometrial cancer with a healthier lifestyle: a review of the literature and proposal of the I.M.P.R.O.V.E. strategy

Type I endometrial cancer is mainly associated with obesity, chronic hyperinsulinemia and insulin resistance. Thus, improving lifestyle should be a main goal of primary prevention for this neoplasm. Nonetheless, patients adherence to a healthy lifestyle (playing sports, weight control, balanced diet, etc.) is generally insufficient. The aim of this paper is to provide a review of the available literature about the correlation between endometrial cancer and lifestyle. Then, a novel strategy of counseling is proposed; this approach, based both on evidence-based medicine and clinical psychology, can be easily remembered with the acronym I.M.P.R.O.V.