TY - JOUR
T1 - Efficacy of a weight loss intervention for african American breast cancer survivors
AU - Stolley, Melinda
AU - Sheean, Patricia
AU - Gerber, Ben
AU - Arroyo, Claudia
AU - Schiffer, Linda
AU - Banerjee, Anjishnu
AU - Visotcky, Alexis
AU - Fantuzzi, Giamila
AU - Strahan, Desmona
AU - Matthews, Lauren
AU - Dakers, Roxanne
AU - Carridine-Andrews, Cynthia
AU - Seligman, Katya
AU - Springfield, Sparkle
AU - Odoms-Young, Angela
AU - Hong, Susan
AU - Hoskins, Kent
AU - Kaklamani, Virginia
AU - Sharp, Lisa
N1 - Publisher Copyright:
Copyright © 2017 American Society of Clinical Oncology. All rights reserved.
PY - 2017/8/20
Y1 - 2017/8/20
N2 - Purpose African American women with breast cancer have higher cancer-specific and overall mortality rates. Obesity is common among African American women and contributes to breast cancer progression and numerous chronic conditions. Weight loss interventions among breast cancer survivors positively affect weight, behavior, biomarkers, and psychosocial outcomes, yet few target African Americans. This article examines the effects of Moving Forward, a weight loss intervention for African American breast cancer survivors (AABCS) on weight, body composition, and behavior. Patients and Methods Early-stage (I-III) AABCS were randomly assigned to a 6-month interventionist-guided (n = 125) or self-guided (n = 121) weight loss program supporting behavioral changes to promote a 5% weight loss. Anthropometric, body composition, and behavioral data were collected at baseline, postintervention (6 months), and follow-up (12 months). Descriptive statistics and mixed models analyses assessed differences between groups over time. Results Mean (6 standard deviation) age, and body mass index were 57.5 (6 10.1) years and 36.1 (6 6.2) kg/m 2 , respectively, and 82% had stage I or II breast cancer. Both groups lost weight. Mean and percentage of weight loss were greater in the guided versus self-guided group (at 6 months: 3.5 kg v 1.3kg; P, .001; 3.6% v 1.4%; P, .001, respectively; at 12 months: 2.7 kg v 1.6 kg; P, .05; 2.6% v 1.6%; P, .05, respectively); 44% in the guided group and 19% in the self-guided group met the 5% goal. Body composition and behavioral changes were also greater in the interventionist-guided group at both time points. Conclusion The study supports the efficacy of a community-based interventionist-guided weight loss program targeting AABCS. Although mean weight loss did not reach the targeted 5%, the mean loss of . 3% at 6 months is associated with improved health outcomes. Affordable, accessible health promotion programs represent a critical resource for AABCS.
AB - Purpose African American women with breast cancer have higher cancer-specific and overall mortality rates. Obesity is common among African American women and contributes to breast cancer progression and numerous chronic conditions. Weight loss interventions among breast cancer survivors positively affect weight, behavior, biomarkers, and psychosocial outcomes, yet few target African Americans. This article examines the effects of Moving Forward, a weight loss intervention for African American breast cancer survivors (AABCS) on weight, body composition, and behavior. Patients and Methods Early-stage (I-III) AABCS were randomly assigned to a 6-month interventionist-guided (n = 125) or self-guided (n = 121) weight loss program supporting behavioral changes to promote a 5% weight loss. Anthropometric, body composition, and behavioral data were collected at baseline, postintervention (6 months), and follow-up (12 months). Descriptive statistics and mixed models analyses assessed differences between groups over time. Results Mean (6 standard deviation) age, and body mass index were 57.5 (6 10.1) years and 36.1 (6 6.2) kg/m 2 , respectively, and 82% had stage I or II breast cancer. Both groups lost weight. Mean and percentage of weight loss were greater in the guided versus self-guided group (at 6 months: 3.5 kg v 1.3kg; P, .001; 3.6% v 1.4%; P, .001, respectively; at 12 months: 2.7 kg v 1.6 kg; P, .05; 2.6% v 1.6%; P, .05, respectively); 44% in the guided group and 19% in the self-guided group met the 5% goal. Body composition and behavioral changes were also greater in the interventionist-guided group at both time points. Conclusion The study supports the efficacy of a community-based interventionist-guided weight loss program targeting AABCS. Although mean weight loss did not reach the targeted 5%, the mean loss of . 3% at 6 months is associated with improved health outcomes. Affordable, accessible health promotion programs represent a critical resource for AABCS.
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U2 - 10.1200/JCO.2016.71.9856
DO - 10.1200/JCO.2016.71.9856
M3 - Article
C2 - 28628363
AN - SCOPUS:85028582392
SN - 0732-183X
VL - 35
SP - 2820
EP - 2828
JO - Journal of Clinical Oncology
JF - Journal of Clinical Oncology
IS - 24
ER -