Cited by 140Cancer Risks and FactorsCancer survivorship and careObesity, Physical Activity, Diet

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Outcomes of a weight loss intervention among rural breast cancer survivors

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Befort, Christie A., Klemp, Jennifer R., Austin, Heather L., Perri, Michael G., Schmitz, Kathryn H., Sullivan, Debra K., Fabian, Carol J.·2012·Breast Cancer Research and Treatment

DOI 10.1007/s10549-011-1922-3PMC PMC3314288

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Abstract

Obese breast cancer survivors have increased risk of recurrence and death compared to their normal weight counterparts. Rural women have significantly higher obesity rates, thus weight control intervention may be a key strategy for prevention of breast cancer recurrence in this population. This one-arm treatment study examined the impact of a group-based weight control intervention delivered through conference call technology to obese breast cancer survivors living in remote rural locations. The intervention included a reduced calorie diet incorporating prepackaged entrees and shakes, physical activity gradually increased to 225 min/week of moderate intensity exercise, and weekly group phone sessions. Outcomes included anthropomorphic, diet, physical activity, serum biomarker, and quality of life changes. Ninety-one percent of participants (31 of 34) attended >75% of intervention sessions and completed post-treatment data collection visits. At 6 months, significant changes were observed for weight (-12.5 ± 5.8 kg, 13.9% of baseline weight), waist circumference (-9.4 ± 6.3 cm), daily energy intake (-349 ± 550 kcal/day), fruits, and vegetables (+3.7 ± 4.3 servings/day), percent kcal from fat (-12.6 ± 8.6%), physical activity (+1235 ± 832 kcal/week; all P values <0.001), as well as significant reductions in fasting insulin (16.7% reduction, P = 0.006), and leptin (37.1% reduction, P < 0.001). Significant improvements were also seen for quality of life domains including mood, body image, and sexuality. In conclusion, the intervention produced >10% weight loss as well as significant improvements across multiple endpoints. The group phone-based treatment delivery approach may help disseminate effective weight control intervention to hard-to-reach breast cancer survivors.

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Authors: Befort, C. A., Klemp, J. R., Austin, H. L., Perri, M. G., Schmitz, K. H., Sullivan, D. K., & Fabian, C. J.
Affiliations: University of Kansas Medical Center (US)
University of Florida Health (US)
University of Pennsylvania (US)
Corresponding author: Befort, Christie A.
ORCID: Befort, Christie A.
Klemp, Jennifer R.
Perri, Michael G.
Schmitz, Kathryn H.
Sullivan, Debra K.
Fabian, Carol J.
Venue: Breast Cancer Research and Treatment
Publisher: Springer Science and Business Media LLC
Published: 2011-12-25
Volume: 132
Issue: 2
Pages: 631-639
ISSN: 0167-6806 (ISSN-L)
1573-7217
DOI: 10.1007/s10549-011-1922-3
PMC: PMC3314288
OpenAlex: W2094876308
Cited by: 138
References: 53
Citations by year: 2026: 3 · 2025: 6 · 2024: 6 · 2023: 2 · 2022: 13 · 2021: 12 · 2020: 13 · 2019: 10 · 2018: 6 · 2017: 11 · 2016: 14 · 2015: 10 · 2014: 14 · 2013: 13 · 2012: 5
FWCI: 5.35
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Breast Cancer Research and Treatment (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Susan G. Komen for the Cure
Susan G. Komen
National Institutes of Health (UL1TR000064)
National Institute on Aging (P30AG028740)
National Center for Advancing Translational Sciences
Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD052027)
Topics: Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: breast cancer survivors, obesity, weight loss interventions, rural women, hypocaloric diet, physical activity, fasting insulin, leptin, quality of life, body image, sexuality, hard-to-reach populations, breast cancer recurrence prevention
MeSH terms: Aged, Analysis of Variance, Breast Neoplasms, Exercise Therapy, Female, Group Processes, Humans, Insulin, Kansas, Middle Aged, Obesity, Quality of Life, Surveys and Questionnaires, Telephone, Time Factors, Biomarkers, Weight Loss, Treatment Outcome, Survivors, Rural Health Services, Remote Consultation, Leptin, Caloric Restriction

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