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Outcomes of a weight loss intervention among rural breast cancer survivors
Open accessAbstract
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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“Weight loss interventions for overweight/obese breast cancer survivors have been developed to address this issue and have yielded mixed results; some studies reported minimal to modest weight loss [9–12], while others reported clinically significant weight loss of 5% or more [13–22].”
From A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success (2016) · cites this paper as [13]
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Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
(2002) · New England Journal of Medicine · doi:10.1056/nejmoa012512 · Cited by 19,011
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,453
HASKELL, W. L., LEE, I.-M., PATE, R. R., POWELL, K. E., BLAIR, S. N., FRANKLIN, B. A., MACERA, C. A., HEATH, G. W., THOMPSON, P. D., & BAUMAN, A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180616b27 · Cited by 4,616
(1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.4.899 · Cited by 2,722
The theory and practice of group psychotherapy.
Gullickson, T., & Ramser, P. (1996) · Contemporary Psychology · doi:10.1037/002652 · Cited by 1,894
Fasting Insulin and Outcome in Early-Stage Breast Cancer: Results of a Prospective Cohort Study
Goodwin, P. J., Ennis, M., Pritchard, K. I., Trudeau, M. E., Koo, J., Madarnas, Y., Hartwick, W., Hoffman, B., & Hood, N. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.20.1.42 · Cited by 978
Body image and sexual problems in young women with breast cancer
Fobair, P., STEWART, S. L., Chang, S., D’Onofrio, C. N., Banks, P. J., & Bloom, J. R. (2005) · Psycho-Oncology · doi:10.1002/pon.991 · Cited by 888
Chlebowski, R. T., Blackburn, G. L., Thomson, C. A., Nixon, D. W., Shapiro, A. C., Hoy, M. K., Goodman, M. T., Giuliano, A. E., KARANJA, N. M., McAndrew, P. F., et al. (2006) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djj494 · Cited by 832
Conway, J. M., Ingwersen, L. A., Vinyard, B. T., & Moshfegh, A. J. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.5.1171 · Cited by 829
Prentice, R. L., Caan, B., Chlebowski, R. T., Patterson, R., Kuller, L. H., Ockene, J. K., Margolis, K. L., Limacher, M. C., Manson, J. E., Parker, L. M., et al. (2006) · JAMA · doi:10.1001/jama.295.6.629 · Cited by 828
Weight, Weight Gain, and Survival After Breast Cancer Diagnosis
Kroenke, C. H., Chen, W. Y., Rosner, B., & Holmes, M. D. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.01.079 · Cited by 670
Adult Weight Change and Risk of Postmenopausal Breast Cancer
Eliassen, A. H., Colditz, G. A., Rosner, B., Willett, W. C., & Hankinson, S. E. (2006) · JAMA · doi:10.1001/jama.296.2.193 · Cited by 654
Weight Loss in Breast Cancer Patient Management
Chlebowski, R. T., Aiello, E. J., & McTiernan, A. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.2002.20.4.1128 · Cited by 618
Irwin, M. L., Smith, A. W., McTiernan, A., Ballard-Barbash, R. R., Cronin, K. A., Gilliland, F. D., Baumgartner, R., Baumgartner, K. B., & Bernstein, L. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.15.9822 · Cited by 563
Weight management using a meal replacement strategy: meta and pooling analysis from six studies.
Heymsfield, S. B., van Mierlo, C. A. J., van der Knaap, H. C. M., Heo, M., & Frier, H. I. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.0802258 · Cited by 557
Measuring Physical Activity and Energy Expenditure
Kemper, H. C. G., & Saris, W. H. M. (1996) · Cited by 554
Physical Activity and Survival after Diagnosis of Invasive Breast Cancer
Holick, C. N., Newcomb, P. A., Trentham‐Dietz, A., Titus-Ernstoff, L. T., Bersch, A. J., Stampfer, M. J., Baron, J. A., Egan, K. M., & Willett, W. C. (2008) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-07-0771 · Cited by 501
Obesity and cancer: Pathophysiological and biological mechanisms
Renehan, A. G., Roberts, D. L., & Dive, C. (2008) · Archives of Physiology and Biochemistry · doi:10.1080/13813450801954303 · Cited by 418
Measuring Physical Activity and Energy Expenditure
Sallis, J. F. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199609000-00022 · Cited by 396
Obesity and Physical Inactivity in Rural America
Patterson, P. D., Moore, C. G., Probst, J. C., & Shinogle, J. A. (2004) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2004.tb00022.x · Cited by 387
Comprehensive evaluation of the Minnesota leisure time physical activity questionnaire
Richardson, M. T., Leon, A. S., Jacobs, D. R., Ainsworth, B. E., & SERFASS, R. C. (1994) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(94)90008-6 · Cited by 369
Jeffery, R., Wing, R., Thorson, C., et al. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.6.1038 · Cited by 336
Jeffery, R. W., Wing, R. R., Thorson, C., Burton, L. R., Raether, C., Harvey, J., & Mullen, M. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.6.1038 · Cited by 302
Irwin, M. L., Varma, K., Alvarez-Reeves, M., Cadmus, L. A., Wiley, A., Chung, G. G., DiPietro, L., Mayne, S. T., & Yu, H. (2009) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-08-0531 · Cited by 279
Perri, M. G., Limacher, M. C., Durning, P. E., Janicke, D. M., Lutes, L. D., Bobroff, L. B., Dale, M. S., Daniels, M. J., Radcliff, T. A., & Martin, A. D. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.21.2347 · Cited by 266
Self-citationA National Study of Obesity Prevalence and Trends by Type of Rural County
Jackson, J. E., Doescher, M. P., Jerant, A. F., & Hart, L. G. (2005) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2005.tb00074.x · Cited by 253
Validation of several established equations for resting metabolic rate in obese and nonobese people
Frankenfield, D. C., Rowe, W. A., Smith, J. S., & Cooney, R. N. (2003) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(03)00982-9 · Cited by 237
Sternfeld, B., Weltzien, E. K., Quesenberry, C. P., Castillo, A., Kwan, M. L., Slattery, M. L., & Caan, B. J. (2009) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-08-0595 · Cited by 229
Concern About Aspects of Body Image and Adjustment to Early Stage Breast Cancer
Carver, C. S., Pozo-Kaderman, C., Price, A. A., Noriega, V., Harris, S. D., Derhagopian, R. P., Robinson, D. S., & Moffat, F. L. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199803000-00010 · Cited by 215
(1996) · PubMed · Cited by 214
Speck, R. M., Gross, C. R., Hormes, J. M., Ahmed, R. L., Lytle, L. A., Hwang, W., & Schmitz, K. H. (2009) · Breast Cancer Research and Treatment · doi:10.1007/s10549-009-0550-7 · Cited by 209
Self-citationMadsen, E. L., Rissanen, A., Bruun, J. M., Skogstrand, K., Tonstad, S., Hougaard, D. M., & Richelsen, B. (2008) · European Journal of Endocrinology · doi:10.1530/eje-07-0721 · Cited by 201
Metz, J. A., Stern, J. S., Kris‐Etherton, P. M., Reusser, M. E., Morris, C. D., Hatton, D. C., Oparil, S., Haynes, R. B., Resnick, L. M., Pi-Sunyer, F., et al. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.14.2150 · Cited by 195
Adverse effects of obesity on breast cancer prognosis, and the biological actions of leptin (Review)
Rose, D. P., Gilhooly, E. M., & Nixon, D. W. (2002) · International Journal of Oncology · doi:10.3892/ijo.21.6.1285 · Cited by 144
Weight Gain Prior to Diagnosis and Survival from Breast Cancer
Cleveland, R. J., Eng, S. M., Abrahamson, P. E., Britton, J. A., Teitelbaum, S. L., Neugut, A. I., & Gammon, M. D. (2007) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-06-0889 · Cited by 142
The breast cancer experience of rural women: a literature review
Bettencourt, B. A., Schlegel, R. J., Talley, A. E., & Molix, L. A. (2007) · Psycho-Oncology · doi:10.1002/pon.1235 · Cited by 131
Exercise and Biomarkers for Cancer Prevention Studies
Campbell, K. L., & McTiernan, A. (2007) · Journal of Nutrition · doi:10.1093/jn/137.1.161s · Cited by 131
Reducing the weight of cancer: mechanistic targets for breaking the obesity–carcinogenesis link
Hursting, S. D., Lashinger, L. M., Wheatley, K. W., Rogers, C. J., Colbert, L. H., Núñez, N. P., & Perkins, S. N. (2008) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2008.08.009 · Cited by 119
Group versus individual phone-based obesity treatment for rural women
Befort, C. A., Donnelly, J. E., Sullivan, D. K., Ellerbeck, E. F., & Perri, M. G. (2010) · Eating Behaviors · doi:10.1016/j.eatbeh.2009.08.002 · Cited by 105
Self-citationAnthropometric measures, plasma adiponectin, and breast cancer risk
Tian, Y.-F., Chu, C.-H., Wu, M.-H., Chang, C.-L., Yang, T., Chou, Y., Hsu, G., Yu, C., Yu, J., & Sun, C. (2007) · Endocrine Related Cancer · doi:10.1677/erc-06-0089 · Cited by 104
Meal Replacements in Weight Intervention
Ashley, J. M., Jeor, S. T. S., Perumean‐Chaney, S. E., Schrage, J. P., & Bovee, V. (2001) · Obesity Research · doi:10.1038/oby.2001.136 · Cited by 100
Hormes, J. M., Lytle, L. A., Gross, C. R., Ahmed, R. L., Troxel, A. B., & Schmitz, K. H. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.14.2661 · Cited by 91
Self-citationBreast cancer, menopause, and long-term survivorship: critical issues for the 21st century
Ganz, P. A. (2005) · The American Journal of Medicine · doi:10.1016/j.amjmed.2005.09.047 · Cited by 89
A feasibility study on weight reduction in obese postmenopausal breast cancer patients
de Waard, F., Ramlau, R., Mulders, Y., de Vries, T., & van Waveren, S. (1993) · European Journal of Cancer Prevention · doi:10.1097/00008469-199305000-00007 · Cited by 80
Multicenter randomized trial of a comprehensive prepared meal program in type 2 diabetes.
Pi-Sunyer, X., Maggio, C., McCarron, D. A., Reusser, M. E., Stern, J. S., Haynes, R. B., Oparil, S., Kris‐Etherton, P. M., Resnick, L. M., Chait, A., et al. (1999) · Diabetes Care · doi:10.2337/diacare.22.2.191 · Cited by 80
Cella, D. F., Land, S. R., Chang, C., Day, R., Costantino, J. P., Wolmark, N., & Ganz, P. A. (2007) · Breast Cancer Research and Treatment · doi:10.1007/s10549-007-9682-9 · Cited by 72
Improvement of Metabolism among Obese Breast Cancer Survivors in Differing Weight Loss Regimens
Jen, K. ‐. C., Djuric, Z., DiLaura, N. M., Buison, A., Redd, J. N., Maranci, V., & Hryniuk, W. M. (2004) · Obesity Research · doi:10.1038/oby.2004.38 · Cited by 59
A Comparison of Meal Replacements and Medication in Weight Maintenance after Weight Loss
LeCheminant, J. D., JACOBSEN, D. J., Hall, M., & Donnelly, J. E. (2005) · Journal of the American College of Nutrition · doi:10.1080/07315724.2005.10719484 · Cited by 45
Teras, L. R., Goodman, M. G., Patel, A. V., Diver, W. R., Flanders, W. D., & Feigelson, H. S. (2011) · Cancer Causes & Control · doi:10.1007/s10552-011-9730-y · Cited by 42
The Theory and Practice of Group Psychotherapy:
Yalom, I. D., & Crouch, E. C. (1990) · British Journal of Psychiatry · doi:10.1192/s0007125000062723 · Cited by 32
Weight control needs and experiences among rural breast cancer survivors
Befort, C. A., Austin, H. L., & Klemp, J. R. (2010) · Psycho-Oncology · doi:10.1002/pon.1828 · Cited by 28
Self-citationKlemp, J. R., Cox, S., Befort, C. A., Papacek, S., Yeh, H., Khan, Q. J., Sharma, P., & Fabian, C. J. (2009) · Cancer Research · doi:10.1158/0008-5472.sabcs-09-1058 · Cited by 2
Self-citationThe rapid assessment of fatigue severity in cancer patients
Mendoza, T. R., Wang, X. S., Cleeland, C. S., Morrissey, M., Johnson, B. A., Wendt, J. K., & Huber, S. L. (1999) · Cancer · doi:10.1002/(sici)1097-0142(19990301)85:5 · Cited by 1
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Allott, E. H., & Hursting, S. D. (2015) · Endocrine Related Cancer · doi:10.1530/erc-15-0400 · Cited by 187
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Metadata
- 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
- Venue
- Breast Cancer Research and Treatment
- Published
- 2011-12-25
- Volume
- 132
- Issue
- 2
- Pages
- 631-639
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- 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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