Efficacy of a Weight Loss Intervention for African American Breast Cancer Survivors Journal Article

Authors: Stolley, M; Sheean, P; Gerber, B; Arroyo, C.; Schiffer, L; Banerjee, A; Visotcky, A; Fantuzzi, G; Strahan, D.; Matthews, L; Dakers, R.; Carridine-Andrews, C.; Seligman, K.; Springfield, S.; Odoms-Young, A.; Hong, S.; Hoskins, K; Kaklamani, V.; Sharp, L
Article Title: Efficacy of a Weight Loss Intervention for African American Breast Cancer Survivors
Abstract: 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 (+/- standard deviation) age, and body mass index were 57.5 (+/- 10.1) years and 36.1 (+/- 6.2) kg/m2, 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 3% at 6 months is associated with improved health outcomes. Affordable, accessible health promotion programs represent a critical resource for AABCS.
Journal Title: Journal of Clinical Oncology
ISSN: 0732-183X
Publisher: Unknown  
Journal Place: United States
Date Published: 2017
Start Page: JCO2016719856
Language: eng
Notes: LR: 20170619; JID: 8309333; aheadofprint; SO: J Clin Oncol. 2017 Jun 19:JCO2016719856. doi: 10.1200/JCO.2016.71.9856.