Intervention-guided Program Improves Weight Loss Among African American Breast Cancer Survivors

Share this content:
An intervention-guided program improved weight loss compared with a self-guided program among African American breast cancer survivors.
An intervention-guided program improved weight loss compared with a self-guided program among African American breast cancer survivors.

An intervention-guided program improved weight loss compared with a self-guided program among African American breast cancer survivors, according to a study published in the Journal of Clinical Oncology.1

Obesity may contribute to breast cancer progression, as well as other chronic conditions. Few studies have evaluated weight loss interventions in the African American population. This study evaluated whether an intervention can improve weight, body composition, and behavior among breast cancer survivors.

The study randomly assigned 246 overweight/obese African American women who were survivors of stage I to III breast cancer to undergo an interventionist- or self-guided weight loss program for 6 months. The goal was to promote a 5% decrease in body weight.

The weight intervention arm received a twice-weekly in-person class with supervised exercise and learning modules, and text messages to provides support and health promotion resources.

The mean age at baseline was 57.5, 87% of women were postmenopausal, and the mean body mass index was 36.1 kg/m2. Nearly 30% of women were not currently receiving endocrine therapy. Attendance of the interventionist classes was 55%.

Body weight, waist and hip circumferences, and body fat were reduced with both interventions, though the differences compared with baseline were higher in the interventionist arm.

Although the arms did not reach the goal of 5% weight loss, the change from baseline at 6 months was -3.49 (standard deviation [SD], 0.39) in the interventionist group compared with -1.27 (SD, 0.40) in the self-guided group (P < .001).

The changes in body weight and composition were a result of behavioral changes including an increase in moderate and vigorous exercise, decreased energy, sodium, and added sugar intake.

RELATED: In Focus: Abemaciclib for Advanced Breast Cancer

These results suggest that the weight loss program can help African American breast cancer survivors lose weight.

The authors noted, however, that “ongoing community-based programs that support healthy lifestyles are required. This is particularly true for African American breast cancer survivors, who have high rates of obesity, often live in resource-poor neighborhoods, and face multiple barriers to healthy lifestyles.”

Reference

  1. Stolley M, Sheean P, Gerber B, et al. Efficacy of a weight loss intervention for African American breast cancer survivors. J Clin Oncol. 2017 Jun 19. doi: 10.1200/JCO.2016.71.9856 [Epub ahead of print]

Related Resources

You must be a registered member of Cancer Therapy Advisor to post a comment.

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Prostate Cancer Regimens Drugs
Rare Cancers Regimens
Renal Cell Carcinoma Regimens Drugs
Skin Cancer Regimens Drugs
Urologic Cancers Regimens Drugs

Sign Up for Free e-newsletters