Effect of a diet and physical activity intervention on body weight and nutritional patterns in overweight and obese breast cancer survivors

2013 ◽  
Vol 31 (1) ◽  
Author(s):  
N. Travier ◽  
A. Fonseca-Nunes ◽  
C. Javierre ◽  
E. Guillamo ◽  
L. Arribas ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Graciela Caire-Juvera ◽  
Maria del Socorro Saucedo-Tamayo ◽  
Karina de Jesus Diaz-Lopez ◽  
Victor Alexander Quintana-Lopez ◽  
Maria Josse Navarro-Ibarra ◽  
...  

Abstract Objectives This study aims to evaluate the adherence to a dietary, physical activity, and body weight intervention using the principles of Motivational Interviewing (MI) in female breast cancer survivors who participated in a trial for 4 months. Methods Premenopausal and postmenopausal female cancer survivors (n = 47) were randomized to the intervention group (IG, n = 22) that received the MI strategy, or the comparison group (CG, n = 25) that received nutritional counseling. Adherence to the program was evaluated based on compliance with dietary and physical activity goals, changes in body weight and changes in serum levels of α-carotene and β-carotene. We applied two non-consecutive 24-hour recalls to estimate dietary intake, and used a pedometer to measure number of steps. Blood samples were taken at time 0 (basal) and at 4 months of the study, and the serum concentrations of α-carotene and β-carotene were evaluated by high-performance liquid chromatography. Results Among participants in the IG, percentages of compliance with goals for fruit and vegetable intakes were 93% and 90% respectively. The consumption of red, green and yellow vegetables increased (135.3 to 148.6 g/day, 192.1 to 227.7 g/day and 49.1 to 58.9 g/day, respectively) in the IG. There were no differences in fiber or total sugar intakes between groups. Women in the IG significantly increased their serum β-carotene levels (median 10.7 to 21.2 μg/dL) compared to the CG (median 13.1 to 19.9 μg/dL) (P < 0.05). The number of steps increased in the IG compared to the CG (1865 vs. 189, P < 0.05), although participants in the two groups continued to be classified as sedentary (physical activity level <1 at 0 and 4 months). Women in the IG lost 1.75 kg of body weight compared to 0.70 kg in the CG (P = 0.08). Conclusions Findings indicate that adherence to the recommendation on fruit and vegetable intakes is relatively high and that adherence to the recommendation on fiber intake, sugar intake, body weight and physical activity should be promoted. The MI strategy is promising to motivate changes in lifestyle changes. Funding Sources Consejo Nacional de Ciencia y Tecnología (CONACYT-México) (English: National Council for Science and Technology).


2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 175-175
Author(s):  
Jennifer A. Ligibel ◽  
William Thomas Barry ◽  
Kathryn Jean Ruddy ◽  
Mary Greaney ◽  
Shoshana M. Rosenberg ◽  
...  

175 Background: Inactivity is common in breast cancer survivors and has been linked to poor outcomes. Few trials have tested physical activity (PA) interventions in young women with breast cancer, who may face unique PA barriers due to demands of jobs and young families. Methods: Young and Strong was a cluster-randomized study evaluating the effect of education interventions for young breast cancer survivors.Sites were randomized 1:1 to a young women’s intervention (YWI), focused on fertility and other issues facing young women, or to a physical activity intervention (PAI). At PAI sites, providers were instructed to discuss PA with patients, and participants were given materials to encourage PA. PA was measured with the modified Godin Leisure Score Index at baseline, and 3, 6, and 12 months. Medical records were reviewed to assess provider attention to PA. Changes in weekly min of PA were compared between the PAI and YWI groups using general estimating equations to evaluate clustered binary and Gaussian data. Results: 467 patients enrolled between 7/12 -12/13 across 54 sites. Median age at dx was 40yrs (range 22-45). At baseline, participants were moderately active. PA increased in both groups over time (Table); there was no significant difference in PA between groups at any time (all p > 0.1). Provider attention to PA was documented in 74% of participants on PAI and 61% on YWI (p = 0.15), and correlated with PA at 12 months (median 100 min/wk of PA in participants with provider attention to PA vs. 60 min/wk in those without, p = 0.016). Participants who reported reading all or most the PAI materials reported higher levels of PA vs. those who read less (78% vs. 64%, p = 0.05) Conclusions: Young breast cancer survivors assigned to a PA intervention did not increase PA more than those assigned to an intervention focused on young women’s issues. However, the higher levels of PA among women who engaged with the PAI materials and those whose oncology providers addressed PA suggests the importance of enhancing patient and provider engagement with healthy lifestyle information and recommendations. Clinical trial information: NCT01647607. [Table: see text]


Sign in / Sign up

Export Citation Format

Share Document