Evaluation of cancer patients’ perspectives on weight management counseling at a comprehensive cancer center.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18041-e18041
Author(s):  
Damien Mikael Hansra ◽  
Cynthia Daniels ◽  
Ricardo H. Alvarez
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Weight Reduction ◽  
Primary Treatment ◽  
Normal Weight ◽  
Comprehensive Cancer Center ◽  
Cancer Type ◽  
Weight Class ◽  
Educational Approach ◽  
Weight Management Counseling

e18041 Background: Over 2/3 of Americans are Overweight (OW) or obese (OB). Being OW or OB is a risk factor for a variety of cancers & denotes a worse prognosis for some. Evidenced based strategies on management of OW & OB patients (pts) are lacking. Data shows the majority of physicians are OW & OB and confidence in obesity counseling in these individuals is less compared with normal weight (NW) counterparts. Here we report the results of a survey on cancer pt’s opinions weight management counseling. Methods: An HRPP exemption was obtained. Pts asked to complete a 20-question (Q) survey. Clinical info collected: age, race, cancer type, weight class (underweight, NW, OW, OB, unsure but likely overweight). Survey Qs asked about optimal timing, type of weight counseling preferences. Also, Qs regarding importance of their oncologists (ONCO) BMI assessed. Secondary Qs about pt risk factors for obesity, pt willingness, & pt preferred modalities to change dietary & exercise habits also assessed. Statistical analysis: One-way ANOVA used to compare mean responses. P-values reported α = 0.05. Results: 245 cancer pts completed the survey. Demographics: 53% white, 37% black, 8% multiracial, 1% American Indian, 1% Asian. Majority of pts 51-65 years old (55%) and female ( > 75%). 71% (175/245) of pts were OW or OB vs. 29% (70/245) of pts with normal weight. 78% (191/245) of pts had breast cancer vs. 22% (54/245) other cancers. Main results: The best time for an ONCO to address weight reduction with pts is? “Anytime” = 45% (111/245), “First visit” = 27% (65/245), “After primary treatment” = 27% (65/245), “Never” = 1% (2/245) (p < 0.01). The approach pts prefer ONCO use to counsel on weight reduction is? “Educational approach” = 26% (65/245), “Direct approach” = 24% (59/245), “Passive approach” = 8% (20/245), “Passive & educational” = 18% (44/245), “Direct & educational” = 18% (43/245), “Other approaches” = 5% (12/245), “No approach, I don’t want counseling” = 1% (2/245) (p < 0.01). Who would you listen to MOST about weight loss advice? “Normal weight ONCO” = 41% (101/245), “The BMI of my ONCO does not matter” = 53% (131/245), “OB or OW” 5% (13/245) (p < 0.01). Results of secondary Qs included in presentation. Conclusions: Almost all pts would like to discuss weight loss with their oncologist on the first visit or after primary treatment has been completed. Also, most pts would like to receive counseling by their oncologist regardless of their oncologist’s weight. Furthermore, pts seem to prefer education about why weight loss is important be included in their weight loss counseling.

Evaluation of cancer patients’ perspectives on weight management counseling at a comprehensive cancer center.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 221-221
Author(s):  
Damien Mikael Hansra ◽  
Cynthia Daniels ◽  
Ricardo H. Alvarez
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Psychological Health ◽  
Dietary Habits ◽  
Comprehensive Cancer Center ◽  
Cancer Type ◽  
Weight Class ◽  
Exercise Habits ◽  
Induce Weight Loss ◽  
Almost All

221 Background: Being overweight (OW) or obese (OB) is a risk factor for a variety of cancers & denotes a worse prognosis for some. Strategies on management of OW & OB patients (pts) are lacking. Data shows majority of physicians are OW & OB & confidence in OB counseling in these individuals is less compared w/ normal weight (NW) counterparts. Here we report results of a survey on cancer pt’s opinions on weight management. Methods: Pts asked to complete a 20-question (Q) survey. Clinical info collected: age, race, cancer type, weight class (underweight, NW, OW, OB, unsure but likely overweight). Survey Qs ask about optimal timing of weight counseling. Also, Qs regarding importance of their oncologists (ONCO) BMI assessed. Other Qs about pt risk factors for obesity, pt willingness, & pt preferred modalities to change dietary & exercise habits also assessed. Stats: 1-way ANOVA & students' T-test used to compare responses. P-value α = 0.05 used. Results: 245 pts completed the survey. Main Qs: Best time for ONCO to address weight with pts is? “Anytime” 45% (111/245), “First visit” 27% (65/245), “After main treatment” 27% (65/245), “Never” 1% (2/245) p < 0.01. Who would you listen to MOST about weight loss advice? “NW ONCO” 41% (101/245), “BMI of my ONCO does not matter” 53% (131/245), “OB or OW” 5% (13/245) p < 0.01. Pts tend to; "eat less healthy when stressed": true 77% (189/245) vs false 23% (56/245) p < 0.01; "eat less healthy when sad or depressed": true 72% (176/245) vs false 28% (69/245) p < 0.01; "exercise less since cancer diagnosis" true 61% (150/245) vs false 39% (95/245) p < 0.01. Pts are willing to change "dietary habits to induce weight loss": yes 94% (231/245) vs no 6% (14/245) p < 0.01; "exercise habits to induce weight loss": yes 96% (234/245) vs no 4% (11/245) p < 0.01. Results of clinical, demographics, other Qs included in presentation. Conclusions: Almost all pts would like to discuss weight loss on the first visit or after main treatment completed. Almost all pts are willing to change dietary & exercise habits. Also, most pts would like to receive counseling by their ONCO regardless of their ONCO’s weight. Furthermore, early interventions into pt's psychological health & exercise habits may benefit pts in weight management.

Do the Natural Chemical Compounds Interact with the Same Targets of Current Pharmacotherapy for Weight Management?-A Review

2019 ◽  
Vol 20 (4) ◽  
pp. 399-411 ◽  
Author(s):  
Shiqi Luo ◽  
George Binh Lenon ◽  
Harsharn Gill ◽  
Heidi Yuen ◽  
Angela Wei Hong Yang ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Pancreatic Lipase ◽  
Weight Reduction ◽  
Chemical Compounds ◽  
Alpha Amylase ◽  
Melanocortin Receptor ◽  
Health Concern ◽  
European Medicines Agency ◽  
Ppar Γ

Background: Obesity has become a worldwide health concern. Pharmacotherapies are now being introduced because lifestyle modifications alone are insufficient for weight management. The treatment outcomes of current approved anti-obesity agents are not satisfying due to drug-related intolerances. And so natural therapies including herbal medicines are popular alternatives for weight reduction; however, there are limited studies about their mechanism of actions. Methods: Five databases (PubMed, Scopus, Google Scholar, Science Direct, Proquest) were searched to investigate the targets and safety profiles of the current and past anti-obesity drugs that have been approved by the Food and Drug Administration (FDA) or the European Medicines Agency (EMA) as well as the commonly used off-label agents. The targets for weight-loss natural products and their principle bioactive components have also been searched. Only articles in English were included. Results: The targets for current anti-obesity single agents include pancreatic lipase, Glucagon Like Peptide-1(GLP-1) receptor, and serotonin 2C (5-HT2C) receptor. Potential targets such as amylin, pancreatic alpha amylase, leptin receptor, melanocortin receptor 4 receptor (MC4R), Peroxisome Proliferator- Activated Receptors gamma (PPAR γ), endocannabinoid 1 (CB1) receptor and Adenosine Monophosphate (AMP)-Activated Protein Kinase (AMPK) were discussed in various studies. Natural compounds have been found to interact with targets like pancreatic lipase, pancreatic alpha amylase, AMPK and PPAR γ to achieve weight reduction. Conclusion: Current pharmacotherapies and natural chemical compounds do act on same targets. Further investigations on the interactions between herbal compounds and the above targets are essential for the development of novel weight-loss therapies.

Weight Loss in Adolescent Wrestlers

1994 ◽  
Vol 6 (3) ◽  
pp. 211-224 ◽  
Author(s):  
Heidi L. Keller ◽  
Stephen E. Tolly ◽  
Patty S. Freedson
Keyword(s):  
Weight Loss ◽  
Health Professionals ◽  
Sports Medicine ◽  
Normal Weight ◽  
Rapid Weight Loss ◽  
Weight Class ◽  
Weight Cycling ◽  
Performance Consequences ◽  
And Performance ◽  
Practical Recommendations

The sport of wrestling often encourages participants to engage in extreme weight loss practices in order to compete in a weight class one to three weight categories below normal weight. This review discusses the prevalence of the problem, methods wrestlers use to accomplish weight loss, and the health and performance consequences of rapid weight loss, with particular emphasis on weight cycling and minimal safe wrestling weight assessment. Some useful and practical recommendations for minimizing extreme weight loss practices are presented. Several state wrestling associations have adjusted their rules and regulations based on recommendations by organizations such as the American College of Sports Medicine to reduce the prevalence of the problem. Nevertheless, extreme weight loss continues to be a concern among health professionals, particularly with regard to health and performance.

Weight Loss Practices of College Wrestlers

2003 ◽  
Vol 13 (1) ◽  
pp. 29-46 ◽  
Author(s):  
Robert A. Oppliger ◽  
Suzanne A. Nelson Steen ◽  
James R. Scott
Keyword(s):  
High School ◽  
Weight Loss ◽  
Bulimia Nervosa ◽  
Weight Management ◽  
Weight Control ◽  
Weight Class ◽  
Primary Methods ◽  
Control Rules ◽  
Winning Percentage ◽  
Division Ii

Purpose: The purpose of this investigation was to examine the weight management (WM) behaviors of collegiate wrestlers after the implementation of the NCAA’s new weight control rules. Methods: In the fall of 1999, a survey was distributed to 47 college wrestling teams stratified by collegiate division (i.e., I, II, III) and competitive quality. Forty-three teams returned surveys for a total of 741 responses. Comparisons were made using the collegiate division, weight class, and the wrestler’s competitive winning percentage. Results: The most weight lost during the season was 5.3 kg ± 2.8 kg (mean ± SD) or 6.9% ± 4.7% of the wrestler’s weight; weekly weight lost averaged 2.9 kg ± 1.3 kg or 4.3% ± 2.3% of the wrestler’s weight; post-season, the average wrestler regained 5.5 kg ± 3.6 kg or 8.6% ± 5.4% of their weight. Coaches and fellow wrestlers were the primary influence on weight loss methods; however, 40.2% indicated that the new NCAA rules deterred extreme weight loss behaviors. The primary methods of weight loss reported were gradual dieting (79.4%) and increased exercise (75.2%). However, 54.8% fasted, 27.6% used saunas, and 26.7% used rubber/ plastic suits at least once a month. Cathartics and vomiting were seldom used to lose weight, and only 5 met three or more of the criteria for bulimia nervosa. WM behaviors were more extreme among freshmen, lighter weight classes, and Division II wrestlers. Compared to previous surveys of high school wrestlers, this cohort of wrestlers reported more extreme WM behaviors. However, compared to college wrestlers in the 1980s, weight loss behaviors were less extreme. Conclusions: The WM practices of college wrestlers appeared to have improved compared to wrestlers sampled previously. Forty percent of the wrestlers were influenced by the new NCAA rules and curbed their weight loss practices. Education is still needed, as some wrestlers are still engaging in dangerous WM methods.

Abstract 255: Weight Management in Peripheral Artery Disease: Insight From the PORTRAIT Registry

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Poghni A Peri-Okonny ◽  
Krishna Patel ◽  
Kensey Gosch ◽  
Donna Buchannan ◽  
Naancy Stone ◽  
...  
Keyword(s):  
Weight Loss ◽  
Risk Factor ◽  
Weight Management ◽  
Coronary Disease ◽  
Random Effect ◽  
Arterial Disease ◽  
Normal Weight ◽  
P Value ◽  
Diet Counseling ◽  
Site Variability

Introduction: Obesity or body mass index (BMI) ≥ 30 is a risk factor for atherosclerosis. The 2011 AHA/ACCF secondary prevention guidelines recommend weight measurement at every visit and targeting BMI in normal range in management of patients with atherosclerotic diseases like peripheral arterial disease (PAD). However, no studies have prospectively examine obesity management in a vascular specialty setting and whether patients with PAD successfully address this risk factor are lacking. Methods: Participants from the 16-center PORTRAIT registry presenting with new or worsening PAD symptoms to a vascular clinic were included in this analysis. BMIs were calculated for all patients (kg/m 2 ) and categorized as normal (18.4 -24.9), overweight (25 -29.9), and obese (≥ 30). Referral rates for weight/diet counseling during the initial PAD visit were assessed and site variability for weight/diet counseling rates among obese/overweight participants was estimated using median odds ratios (MOR).Weight information was collected at 1 year through interviews and rates of successful weight loss ≥5 were calculated. A hierarchical multivariable logistic regression with a random effect for site was used to assess predictors of ≥5 % weight loss at 1 year. Results: Among 1275 enrollees, we excluded 273 participants without documented BMI. The prevalence of obesity among those with documented BMI was 37% (n=370). Obese participants were more likely to have sleep apnea, hypertension, coronary disease and diabetes but less likely to be active smokers compared to those with normal weight. The prevalence of weight/diet counselling among normal, overweight and obese participants were 8.7%, 12.0%, 20.5% (p-value < 0.001) respectively. Weight loss of ≥ 5% occurred in 93(30.2%) of obese participants. Predictors of ≥ 5% weight loss at 12 months included male, coronary disease, diabetes, and country. There was significant variability in the utilization of weight/diet counselling across participating sites (MOR =2.8 (1.8 - 6.0), Fig). Conclusion: Only 1 in 5 obese patients were offered weight/diet counseling and 30% achieved weight loss of ≥ 5%. There was marked site variability in the use of weight management in these patients. This suggests an opportunity for improvement in addressing this important cardiovascular risk factor.

scholarly journals The association between the body mass index of first-year female university students and their weight-related perceptions and practices, psychological health, physical activity and other physical health indicators

2006 ◽  
Vol 9 (2) ◽  
pp. 234-243 ◽  
Author(s):  
Janetta Cilliers ◽  
Marjanne Senekal ◽  
Ernesta Kunneke
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Weight Loss ◽  
Weight Management ◽  
Body Shape ◽  
Eating Attitudes ◽  
Normal Weight ◽  
Self Concept ◽  
First Year ◽  
Eat 26

AbstractObjectiveTo investigate the association between the weight status of first–year female students (FYFS) and various weight management–related characteristics to identify possible components of a weight management programme for students.DesignCross‐sectional study.SettingFemale residences at a South African university.SubjectsA total of 360 FYFS.ResultsMean (± standard deviation (SD)) body mass index (BMI) of the FYFS was 21.8 ± 2.6 kg m−2, with 7.2% being underweight, 81.9% normal‐weight, 10.0% overweight and 0.8% obese. Underweight, normal–eight and overweight students differed with regard to their perception of their weight (P < 0.001), weight goals (P < 0.001) and previous weight–loss practices (P < 0.001). Mean ± SD score on the 26-item Eating Attitudes Test (EAT–26) was 8.5 ± 9.0 with 8.4% classified as high scorers. Mean ± SD score on the 34-item Body Shape Questionnaire (BSQ) was 87.7 ± 32.2, with 76.1% classified as low, 11.9% as medium and 11.9% as high scorers. The self-concept questionnaire indicated that 36.7% had a high, 43.9% a medium and 19.4% a low self-concept. Higher BMI correlated with a higher BSQ score (P < 0.001), a lower self-concept (P = 0.029) and a higher EAT-26 score (P < 0.001). Smoking was prevalent amongst 13.1% of students, and 51.2% used vitamin and/or mineral supplements. Students who quitted smoking had higher (P = 0.006) BMI (22.7 ± 2.9 kg m-2) than those who never smoked before (21.6 ± 2.5 kg m−2). Normal-weight students were more physically active than underweight or overweight students (P = 0.038).ConclusionsThe specific weight management-related needs of FYFS include information about supplement use, smoking, realistic weight goals, safe and sound weight-loss methods, weight cycling, body-shape perceptions, eating attitudes and behaviours, self-concept and physical activity. Interventions aimed at correcting these problems should target all students, regardless of their BMI.

Rapid Weight Loss Is Not Associated With Competitive Success in Elite Youth Olympic-Style Boxers in Europe

2018 ◽  
Vol 13 (7) ◽  
pp. 860-866 ◽  
Author(s):  
Damir Zubac ◽  
Hrvoje Karnincic ◽  
Damir Sekulic
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Rapid Weight Loss ◽  
Weight Class ◽  
Class Stratification ◽  
Dichotomous Variable ◽  
Competitive Success ◽  
And Performance

Purpose: To examine the influence of rapid weight loss (RWL) on competitive success in elite youth Olympic-style boxers. In addition, this study examined the practice and prevalence of weight reduction, weight-management protocols, and related symptoms in youth boxers from 12 European countries (N = 83, all males, mean [SD] age 17.1 [0.9] y). Methods: The data were collected using an extensive questionnaire on weight cutting and its associated protocols and symptoms prior to highest-level continental championships. Competition results were obtained at follow-up using a dichotomous variable: medal winning vs nonwinning at the European Championships. Results: Binary logistic regression analysis indicated that “boxing experience” was significantly related to the criterion competitive outcome (odds ratio = 1.33; 95% confidence interval, 1.06–1.66; Nagelkerke R2 = .11), with a higher likelihood of competitive success for more-experienced boxers. Of all the youth boxers, only 25% were included in the RWL group, irrespective of their weight-class stratification. More than 45% of all the youth boxers self-reported the simultaneous combination of different weight-cutting methods that are known to be serious health hazards. Finally, 33% of the boxers experienced muscle weakness as a consequence of RWL. Conclusions: Our study provided evidence of pathogenic weight-management protocols that are widely adopted by youth boxers, and yet the present outcomes showed that RWL did not translate into competitive success in these elite Olympic-style boxers in Europe. Therefore, the authors suggest a mandatory educational program that should simultaneously target all the mentioned issues including both health- and performance-threatening consequences.

scholarly journals Hormonal and Psychobehavioral Predictors of Weight Loss in Response to a Short-Term Weight Reduction Program in Obese Women

2008 ◽  
pp. S17-S27
Author(s):  
V Hainer ◽  
K Hlavatá ◽  
M Gojová ◽  
M Kunešová ◽  
M Wagenknecht ◽  
...  
Keyword(s):  
Physical Activity ◽  
Growth Hormone ◽  
Weight Loss ◽  
Weight Management ◽  
Weight Reduction ◽  
Lifestyle Changes ◽  
Short Term ◽  
Weight Reduction Program ◽  
Reduction Program ◽  
The Impact

Among the factors influencing weight loss and maintenance, psychobehavioral, nutritional, metabolic, hormonal and hereditary predictors play an important role. Psychobehavioral factors influence adherence to lifestyle changes and thus weight loss maintenance. The outcome of short-term weight reduction treatment is mainly affected by changes in energy and nutrient intake and physical activity and thus the impact of hormones can possibly be obscured. In order to reveal hormonal determinants of weight loss, a 4-week in-patient comprehensive weight reduction program was introduced in which food intake and physical activity were under the strict control. Women (n = 67, BMI: 32.4+/-4.4 kg; age: 48.7+/-12.2 years) who exhibited stable weight on a 7 MJ/day diet during the first week of weight management were given a hypocaloric diet yielding daily energy deficit 2.5 MJ over the subsequent 3-week period. This treatment resulted in a mean weight loss of 3.80+/-1.64 kg. Correlation analysis revealed that baseline concentrations of several hormones were significantly associated either with a higher (free triiodothyronine, C-peptide, growth hormone, pancreatic polypeptide) or with a lower (insulin-like growth factor-I, cortisol, adiponectin, neuropeptide Y) reduction of anthropometric parameters in response to weight management. In a backward stepwise regression model age, initial BMI together with baseline levels of growth hormone, peptide YY, neuropetide Y and C-reactive protein predicted 49.8 % of the variability in weight loss. Psychobehavioral factors (items of the Eating Inventory, Beck Depression score) did not contribute to weight change induced by a well-controlled short-term weight reduction program.

Abstract #615: Hispanic People Achieve Clinically Significant Weight loss with Liraglutide 3.0 Mg for Weight Management

2015 ◽  
Vol 21 ◽  
pp. 121
Author(s):  
Patrick O’Neil ◽  
W. Timothy Garvey ◽  
J. Michael Gonzalez-Campoy ◽  
Pablo Mora ◽  
Rafael Violante Ortiz ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Significant Weight Loss ◽  
Hispanic People ◽  
Clinically Significant

scholarly journals A-164 Influence of Executive Function, Partner Support, and Environmental Structure on Behavioral Weight Management Outcomes

2020 ◽  
Vol 35 (6) ◽  
pp. 958-958
Author(s):  
Gettens K ◽  
Gorin A
Keyword(s):  
Weight Loss ◽  
Executive Functions ◽  
Weight Management ◽  
Autonomy Support ◽  
Multilevel Models ◽  
Partner Support ◽  
Household Structure ◽  
Low Levels ◽  
Social Environmental ◽  
Social Environmental Factors

Abstract Objective Executive functions (EF) are crucial to successful weight management, yet few studies have prospectively explored the influence of social-environmental factors on the EF-weight loss (WL) link. This study examined interactions between EF, partner support, and household structure on weight loss outcomes in a couples-based intervention, grounded in Self-Determination Theory (SDT). Method Cohabitating dyads attended weekly weight loss groups (Ncouples = 64), Mage =54.0 ± 9.5, MBMI = 34.2 ± 5.4 kg/m2, 50% female, 88.8% Caucasian). Weight was measured at baseline and 6 months. The Behavior Rating Index of Executive Functions-Adult assessed 9 EF domains; higher scores indicate greater difficulty. Partner autonomy support (AS) was measured using the Important Other Climate Questionnaire, household structure with the Confusion, Hubbub, and Order Scale (CHAOS), IQ with the WASI-II 2-subscale estimate. Results Multilevel models were specified with MIXED linear function in SPSS to account for dyadic interdependence, controlling for age, education, IQ and group. Moderators (AS and CHAOS) were grand-mean centered. High and low levels were created at +1SD and -1SD. At high levels of AS, Shifting (B = 1.50, p = .01) and Inhibition (B = 2.23, p = .01) were associated with greater 6-month WL. At low levels of AS, Working Memory was associated with greater WL (p &lt; .01). Self-Monitoring was associated with greater WL at high chaos (B = .43, p = .01), but not low chaos (p = 0.1). Conclusions Findings suggest that context matters; recruiting specific EFs may promote more WL for individuals embedded in low support or chaotic home environments. Future interventions should address the complexity of successful weight management, targeting both individual and social-interpersonal factors.

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