A combined breast health/weight loss intervention for Black women. Prev Med 2005 Apr;40(4):373-83
Date
11/09/2004Pubmed ID
15530590DOI
10.1016/j.ypmed.2004.06.018Scopus ID
2-s2.0-7644220111 (requires institutional sign-in at Scopus site) 46 CitationsAbstract
BACKGROUND: Overall incidence of breast cancer is slightly lower, but mortality rates are higher, for Black women compared to White women. Higher body mass index (BMI), sedentary lifestyles, and lower compliance with recommended breast health behaviors may contribute to higher risk and mortality.
METHODS: A randomized pilot intervention trial was conducted to assess feasibility and efficacy of a combined breast health/weight loss intervention for 64 overweight or obese Black women, ages 35-65. The primary objectives were to determine whether a 20-week (twice weekly) intervention could decrease weight and dietary fat intake and increase physical activity and breast self-exam (BSE) proficiency.
RESULTS: The project was implemented in two cohorts and retention was high for both (96% and 89%, respectively). Both cohorts showed increased proficiency in BSE in the intervention versus the control group (2.4 vs. -0.4, P<0.05; 3.3 vs. -0.2, P<0.001, respectively), but only cohort 2 showed decreased percent body weight (4.0% decrease vs. 0.9% increase, P<0.01), increased physical activity frequency (2.4 vs. 0.1 times/week, P<0.05), and a trend for decreased dietary fat (-2.6% kcal vs. 0.0% kcal, P=0.07) in the intervention compared to the control group.
CONCLUSION: Few studies have documented weight loss among Black women, and no combined breast health/weight loss intervention has been conducted. This study documents the feasibility of recruiting, randomizing, and retaining women in a combined intervention and demonstrated weight loss and associated lifestyle changes.
Author List
Fitzgibbon ML, Stolley MR, Schiffer L, Sanchez-Johnsen LA, Wells AM, Dyer AAuthors
Lisa Sanchez-Johnsen PhD Center Associate Director, Professor in the Institute for Health and Equity department at Medical College of WisconsinMelinda Stolley PhD Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAged
Body Mass Index
Body Weight
Breast
Breast Neoplasms
Cohort Studies
Delivery of Health Care
Diet
Educational Status
Exercise
Female
Humans
Life Style
Middle Aged
Obesity
Pilot Projects
Socioeconomic Factors
Weight Loss