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Accepted (AM)Open Access (License Unspecified), Open
Journal article
An Acceptance Based Lifestyle Intervention in Black Breast Cancer Survivors with Obesity
Journal of immigrant and minority health, v 24(3), pp 645-655
2022
PMID: 34355298
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To assess the feasibility and early efficacy of a combined lifestyle and acceptance-based therapy (ABT) intervention on weight loss at 16 weeks among Black breast cancer (BC) survivors with obesity. Thirty black breast cancer survivors with a BMI ≥ 30 kg/m
2
at least 6 months post-treatment were enrolled. Outcomes included feasibility process measures, physical well-being assessed using the subscale of QOL-Breast Cancer (QOL-BC), physical activity assessed by Global Physical Activity Questionnaire (GPAQ), and weight. Fisher’s Exact/Chi-Squared tests and Wilcoxon rank-sum tests were used to explore differences between responders and non-responders, as well as within-group changes during the intervention. Within the first 4 weeks, responders (participants who lost any weight) lost a median of 2.6 lbs. compared to non-responders (no weight loss) who gained a median of 2.6 lbs. At 16 weeks, participants reported greater physical well-being (p < 0.0001), increased time in recreational activities (p = 0.03), and a median weight loss of 5.6 pounds in responders vs. 0.7 pounds in non-responders (p ≤ 0.001). Non-responders were more likely to have developed a new health condition compared to responders (44% vs. 0%; p = 0.014). In this study, weight loss at 4 weeks and new-onset health conditions were significant factors associated with non-response to the combined intervention. Black BC with obesity are at high risk for recurrent cancer and secondary health conditions. ABT may be a suitable adjunct therapeutic option to lifestyle interventions implemented soon after a cancer diagnosis to improve physical well-being, increase physical activity, and promote weight loss.
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Details
- Title
- An Acceptance Based Lifestyle Intervention in Black Breast Cancer Survivors with Obesity
- Creators
- Kimberly Kiplagat - Donald & Barbara Zucker School of Medicine at Hofstra/NorthwellFrancesse Antoine - Cornell CollegeRosio Ramos - Cornell CollegeMusarrat Nahid - Cornell CollegeVictoria Forte - Kings County Hospital CenterEvelyn Taiwo - Cornell CollegeKathryn Godfrey - Drexel UniversityMeghan Butryn - Drexel UniversityErica Phillips - Cornell University
- Publication Details
- Journal of immigrant and minority health, v 24(3), pp 645-655
- Publisher
- Springer US
- Grant note
- UL1TR000457 / National Center for Advancing Translational Sciences (http://dx.doi.org/10.13039/100006108) Dean's Diversity / Weill Cornell Medical College (http://dx.doi.org/10.13039/100007273) D34HP318790100 / Health Resources and Services Administration (http://dx.doi.org/10.13039/100000102)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000681592300001
- Scopus ID
- 2-s2.0-85111904852
- Other Identifier
- 991019168965504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health