HEALTHY WEIGHT MANAGEMENT FOR BREAST CANCER SURVIVORS

乳腺癌幸存者的健康体重管理

基本信息

批准号：
6417972
负责人：
CHERYL L ROCK
金额：
$ 12.17万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-04-26 至 2004-01-31
项目状态：
已结题

项目摘要

Weight gain commonly occurs in women following the diagnosis of breast cancer. Post-diagnosis weight gain may increase risk for recurrence, and obesity at diagnosis of breast cancer is an established negative prognostic factor. Weight control is of great concern to many breast cancer survivors. Post-diagnosis weight gain is positively associated with energy intake and inversely related to physical activity level, suggest that behavioral strategies to reduce energy intake or increase exercise are likely to influence the long-term pattern of weight gain. Newer behavioral skills training programs to promote the adoption and maintenance of physical activity based on social learning theory have demonstrated success in other groups of inactive adults. Also, we have demonstrated than an intensive, innovative telephone-based counseling intervention can promote major changes in the dietary intakes for women at risk for breast cancer recurrence. The hypothesis to be tested in this exploratory project is that telephone-based counseling can also be useful in facilitating the adoption and maintenance of increased physical activity, and thus, promote weight loss in overweight and obese breast cancer survivors. One approach to healthy weight management emphasizes increased physical activity, improved body image, self- acceptance, and healthy eating attitudes and behaviors. The core content of the curriculum to be used in this project is based on a behavioral skills training program that has been shown to be effective in other target groups of inactive adults, with the incorporation of cognitive-behavioral techniques and emotional processing to promote acceptance and address the unique needs and characteristics of breast cancer survivors. The specific aims of this study are: (1) To examine the effect of a group- based program to increase physical activity and promote healthy eating attitudes and behaviors on measured weight change at the end of an intensive treatment period (16 weeks) and at one year, compared to a wait-list control group; (2) To examine the additional effect of individualized telephone counseling to increase physical activity and promote healthy eating attitudes and behaviors on measured weight change at the end of an intensive treatment period (16 weeks) and at one year, compared to the control group; and (3) To collect preliminary data on the change in level of physical activity that may be expected to occur in breast cancer survivors who participate in a group-based program and individualized telephone counseling to promote healthy weight management.

女性在诊断出乳腺癌后通常会出现体重增加。诊断后体重增加可能会增加复发风险，而乳腺癌诊断时的肥胖是一个既定的负面预后因素。体重控制是许多乳腺癌幸存者非常关心的问题。诊断后体重增加与能量摄入呈正相关，与体力活动水平呈负相关，表明减少能量摄入或增加运动的行为策略可能会影响体重增加的长期模式。基于社会学习理论促进身体活动的采用和维持的新行为技能培训计划已在其他不活跃的成年人群体中取得了成功。此外，我们还证明，密集、创新的电话咨询干预可以促进有乳腺癌复发风险的女性饮食摄入量发生重大变化。在这个探索性项目中要测试的假设是，基于电话的咨询也有助于促进采取和维持增加的体力活动，从而促进超重和肥胖乳腺癌幸存者的减肥。健康体重管理的一种方法强调增加体力活动、改善身体形象、自我接受以及健康的饮食态度和行为。该项目中使用的课程的核心内容是基于行为技能培训计划，该计划已被证明对不活跃的成年人的其他目标群体有效，结合了认知行为技术和情绪处理，以促进接受和接受。满足乳腺癌幸存者的独特需求和特征。本研究的具体目的是：(1) 检验以小组为基础的增加体力活动和促进健康饮食态度和行为的计划对强化治疗期（16 周）结束时和治疗后测得的体重变化的影响。一年，与等待名单对照组相比； (2) 与对照组相比，检查个性化电话咨询对增加体力活动和促进健康饮食态度和行为对强化治疗期（16周）结束时和一年时测量的体重变化的额外影响； (3) 收集参加团体计划和个性化电话咨询以促进健康体重管理的乳腺癌幸存者可能发生的体力活动水平变化的初步数据。