scholarly journals Body mass index and attitudes towards health behaviors among women with endometrial cancer before and after treatment

2019 ◽  
Vol 30 (2) ◽  
pp. 187-192
Author(s):  
Ross Harrison ◽  
Hui Zhao ◽  
Charlotte C Sun ◽  
Shuangshuang Fu ◽  
Shannon D Armbruster ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Health Behavior ◽  
Health Behaviors ◽  
Cancer Survivors ◽  
Body Mass ◽  
Post Treatment ◽  
Treatment Changes ◽  
The Mean ◽  
Pre Treatment

IntroductionSome experts have argued that obesity-related malignancies such as endometrial cancer are a “teachable moment” that lead to meaningful changes in health behaviors. It is unclear if endometrial cancer survivors lose weight following treatment. Our goal with this investigation was to evaluate post-treatment changes in body mass index (BMI) and attitudes towards health behaviors in endometrial cancer survivors.MethodsIncident endometrial cancer cases undergoing surgery between 2009–2015 were identified in the Marketscan Commercial database and linked with BMI data and health behavior questionnaires from the Marketscan Health Risk Assessment database. Patients were excluded for insufficient BMI data. Standard statistical methods, including the two-sample Wilcoxon rank sum test, χ2 test, and McNemar’s test, were used.Results655 patients with a median age of 54 (IQR 49-58) were identified and analyzed. Median duration of follow-up was 595 days (IQR 360–1091). Mean pre- and post-treatment BMI was 35.5 kg/m2 (median 35.0; IQR 27.0–42.3) and 35.6 kg/m2 (median 34.3; IQR 28.0–42.0), respectively. Median BMI change in the entire cohort was 0 kg/m2 (IQR −1.0 to 2.0). Weight gain (n=302; 46.1%) or no change in weight (n=106; 16.2%) was seen in most patients. Among the 302 patients who gained weight, the mean pre-treatment BMI was 34.0 kg/m2 and mean increase was 2.8 kg/m2 (median 2.0; IQR 1.0–3.4). Among the 247 cases who lost weight, the mean pre-treatment BMI was 38.6 kg/m2 and mean decrease was 3.2 kg/m2 (median 2.0; IQR 1.0–4.0). No pre- to post-treatment differences were observed in health behavior questionnaires regarding intention to better manage their diet, exercise more, or lose weight.DiscussionMost endometrial cancer survivors gain weight or maintain the same weight following treatment. No post-treatment changes in attitudes regarding weight-related behaviors were observed. The systematic delivery of evidence-based weight loss interventions should be a priority for survivors of endometrial cancer.

scholarly journals Changes in Body Mass Index and Physical Activity Predict Changes in Vitality During a Weight Loss Trial in Breast Cancer Survivors

2018 ◽  
Vol 52 (12) ◽  
pp. 999-1009 ◽  
Author(s):  
Kelly M Kenzik ◽  
Wendy Demark-Wahnefried ◽  
Patricia A Ganz ◽  
Graham Colditz ◽  
Cheryl L Rock ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Body Mass Index ◽  
Weight Loss ◽  
Cancer Survivors ◽  
Body Mass ◽  
Structural Equation ◽  
Breast Cancer Survivors ◽  
Structural Equation Models ◽  
The Mean

AbstractBackgroundBreast cancer survivors rank fatigue (e.g., decreased vitality) as their number one concern affecting quality of life. Excess adiposity is associated with decreased vitality in breast cancer survivors, yet weight loss intervention trials report inconsistent effects on this parameter.MethodsThis is a secondary analysis of the Exercise and Nutrition to Enhance Recovery and Good Health for You trial, in which 692 overweight or obese breast cancer survivors ≤5 years from diagnosis, initiated weight loss interventions, and completed assessments semi-annually for 2 years. Assessments included the Godin Leisure-Time Exercise Questionnaire and the SF-36 MOS vitality subscale as an inverse measure of fatigue. Multilevel structural equation models estimated the direct effects of physical activity on vitality and indirect effects through body mass index (BMI) changes.ResultsWithin-person findings show that at assessments with greater physical activity, BMI was significantly lower (B = −0.07, p < 0.001) and vitality was higher (B = 0.22, p < 0.001). However, there was no direct relationship between lower BMI and higher vitality (B = −0.11, p = 0.262) after controlling for the relationship of physical activity with BMI and physical activity with vitality. The between-person indirect effect of physical activity change through BMI change to vitality was significant (B = 0.03, p < 0.001). Participants whose physical activity was above the mean (B = 0.37, p < 0.001) and whose BMI was below the mean (B = −1.05, p < 0.001) were more likely to report greater vitality.ConclusionImprovements in vitality are primarily associated with increases in physical activity rather than BMI changes in this trial. Vitality was lower among survivors with higher BMI, although within-individual changes in BMI had no effect on vitality. Physical activity and weight loss share mechanistic links to vitality with physical activity potentially increasing (e.g., in an additive or synergistic manner) the effect of BMI reduction on vitality.

Body mass index does not influence post-treatment survival in early stage endometrial cancer: Results from the MRC ASTEC trial

2012 ◽  
Vol 48 (6) ◽  
pp. 853-864 ◽  
Author(s):  
Emma J. Crosbie ◽  
Chris Roberts ◽  
Wendi Qian ◽  
Ann Marie Swart ◽  
Henry C. Kitchener ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Body Mass ◽  
Early Stage ◽  
Post Treatment ◽  
Early Stage Endometrial Cancer

Psychological health, behavior, and bodyweight (PBBW) model: An evaluation of predictors of health behaviors and body mass index (BMI)

2016 ◽  
Vol 31 (1) ◽  
pp. 37-56 ◽  
Author(s):  
Christina Mignano ◽  
Pouran D. Faghri ◽  
Tania Huedo-Medina ◽  
Martin C. Cherniack
Keyword(s):  
Body Mass Index ◽  
Health Behavior ◽  
Health Behaviors ◽  
Body Mass ◽  
Psychological Health

scholarly journals Correlation of body mass index and abnormal uterine bleeding in premenopausal women

2020 ◽  
Vol 9 (11) ◽  
pp. 4640
Author(s):  
Kumarasamy Akalyaa ◽  
Pattacheravanda Nanaiah Shakuntala ◽  
Ramaiah Renuka
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Body Mass ◽  
Endometrial Hyperplasia ◽  
Premenopausal Women ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Significant Difference ◽  
Menstrual Patterns ◽  
The Mean

Background: As the rate of obesity is increasing in women in the recent years, the incidence of endometrial cancer increases as the body mass index (BMI) increases. Despite the clear evidence linking endometrial cancer and obesity, there is limited public awareness of this relationship. This study was undertaken to evaluate the association of BMI and endometrial pathology in premenopausal women with abnormal uterine bleeding (AUB).Methods: An analytical case control study was conducted in 100 women between the age group of 40 to 55, with AUB in the Department of Obstetrics and Gynecology, ESIC-PGIMSR Bangalore between January 2018 and June 2019. The menstrual patterns and endometrial pattern by histopathology were analysed in women with BMI of 18.5 to 24.99 and ≥25.Results: The mean age of women participated in the study group of between 40- 55 years was 44.83. The mean duration of symptoms was 10.18 months in the cases group and 8.52 months in the control group. The menstrual patterns were comparable and there was no significant difference in both the groups. The mean endometrial thickness, mean BMI, hyperplasia with or without atypia were all higher in the cases group. The frequency of occurrence of atypical endometrial hyperplasia was higher in women with increasing BMI.Conclusions: We found increased BMI to be an important independent risk factor for the development of endometrial hyperplasia with atypia which is a precursor to endometrial carcinoma in premenopausal women with AUB. 

Body mass index and intention for health behavior change before and after treatment of endometrial cancer

2019 ◽  
Vol 154 ◽  
pp. 196
Author(s):  
R. Harrison ◽  
H. Zhao ◽  
W. He ◽  
C.C.L. Sun ◽  
R.S. Suidan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Health Behavior ◽  
Behavior Change ◽  
Body Mass ◽  
Health Behavior Change ◽  
Before And After

The relationship of body mass index with quality of life among endometrial cancer survivors: A study from the population-based PROFILES registry

2013 ◽  
Vol 129 (1) ◽  
pp. 216-221 ◽  
Author(s):  
Charlotte S. Oldenburg ◽  
Dorry Boll ◽  
Kim A.H. Nicolaije ◽  
M. Caroline Vos ◽  
Johanna M.A. Pijnenborg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Endometrial Cancer ◽  
Cancer Survivors ◽  
Body Mass ◽  
Population Based ◽  
Relationship Of ◽  
The Relationship

scholarly journals Effects of a Telephone-Delivered Multiple Health Behavior Change Intervention (CanChange) on Health and Behavioral Outcomes in Survivors of Colorectal Cancer: A Randomized Controlled Trial

2013 ◽  
Vol 31 (18) ◽  
pp. 2313-2321 ◽  
Author(s):  
Anna L. Hawkes ◽  
Suzanne K. Chambers ◽  
Kenneth I. Pakenham ◽  
Tania A. Patrao ◽  
Peter D. Baade ◽  
...  
Keyword(s):  
Physical Activity ◽  
Colorectal Cancer ◽  
Body Mass Index ◽  
Health Behavior ◽  
Behavior Change ◽  
Cancer Survivors ◽  
Body Mass ◽  
Dietary Habits ◽  
Health Behavior Change ◽  
Colorectal Cancer Survivors

Purpose Colorectal cancer survivors are at risk for poor health outcomes because of unhealthy lifestyles, but few studies have developed translatable health behavior change interventions. This study aimed to determine the effects of a telephone-delivered multiple health behavior change intervention (CanChange) on health and behavioral outcomes among colorectal cancer survivors. Methods In this two-group randomized controlled trial, 410 colorectal cancer survivors were randomly assigned to the health coaching intervention (11 theory-based telephone-delivered health coaching sessions delivered over 6 months focusing on physical activity, weight management, dietary habits, alcohol, and smoking) or usual care. Assessment of primary (ie, physical activity [Godin Leisure Time Index], health-related quality of life [HRQoL; Short Form–36], and cancer-related fatigue [Functional Assessment of Chronic Illness Therapy Fatigue Scale]) and secondary outcomes (ie, body mass index [kg/m2], diet and alcohol intake [Food Frequency Questionnaire], and smoking) were conducted at baseline and 6 and 12 months. Results At 12 months, significant intervention effects were observed for moderate physical activity (28.5 minutes; P = .003), body mass index (−0.9 kg/m2; P = .001), energy from total fat (−7.0%; P = .006), and energy from saturated fat (−2.8%; P = .016). A significant intervention effect was reported for vegetable intake (0.4 servings per day; P = .001) at 6 months. No significant group differences were found at 6 or 12 months for HRQoL, cancer-related fatigue, fruit, fiber, or alcohol intake, or smoking. Conclusion The CanChange intervention was effective for improving physical activity, dietary habits, and body mass index in colorectal cancer survivors. The intervention is translatable through existing telephone cancer support and information services in Australia and other countries.

Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors

2017 ◽  
Vol 25 (7) ◽  
pp. 2169-2177 ◽  
Author(s):  
Amerigo Rossi ◽  
Carol Ewing Garber ◽  
Gurpreet Kaur ◽  
Xiaonan Xue ◽  
Gary L. Goldberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Body Mass Index ◽  
Endometrial Cancer ◽  
Cancer Survivors ◽  
Body Mass ◽  
Patient Reported

Body mass index and the quality of life of endometrial cancer survivors—A systematic review and meta-analysis

2015 ◽  
Vol 137 (1) ◽  
pp. 180-187 ◽  
Author(s):  
Anke Smits ◽  
Alberto Lopes ◽  
Ruud Bekkers ◽  
Khadra Galaal
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Body Mass Index ◽  
Endometrial Cancer ◽  
Cancer Survivors ◽  
Body Mass ◽  
Meta Analysis
Sign in / Sign up

Export Citation Format

Share Document