A combined breast health/weight loss intervention for Black women

Marian L. Fitzgibbon; Melinda R. Stolley; Linda Schiffer; Lisa A.P. Sanchez-Johnsen; Anita M. Wells; Alan Dyer

doi:10.1016/j.ypmed.2004.06.018

A combined breast health/weight loss intervention for Black women

Marian L. Fitzgibbon^*, Melinda R. Stolley, Linda Schiffer, Lisa A.P. Sanchez-Johnsen, Anita M. Wells, Alan Dyer

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

46 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	373-383
Number of pages	11
Journal	Preventive medicine
Volume	40
Issue number	4
DOIs	https://doi.org/10.1016/j.ypmed.2004.06.018
State	Published - Apr 2005

Funding

This study was supported by the National Cancer Institute (CA88935) to MLF, by a Postdoctoral Research Supplement for Underrepresented Minorities (CA88935-S) to MLF and LS-J, by 1K07 CA-093946-01A2 to MS, and by 1K01CA098753 and L6MD000577 to LS-J. We would like to thank our collaborators at the New City YMCA and the women who participated in the project. We would also like to thank the staff for their dedication and enthusiasm for the aims of the study and Jamie Gayle and Allison Thompson for their technical assistance.

Keywords

African-American
Black
Breast cancer
Breast health
Breast self-exam
Diet
Intervention
Minority
Physical activity
Weight loss

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ypmed.2004.06.018

Cite this

@article{8630ea05bd6449bbb4c3000eadfbd82a,

title = "A combined breast health/weight loss intervention for Black women",

abstract = "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.",

keywords = "African-American, Black, Breast cancer, Breast health, Breast self-exam, Diet, Intervention, Minority, Physical activity, Weight loss",

author = "Fitzgibbon, {Marian L.} and Stolley, {Melinda R.} and Linda Schiffer and Sanchez-Johnsen, {Lisa A.P.} and Wells, {Anita M.} and Alan Dyer",

note = "Funding Information: This study was supported by the National Cancer Institute (CA88935) to MLF, by a Postdoctoral Research Supplement for Underrepresented Minorities (CA88935-S) to MLF and LS-J, by 1K07 CA-093946-01A2 to MS, and by 1K01CA098753 and L6MD000577 to LS-J. We would like to thank our collaborators at the New City YMCA and the women who participated in the project. We would also like to thank the staff for their dedication and enthusiasm for the aims of the study and Jamie Gayle and Allison Thompson for their technical assistance. ",

year = "2005",

month = apr,

doi = "10.1016/j.ypmed.2004.06.018",

language = "English (US)",

volume = "40",

pages = "373--383",

journal = "Preventive medicine",

issn = "0091-7435",

publisher = "Academic Press Inc.",

number = "4",

}

TY - JOUR

T1 - A combined breast health/weight loss intervention for Black women

AU - Fitzgibbon, Marian L.

AU - Stolley, Melinda R.

AU - Schiffer, Linda

AU - Sanchez-Johnsen, Lisa A.P.

AU - Wells, Anita M.

AU - Dyer, Alan

N1 - Funding Information: This study was supported by the National Cancer Institute (CA88935) to MLF, by a Postdoctoral Research Supplement for Underrepresented Minorities (CA88935-S) to MLF and LS-J, by 1K07 CA-093946-01A2 to MS, and by 1K01CA098753 and L6MD000577 to LS-J. We would like to thank our collaborators at the New City YMCA and the women who participated in the project. We would also like to thank the staff for their dedication and enthusiasm for the aims of the study and Jamie Gayle and Allison Thompson for their technical assistance.

PY - 2005/4

Y1 - 2005/4

N2 - 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.

AB - 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.

KW - African-American

KW - Black

KW - Breast cancer

KW - Breast health

KW - Breast self-exam

KW - Diet

KW - Intervention

KW - Minority

KW - Physical activity

KW - Weight loss

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DO - 10.1016/j.ypmed.2004.06.018

M3 - Article

C2 - 15530590

AN - SCOPUS:7644220111

SN - 0091-7435

VL - 40

SP - 373

EP - 383

JO - Preventive medicine

JF - Preventive medicine

IS - 4

ER -

A combined breast health/weight loss intervention for Black women

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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