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    The effectiveness of home versus community-based weight control programmes initiated soon after breast cancer diagnosis: a randomised controlled trial

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    Authors
    Harvie, Michelle N
    Pegington, Mary
    McMullan, D
    Bundred, Nigel J
    Livingstone, K
    Campbell, A
    Wolstenholme, J
    Lovato, E
    Campbell, H
    Adams, J
    Speed, S
    Morris, Julie
    Howell, Sacha J
    Howell, Anthony
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    Affiliation
    Prevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester
    Issue Date
    2019
    
    Metadata
    Show full item record
    Abstract
    BACKGROUND: Breast cancer diagnosis may be a teachable moment for lifestyle behaviour change and to prevent adjuvant therapy associated weight gain. We assessed the acceptability and effectiveness of two weight control programmes initiated soon after breast cancer diagnosis to reduce weight amongst overweight or obese women and prevent gains in normal-weight women. METHODS: Overweight or obese (n?=?243) and normal weight (n?=?166) women were randomised to a three-month unsupervised home (home), a supervised community weight control programme (community) or to standard written advice (control). Primary end points were change in weight and body fat at 12 months. Secondary end points included change in insulin, cardiovascular risk markers, quality of life and cost-effectiveness of the programmes. RESULTS: Forty-three percent of eligible women were recruited. Both programmes reduced weight and body fat: home vs. control mean (95% CI); weight -2.3 (-3.5, -1.0) kg, body fat -1.6 (-2.6, -0.7) kg, community vs. control; weight -2.4 (-3.6, -1.1) kg, body fat -1.4 (-2.4, -0.5) kg (all p?<?0.001). The community group increased physical activity, reduced insulin, cardiovascular disease risk markers, increased QOL and was cost-effective. CONCLUSIONS: The programmes were equally effective for weight control, but the community programme had additional benefits.
    Citation
    Harvie M, Pegington M, McMullan D, Bundred N, Livingstone K, Campbell A, et al. The effectiveness of home versus community-based weight control programmes initiated soon after breast cancer diagnosis: a randomised controlled trial. Br J Cancer. 2019 Sep;121(6):443-54.
    Journal
    British Journal of Cancer
    URI
    http://hdl.handle.net/10541/622172
    DOI
    10.1038/s41416-019-0522-6
    PubMed ID
    31366999
    Additional Links
    https://dx.doi.org/10.1038/s41416-019-0522-6
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1038/s41416-019-0522-6
    Scopus Count
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