The effectiveness of home versus community-based weight control programmes initiated soon after breast cancer diagnosis: a randomised controlled trial
AuthorsHarvie, Michelle N
Bundred, Nigel J
Howell, Sacha J
AffiliationPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester
MetadataShow full item record
AbstractBACKGROUND: 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.
CitationHarvie 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.
JournalBritish Journal of Cancer
- Home-based multidimensional survivorship programmes for breast cancer survivors.
- Authors: Cheng KKF, Lim YTE, Koh ZM, Tam WWS
- Issue date: 2017 Aug 24
- Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men.
- Authors: Robertson C, Archibald D, Avenell A, Douglas F, Hoddinott P, van Teijlingen E, Boyers D, Stewart F, Boachie C, Fioratou E, Wilkins D, Street T, Carroll P, Fowler C
- Issue date: 2014 May
- The effect of weight management interventions that include a diet component on weight-related outcomes in pregnant and postpartum women: a systematic review protocol.
- Authors: Spencer L, Rollo M, Hauck Y, MacDonald-Wicks L, Wood L, Hutchesson M, Giglia R, Smith R, Collins C
- Issue date: 2015 Jan
- The effect of an antenatal physical exercise programme on maternal/perinatal outcomes and quality of life in overweight and obese pregnant women: a randomised clinical trial.
- Authors: Nascimento SL, Surita FG, Parpinelli MÂ, Siani S, Pinto e Silva JL
- Issue date: 2011 Nov
- Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight.
- Authors: Martin A, Booth JN, Laird Y, Sproule J, Reilly JJ, Saunders DH
- Issue date: 2018 Mar 2