Weight Management Effectiveness and Predictors of Dropout in Breast Cancer Survivors : A Retrospective Study

BACKGROUND: Reducing obesity and weight gain, which often occurs during breast cancer treatment, may represent an efficient secondary or tertiary prevention against cancer.

PURPOSE: This retrospective observational cohort study aimed to assess the impact of a Mediterranean diet on weight and anthropometric changes in women completing active breast cancer treatment. Additionally, we sought to identify factors associated with study dropout within one year.

METHODS: A total of 182 female patients (20 normal weight, 59 overweight, 103 obese) received personalized Mediterranean diet interventions and underwent monthly outpatient visits.

RESULTS: Dropout rates were 42.3% at 6 months and 64.1% at 12 months. Among the obese subgroup, BMI (p < 0.001) and fat mass (p < 0.05) decreased after 6 months. At 12 months, the obese subgroup showed a borderline significant further reduction in BMI (p = 0.062). BMI or weight loss did not predict dropout at any time point. However, age (OR = 0.91) and diastolic blood pressure (OR = 1.07) were significant predictors of dropout at 12 months.

CONCLUSION: Implementing a Mediterranean diet can lead to weight and anthropometric improvements in breast cancer survivors. Further research is necessary to explore the long-term effects of weight loss on these individuals, identify effective dietary approaches, and consider specific predictors of dropout.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Cancers - 15(2023), 17 vom: 02. Sept.

Sprache:

Englisch

Beteiligte Personen:

Cava, Edda [VerfasserIn]
Spadaccini, Daniele [VerfasserIn]
Aimaretti, Gianluca [VerfasserIn]
Marzullo, Paolo [VerfasserIn]
Cavigiolo, Beatrice [VerfasserIn]
Farinelli, Deborah [VerfasserIn]
Gennari, Alessandra [VerfasserIn]
Saggia, Chiara [VerfasserIn]
Carbonelli, Maria Grazia [VerfasserIn]
Riso, Sergio [VerfasserIn]
Prodam, Flavia [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
Breast cancer survivors
Journal Article
Mediterranean diet
Prevention
Weight management

Anmerkungen:

Date Revised 11.09.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/cancers15174401

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361841698