Smith Selina A, Claridy Mechelle D, Whitehead Mary S, Sheats Joyce Q, Yoo Wonsuk, Alema-Mensah Ernest, Ansa Benjamin E, Braithwaite Ronald L
Institute of Public & Preventive Health, Augusta University, Augusta, GA; Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA; SISTAAH Talk Breast Cancer Support Group, Miami, FL.
Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA; Cancer Research Program, Morehouse School of Medicine, Atlanta, GA.
J Ga Public Health Assoc. 2016 Winter;5(3):259-265.
Weight gain after diagnosis and treatment is common among breast cancer survivors (BCSs). Little information exists regarding associations between body mass index (BMI) and lifestyle factors and health-related quality of life (HR-QoL) among African American (AA) BCSs. The present study sought to determine associations between BMI, dietary intake, and physical activity as lifestyle modification strategies and HR-QoL among AA BCSs.
For this cross-sectional study, a lifestyle assessment tool was administered to 195 AA BCSs. Possible predictor variables included socio-demographic and medical characteristics, dietary intake and physical activity patterns, and physical health. The outcome variable was BMI.
Many BCSs (63%) had BMIs ≥25 Kg/M and presented with stage I cancer (41%) at diagnosis. Among those presenting with late-stage cancer (IIIA, IIIB, IV), 76% were overweight or obese (p=0.0008). Eighty-four percent reported excellent-to-good physical health (p=0.0499) and were less likely to have higher BMIs compared to those reporting fair-to-poor physical health (OR=0.616 [CI=0.192-1.978]). Responders with graduate level education were more likely to have healthy body weights than those attaining high school or less educational levels (OR=2.379 [CI=0.617-9.166]).
Most AA BCSs surveyed were overweight or obese, did not engage in recommended physical activity levels and failed to consume diets linked to breast cancer prevention. Interventions are needed to promote weight loss, improve dietary intake, and enhance physical activity among AA BCSs.
乳腺癌幸存者（BCS）在诊断和治疗后体重增加很常见。关于非裔美国（AA）BCS的体重指数（BMI）与生活方式因素及健康相关生活质量（HR-QoL）之间的关联，现有信息较少。本研究旨在确定BMI、饮食摄入和身体活动作为生活方式改变策略与AA BCS的HR-QoL之间的关联。
在这项横断面研究中，对195名AA BCS进行了生活方式评估工具测试。可能的预测变量包括社会人口统计学和医学特征、饮食摄入和身体活动模式以及身体健康状况。结果变量是BMI。
许多BCS（63%）的BMI≥25 Kg/M²，诊断时为I期癌症（41%）。在那些诊断为晚期癌症（IIIA、IIIB、IV期）的患者中，76%超重或肥胖（p = 0.0008）。84%的患者报告身体健康状况为良好至优秀（p = 0.0499），与那些报告身体健康状况为一般至较差的患者相比，其BMI较高的可能性较小（OR = 0.616 [CI = 0.192 - 1.978]）。接受研究生教育的受访者比高中及以下教育水平的受访者更有可能拥有健康的体重（OR = 2.379 [CI = 0.617 - 9.166]）。
大多数接受调查的AA BCS超重或肥胖，未达到推荐的身体活动水平，且未食用与预防乳腺癌相关的饮食。需要采取干预措施来促进AA BCS的体重减轻、改善饮食摄入并增强身体活动。
