Haggerty Ashley F, Sarwer David B, Schmitz Kathryn H, Ko Emily M, Allison Kelly C, Chu Christina S
a Division of Gynecologic Oncology , University of Pennsylvania , Philadelphia , Pennsylvania , USA.
b College of Public Health , Temple University , Philadelphia , Pennsylvania , USA.
Nutr Cancer. 2017 Oct;69(7):990-995. doi: 10.1080/01635581.2017.1359313. Epub 2017 Sep 22.
The causal link between obesity and endometrial cancer is well established; however obese women's knowledge of this relationship is unknown. Our objective was to explore patients' understanding of this relationship and assess the acceptability of a technology-based weight loss intervention.
METHODS/MATERIALS: Obese women with Type I endometrial cancer/hyperplasia were surveyed about their assessment of their body mass, knowledge of the relationship of obesity and endometrial cancer, and eating and activity habits. Interest in participation in an intervention also was assessed.
Eighty-one women with early stage (71.6% stage I) and grade (41.7% grade 1) disease completed the survey. The median BMI was 35.4 kg/m (IQR 32.2-43.5 kg/m) and the average age was 59.3 (SD 11.1) yr. 76.25% of women were unable to categorize their BMI correctly and 86.9% of those incorrectly underestimated their BMI category. One-third (35.9%) were unaware of any association between obesity and endometrial cancer and 33.3% responded that obesity decreased or did not significantly increase the risk of endometrial cancer. 59% expressed interest in a weight loss intervention.
Endometrial cancer survivors with obesity underestimated their obesity and lacked knowledge regarding the link between obesity and endometrial cancer. However, the majority expressed interest in electronically delivered weight loss interventions.
肥胖与子宫内膜癌之间的因果联系已得到充分证实；然而，肥胖女性对这种关系的了解尚不清楚。我们的目的是探讨患者对这种关系的理解，并评估基于技术的减肥干预措施的可接受性。
方法/材料：对患有I型子宫内膜癌/增生的肥胖女性进行了调查，内容包括她们对自己体重的评估、对肥胖与子宫内膜癌关系的了解以及饮食和活动习惯。还评估了她们参与干预的兴趣。
81名患有早期（71.6%为I期）和低级别（41.7%为1级）疾病的女性完成了调查。BMI中位数为35.4kg/m²（四分位间距为32.2 - 43.5kg/m²），平均年龄为59.3岁（标准差为11.1）。76.25%的女性无法正确对自己的BMI进行分类，其中86.9%错误地低估了自己的BMI类别。三分之一（35.9%）的人不知道肥胖与子宫内膜癌之间的任何关联，33.3%的人回答肥胖会降低或不会显著增加子宫内膜癌的风险。59%的人表示对减肥干预感兴趣。
肥胖的子宫内膜癌幸存者低估了自己的肥胖程度，并且缺乏关于肥胖与子宫内膜癌之间联系的知识。然而，大多数人对电子方式提供的减肥干预措施表示感兴趣。
