Weight loss with mindful eating in African American women following treatment for breast cancer: a longitudinal study.
Weight loss with mindful eating in African American women following treatment for breast cancer: a longitudinal study.
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DOI：
10.1007/s00520-015-2984-2
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发表时间：
2016-04
期刊：
影响因子：
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通讯作者：
Griffith KA
中科院分区：
文献类型：
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作者：
Chung S;Zhu S;Friedmann E;Kelleher C;Kozlovsky A;Macfarlane KW;Tkaczuk KH;Ryan AS;Griffith KA
乳腺癌（BC）治疗后体重指数（BMI）较高的女性比体重正常的女性有更高的BC复发和死亡风险。非裔美国人（AA）BC患者的BC复发风险最高，诊断后体重增加比他们的白色同行。本研究的目的是评估有意识的饮食干预和BC化疗后AA女性体重减轻之间的关联。进行了一项单组24周纵向试点研究，重复测量。AA女性（N= 22，BMI=35.13 kg/m2，范围=27.08-47.21）与阶段I-III BC谁已经完成了积极的癌症治疗接受了12周的正念饮食干预与个人饮食咨询和团体正念课程，然后每两周一次的电话随访12周。线性混合模型用于评估干预和基线正念对体重随时间变化的影响。在整个组（N=22）中，MEQ评分随时间推移而增加（p=0.001），而体重随时间推移而下降（-0.887 kg，p=0.015）。随时间推移体重减轻与T1 MEQ评分较高相关（p=0.043）。在T1时，MEQ较高组（n=11）的参与者随着时间的推移体重显著减轻（-1.166 kg，p=0.044），而MEQ较低组（n=11）的参与者体重没有减轻。被诊断为1期BC的参与者随着时间的推移体重显著减轻（-7.909 kg，p=0.014）。这项研究表明，一个有意识的减肥计划可能是有效的减肥和维持一些AA妇女谁已经完成治疗BC，特别是那些诊断为阶段1 BC和最初较高的注意饮食行为。正念减肥计划被认为是减少AA BC幸存者肥胖相关疾病的一种有希望的方法。
Women with higher body mass index (BMI) following breast cancer (BC) treatment are at higher risk of BC recurrence and death than women of normal weight. African American (AA) BC patients have the highest risk of BC recurrence and gain more weight after diagnosis than their white counterparts. The purpose of this study was to evaluate the association between a mindful eating intervention and weight loss in AA women following chemotherapy for BC. A single-group 24-week longitudinal pilot study with repeated measures was conducted. AA women (N= 22, BMI=35.13 kg/m2, range=27.08–47.21) with stage I–III BC who had finished active cancer treatment received a 12-week mindful eating intervention with individual dietary counseling and group mindfulness sessions, followed by bi-weekly telephone follow-up for 12 weeks. Linear mixed models were used to evaluate the effects of the intervention and of baseline mindfulness on the weight change over time. In the overall group (N=22), MEQ scores increased over time (p=0.001) while weight decreased over time (−0.887 kg, p=0.015). Weight loss over time was associated with higher T1 MEQ scores (p=0.043). Participants in the higher MEQ group (n=11) at T1 experienced significant weight loss over time (−1.166 kg, p=0.044), whereas those in the low MEQ (n=11) did not lose weight. Participants who were diagnosed with stage 1 BC experienced significant weight loss over time (−7.909 kg, p=0.014). This study suggests that a mindful weight loss program may be effective for weight reduction and maintenance in some AA women who have completed treatment for BC, particularly those diagnosed with stage 1 BC and with initially higher mindful eating behaviors. Mindful weight loss program is proposed as a promising way in which to reduce obesity-related conditions in AA BC survivors.