Awareness of link between obesity and breast cancer risk is associated with willingness to participate in weight loss intervention.

Awareness of link between obesity and breast cancer risk is associated with willingness to participate in weight loss intervention.
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DOI:
10.1007/s10549-022-06546-y
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发表时间:
2022-08
影响因子:
3.8
通讯作者:
Tchou, Julia
Tchou, Julia
中科院分区:
医学2区
文献类型:
--
作者:
Burkbauer, Laura;Goldbach, Macy;Huang, Cassie;Lewandowski, Julia;Krouse, Robert;Allison, Kelly;Tchou, Julia

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为了评估肥胖相关癌症风险的知识、对BMI状况的自我认识以及对患有超重和肥胖的乳腺癌幸存者进行减肥干预的意愿,作为一项使用远程医疗平台的新型减肥计划的配对研究(NCT04855552)。对体重指数 ≥ 为25公斤/平方米的乳腺癌幸存者进行了调查,以评估对体重指数的自我认知、对肥胖相关癌症风险的了解以及参与减肥计划的意愿。使用多变量Logistic回归来评估与参与意愿相关的因素。在122名参与者中,73名(59.8%)的BMI为25.0-29.9 kg/m2(超重),49名(40.2%)的BMI ≥ 为30(肥胖)。肥胖者比超重者更容易低估自己的体重指数,分别为40.8%和23.3%(p = 0.03)。大多数人(82.0%)表示意识到肥胖会增加患乳腺癌的风险,57.4%的人表示对减肥计划感兴趣。了解肥胖相关乳腺癌风险的患者(91.4%愿意与69.2%不愿意,p < 0.01)更愿意参加单变量和多变量分析的减肥计划(p < 0.01)。我们的结果强调了提高患者对肥胖相关健康风险和个人BMI类别的认识的重要性。未来在开发更好的教育和交流工具以提高认识方面的工作可能会提高高危患者采用健康生活方式的比率。网上版载有补充材料,可在10.1007/s10549-022-06546-y查阅。
To assess knowledge of obesity-associated cancer risk, self-awareness of BMI status, and willingness to engage in weight loss intervention in breast cancer survivors with overweight and obesity as a companion study for a novel weight loss program using a telehealth platform (NCT04855552). Breast cancer survivors with BMI ≥ 25 kg/m2 were surveyed to assess self-perception of BMI, knowledge of obesity-related cancer risk, and willingness to participate in weight loss programs. Multivariable logistic regression was used to assess factors associated with willingness to participate. Of the 122 participants, 73 (59.8%) had BMI 25.0–29.9 kg/m2 (overweight) and 49 (40.2%) had BMI ≥ 30 (obesity). Patients with obesity were more likely to underestimate their BMI than those with overweight, 40.8% vs. 23.3% (p = 0.03). The majority (82.0%) indicated awareness that obesity increases breast cancer risk and 57.4% expressed interest in a weight loss program. Patients with knowledge of obesity-related breast cancer risk (91.4% willing vs. 69.2% not willing, p < 0.01) were more willing to participate in a weight loss program on univariable and multivariable analyses (p < 0.01). Our results underscore the importance of raising patients’ awareness of obesity-related health risks and individual BMI category. Future work in the development of better education and communication tools to improve awareness will likely improve the adoption rate of healthy lifestyles in at-risk patients. The online version contains supplementary material available at 10.1007/s10549-022-06546-y.
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