The Alberta Moving Beyond Breast Cancer (AMBER) Cohort Study: Recruitment, Baseline Assessment, and Description of the First 500 Participants
Identifieur interne : 000A61 ( Main/Exploration ); précédent : 000A60; suivant : 000A62The Alberta Moving Beyond Breast Cancer (AMBER) Cohort Study: Recruitment, Baseline Assessment, and Description of the First 500 Participants
Auteurs : Kerry S. Courneya ; Margaret L. Mcneely [Canada] ; S. Nicole Culos-Reed [Canada] ; Jeff K. Vallance [Canada] ; Gordon J. Bell ; John R. Mackey [Canada] ; Charles E. Matthews [États-Unis] ; Andria R. Morielli ; Diane Cook ; Sarah Maclaughlin [Canada] ; Megan S. Farris [Canada] ; Stephanie Voaklander ; Rachel O Eilly [Canada] ; Christine M. Friedenreich [Canada]Source :
- BMC Cancer [ 1471-2407 ] ; 2016.
Abstract
To our knowledge, the Alberta Moving Beyond Breast Cancer (AMBER) Study is the first and only prospective cohort study of breast cancer survivors that includes objectively-measured physical activity (PA), sedentary behavior, health-related fitness (HRF), and biologic mechanisms focused on understanding breast cancer outcomes. The purpose of the present study was to report on the feasibility of recruitment, baseline measurement completion, and the representativeness of the first 500 participants.
AMBER is enrolling newly diagnosed stage I (≥T1c) to IIIc breast cancer survivors in Alberta, Canada. Baseline assessments are completed soon after diagnosis and include cardiorespiratory fitness, musculoskeletal fitness, body composition, objective and self-reported PA and sedentary behavior, lymphedema, and blood collection.
Between July 2012 and November 2014, AMBER recruited its first 500 participants from a pool of 1,447 (35 %) eligible breast cancer survivors. Baseline HRF assessments were completed on ≥85 % of participants with the exception of upper body strength. Collection of ≥4 days/week of monitoring for the Actigraph GT3X® and ActivPAL® were obtained from 90 % of participants. Completion rates were also high for blood (99 %), lymphedema (98 %), and questionnaires (95 %) including patient-reported outcomes and correlates of exercise. The first 500 participants in AMBER are an average age of 56 years, 60 % are overweight or obese, and 58 % have disease stage II or III.
Despite the modest recruitment rate and younger age, AMBER has demonstrated that many newly diagnosed breast cancer survivors are willing and able to complete a wide array of sophisticated and physically demanding HRF and PA assessments soon after diagnosis. AMBER is a unique breast cancer survivor cohort that may inform future randomized controlled trials on lifestyle and breast cancer outcomes as well as PA behavior change in breast cancer survivors. Moreover, AMBER may also inform guidelines on PA, sedentary behavior, and HRF for improving breast cancer outcomes and survivorship.
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DOI: 10.1186/s12885-016-2534-4
PubMed: 27416835
PubMed Central: 4946114
Affiliations:
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Courneya</name><affiliation><nlm:aff id="Aff1">Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, AB T6G 2H9 Canada</nlm:aff><wicri:noCountry code="subfield">AB T6G 2H9 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Rehabilitation Medicine, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Culos Reed, S Nicole" sort="Culos Reed, S Nicole" uniqKey="Culos Reed S" first="S. Nicole" last="Culos-Reed">S. Nicole Culos-Reed</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Faculty of Kinesiology, University of Calgary, Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Kinesiology, University of Calgary, Calgary</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Vallance, Jeff K" sort="Vallance, Jeff K" uniqKey="Vallance J" first="Jeff K." last="Vallance">Jeff K. Vallance</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Faculty of Health Disciplines, Athabasca University, Athabasca, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Health Disciplines, Athabasca University, Athabasca</wicri:regionArea><wicri:noRegion>Athabasca</wicri:noRegion></affiliation></author><author><name sortKey="Bell, Gordon J" sort="Bell, Gordon J" uniqKey="Bell G" first="Gordon J." last="Bell">Gordon J. Bell</name><affiliation><nlm:aff id="Aff1">Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, AB T6G 2H9 Canada</nlm:aff><wicri:noCountry code="subfield">AB T6G 2H9 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Mackey, John R" sort="Mackey, John R" uniqKey="Mackey J" first="John R." last="Mackey">John R. Mackey</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Faculty of Medicine and Dentistry, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Matthews, Charles E" sort="Matthews, Charles E" uniqKey="Matthews C" first="Charles E." last="Matthews">Charles E. Matthews</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda</wicri:regionArea><wicri:noRegion>Bethesda</wicri:noRegion></affiliation></author><author><name sortKey="Morielli, Andria R" sort="Morielli, Andria R" uniqKey="Morielli A" first="Andria R." last="Morielli">Andria R. Morielli</name><affiliation><nlm:aff id="Aff1">Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, AB T6G 2H9 Canada</nlm:aff><wicri:noCountry code="subfield">AB T6G 2H9 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Cook, Diane" sort="Cook, Diane" uniqKey="Cook D" first="Diane" last="Cook">Diane Cook</name><affiliation><nlm:aff id="Aff1">Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, AB T6G 2H9 Canada</nlm:aff><wicri:noCountry code="subfield">AB T6G 2H9 Canada</wicri:noCountry></affiliation></author><author><name sortKey="Maclaughlin, Sarah" sort="Maclaughlin, Sarah" uniqKey="Maclaughlin S" first="Sarah" last="Maclaughlin">Sarah Maclaughlin</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary</wicri:regionArea><wicri:noRegion>Calgary</wicri:noRegion></affiliation></author><author><name sortKey="Farris, Megan S" sort="Farris, Megan S" uniqKey="Farris M" first="Megan S." last="Farris">Megan S. Farris</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary</wicri:regionArea><wicri:noRegion>Calgary</wicri:noRegion></affiliation></author><author><name sortKey="Voaklander, Stephanie" sort="Voaklander, Stephanie" uniqKey="Voaklander S" first="Stephanie" last="Voaklander">Stephanie Voaklander</name><affiliation><nlm:aff id="Aff1">Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, AB T6G 2H9 Canada</nlm:aff><wicri:noCountry code="subfield">AB T6G 2H9 Canada</wicri:noCountry></affiliation></author><author><name sortKey="O Eilly, Rachel" sort="O Eilly, Rachel" uniqKey="O Eilly R" first="Rachel" last="O Eilly">Rachel O Eilly</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary</wicri:regionArea><wicri:noRegion>Calgary</wicri:noRegion></affiliation></author><author><name sortKey="Friedenreich, Christine M" sort="Friedenreich, Christine M" uniqKey="Friedenreich C" first="Christine M." last="Friedenreich">Christine M. Friedenreich</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary</wicri:regionArea><wicri:noRegion>Calgary</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To our knowledge, the Alberta Moving Beyond Breast Cancer (AMBER) Study is the first and only prospective cohort study of breast cancer survivors that includes objectively-measured physical activity (PA), sedentary behavior, health-related fitness (HRF), and biologic mechanisms focused on understanding breast cancer outcomes. The purpose of the present study was to report on the feasibility of recruitment, baseline measurement completion, and the representativeness of the first 500 participants.</p></sec><sec><title>Methods</title><p>AMBER is enrolling newly diagnosed stage I (≥T1c) to IIIc breast cancer survivors in Alberta, Canada. Baseline assessments are completed soon after diagnosis and include cardiorespiratory fitness, musculoskeletal fitness, body composition, objective and self-reported PA and sedentary behavior, lymphedema, and blood collection.</p></sec><sec><title>Results</title><p>Between July 2012 and November 2014, AMBER recruited its first 500 participants from a pool of 1,447 (35 %) eligible breast cancer survivors. Baseline HRF assessments were completed on ≥85 % of participants with the exception of upper body strength. Collection of ≥4 days/week of monitoring for the Actigraph GT3X® and ActivPAL® were obtained from 90 % of participants. Completion rates were also high for blood (99 %), lymphedema (98 %), and questionnaires (95 %) including patient-reported outcomes and correlates of exercise. The first 500 participants in AMBER are an average age of 56 years, 60 % are overweight or obese, and 58 % have disease stage II or III.</p></sec><sec><title>Conclusion</title><p>Despite the modest recruitment rate and younger age, AMBER has demonstrated that many newly diagnosed breast cancer survivors are willing and able to complete a wide array of sophisticated and physically demanding HRF and PA assessments soon after diagnosis. AMBER is a unique breast cancer survivor cohort that may inform future randomized controlled trials on lifestyle and breast cancer outcomes as well as PA behavior change in breast cancer survivors. Moreover, AMBER may also inform guidelines on PA, sedentary behavior, and HRF for improving breast cancer outcomes and survivorship.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Siegel, Rl" uniqKey="Siegel R">RL Siegel</name></author><author><name sortKey="Miller, Kd" uniqKey="Miller K">KD Miller</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ganz, Pa" uniqKey="Ganz P">PA Ganz</name></author><author><name sortKey="Hahn, Ee" uniqKey="Hahn E">EE Hahn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lahart, Im" uniqKey="Lahart I">IM Lahart</name></author><author><name sortKey="Metsios, Gs" uniqKey="Metsios G">GS Metsios</name></author><author><name sortKey="Nevill, Am" uniqKey="Nevill A">AM Nevill</name></author><author><name sortKey="Carmichael, Ar" 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Krathwohl</name></author><author><name sortKey="Ergas, Ij" uniqKey="Ergas I">IJ Ergas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Irwin, Ml" uniqKey="Irwin M">ML Irwin</name></author><author><name sortKey="Crumley, D" uniqKey="Crumley D">D Crumley</name></author><author><name sortKey="Mctiernan, A" uniqKey="Mctiernan A">A McTiernan</name></author><author><name sortKey="Bernstein, L" uniqKey="Bernstein L">L Bernstein</name></author><author><name sortKey="Baumgartner, R" uniqKey="Baumgartner R">R Baumgartner</name></author><author><name sortKey="Gilliland, Fd" uniqKey="Gilliland F">FD Gilliland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caan, B" uniqKey="Caan B">B Caan</name></author><author><name sortKey="Sternfeld, B" uniqKey="Sternfeld B">B Sternfeld</name></author><author><name sortKey="Gunderson, E" uniqKey="Gunderson E">E Gunderson</name></author><author><name sortKey="Coates, A" uniqKey="Coates A">A Coates</name></author><author><name sortKey="Quesenberry, C" uniqKey="Quesenberry C">C Quesenberry</name></author><author><name sortKey="Slattery, Ml" uniqKey="Slattery M">ML Slattery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Troiano, Rp" uniqKey="Troiano R">RP Troiano</name></author><author><name sortKey="Berrigan, D" uniqKey="Berrigan D">D Berrigan</name></author><author><name sortKey="Dodd, Kw" uniqKey="Dodd K">KW Dodd</name></author><author><name sortKey="Masse, Lc" uniqKey="Masse L">LC Masse</name></author><author><name sortKey="Tilert, T" uniqKey="Tilert T">T Tilert</name></author><author><name sortKey="Mcdowell, M" uniqKey="Mcdowell M">M McDowell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, S" uniqKey="Fisher S">S Fisher</name></author><author><name sortKey="Gao, H" uniqKey="Gao H">H Gao</name></author><author><name sortKey="Yasui, Y" uniqKey="Yasui Y">Y Yasui</name></author><author><name sortKey="Dabbs, K" uniqKey="Dabbs K">K Dabbs</name></author><author><name sortKey="Winget, M" uniqKey="Winget M">M Winget</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Alberta</li></region><settlement><li>Calgary</li></settlement><orgName><li>Université de Calgary</li></orgName></list><tree><noCountry><name sortKey="Bell, Gordon J" sort="Bell, Gordon J" uniqKey="Bell G" first="Gordon J." last="Bell">Gordon J. Bell</name><name sortKey="Cook, Diane" sort="Cook, Diane" uniqKey="Cook D" first="Diane" last="Cook">Diane Cook</name><name sortKey="Courneya, Kerry S" sort="Courneya, Kerry S" uniqKey="Courneya K" first="Kerry S." last="Courneya">Kerry S. Courneya</name><name sortKey="Morielli, Andria R" sort="Morielli, Andria R" uniqKey="Morielli A" first="Andria R." last="Morielli">Andria R. Morielli</name><name sortKey="Voaklander, Stephanie" sort="Voaklander, Stephanie" uniqKey="Voaklander S" first="Stephanie" last="Voaklander">Stephanie Voaklander</name></noCountry><country name="Canada"><noRegion><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L." last="Mcneely">Margaret L. Mcneely</name></noRegion><name sortKey="Culos Reed, S Nicole" sort="Culos Reed, S Nicole" uniqKey="Culos Reed S" first="S. Nicole" last="Culos-Reed">S. Nicole Culos-Reed</name><name sortKey="Farris, Megan S" sort="Farris, Megan S" uniqKey="Farris M" first="Megan S." last="Farris">Megan S. Farris</name><name sortKey="Friedenreich, Christine M" sort="Friedenreich, Christine M" uniqKey="Friedenreich C" first="Christine M." last="Friedenreich">Christine M. Friedenreich</name><name sortKey="Mackey, John R" sort="Mackey, John R" uniqKey="Mackey J" first="John R." last="Mackey">John R. Mackey</name><name sortKey="Maclaughlin, Sarah" sort="Maclaughlin, Sarah" uniqKey="Maclaughlin S" first="Sarah" last="Maclaughlin">Sarah Maclaughlin</name><name sortKey="O Eilly, Rachel" sort="O Eilly, Rachel" uniqKey="O Eilly R" first="Rachel" last="O Eilly">Rachel O Eilly</name><name sortKey="Vallance, Jeff K" sort="Vallance, Jeff K" uniqKey="Vallance J" first="Jeff K." last="Vallance">Jeff K. Vallance</name></country><country name="États-Unis"><noRegion><name sortKey="Matthews, Charles E" sort="Matthews, Charles E" uniqKey="Matthews C" first="Charles E." last="Matthews">Charles E. Matthews</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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