Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema
Identifieur interne : 000C02 ( Main/Exploration ); précédent : 000C01; suivant : 000C03Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema
Auteurs : Lorraine T. Dean [États-Unis] ; Anagha Kumar [États-Unis] ; Taehoon Kim [États-Unis] ; Matthew Herling [États-Unis] ; Justin C. Brown [États-Unis] ; Zi Zhang [États-Unis] ; Margaret Evangelisti [États-Unis] ; Renata Hackley [États-Unis] ; Jiyoung Kim [États-Unis] ; Andrea Cheville [États-Unis] ; Andrea B. Troxel [États-Unis] ; J. Sanford Schwartz [États-Unis] ; Kathryn H. Schmitz [États-Unis]Source :
- Journal of Obesity [ 2090-0708 ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/8241710
PubMed: 27433356
PubMed Central: 4940553
Affiliations:
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Troxel</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J Sanford" sort="Schwartz, J Sanford" uniqKey="Schwartz J" first="J. Sanford" last="Schwartz">J. Sanford Schwartz</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27433356</idno><idno type="pmc">4940553</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940553</idno><idno type="RBID">PMC:4940553</idno><idno type="doi">10.1155/2016/8241710</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">004103</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004103</idno><idno type="wicri:Area/Pmc/Curation">004102</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004102</idno><idno type="wicri:Area/Pmc/Checkpoint">000651</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000651</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000701</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000701</idno><idno type="wicri:Area/PubMed/Curation">000701</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000701</idno><idno type="wicri:Area/PubMed/Checkpoint">000701</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000701</idno><idno type="wicri:Area/Ncbi/Merge">008589</idno><idno type="wicri:Area/Ncbi/Curation">008589</idno><idno type="wicri:Area/Ncbi/Checkpoint">008589</idno><idno type="wicri:doubleKey">2090-0708:2016:Dean L:race:or:resource</idno><idno type="wicri:Area/Main/Merge">000C03</idno><idno type="wicri:Area/Main/Curation">000C02</idno><idno type="wicri:Area/Main/Exploration">000C02</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema</title><author><name sortKey="Dean, Lorraine T" sort="Dean, Lorraine T" uniqKey="Dean L" first="Lorraine T." last="Dean">Lorraine T. Dean</name><affiliation wicri:level="1"><nlm:aff id="I1">Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205</wicri:regionArea><wicri:noRegion>MD 21205</wicri:noRegion></affiliation></author><author><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><affiliation wicri:level="1"><nlm:aff id="I2">MedStar Health Research Institute and MedStar Georgetown University Hospital, Division of Biostatistics, Washington, DC 20007, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>MedStar Health Research Institute and MedStar Georgetown University Hospital, Division of Biostatistics, Washington, DC 20007</wicri:regionArea><wicri:noRegion>DC 20007</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Taehoon" sort="Kim, Taehoon" uniqKey="Kim T" first="Taehoon" last="Kim">Taehoon Kim</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Herling, Matthew" sort="Herling, Matthew" uniqKey="Herling M" first="Matthew" last="Herling">Matthew Herling</name><affiliation wicri:level="1"><nlm:aff id="I4">The Wharton School of the University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Wharton School of the University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Zi" sort="Zhang, Zi" uniqKey="Zhang Z" first="Zi" last="Zhang">Zi Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205</wicri:regionArea><wicri:noRegion>MD 21205</wicri:noRegion></affiliation></author><author><name sortKey="Evangelisti, Margaret" sort="Evangelisti, Margaret" uniqKey="Evangelisti M" first="Margaret" last="Evangelisti">Margaret Evangelisti</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Hackley, Renata" sort="Hackley, Renata" uniqKey="Hackley R" first="Renata" last="Hackley">Renata Hackley</name><affiliation wicri:level="1"><nlm:aff id="I6">Recruitment, Outcomes, and Assessment Resource Core, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Recruitment, Outcomes, and Assessment Resource Core, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Jiyoung" sort="Kim, Jiyoung" uniqKey="Kim J" first="Jiyoung" last="Kim">Jiyoung Kim</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Cheville, Andrea" sort="Cheville, Andrea" uniqKey="Cheville A" first="Andrea" last="Cheville">Andrea Cheville</name><affiliation wicri:level="1"><nlm:aff id="I7">The Mayo Clinic, Department of Physical Medicine and Rehabilitation, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Mayo Clinic, Department of Physical Medicine and Rehabilitation, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B." last="Troxel">Andrea B. Troxel</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J Sanford" sort="Schwartz, J Sanford" uniqKey="Schwartz J" first="J. Sanford" last="Schwartz">J. Sanford Schwartz</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="1"><nlm:aff id="I5">Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104</wicri:regionArea><wicri:noRegion>PA 19104</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Obesity</title><idno type="ISSN">2090-0708</idno><idno type="eISSN">2090-0716</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>. High BMI is a risk factor for upper body breast cancer-related lymphedema (BCRL) onset. Black cancer survivors are more likely to have high BMI than White cancer survivors. While observational analyses suggest up to 2.2 times increased risk of BCRL onset for Black breast cancer survivors, no studies have explored race or other social factors that may affect BCRL severity, operationalized by interlimb volume difference (ILD).<italic> Materials and Methods</italic>. ILD was measured by perometry for 296 overweight (25 > BMI < 50) Black (<italic>n</italic> = 102) or White (<italic>n</italic> = 194) breast cancer survivors (>6 months from treatment) in the WISER Survivor trial. Multivariable linear regression examined associations between social and physical factors and ILD.<italic> Results</italic>. Neither Black race (−0.26, <italic>p</italic> = 0.89) nor BMI (0.22, <italic>p</italic> = 0.10) was associated with ILD. Attending college (−4.89, <italic>p</italic> = 0.03) was the strongest factor associated with ILD, followed by having more lymph nodes removed (4.75, <italic>p</italic> = 0.01), >25% BCRL care adherence (4.10, <italic>p</italic> = 0.01), and years since treatment (0.55, <italic>p</italic> < 0.001).<italic> Discussion</italic>. Neither race nor BMI was associated with ILD among overweight cancer survivors. Education, a proxy for resource level, was the strongest factor associated with greater ILD. Tailoring physical activity and weight loss interventions designed to address BCRL severity by resource rather than race should be considered.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Merchant, S J" uniqKey="Merchant S">S. J. Merchant</name></author><author><name sortKey="Chen, S L" uniqKey="Chen S">S. L. Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Disipio, T" uniqKey="Disipio T">T. 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Schmitz</name><name sortKey="Schwartz, J Sanford" sort="Schwartz, J Sanford" uniqKey="Schwartz J" first="J. Sanford" last="Schwartz">J. Sanford Schwartz</name><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B." last="Troxel">Andrea B. Troxel</name><name sortKey="Zhang, Zi" sort="Zhang, Zi" uniqKey="Zhang Z" first="Zi" last="Zhang">Zi Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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