Body mass index and breast cancer treatment-related lymphedema
Identifieur interne : 005050 ( Main/Exploration ); précédent : 005049; suivant : 005051Body mass index and breast cancer treatment-related lymphedema
Auteurs : Sheila H. Ridner ; Mary S. Dietrich ; Bob R. Stewart ; Jane M. ArmerSource :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 0941-4355 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (épidémiologie), Facteurs de risque, Facteurs temps, Femelle, Humains, Indice de masse corporelle, Jeune adulte, Lymphoedème (épidémiologie), Lymphoedème (étiologie), Obésité (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (radiothérapie), Études longitudinales, Études prospectives.
- MESH :
- radiothérapie : Tumeurs du sein.
- épidémiologie : Complications postopératoires, Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Facteurs temps, Femelle, Humains, Indice de masse corporelle, Jeune adulte, Obésité, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Body Mass Index, Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Female, Humans, Longitudinal Studies, Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Obesity (complications), Postoperative Complications (epidemiology), Prospective Studies, Risk Factors, Time Factors, Young Adult.
- MESH :
- complications : Obesity.
- epidemiology : Lymphedema, Postoperative Complications.
- etiology : Lymphedema.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Body Mass Index, Female, Humans, Longitudinal Studies, Middle Aged, Prospective Studies, Risk Factors, Time Factors, Young Adult.
Abstract
The main purpose was to examine longitudinally the influence of body mass index (BMI) and obesity on the development of breast cancer treatment-related lymphedema. We asked, does elevated BMI increase lymphedema risk?
A secondary analysis was conducted on de-identified data collected from 138 newly diagnosed breast cancer survivors who had arm volume measurements and symptom assessment at pre-treatment baseline and measurements up to 30 months post-surgery in a prospective longitudinal parent study. Arm volume and weight data, part of the information collected during each participant visit, were examined.
Breast cancer survivors whose BMI was ≥30 at the time of breast cancer treatment were approximately 3.6 times more likely to develop lymphedema at 6 months or greater after diagnosis than those with a BMI <30 at the time of cancer treatment (95% confidence interval, C.I., for odds ratio, O.R., 1.42–9.04,
Pre-treatment BMI may be a risk factor for lymphedema. Weight gain post-treatment may not be. Further research is warranted.
Url:
DOI: 10.1007/s00520-011-1089-9
PubMed: 21240649
PubMed Central: 4480912
Affiliations:
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Le document en format XML
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<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
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<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
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<term>Complications postopératoires (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Jeune adulte</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Obésité ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
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<term>Obésité</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">The main purpose was to examine longitudinally the influence of body mass index (BMI) and obesity on the development of breast cancer treatment-related lymphedema. We asked, does elevated BMI increase lymphedema risk?</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A secondary analysis was conducted on de-identified data collected from 138 newly diagnosed breast cancer survivors who had arm volume measurements and symptom assessment at pre-treatment baseline and measurements up to 30 months post-surgery in a prospective longitudinal parent study. Arm volume and weight data, part of the information collected during each participant visit, were examined.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Breast cancer survivors whose BMI was ≥30 at the time of breast cancer treatment were approximately 3.6 times more likely to develop lymphedema at 6 months or greater after diagnosis than those with a BMI <30 at the time of cancer treatment (95% confidence interval, C.I., for odds ratio, O.R., 1.42–9.04, <italic>p</italic>
=0.007). Those with a general BMI increase or a BMI rise to 30 or greater during their first 30 months of survivorship were not more likely to develop late-onset lymphedema than those who did not have similar changes in BMI.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Pre-treatment BMI may be a risk factor for lymphedema. Weight gain post-treatment may not be. Further research is warranted.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name>
<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name>
<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name>
<name sortKey="Stewart, Bob R" sort="Stewart, Bob R" uniqKey="Stewart B" first="Bob R." last="Stewart">Bob R. Stewart</name>
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