Randomized controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema
Identifieur interne : 007734 ( Main/Exploration ); précédent : 007733; suivant : 007735Randomized controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema
Auteurs : Clare Shaw [Royaume-Uni] ; Peter Mortimer (dermatologue) [Royaume-Uni] ; Patricia A. Judd [Royaume-Uni]Source :
- Cancer [ 0008-543X ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bras (anatomopathologie), Femelle, Humains, Indice de masse corporelle, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Obésité (), Obésité (diétothérapie), Perte de poids, Ration calorique, Régime amaigrissant, Régime pauvre en graisses, Sujet âgé, Tumeurs du sein ().
- MESH :
- anatomopathologie : Bras, Lymphoedème.
- diétothérapie : Obésité.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Adulte d'âge moyen, Femelle, Humains, Indice de masse corporelle, Lymphoedème, Matière grasse, Obésité, Perte de poids, Ration calorique, Régime alimentaire, Nutrition, Poids, Cancérologie, Essai randomisé contrôlé, Cancer du sein, Régime amaigrissant, Régime pauvre en graisses, Sujet âgé, Tumeurs du sein.
- Wicri :
- topic : Nutrition.
English descriptors
- KwdEn :
- Aged, Arm (pathology), Body Mass Index, Breast Neoplasms (complications), Breast Neoplasms (surgery), Breast cancer, Cancerology, Diet, Diet, Fat-Restricted, Diet, Reducing, Energy Intake, Fat, Female, Humans, Lymphedema, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (therapy), Middle Aged, Nutrition, Obesity (complications), Obesity (diet therapy), Randomised controlled trial, Weight, Weight Loss.
- MESH :
- complications : Breast Neoplasms, Obesity.
- diet therapy : Obesity.
- etiology : Lymphedema.
- pathology : Arm, Lymphedema.
- surgery : Breast Neoplasms.
- therapy : Lymphedema.
- Aged, Body Mass Index, Diet, Fat-Restricted, Diet, Reducing, Energy Intake, Female, Humans, Middle Aged, Weight Loss.
Abstract
BACKGROUND. Obesity is considered a risk factor for lymphedema of the arm resulting from breast cancer treatment (BCRL) as well as a poor prognostic factor in response to lymphedema treatment. The aim of the study was to compare the effect of 2 dietary interventions on excess arm volume in BCRL. METHODS. A total of 64 women with BCRL were randomized to 1 of 3 groups for 24 weeks: 1) weight reduction through reduced energy intake; 2) low-fat diet with no change in energy intake (isoenergetic); 3) control group with no dietary change from habitual intake. RESULTS. The primary outcome measure was arm volume at 24 weeks. Results showed significant reductions in body weight (P=.006), body mass index (P=.008), and skinfold thickness measured at 4 sites (P=.044) in the weight-reduction and low-fat groups compared with controls. A slightly greater, but not significant (P=.605), fall in excess arm volume occurred in the dietary groups but a significant correlation between weight loss (irrespective of group) and a reduction in excess arm volume (r: 0.423; P =.002) was demonstrated. CONCLUSIONS. Weight loss, whether through reduced energy intake or low-fat diet, appears to be helpful in the treatment of breast cancer-related lymphedema.
Affiliations:
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Judd</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Lancashire School of Health and Postgraduate Medicine, University of Central Lancashire</s1><s2>Preston</s2><s3>GBR</s3><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Preston</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Cancer</title><title level="j" type="abbreviated">Cancer</title><idno type="ISSN">0008-543X</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Cancer</title><title level="j" type="abbreviated">Cancer</title><idno type="ISSN">0008-543X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arm (pathology)</term><term>Body Mass Index</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (surgery)</term><term>Breast cancer</term><term>Cancerology</term><term>Diet</term><term>Diet, Fat-Restricted</term><term>Diet, Reducing</term><term>Energy Intake</term><term>Fat</term><term>Female</term><term>Humans</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Nutrition</term><term>Obesity (complications)</term><term>Obesity (diet therapy)</term><term>Randomised controlled trial</term><term>Weight</term><term>Weight Loss</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bras (anatomopathologie)</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Obésité ()</term><term>Obésité (diétothérapie)</term><term>Perte de poids</term><term>Ration calorique</term><term>Régime amaigrissant</term><term>Régime pauvre en graisses</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diet therapy" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diétothérapie" xml:lang="fr"><term>Obésité</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Body Mass Index</term><term>Diet, Fat-Restricted</term><term>Diet, Reducing</term><term>Energy Intake</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Weight Loss</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Lymphoedème</term><term>Matière grasse</term><term>Obésité</term><term>Perte de poids</term><term>Ration calorique</term><term>Régime alimentaire</term><term>Nutrition</term><term>Poids</term><term>Cancérologie</term><term>Essai randomisé contrôlé</term><term>Cancer du sein</term><term>Régime amaigrissant</term><term>Régime pauvre en graisses</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Nutrition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND. Obesity is considered a risk factor for lymphedema of the arm resulting from breast cancer treatment (BCRL) as well as a poor prognostic factor in response to lymphedema treatment. The aim of the study was to compare the effect of 2 dietary interventions on excess arm volume in BCRL. METHODS. A total of 64 women with BCRL were randomized to 1 of 3 groups for 24 weeks: 1) weight reduction through reduced energy intake; 2) low-fat diet with no change in energy intake (isoenergetic); 3) control group with no dietary change from habitual intake. RESULTS. The primary outcome measure was arm volume at 24 weeks. Results showed significant reductions in body weight (P=.006), body mass index (P=.008), and skinfold thickness measured at 4 sites (P=.044) in the weight-reduction and low-fat groups compared with controls. A slightly greater, but not significant (P=.605), fall in excess arm volume occurred in the dietary groups but a significant correlation between weight loss (irrespective of group) and a reduction in excess arm volume (r: 0.423; P =.002) was demonstrated. CONCLUSIONS. Weight loss, whether through reduced energy intake or low-fat diet, appears to be helpful in the treatment of breast cancer-related lymphedema.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Shaw, Clare" sort="Shaw, Clare" uniqKey="Shaw C" first="Clare" last="Shaw">Clare Shaw</name></region><name sortKey="Judd, Patricia A" sort="Judd, Patricia A" uniqKey="Judd P" first="Patricia A." last="Judd">Patricia A. Judd</name><name sortKey="Mortimer, Peter" sort="Mortimer, Peter" uniqKey="Mortimer P" first="Peter" last="Mortimer">Peter Mortimer (dermatologue)</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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