A randomized controlled trial of weight reduction as a treatment for breast cancer-related lymphedema
Identifieur interne : 007763 ( Main/Exploration ); précédent : 007762; suivant : 007764A randomized controlled trial of weight reduction as a treatment for 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 :
- MESH :
- diétothérapie : Obésité.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Wicri :
- topic : Nutrition.
English descriptors
- KwdEn :
- Body Mass Index, Breast Neoplasms (complications), Breast Neoplasms (therapy), Breast cancer, Cancerology, Diet, Diet, Fat-Restricted, Diet, Reducing, Energy Intake, Female, Humans, Lymphedema, Lymphedema (etiology), Lymphedema (therapy), Middle Aged, Nutrition, Obesity (complications), Obesity (diet therapy), Randomised controlled trial, Treatment, Weight, Weight Loss.
- MESH :
- complications : Breast Neoplasms, Obesity.
- diet therapy : Obesity.
- etiology : Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- 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 the development of breast cancer-related lymphedema of the arm and as a poor prognostic factor in response to lymphedema treatment. The objective of this study was to examine weight reduction as a treatment for breast cancer-related lymphedema. METHODS. Twenty-one women with breast cancer-related lymphedema were randomized either to receive dietary advice for weight reduction or to receive a booklet on general healthy eating. They were monitored for 12 weeks. RESULTS. The primary outcome measure was arm volume at 12 weeks. The results indicated a significant reduction in swollen arm volume at the end of the 12-week period (P =.003) in the intervention weight-reduction group. There was a significant reduction in body weight (P =.02) and body mass index (P =.016) in the weight-reduction group at the end of the 12-week study period. CONCLUSIONS. Weight loss achieved by dietary advice to reduce energy intake can reduce breast cancer-related lymphedema significantly.
Affiliations:
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Le document en format XML
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<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</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>Female</term>
<term>Humans</term>
<term>Lymphedema</term>
<term>Lymphedema (etiology)</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>Treatment</term>
<term>Weight</term>
<term>Weight Loss</term>
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<keywords scheme="KwdFr" 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>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>Tumeurs du sein ()</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
<term>Obesity</term>
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<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="therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><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>
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<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>Obésité</term>
<term>Perte de poids</term>
<term>Poids</term>
<term>Ration calorique</term>
<term>Régime amaigrissant</term>
<term>Régime pauvre en graisses</term>
<term>Traitement</term>
<term>Régime alimentaire</term>
<term>Nutrition</term>
<term>Cancérologie</term>
<term>Essai randomisé contrôlé</term>
<term>Cancer du sein</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">BACKGROUND. Obesity is considered a risk factor for the development of breast cancer-related lymphedema of the arm and as a poor prognostic factor in response to lymphedema treatment. The objective of this study was to examine weight reduction as a treatment for breast cancer-related lymphedema. METHODS. Twenty-one women with breast cancer-related lymphedema were randomized either to receive dietary advice for weight reduction or to receive a booklet on general healthy eating. They were monitored for 12 weeks. RESULTS. The primary outcome measure was arm volume at 12 weeks. The results indicated a significant reduction in swollen arm volume at the end of the 12-week period (P =.003) in the intervention weight-reduction group. There was a significant reduction in body weight (P =.02) and body mass index (P =.016) in the weight-reduction group at the end of the 12-week study period. CONCLUSIONS. Weight loss achieved by dietary advice to reduce energy intake can reduce breast cancer-related lymphedema significantly.</div>
</front>
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<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>
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<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>
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