Weight and weight change following breast cancer: evidence from a prospective, population-based, breast cancer cohort study
Identifieur interne : 006F82 ( Ncbi/Merge ); précédent : 006F81; suivant : 006F83Weight and weight change following breast cancer: evidence from a prospective, population-based, breast cancer cohort study
Auteurs : Dimitrios Vagenas ; Tracey Disipio ; Diana Battistutta ; Wendy Demark-Wahnefried [États-Unis] ; Sheree Rye ; John Bashford ; Chris Pyke ; Christobel Saunders ; Sandra C. HayesSource :
- BMC Cancer [ 1471-2407 ] ; 2015.
Abstract
While weight gain following breast cancer is considered common, results supporting these findings are dated. This work describes changes in body weight following breast cancer over 72 months, compares weight with normative data and explores whether weight changes over time are associated with personal, diagnostic, treatment or behavioral characteristics.
A population-based sample of 287 Australian women diagnosed with early-stage invasive breast cancer was assessed prospectively at six, 12, 18 and 72 months post-surgery. Weight was clinically measured and linear mixed models were used to explore associations between weight and participant characteristics (collected via self-administered questionnaire). Those with BMI changes of one or more units were considered to have experienced clinically significant changes in weight.
More than half (57%) of participants were overweight or obese at 6 months post-surgery, and by 72 months post-surgery 68% of women were overweight or obese. Among those who gained more weight than age-matched norms, clinically significant weight gain between 6 and 18 months and 6 and 72 months post-surgery was observed in 24% and 39% of participants, respectively (median [range] weight gain: 3.9 kg [2.0-11.3 kg] and 5.2 kg [0.6-28.7], respectively). Clinically-significant weight losses were observed in up to 24% of the sample (median [range] weight loss between 6 and 72 months post-surgery: −6.4 kg [−1.9--24.6 kg]). More extensive lymph node removal, being treated on the non-dominant side, receiving radiation therapy and lower physical activity levels at 6 months was associated with higher body weights post-breast cancer (group differences >3 kg; all p < 0.05).
While average weight gain among breast cancer survivors in the long-term is small, subgroups of women experience greater gains linked with adverse health and above that experienced by age-matched counterparts. Weight change post-breast cancer is a contemporary public health issue and the integration of healthy weight education and support into standard breast cancer care has potential to significantly improve the length and quality of cancer survivorship.
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DOI: 10.1186/s12885-015-1026-2
PubMed: 25637285
PubMed Central: 4318545
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Weight and weight change following breast cancer: evidence from a prospective, population-based, breast cancer cohort study</title><author><name sortKey="Vagenas, Dimitrios" sort="Vagenas, Dimitrios" uniqKey="Vagenas D" first="Dimitrios" last="Vagenas">Dimitrios Vagenas</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><affiliation wicri:level="2"><nlm:aff id="Aff3">University of Alabama at Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name><affiliation><nlm:aff id="Aff4">The Haematology and Oncology Clinic, Wesley Hospital, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name><affiliation><nlm:aff id="Aff5">The Mater Hospital, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name><affiliation><nlm:aff id="Aff6">The University of Western Australia, Crawley, Western Australia Australia</nlm:aff><wicri:noCountry code="subfield">Western Australia Australia</wicri:noCountry></affiliation></author><author><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25637285</idno><idno type="pmc">4318545</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318545</idno><idno type="RBID">PMC:4318545</idno><idno type="doi">10.1186/s12885-015-1026-2</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000C17</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" 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sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name><affiliation wicri:level="2"><nlm:aff id="Aff3">University of Alabama at Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name><affiliation><nlm:aff id="Aff4">The Haematology and Oncology Clinic, Wesley Hospital, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name><affiliation><nlm:aff id="Aff5">The Mater Hospital, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author><author><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name><affiliation><nlm:aff id="Aff6">The University of Western Australia, Crawley, Western Australia Australia</nlm:aff><wicri:noCountry code="subfield">Western Australia Australia</wicri:noCountry></affiliation></author><author><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name><affiliation><nlm:aff id="Aff1">Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</nlm:aff><wicri:noCountry code="subfield">Queensland Australia</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>While weight gain following breast cancer is considered common, results supporting these findings are dated. This work describes changes in body weight following breast cancer over 72 months, compares weight with normative data and explores whether weight changes over time are associated with personal, diagnostic, treatment or behavioral characteristics.</p></sec><sec><title>Methods</title><p>A population-based sample of 287 Australian women diagnosed with early-stage invasive breast cancer was assessed prospectively at six, 12, 18 and 72 months post-surgery. Weight was clinically measured and linear mixed models were used to explore associations between weight and participant characteristics (collected via self-administered questionnaire). Those with BMI changes of one or more units were considered to have experienced clinically significant changes in weight.</p></sec><sec><title>Results</title><p>More than half (57%) of participants were overweight or obese at 6 months post-surgery, and by 72 months post-surgery 68% of women were overweight or obese. Among those who gained more weight than age-matched norms, clinically significant weight gain between 6 and 18 months and 6 and 72 months post-surgery was observed in 24% and 39% of participants, respectively (median [range] weight gain: 3.9 kg [2.0-11.3 kg] and 5.2 kg [0.6-28.7], respectively). Clinically-significant weight losses were observed in up to 24% of the sample (median [range] weight loss between 6 and 72 months post-surgery: −6.4 kg [−1.9--24.6 kg]). More extensive lymph node removal, being treated on the non-dominant side, receiving radiation therapy and lower physical activity levels at 6 months was associated with higher body weights post-breast cancer (group differences >3 kg; all p < 0.05).</p></sec><sec><title>Conclusions</title><p>While average weight gain among breast cancer survivors in the long-term is small, subgroups of women experience greater gains linked with adverse health and above that experienced by age-matched counterparts. Weight change post-breast cancer is a contemporary public health issue and the integration of healthy weight education and support into standard breast cancer care has potential to significantly improve the length and quality of cancer survivorship.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Doyle, C" uniqKey="Doyle C">C Doyle</name></author><author><name sortKey="Kushi, L" uniqKey="Kushi L">L Kushi</name></author><author><name sortKey="Byers, T" uniqKey="Byers T">T Byers</name></author><author><name sortKey="Courneya, K" uniqKey="Courneya K">K Courneya</name></author><author><name sortKey="Demark Wahnefried, W" uniqKey="Demark Wahnefried W">W Demark-Wahnefried</name></author><author><name sortKey="Grant, B" uniqKey="Grant B">B Grant</name></author><author><name sortKey="Mctiernan, A" uniqKey="Mctiernan A">A McTiernan</name></author><author><name sortKey="Rock, C" uniqKey="Rock C">C Rock</name></author><author><name 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Harman</name></author><author><name sortKey="O Rdy, M" uniqKey="O Rdy M">M O’Grdy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gustavson, K" uniqKey="Gustavson K">K Gustavson</name></author><author><name sortKey="Von Soest, T" uniqKey="Von Soest T">T von Soest</name></author><author><name sortKey="Karevold, E" uniqKey="Karevold E">E Karevold</name></author><author><name sortKey="Roysamb, E" uniqKey="Roysamb E">E Roysamb</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Cancer</journal-id><journal-id journal-id-type="iso-abbrev">BMC Cancer</journal-id><journal-title-group><journal-title>BMC Cancer</journal-title></journal-title-group><issn pub-type="epub">1471-2407</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25637285</article-id><article-id pub-id-type="pmc">4318545</article-id><article-id pub-id-type="publisher-id">1026</article-id><article-id pub-id-type="doi">10.1186/s12885-015-1026-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Weight and weight change following breast cancer: evidence from a prospective, population-based, breast cancer cohort study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Vagenas</surname><given-names>Dimitrios</given-names></name><address><email>dimitrios.vagenas@qut.edu.au</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>DiSipio</surname><given-names>Tracey</given-names></name><address><email>t.disipio@qut.edu.au</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Battistutta</surname><given-names>Diana</given-names></name><address><email>d.battistutta@qut.edu.au</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Demark-Wahnefried</surname><given-names>Wendy</given-names></name><address><email>demark@uab.edu</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Rye</surname><given-names>Sheree</given-names></name><address><email>sa.rye@qut.edu.au</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Bashford</surname><given-names>John</given-names></name><address><email>jbashford@hoca.com.au</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Pyke</surname><given-names>Chris</given-names></name><address><email>c_pyke@mc.mater.org.au</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Saunders</surname><given-names>Christobel</given-names></name><address><email>christobel.saunders@uwa.edu.au</email></address><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name><surname>Hayes</surname><given-names>Sandra C</given-names></name><address><email>sc.hayes@qut.edu.au</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland Australia</aff><aff id="Aff2"><label>2</label>School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland Australia</aff><aff id="Aff3"><label>3</label>University of Alabama at Birmingham, Birmingham, AL USA</aff><aff id="Aff4"><label>4</label>The Haematology and Oncology Clinic, Wesley Hospital, Brisbane, Queensland Australia</aff><aff id="Aff5"><label>5</label>The Mater Hospital, Brisbane, Queensland Australia</aff><aff id="Aff6"><label>6</label>The University of Western Australia, Crawley, Western Australia Australia</aff></contrib-group><pub-date pub-type="epub"><day>31</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>31</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>15</volume><elocation-id>28</elocation-id><history><date date-type="received"><day>5</day><month>5</month><year>2014</year></date><date date-type="accepted"><day>15</day><month>1</month><year>2015</year></date></history><permissions><copyright-statement>© Vagenas et al.; licensee BioMed Central. 2015</copyright-statement><license license-type="open-access"><license-p>This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>While weight gain following breast cancer is considered common, results supporting these findings are dated. This work describes changes in body weight following breast cancer over 72 months, compares weight with normative data and explores whether weight changes over time are associated with personal, diagnostic, treatment or behavioral characteristics.</p></sec><sec><title>Methods</title><p>A population-based sample of 287 Australian women diagnosed with early-stage invasive breast cancer was assessed prospectively at six, 12, 18 and 72 months post-surgery. Weight was clinically measured and linear mixed models were used to explore associations between weight and participant characteristics (collected via self-administered questionnaire). Those with BMI changes of one or more units were considered to have experienced clinically significant changes in weight.</p></sec><sec><title>Results</title><p>More than half (57%) of participants were overweight or obese at 6 months post-surgery, and by 72 months post-surgery 68% of women were overweight or obese. Among those who gained more weight than age-matched norms, clinically significant weight gain between 6 and 18 months and 6 and 72 months post-surgery was observed in 24% and 39% of participants, respectively (median [range] weight gain: 3.9 kg [2.0-11.3 kg] and 5.2 kg [0.6-28.7], respectively). Clinically-significant weight losses were observed in up to 24% of the sample (median [range] weight loss between 6 and 72 months post-surgery: −6.4 kg [−1.9--24.6 kg]). More extensive lymph node removal, being treated on the non-dominant side, receiving radiation therapy and lower physical activity levels at 6 months was associated with higher body weights post-breast cancer (group differences >3 kg; all p < 0.05).</p></sec><sec><title>Conclusions</title><p>While average weight gain among breast cancer survivors in the long-term is small, subgroups of women experience greater gains linked with adverse health and above that experienced by age-matched counterparts. Weight change post-breast cancer is a contemporary public health issue and the integration of healthy weight education and support into standard breast cancer care has potential to significantly improve the length and quality of cancer survivorship.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Breast cancer</kwd><kwd>Body weight</kwd><kwd>Longitudinal cohort study</kwd><kwd>Public health</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Alabama</li></region></list><tree><noCountry><name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><name sortKey="Disipio, Tracey" sort="Disipio, Tracey" uniqKey="Disipio T" first="Tracey" last="Disipio">Tracey Disipio</name><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C" last="Hayes">Sandra C. Hayes</name><name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name><name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name><name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name><name sortKey="Vagenas, Dimitrios" sort="Vagenas, Dimitrios" uniqKey="Vagenas D" first="Dimitrios" last="Vagenas">Dimitrios Vagenas</name></noCountry><country name="États-Unis"><region name="Alabama"><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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