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Body mass index and breast cancer treatment-related lymphedema

Identifieur interne : 003940 ( Pmc/Corpus ); précédent : 003939; suivant : 003941

Body mass index and breast cancer treatment-related lymphedema

Auteurs : Sheila H. Ridner ; Mary S. Dietrich ; Bob R. Stewart ; Jane M. Armer

Source :

RBID : PMC:4480912

Abstract

Purpose

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?

Methods

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.

Results

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, p=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.

Conclusions

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

Links to Exploration step

PMC:4480912

Le document en format XML

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<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name>
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<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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<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>
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<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>
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<journal-id journal-id-type="nlm-journal-id">9302957</journal-id>
<journal-id journal-id-type="pubmed-jr-id">8479</journal-id>
<journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id>
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<journal-title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</journal-title>
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<surname>Ridner</surname>
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<aff id="A1">Vanderbilt University School of Nursing</aff>
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<aff id="A2">Vanderbilt University School of Nursing</aff>
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<given-names>Bob R.</given-names>
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<aff id="A3">University of Missouri Sinclair School of Nursing</aff>
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<corresp id="FN1">Corresponding Author: 460 21
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Avenue South, 525 Godchaux Hall, Nashville, TN 37240 USA, Phone: 615-322-0831, Fax: 615-343-7788,
<email>sheila.ridner@vanderbilt.edu</email>
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<p>Vanderbilt University School of Nursing, Vanderbilt University School of Medicine, Department of Biostatistics, 460 21
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Avenue South, 410 Godchaux Hall, Nashville, TN 37240 USA</p>
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<p>University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 EFCC, University of Missouri, Columbia, MO 65211 USA</p>
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<month>6</month>
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<pmc-comment>elocation-id from pubmed: 10.1007/s00520-011-1089-9</pmc-comment>
<abstract>
<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>
</abstract>
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<kwd>Lymphedema</kwd>
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