Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.
Identifieur interne : 000701 ( PubMed/Corpus ); précédent : 000700; suivant : 000702Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.
Auteurs : Lorraine T. Dean ; Anagha Kumar ; Taehoon Kim ; Matthew Herling ; Justin C. Brown ; Zi Zhang ; Margaret Evangelisti ; Renata Hackley ; Jiyoung Kim ; Andrea Cheville ; Andrea B. Troxel ; J Sanford Schwartz ; Kathryn H. SchmitzSource :
- Journal of obesity [ 2090-0716 ] ; 2016.
Abstract
Introduction. High BMI is a risk factor for upper body breast cancer-related lymphedema (BCRL) onset. Black cancer survivors are more likely to have high BMI than White cancer survivors. While observational analyses suggest up to 2.2 times increased risk of BCRL onset for Black breast cancer survivors, no studies have explored race or other social factors that may affect BCRL severity, operationalized by interlimb volume difference (ILD). Materials and Methods. ILD was measured by perometry for 296 overweight (25 > BMI < 50) Black (n = 102) or White (n = 194) breast cancer survivors (>6 months from treatment) in the WISER Survivor trial. Multivariable linear regression examined associations between social and physical factors and ILD. Results. Neither Black race (-0.26, p = 0.89) nor BMI (0.22, p = 0.10) was associated with ILD. Attending college (-4.89, p = 0.03) was the strongest factor associated with ILD, followed by having more lymph nodes removed (4.75, p = 0.01), >25% BCRL care adherence (4.10, p = 0.01), and years since treatment (0.55, p < 0.001). Discussion. Neither race nor BMI was associated with ILD among overweight cancer survivors. Education, a proxy for resource level, was the strongest factor associated with greater ILD. Tailoring physical activity and weight loss interventions designed to address BCRL severity by resource rather than race should be considered.
DOI: 10.1155/2016/8241710
PubMed: 27433356
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.</title><author><name sortKey="Dean, Lorraine T" sort="Dean, Lorraine T" uniqKey="Dean L" first="Lorraine T" last="Dean">Lorraine T. Dean</name><affiliation><nlm:affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><affiliation><nlm:affiliation>MedStar Health Research Institute and MedStar Georgetown University Hospital, Division of Biostatistics, Washington, DC 20007, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Taehoon" sort="Kim, Taehoon" uniqKey="Kim T" first="Taehoon" last="Kim">Taehoon Kim</name><affiliation><nlm:affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Herling, Matthew" sort="Herling, Matthew" uniqKey="Herling M" first="Matthew" last="Herling">Matthew Herling</name><affiliation><nlm:affiliation>The Wharton School of the University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C" last="Brown">Justin C. Brown</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Zi" sort="Zhang, Zi" uniqKey="Zhang Z" first="Zi" last="Zhang">Zi Zhang</name><affiliation><nlm:affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Evangelisti, Margaret" sort="Evangelisti, Margaret" uniqKey="Evangelisti M" first="Margaret" last="Evangelisti">Margaret Evangelisti</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hackley, Renata" sort="Hackley, Renata" uniqKey="Hackley R" first="Renata" last="Hackley">Renata Hackley</name><affiliation><nlm:affiliation>Recruitment, Outcomes, and Assessment Resource Core, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Jiyoung" sort="Kim, Jiyoung" uniqKey="Kim J" first="Jiyoung" last="Kim">Jiyoung Kim</name><affiliation><nlm:affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cheville, Andrea" sort="Cheville, Andrea" uniqKey="Cheville A" first="Andrea" last="Cheville">Andrea Cheville</name><affiliation><nlm:affiliation>The Mayo Clinic, Department of Physical Medicine and Rehabilitation, Rochester, MN 55905, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B" last="Troxel">Andrea B. Troxel</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schwartz, J Sanford" sort="Schwartz, J Sanford" uniqKey="Schwartz J" first="J Sanford" last="Schwartz">J Sanford Schwartz</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27433356</idno><idno type="pmid">27433356</idno><idno type="doi">10.1155/2016/8241710</idno><idno type="wicri:Area/PubMed/Corpus">000701</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000701</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.</title><author><name sortKey="Dean, Lorraine T" sort="Dean, Lorraine T" uniqKey="Dean L" first="Lorraine T" last="Dean">Lorraine T. Dean</name><affiliation><nlm:affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><affiliation><nlm:affiliation>MedStar Health Research Institute and MedStar Georgetown University Hospital, Division of Biostatistics, Washington, DC 20007, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Taehoon" sort="Kim, Taehoon" uniqKey="Kim T" first="Taehoon" last="Kim">Taehoon Kim</name><affiliation><nlm:affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Herling, Matthew" sort="Herling, Matthew" uniqKey="Herling M" first="Matthew" last="Herling">Matthew Herling</name><affiliation><nlm:affiliation>The Wharton School of the University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C" last="Brown">Justin C. Brown</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Zi" sort="Zhang, Zi" uniqKey="Zhang Z" first="Zi" last="Zhang">Zi Zhang</name><affiliation><nlm:affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Evangelisti, Margaret" sort="Evangelisti, Margaret" uniqKey="Evangelisti M" first="Margaret" last="Evangelisti">Margaret Evangelisti</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hackley, Renata" sort="Hackley, Renata" uniqKey="Hackley R" first="Renata" last="Hackley">Renata Hackley</name><affiliation><nlm:affiliation>Recruitment, Outcomes, and Assessment Resource Core, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Jiyoung" sort="Kim, Jiyoung" uniqKey="Kim J" first="Jiyoung" last="Kim">Jiyoung Kim</name><affiliation><nlm:affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cheville, Andrea" sort="Cheville, Andrea" uniqKey="Cheville A" first="Andrea" last="Cheville">Andrea Cheville</name><affiliation><nlm:affiliation>The Mayo Clinic, Department of Physical Medicine and Rehabilitation, Rochester, MN 55905, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B" last="Troxel">Andrea B. Troxel</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schwartz, J Sanford" sort="Schwartz, J Sanford" uniqKey="Schwartz J" first="J Sanford" last="Schwartz">J Sanford Schwartz</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name><affiliation><nlm:affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of obesity</title><idno type="eISSN">2090-0716</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction. High BMI is a risk factor for upper body breast cancer-related lymphedema (BCRL) onset. Black cancer survivors are more likely to have high BMI than White cancer survivors. While observational analyses suggest up to 2.2 times increased risk of BCRL onset for Black breast cancer survivors, no studies have explored race or other social factors that may affect BCRL severity, operationalized by interlimb volume difference (ILD). Materials and Methods. ILD was measured by perometry for 296 overweight (25 > BMI < 50) Black (n = 102) or White (n = 194) breast cancer survivors (>6 months from treatment) in the WISER Survivor trial. Multivariable linear regression examined associations between social and physical factors and ILD. Results. Neither Black race (-0.26, p = 0.89) nor BMI (0.22, p = 0.10) was associated with ILD. Attending college (-4.89, p = 0.03) was the strongest factor associated with ILD, followed by having more lymph nodes removed (4.75, p = 0.01), >25% BCRL care adherence (4.10, p = 0.01), and years since treatment (0.55, p < 0.001). Discussion. Neither race nor BMI was associated with ILD among overweight cancer survivors. Education, a proxy for resource level, was the strongest factor associated with greater ILD. Tailoring physical activity and weight loss interventions designed to address BCRL severity by resource rather than race should be considered.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27433356</PMID><DateCreated><Year>2016</Year><Month>07</Month><Day>19</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2090-0716</ISSN><JournalIssue CitedMedium="Internet"><Volume>2016</Volume><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>Journal of obesity</Title><ISOAbbreviation>J Obes</ISOAbbreviation></Journal><ArticleTitle>Race or Resource? BMI, Race, and Other Social Factors as Risk Factors for Interlimb Differences among Overweight Breast Cancer Survivors with Lymphedema.</ArticleTitle><Pagination><MedlinePgn>8241710</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2016/8241710</ELocationID><Abstract><AbstractText>Introduction. High BMI is a risk factor for upper body breast cancer-related lymphedema (BCRL) onset. Black cancer survivors are more likely to have high BMI than White cancer survivors. While observational analyses suggest up to 2.2 times increased risk of BCRL onset for Black breast cancer survivors, no studies have explored race or other social factors that may affect BCRL severity, operationalized by interlimb volume difference (ILD). Materials and Methods. ILD was measured by perometry for 296 overweight (25 > BMI < 50) Black (n = 102) or White (n = 194) breast cancer survivors (>6 months from treatment) in the WISER Survivor trial. Multivariable linear regression examined associations between social and physical factors and ILD. Results. Neither Black race (-0.26, p = 0.89) nor BMI (0.22, p = 0.10) was associated with ILD. Attending college (-4.89, p = 0.03) was the strongest factor associated with ILD, followed by having more lymph nodes removed (4.75, p = 0.01), >25% BCRL care adherence (4.10, p = 0.01), and years since treatment (0.55, p < 0.001). Discussion. Neither race nor BMI was associated with ILD among overweight cancer survivors. Education, a proxy for resource level, was the strongest factor associated with greater ILD. Tailoring physical activity and weight loss interventions designed to address BCRL severity by resource rather than race should be considered.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dean</LastName><ForeName>Lorraine T</ForeName><Initials>LT</Initials><Identifier Source="ORCID">0000-0002-2272-2755</Identifier><AffiliationInfo><Affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Anagha</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>MedStar Health Research Institute and MedStar Georgetown University Hospital, Division of Biostatistics, Washington, DC 20007, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Taehoon</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herling</LastName><ForeName>Matthew</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>The Wharton School of the University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brown</LastName><ForeName>Justin C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zi</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Evangelisti</LastName><ForeName>Margaret</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hackley</LastName><ForeName>Renata</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Recruitment, Outcomes, and Assessment Resource Core, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Jiyoung</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>School of Arts & Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheville</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>The Mayo Clinic, Department of Physical Medicine and Rehabilitation, Rochester, MN 55905, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Troxel</LastName><ForeName>Andrea B</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schwartz</LastName><ForeName>J Sanford</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schmitz</LastName><ForeName>Kathryn H</ForeName><Initials>KH</Initials><AffiliationInfo><Affiliation>Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 CA006973</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K01 CA184288</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UL1 TR001409</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U54 CA155850</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UL1 TR000003</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 CA016520</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Obes</MedlineTA><NlmUniqueID>101526295</NlmUniqueID><ISSNLinking>2090-0708</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections 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PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27433356</ArticleId><ArticleId IdType="doi">10.1155/2016/8241710</ArticleId><ArticleId IdType="pmc">PMC4940553</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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