exercise and diet counseling program in improving quality of life in stage i-iii breast cancer survivors

Conditions: Anatomic Stage I Breast Cancer AJCC v8; Anatomic Stage IA Breast Cancer AJCC v8; Anatomic Stage IB Breast Cancer AJCC v8; Anatomic Stage II Breast Cancer AJCC v8; Anatomic Stage IIA Breast Cancer AJCC v8; Anatomic Stage IIB Breast Cancer AJCC v8; Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IIIA Breast Cancer AJCC v8; Anatomic Stage IIIB Breast Cancer AJCC v8; Anatomic Stage IIIC Breast Cancer AJCC v8; Cancer Survivor; Obesity; Overweight; Prognostic Stage I Breast Cancer AJCC v8; Prognostic Stage IA Breast Cancer AJCC v8; Prognostic Stage IB Breast Cancer AJCC v8; Prognostic Stage II Breast Cancer AJCC v8; Prognostic Stage IIA Breast Cancer AJCC v8; Prognostic Stage IIB Breast Cancer AJCC v8; Prognostic Stage III Breast Cancer AJCC v8; Prognostic Stage IIIA Breast Cancer AJCC v8; Prognostic Stage IIIB Breast Cancer AJCC v8; Prognostic Stage IIIC Breast Cancer AJCC v8

Summary: this trial studies the benefits of an exercise and diet counseling program in improving quality of life in stage i-iii breast cancer survivors. exercise and diet counseling may help improve weight loss and relevant clinical and patient-reported outcomes in overweight or obese breast cancer survivors.

primary objectives: i. to determine the feasibility of delivering a community-based, comprehensive lifestyle weight management (lwm) intervention to 20 overweight or obese breast cancer (bc) survivors. ii. explore preliminary efficacy of the community-based, comprehensive lwm intervention for producing meaningful improvements in select clinically-relevant anthropometric, fitness, functional, and patient-reported outcomes in bc survivors. iii. provide the effect size estimates necessary to inform the design of a subsequent r01 application addressing a large scale, optimally powered, randomized controlled, community-based lwm comparative efficacy intervention trial targeting weight loss in bc survivors. outline: patients undergo aerobic exercise over 10-30 minutes and resistance exercise comprising 1-3 sets of 8-12 repetitions of 10 different exercises over 1 hour for 24 weeks. patients also receive behavioral activity counseling once a week and nutritional counseling over 30 minutes for 10 sessions after center-based exercise sessions during months 1-2. after completion of study, patients are followed up at 3 and 6 months.

Eligibility criteria:
inclusion criteria: * female breast cancer (stage i-iii), within (w/in) 60 months after cessation of active treatment (surgery, chemotherapy, radiation), and may be on continued hormone therapy. * overweight/obese (body mass index \[bmi\] \> 25). * ability to understand and the willingness to sign a written informed consent. * willing and physically able to participate in physical activity. * obtain physician consent via primary care physician and/or treating oncologist. exclusion criteria: * \> 60 months post breast cancer therapy. * contraindications to exercise. * diagnosis of cancer other than breast that is receiving active treatment. * currently receiving chemotherapy/radiation. * musculoskeletal/neurological disorder inhibiting them from safe exercise. * pregnant or nursing women. * unable to give informed consent.