Conclusions : The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes .
Background : African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like ( e.g. , triple negative ) tumors , placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups .
While access to equitable care , late disease stage at diagnosis , tumor biology , and sociodemographic characteristics contribute to health disparities , poor lifestyle characteristics ( i.e. , inactivity , obesity , and poor diet ) contribute equally to these disparities .
Lifestyle interventions hold promise in shielding African American survivors from second cancers , comorbidities , and premature mortality , but they are often underrepresented in studies promoting positive behaviors .
This review examined the available literature to document health behaviors and lifestyle intervention ( i.e. , obesity , physical activity , and sedentary behavior ) studies in African American breast cancer survivors .
Preventing weight gain in African American breast cancer survivors using smart scales and activity trackers: a randomized controlled pilot study
Purpose This study evaluated the feasibility and preliminary efficacy of two 6-month , self-regulation interventions that focused on daily self-weighing ( DSW ) and used objective monitoring and tailored feedback about weight ( ±activity ) , to prevent weight gain among African American breast cancer survivors . Methods Participants ( n = 35 ) were r and omized to an intervention + activity monitoring ( INT+ ) , intervention ( INT ) , or control ( CON ) group . Interventions included a wireless scale ( ±activity tracker ) that transmitted objective data to a mobile app/website , emailed lessons , and tailored feedback based on objective weight ( ±activity data ) . Participants completed in-person and online assessment s at baseline , 3 months , and 6 months . Results Ninety-four percent of participants completed assessment s at 3 months , and 97 % at 6 months . Median ( IQR ) weight change after 6 months was −0.9 % ( −4.4–0.1 ) in the INT+ ( p = 0.075 ; p = 0.067 vs. CON ) and −0.2 % ( −4.2–1.3 ) in the INT groups ( p = 0.463 ; p = 0.357 vs. CON ) , versus a 0.2 % ( −0.7–1.7 ) gain in the CON group . The proportion of INT+ , INT , and CON participants that were at or below baseline weight was 72.7 , 53.8 , and 45.5 % , respectively ( effect sizes d = 0.64 , d = 0.18 ) . Most INT+ participants weighed and wore trackers ≥5 days/week ( INT+ , 81.9 % vs. INT , 38.5 % vs. CON , 0 % ; p < 0.0005 ; INT+ , 72.7 % ) . Both intervention groups perceived DSW as positive , and 100 % would recommend the program to other breast cancer survivors . Conclusion An intervention focused on DSW as a self-monitoring strategy shows promise for preventing weight gain in breast cancer survivors . Implication s for cancer survivorsDaily self-monitoring of weight and activity may be a feasible and accessible approach to promote weight gain prevention in breast cancer survivors . Clinical trial registration Clinical Trials.gov ,
Conclusions : The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes .
Background : African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like ( e.g. , triple negative ) tumors , placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups .
While access to equitable care , late disease stage at diagnosis , tumor biology , and sociodemographic characteristics contribute to health disparities , poor lifestyle characteristics ( i.e. , inactivity , obesity , and poor diet ) contribute equally to these disparities .
Lifestyle interventions hold promise in shielding African American survivors from second cancers , comorbidities , and premature mortality , but they are often underrepresented in studies promoting positive behaviors .
This review examined the available literature to document health behaviors and lifestyle intervention ( i.e. , obesity , physical activity , and sedentary behavior ) studies in African American breast cancer survivors .