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 .
Dietary patterns and survival in German postmenopausal breast cancer survivors
Background : Research on the association between dietary patterns and breast cancer survival is very limited . Methods : A prospect i ve follow-up study was conducted in Germany , including 2522 postmenopausal breast cancer patients diagnosed in 2001–2005 with available food frequency question naire data .  Vital status , causes of death , and recurrences were verified through the end of 2009 . Principle component factor analysis was used to identify pre-diagnostic dietary patterns .  Hazard ratios ( HRs ) and 95 % confidence intervals ( CIs ) were calculated with Cox proportional hazards models . Results : Two major dietary patterns were identified : ‘ healthy ’ ( high intakes of vegetables , fruits , vegetable oil , sauces/condiments , and soups/bouillons ) and ‘ unhealthy ’ ( high intakes of red meat , processed meat , and deep-frying fat ) . Increasing consumption of an ‘ unhealthy ’ dietary pattern was associated with an increased risk of non-breast cancer mortality ( highest vs lowest quartile : HR , 3.69 ; 95 % CI , 1.66–8.17 ; P-trend < 0.001 ) . No associations with breast cancer-specific mortality and breast cancer recurrence were found . The ‘ healthy ’ dietary pattern was inversely associated with overall mortality ( HR , 0.74 ; 95 % CI , 0.47–1.15 ; P-trend=0.02 ) and breast cancer recurrence ( HR , 0.71 ; 95 % CI , 0.48–1.06 ; P-trend=0.02 ) in stage I – IIIa patients only . Conclusion : Increasing intake of an ‘ unhealthy ’ pre-diagnostic dietary pattern may increase the risk of non-breast cancer mortality , whereas increasing intake of a ‘ healthy ’ pattern may reduce the risk of overall mortality and breast cancer recurrence
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 .