Predictors of weight gain in a cohort of premenopausal early breast cancer patients receiving chemotherapy.

The Breast : Official Journal of the European Society of Mastology
Ashu GandhiMichelle Harvie

Abstract

In breast cancer patients, post chemotherapy weight gain is linked with increased risk of cancer recurrence. We prospectively studied a cohort of premenopausal women receiving contemporary chemotherapy following a diagnosis of breast cancer to examine factors predicting weight increase. Between May 2005 and January 2008, 523 patients from the Prospective Outcomes in Sporadic versus Hereditary (POSH) breast cancer study entered this sub-study comparing weight prior to chemotherapy and weight and waist/hip measurements 12-months following chemotherapy. Data from 380 patients were available. Mean (standard deviation [SD]) pre-treatment body mass index (BMI) was 26.3 (5.6) kg/m2; 30% women gained > 5% body weight during the study period. Lower BMI at diagnosis predicted greater subsequent post treatment weight gain (4.3% relative weight gain for those in the 1st quartile of BMI compared to 0.8% for those in the 4th quartile; r = -0.22; p < 0.001). No link to chemotherapy regimens, cigarette smoking, previous parity or chemotherapy induced amenorrhoea was noted. A total of 44% of women had central obesity (post-treatment waist measurement of ≥88 cm). Almost a third of premenopausal patients receiving adjuvant chemotherapy for breast...Continue Reading

Citations

May 23, 2020·Clinical Journal of Oncology Nursing·Daniela L StanBrent A Bauer
Nov 26, 2020·British Journal of Cancer·Annie S AndersonUNKNOWN UK NIHR Cancer and Nutrition Collaboration (Population Health Stream)
Feb 28, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Kate L PumpaDesmond Yip

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