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dc.contributor.authorHebert, James R.
dc.contributor.authorEbbeling, Cara B.
dc.contributor.authorOlendzki, Barbara C.
dc.contributor.authorHurley, Thomas G.
dc.contributor.authorMa, Yunsheng
dc.contributor.authorSaal, Nancy
dc.contributor.authorOckene, Judith K.
dc.contributor.authorClemow, Lynn
dc.date2022-08-11T08:10:21.000
dc.date.accessioned2022-08-23T17:05:44Z
dc.date.available2022-08-23T17:05:44Z
dc.date.issued2001-04-26
dc.date.submitted2008-01-15
dc.identifier.citationJ Am Diet Assoc. 2001 Apr;101(4):421-31. <a href="http://dx.doi.org/10.1016/S0002-8223(01)00109-2">Link to article on publisher's site</a>
dc.identifier.issn0002-8223 (Print)
dc.identifier.doi10.1016/S0002-8223(01)00109-2
dc.identifier.pmid11320947
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44923
dc.description.abstractOBJECTIVE: To determine the effectiveness of an intensive dietary intervention on diet and body mass in women with breast cancer. DESIGN: Randomized clinical trial. SUBJECTS: 172 women aged 20 to 65 years with stage I or II breast cancer. INTERVENTION: A 15-session, mainly group-based and dietitian-led nutrition education program (NEP) was compared to a mindfulness-based stress reduction clinic program (SRC); or usual supportive care (UC). MAIN OUTCOME MEASURES: Dietary fat, complex carbohydrates, fiber, and body mass were measured. STATISTICAL ANALYSIS: In addition to descriptive statistics, analysis of variance was conducted to test for differences according to intervention group. RESULTS: Of the 157 women with complete dietary data at baseline, 149 had complete data immediately postintervention (at 4 months) and 146 had complete data at 1 year. Women randomized to NEP (n = 50) experienced a large reduction in fat consumption (5.8% of energy as fat) at 4 months and much of this reduction was preserved at 1 year (4.1% of energy) (both P < .0002) vs no change in either SRC (n = 51) or UC (n = 56). A 1.3-kg reduction in body mass was evident at 4 months in the NEP group (P = .003) vs no change in the SRC and UC groups. Women who had higher-than-average expectations of a beneficial effect of the intervention experienced larger changes. APPLICATIONS: Dietitians' use of group nutrition interventions appear to be warranted. Increasing their effectiveness and maintaining high levels of adherence may require additional support, including the involvement of significant others, periodic individual meetings, or group booster sessions.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11320947&dopt=Abstract ">Link to article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/S0002-8223(01)00109-2
dc.subjectAdult
dc.subjectAnalysis of Variance
dc.subjectBody Mass Index
dc.subjectBreast Neoplasms
dc.subject*Diet
dc.subjectDietary Carbohydrates
dc.subjectDietary Fats
dc.subjectDietary Fiber
dc.subjectFemale
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectNutrition Physiology
dc.subjectPatient Compliance
dc.subjectPatient Education as Topic
dc.subjectStress
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDietetics and Clinical Nutrition
dc.subjectPreventive Medicine
dc.titleChange in women's diet and body mass following intensive intervention for early-stage breast cancer
dc.typeJournal Article
dc.source.journaltitleJournal of the American Dietetic Association
dc.source.volume101
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/36
dc.identifier.contextkey413372
html.description.abstract<p>OBJECTIVE: To determine the effectiveness of an intensive dietary intervention on diet and body mass in women with breast cancer.</p> <p>DESIGN: Randomized clinical trial.</p> <p>SUBJECTS: 172 women aged 20 to 65 years with stage I or II breast cancer.</p> <p>INTERVENTION: A 15-session, mainly group-based and dietitian-led nutrition education program (NEP) was compared to a mindfulness-based stress reduction clinic program (SRC); or usual supportive care (UC).</p> <p>MAIN OUTCOME MEASURES: Dietary fat, complex carbohydrates, fiber, and body mass were measured.</p> <p>STATISTICAL ANALYSIS: In addition to descriptive statistics, analysis of variance was conducted to test for differences according to intervention group.</p> <p>RESULTS: Of the 157 women with complete dietary data at baseline, 149 had complete data immediately postintervention (at 4 months) and 146 had complete data at 1 year. Women randomized to NEP (n = 50) experienced a large reduction in fat consumption (5.8% of energy as fat) at 4 months and much of this reduction was preserved at 1 year (4.1% of energy) (both P < .0002) vs no change in either SRC (n = 51) or UC (n = 56). A 1.3-kg reduction in body mass was evident at 4 months in the NEP group (P = .003) vs no change in the SRC and UC groups. Women who had higher-than-average expectations of a beneficial effect of the intervention experienced larger changes.</p> <p>APPLICATIONS: Dietitians' use of group nutrition interventions appear to be warranted. Increasing their effectiveness and maintaining high levels of adherence may require additional support, including the involvement of significant others, periodic individual meetings, or group booster sessions.</p>
dc.identifier.submissionpathprevbeh_pp/36
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavorial Medicine
dc.source.pages421-31


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