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Open Access Highly Accessed Study protocol

Study protocol to investigate the effect of a lifestyle intervention on body weight, psychological health status and risk factors associated with disease recurrence in women recovering from breast cancer treatment [ISRCTN08045231]

John M Saxton1*, Amanda Daley2, Nicola Woodroofe3, Robert Coleman4, Hilary Powers5, Nanette Mutrie6, Vanessa Siddall4 and Helen Crank1

Author Affiliations

1 Centre for Sport and Exercise Science, Sheffield Hallam University, Sheffield, UK

2 Department of Primary Care and General Practice, University of Birmingham, UK

3 Biomedical Research Centre, Sheffield Hallam University, Sheffield, UK

4 Academic Unit of Clinical Oncology, University of Sheffield, Weston Park Hospital, Sheffield, UK

5 Centre for Human Nutrition, University of Sheffield, UK

6 Department of Sport, Culture and the Arts, Strathclyde University (Jordanhill Campus), Glasgow, UK

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BMC Cancer 2006, 6:35  doi:10.1186/1471-2407-6-35

Published: 9 February 2006

Abstract

Background

Breast cancer survivors often encounter physiological and psychological problems related to their diagnosis and treatment that can influence long-term prognosis. The aim of this research is to investigate the effects of a lifestyle intervention on body weight and psychological well-being in women recovering from breast cancer treatment, and to determine the relationship between changes in these variables and biomarkers associated with disease recurrence and survival.

Methods/design

Following ethical approval, a total of 100 patients will be randomly assigned to a lifestyle intervention (incorporating dietary energy restriction in conjunction with aerobic exercise training) or normal care control group. Patients randomised to the dietary and exercise intervention will be given individualised healthy eating dietary advice and written information and attend moderate intensity aerobic exercise sessions on three to five days per week for a period of 24 weeks. The aim of this strategy is to induce a steady weight loss of up to 0.5 Kg each week. In addition, the overall quality of the diet will be examined with a view to (i) reducing the dietary intake of fat to ~25% of the total calories, (ii) eating at least 5 portions of fruit and vegetables a day, (iii) increasing the intake of fibre and reducing refined carbohydrates, and (iv) taking moderate amounts of alcohol. Outcome measures will include body weight and body composition, psychological health status (stress and depression), cardiorespiratory fitness and quality of life. In addition, biomarkers associated with disease recurrence, including stress hormones, estrogen status, inflammatory markers and indices of innate and adaptive immune function will be monitored.

Discussion

This research will provide valuable information on the effectiveness of a practical, easily implemented lifestyle intervention for evoking positive effects on body weight and psychological well-being, two important factors that can influence long-term prognosis in breast cancer survivors. However, the added value of the study is that it will also evaluate the effects of the lifestyle intervention on a range of biomarkers associated with disease recurrence and survival. Considered together, the results should improve our understanding of the potential role that lifestyle-modifiable factors could play in saving or prolonging lives.