Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy

Charles Lawrence Loprinzi, Laurie M. Athmann, Carl G. Kardinal, Judith R. O'Fallon, Jacalyn A. See, Barbara K. Bruce, Ann Marie Dose, Angela W. Miser, Patricia S. Kern, Loren K. Tschetter, Sandra Rayson

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

This study was developed to test whether prospective dietician counseling could abrogate the unwanted weight gain seen among women receiving adjuvant chemotherapy for resected breast cancer. It was also designed to examine predictive factors for weight gain in an exploratory manner. Premenopausal women starting adjuvant chemotherapy for primary breast cancer were recruited for this trial. After appropriate stratification, they were randomized to a group which received monthly dietician counseling primarily aimed at weight maintenance versus a control group (whose attending physicians and nurses told them about possible weight gain but provided no formalized dietician counseling). One hundred and seven evaluable women were equally divided between the two protocol arms. The median weight changes 6 months after start of chemotherapy were gains of 2.0 kg in the dietician counseling group versus 3.5 kg in the control group. The median changes in average calorie consumption were reductions of 120 versus 46 cal/day on weekdays and 196 versus 20 cal/day on weekends for the counseling and control groups, respectively. Study data suggest that more weight was gained by patients with higher Quetelet's indices (p = 0.01) and patients who had been on a diet in the preceding 6 months (p = 0.02). Routine prospective dietician counseling aimed at weight maintenance appeared to produce small but statistically insignificant reductions in both calorie consumption and weight gain in this group of patients.

Original languageEnglish (US)
Pages (from-to)228-232
Number of pages5
JournalOncology
Volume53
Issue number3
StatePublished - May 1996

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Nutritionists
Adjuvant Chemotherapy
Weight Gain
Counseling
Breast Neoplasms
Weights and Measures
Control Groups
Maintenance
Body Mass Index
Nurses
Diet
Physicians
Drug Therapy

Keywords

  • Adjuvant chemotherapy
  • Breast cancer
  • Weight gain

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Loprinzi, C. L., Athmann, L. M., Kardinal, C. G., O'Fallon, J. R., See, J. A., Bruce, B. K., ... Rayson, S. (1996). Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy. Oncology, 53(3), 228-232.

Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy. / Loprinzi, Charles Lawrence; Athmann, Laurie M.; Kardinal, Carl G.; O'Fallon, Judith R.; See, Jacalyn A.; Bruce, Barbara K.; Dose, Ann Marie; Miser, Angela W.; Kern, Patricia S.; Tschetter, Loren K.; Rayson, Sandra.

In: Oncology, Vol. 53, No. 3, 05.1996, p. 228-232.

Research output: Contribution to journalArticle

Loprinzi, CL, Athmann, LM, Kardinal, CG, O'Fallon, JR, See, JA, Bruce, BK, Dose, AM, Miser, AW, Kern, PS, Tschetter, LK & Rayson, S 1996, 'Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy', Oncology, vol. 53, no. 3, pp. 228-232.
Loprinzi CL, Athmann LM, Kardinal CG, O'Fallon JR, See JA, Bruce BK et al. Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy. Oncology. 1996 May;53(3):228-232.
Loprinzi, Charles Lawrence ; Athmann, Laurie M. ; Kardinal, Carl G. ; O'Fallon, Judith R. ; See, Jacalyn A. ; Bruce, Barbara K. ; Dose, Ann Marie ; Miser, Angela W. ; Kern, Patricia S. ; Tschetter, Loren K. ; Rayson, Sandra. / Randomized trial of dietician counseling to try to prevent weight gain associated with breast cancer adjuvant chemotherapy. In: Oncology. 1996 ; Vol. 53, No. 3. pp. 228-232.
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