"The impact of multidisciplinary weight management on body weight and b" by Vivien Nguyen, Juliana Chen et al.
 

The impact of multidisciplinary weight management on body weight and body mass composition in women with breast cancer post-adjuvant chemotherapy: A retrospective chart review

Abstract

Introduction: Weight gain during chemotherapy for breast cancer is a well-documented adverse effect. The purpose of this study was to investigate how multidisciplinary weight management involving endocrinology, dietitian, and exercise physiology care, in a real-life healthy weight clinic (HWC) would impact body weight and mass composition in breast cancer women post-adjuvant chemotherapy compared to a cohort of non-cancer women who have been matched by age, ethnicity, smoking, and menopausal status.

Methods: Body weight (kg), BMI (kg/m2), skeletal muscle mass (SMM %), fat mass (FM %), and waist circumference (cm) were collected at baseline of the first HWC appointment, 3 months after baseline, and 6 months after baseline. A total of 32 women were included, 11 in the breast cancer cohort and 21 in the control cohort, that matched inclusion and exclusion criteria based on a retrospective chart review from 28 July 2017 to 19 July 2021.

Results: By 6 months, the breast cancer women had a mean weight change of −6.99 kg (SD = 3.87, p = 0.003, n = 11) and change in BMI by −2.72 kg/m2 (SD = 1.62, p = 0.004, n = 11). There was a change in SMM of 1.21% (SD = 0.73, p = 0.005, n = 11), a change in FM of −2.76% (SD = 1.33, p = 0.002, n = 11), and a change in waist circumference of −8.13 cm (SD = 4.21, p = 0.031, n = 3). By 6 months in the breast cancer cohort, there was a larger change in body weight in women who did not have MetS (−8.72 kg, SD = 2.41, n = 6) in comparison to women with MetS (−2.65 kg, SD = 3.75 kg, n = 3) (p = 0.045).

Conclusion: Findings indicate that multidisciplinary weight management has a positive role in early-stage breast cancer survival through improving body weight and mass composition. These results can add to the development of long-term treatment plans for survivors in order to shine a light on ways to reduce risk recurrence and chronic disease mortality.

Keywords

multidisciplinary weight management, breast cancer, metabolic syndrome, menopause

Link to Publisher Version (URL)

10.1159/000524519

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