Effects of Physical Activity and Dietary Change in Minority Breast Cancer Survivors
Primary Purpose
Breast Cancer
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Physical activity and dietary change
Sponsored by

About this trial
This is an interventional prevention trial for Breast Cancer focused on measuring Weight loss, Physical activity, Dietary change
Eligibility Criteria
Inclusion Criteria:
- 21-70 yrs
- Stage 0-IIIa breast cancer
- No evidence of recurrent/metastatic disease
- Hispanic or African descent (African-American or Caribbean)
- BMI > 25kg/m2
- Sedentary
- Completed surgery, chemotherapy, and radiation therapy ≥ 6 months
- Blood pressure < 140/90
- HgbA1C < 8
- LDL cholesterol < 150
- No uncontrolled comorbidities
- VO2 max normal EKG changes
- Non-smoker
Exclusion Criteria:
- Evidence of recurrent or metastatic breast cancer
- Uncontrolled co-morbid illness including, but not limited to, type I diabetes mellitus, type II diabetes mellitus, hypertension, symptomatic congestive heart failure, unstable angina pectoris, claudication, cardiac arrhythmia; active pulmonary disease; hypercholesterolemia, neurological condition, ischemic heart disease, cardiac disease, kidney disease, respiration problems, asthma, shortness of breath, physical limitations, abnormal thyroid function, active malignancy, except for squamous or basal cell carcinoma of the skin; receiving active chemotherapy or radiotherapy; or psychiatric illness/social situations that would limit compliance with study requirements
- Currently taking Herceptin therapy, or abnormal echo or MUGA post-Herceptin therapy
- Active tobacco use
- Currently active in an exercise and/or dietary change weight loss program
- If a participant develops a breast cancer recurrence or metastasis during the 12-month study period, her participation in the study will be terminated.
Sites / Locations
- Columbia University
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Other
Arm Label
1
2
Arm Description
Immediate physical activity and dietary change intervention
Delayed physical activity and dietary change intervention
Outcomes
Primary Outcome Measures
Change in weight
Intervention adherence
Secondary Outcome Measures
Barriers to participation
Predictors of adherence
Changes in anthropometric measures
Changes in fitness
Changes in hormonal biomarkers
Changes in metabolic markers
Changes in psychological and quality of life measures
Full Information
NCT ID
NCT00811824
First Posted
December 18, 2008
Last Updated
February 21, 2013
Sponsor
Columbia University
1. Study Identification
Unique Protocol Identification Number
NCT00811824
Brief Title
Effects of Physical Activity and Dietary Change in Minority Breast Cancer Survivors
Official Title
Effects of Physical Activity and Dietary Change in Minority Breast Cancer Survivors
Study Type
Interventional
2. Study Status
Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
November 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Columbia University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is testing the effects of exercise and dietary change on weight reduction and biological markers associated with breast cancer risk in breast cancer survivors of Hispanic or African descent (n=45). This is a randomized, crossover pilot and feasibility study to test the effects of a 30-minute circuit-based exercise program that combines resistance training with aerobic exercise in conjunction with a low-fat calorie reduced diet. Participants will be randomized to either an immediate 6-months of exercise and dietary change, or a delayed group who will begin their exercise and dietary change program 6-months after the study begins. Participants in the immediate group will be followed for an additional 6-months in order to evaluate adherence to the exercise and dietary change recommendations. Participants in both groups will exercise at a neighborhood Curves® facility at least 5 times per week for six months and will participate in a series of nutrition education classes.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Weight loss, Physical activity, Dietary change
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
42 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Active Comparator
Arm Description
Immediate physical activity and dietary change intervention
Arm Title
2
Arm Type
Other
Arm Description
Delayed physical activity and dietary change intervention
Intervention Type
Behavioral
Intervention Name(s)
Physical activity and dietary change
Intervention Description
6 months of combined resistance training and aerobic exercise (5 times per week x 30 minutes) plus 6-week nutrition counseling class
Primary Outcome Measure Information:
Title
Change in weight
Time Frame
6 months, 12 months
Title
Intervention adherence
Time Frame
6 months, 12 months
Secondary Outcome Measure Information:
Title
Barriers to participation
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Predictors of adherence
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Changes in anthropometric measures
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Changes in fitness
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Changes in hormonal biomarkers
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Changes in metabolic markers
Time Frame
3 months, 6 months, 9 months, 12 months
Title
Changes in psychological and quality of life measures
Time Frame
3 months, 6 months, 9 months, 12 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
21-70 yrs
Stage 0-IIIa breast cancer
No evidence of recurrent/metastatic disease
Hispanic or African descent (African-American or Caribbean)
BMI > 25kg/m2
Sedentary
Completed surgery, chemotherapy, and radiation therapy ≥ 6 months
Blood pressure < 140/90
HgbA1C < 8
LDL cholesterol < 150
No uncontrolled comorbidities
VO2 max normal EKG changes
Non-smoker
Exclusion Criteria:
Evidence of recurrent or metastatic breast cancer
Uncontrolled co-morbid illness including, but not limited to, type I diabetes mellitus, type II diabetes mellitus, hypertension, symptomatic congestive heart failure, unstable angina pectoris, claudication, cardiac arrhythmia; active pulmonary disease; hypercholesterolemia, neurological condition, ischemic heart disease, cardiac disease, kidney disease, respiration problems, asthma, shortness of breath, physical limitations, abnormal thyroid function, active malignancy, except for squamous or basal cell carcinoma of the skin; receiving active chemotherapy or radiotherapy; or psychiatric illness/social situations that would limit compliance with study requirements
Currently taking Herceptin therapy, or abnormal echo or MUGA post-Herceptin therapy
Active tobacco use
Currently active in an exercise and/or dietary change weight loss program
If a participant develops a breast cancer recurrence or metastasis during the 12-month study period, her participation in the study will be terminated.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Heather Greenlee, ND, PhD
Organizational Affiliation
Columbia University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Columbia University
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
25833781
Citation
Delgado-Cruzata L, Zhang W, McDonald JA, Tsai WY, Valdovinos C, Falci L, Wang Q, Crew KD, Santella RM, Hershman DL, Greenlee H. Dietary modifications, weight loss, and changes in metabolic markers affect global DNA methylation in Hispanic, African American, and Afro-Caribbean breast cancer survivors. J Nutr. 2015 Apr;145(4):783-90. doi: 10.3945/jn.114.202853. Epub 2015 Feb 4.
Results Reference
derived
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Effects of Physical Activity and Dietary Change in Minority Breast Cancer Survivors
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