Published in:
Open Access
01-12-2009 | Research
A randomized trial of a lifestyle intervention in obese endometrial cancer survivors: quality of life outcomes and mediators of behavior change
Authors:
Vivian E von Gruenigen, Heidi E Gibbons, Mary Beth Kavanagh, Jeffrey W Janata, Edith Lerner, Kerry S Courneya
Published in:
Health and Quality of Life Outcomes
|
Issue 1/2009
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Abstract
Background
To examine the effects of a 6 month lifestyle intervention on quality of life, depression, self-efficacy and eating behavior changes in overweight and obese endometrial cancer survivors.
Methods
Early stage endometrial cancer survivors were randomized to intervention (n = 23) or usual care (n = 22) groups. Chi-square, Student's t-test and repeated measures analysis of variance were used in intent-to-treat analyses. Outcomes were also examined according to weight loss.
Results
Morbidly obese patients had significantly lower self-efficacy, specifically when feeling physical discomfort. There was a significant improvement for self-efficacy related to social pressure (p = .03) and restraint (p = .02) in the LI group. There was a significant difference for emotional well-being quality of life (p = .02), self-efficacy related to negative emotions (p < .01), food availability (p = .03), and physical discomfort (p = .01) in women who lost weight as compared to women who gained weight. Improvement in restraint was also reported in women who lost weight (p < .01).
Conclusion
This pilot lifestyle intervention had no effect on quality of life or depression but did improve self-efficacy and some eating behaviors.