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对乳腺癌幸存者减肥的移动行为改变计划的评估
Sherry Shen1,2, Erica Salehi1, Charlie White1
1Memorial Sloan Kettering Cancer Center, New York, NY, USA.
NPJ breast cancer
|July 1, 2024
概括
数字生活方式干预有效地支持乳腺癌幸存者的减肥. 一个移动应用程序导致显著减肥,增加体力活动,改善早期乳腺癌患者的身体形象.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 诊断后体重增加在早期乳腺癌患者中很常见.
- 这种体重增加与癌症复发和死亡率的风险增加有关.
- 保持有意减肥对幸存者来说可能是一个挑战.
研究的目的:
- 评估数字生活方式干预措施对早期乳腺癌幸存者减肥的有效性.
- 评估身体活动,饮食模式和患者报告结果的变化.
- 确定与成功减肥相关的参与指标.
主要方法:
- 一项前性单臂研究,涉及31名I-III期乳腺癌患者,BMI≥27.5kg/m2.
- 参与者使用了一款行为变化移动应用程序 (Noom®) 持续26周.
- 主要终点:自我报告体重的变化;次要终点:参与度,体育活动,饮食和PROs.
主要成果:
- 平均体重减轻4.8公斤 (-5.6%),其中35.5%的患者减轻了≥5%的初始体重.
- 使用应用程序的高参与度 (阅读文章,体重/食物记录,发送消息) 与显著的减肥相关.
- 每天步数显著增加,身体活动 (GPAQ分数) 和改善的身体形象 (身体形象量表分数).
结论:
- 乳腺癌幸存者在使用数字行为改变应用程序时表现出高参与度.
- 这项干预导致了临床上显著的体重减轻,改善了身体活动和身体形象.
- 数字生活方式干预提供了一个可扩展的方法来管理乳腺癌幸存者的体重.
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