Weight management barriers and facilitators after breast cancer in Australian women: a national survey | BMC Women’s Health


Survey response

The response price from the BCNA Review and Survey group was 15% (283/1857). An additional 26 girls responded to the survey from different channels giving a whole of 309 responses, of which 273 accomplished the survey (95.eight% completion price).

Sample traits

Our pattern has been beforehand described [9]. Table 1 describes the demographic traits of respondents. The majority of ladies had been Caucasian (92.5%, n = 285) with a imply age of 59.1 years (SD = 9.5, vary 33–78, n = 298). Characteristics had been related throughout BCNA members and non-BCNA respondents besides that there was a larger proportion of ladies in the non-BCNA group who had been self-employed (23% vs 10%) and in the BCNA group who had been retired (33% vs 23%), though there have been no variations between these teams on Pearson’s Chi-squared take a look at, X2 (7, N = 308) = 6.9912, p = Zero.430. The majority of ladies (83%) had been recognized with Stage Zero-III breast cancer. The imply time since prognosis of breast cancer was eight.22 years (S.D = 5.14, vary = 1–32 years). Most girls had been both premenopausal (43%) or perimenopausal (12%) on the time of prognosis.

Table 1 Demographic traits of survey respondents

Weight achieve

Weight at prognosis was reported by 90% of respondents (278 girls) and present weight was reported by 95% of respondents (293 girls). The proportion of ladies who had been obese or overweight (BMI > 25) elevated from 48% on the time of prognosis, to 67% on the time of finishing the survey. In explicit, the proportion of ladies who had been overweight virtually doubled, from 17 to 32%. Mean present and pre-cancer self-reported weight of survey respondents was 76.08 kg (SD = 15.49, vary, 46–150 kg) and 71.24 kg (SD 14.01, vary 47–158) respectively. Mean self-reported present BMI was 28.02 (SD = 5.88, n = 285) and imply pre-cancer BMI was 26.37 (SD = 5.92, n = 271). One fifth (21.03%) of ladies went from being in the wholesome weight vary at prognosis (BMI < 25), to an unhealthy weight vary (BMI > 25), and 60.52% of ladies reported a rise of BMI of higher than 1 kg/m2.

Most girls (64%) reported having gained weight total after prognosis, with a mean weight achieve of 9.07 kg in this group. Of the ladies who reported gaining weight total, 77.14% of ladies gained ≥5 kg of weight. Weight achieve was not correlated with time since prognosis (n = 173, r = .114, p = Zero.07). More than half (52.85%, n = 148/280) of ladies rated their concern about weight as excessive (eight–10).

Other medical situations and signs

Table 2 describes the present medical situations and signs that had been being skilled by the respondents. The majority (62.19%, n = 125/201) of ladies reported they had been at present utilizing hormonal remedy, of which 40% had been utilizing tamoxifen, and 44% had been utilizing an aromatase inhibitor.

Table 2 Medical and life-style traits of survey respondents

Lifestyle habits

Table 2 particulars the approach to life habits of respondents. About 40% of ladies had tried some sort of food regimen in the earlier 12 months, with the preferred diets being a “healthy balanced” food regimen (25/124), the 5:2 food regimen (26/124), vegetarian (17/124), Weight Watchers (17/124), the Dukan and Atkins diets (11 and 7/124 respectively), and meal replacements (5/124). In all, 23 totally different sorts of diets had been tried. The majority (58.6%) of ladies reported consuming the really helpful serves of fruit and greens, and 88.eight% of ladies described their food regimen as wonderful (n = 24), superb (n = 126) or good (n = 118). The majority of ladies (83.6%) rated their well being pretty much as good and above, though 38.four% of ladies reported that they had been much less energetic than they had been on the time of cancer prognosis and 41.6% did no train or low ranges of PA. About a quarter of ladies had been informed to limit their food regimen. Of these girls, 10/55 reported being informed to cease consuming dairy, while eliminating crimson meat (9%, n = 5) and lowering quantity/portion measurement (9%, n = 5) was additionally generally given recommendation, principally by an oncologist or a nurse.

The whole variety of respondents diverse throughout the WEL-SF questions from 275 to 280. The majority of ladies rated themselves as reasonably to very assured throughout all questions though they had been barely much less more likely to price themselves as assured (Zero–four) for the questions on resisting consuming when depressed and down (40.5%, n = 113), and when in a social setting (36%, n = 99) (see Fig. 1).

Fig. 1
figure1

Responses to particular person WEL-SF questions

Advice about weight reduction or weight achieve

More than three quarters (79.79%, n = 233/292) of ladies reported not receiving any recommendation about weight reduction or weight achieve prevention on the time of prognosis. If recommendation was given, it was supplied principally by an oncologist (46%, n = 26/56) or a BC nurse (12.5%, n = 7/56).

Treatments for weight reduction

Figure 2 particulars the variety of responses for every of the therapies in phrases of their perceived effectiveness for weight reduction. Overall, there have been few weight reduction therapies that ladies felt had been reasonably to extraordinarily efficient (three–5) together with train (n = 131) and food regimen (n = 108).

Fig. 2
figure2

Perceived effectiveness of weight reduction interventions

Barriers to weight reduction

Figure three describes the perceived barriers to weight reduction in this cohort of ladies (n = 256).

Fig. three
figure3

Perceived barriers to weight reduction

Women who reported experiencing sizzling flushes had been 2.53 instances extra more likely to report fatigue as a barrier (95% CI 1.53–four.19, p = Zero.0001) whereas the connection between peripheral neuropathy or lymphoedema and fatigue was not important. The relationship between willpower and fatigue as cited barriers approached statistical significance (OR 1.58, 95% CI .96–2.60, p = Zero.0547).

Women who cited fatigue as a barrier had been virtually twice as more likely to be doing low ranges of PA or no PA than girls who didn’t cite fatigue as a barrier (OR 1.86, 95% CI 1.12 three.08, p = Zero.0107). However, there was no affiliation between experiencing sizzling flushes and doing low or no ranges of PA.

Facilitators of weight reduction

Figure four describes the perceived facilitators of weight reduction in this cohort of ladies (n = 233). The mostly described facilitators had been a structured train program (46.four%, n = 108), prescribed food regimen (36.5%, n = 85), accountability to another person (24.Zero%, n = 56) and social help (17.6%, n = 41). Only four.three% (n = 10) of ladies thought a breast cancer particular program could be useful.

Fig. four
figure4

Perceived facilitators of weight reduction

Research priorities

Among 273 respondents to the query on analysis priorities, the next had been prioritised: PA (68.1%, n = 186), weight upkeep (56.Zero%, n = 153), food regimen (53.1%, n = 145), and social help packages (39.6%, n = 108). Few girls needed extra analysis on surgical therapies (5.86%, n = 16), psychological methods (5.13%, n = 14) or individualised packages (1.1%, n = three).



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