- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01630499
My Lifestyle Intervention of Food and Exercise (MyLIFE)
September 28, 2016 updated by: University of Florida
Preventing Breast Cancer Recurrence Through a Tailored Lifestyle Intervention.
Breast cancer risk, and risk of related health problems (e.g., heart disease), is highest among women with a history of breast cancer (stages 1-3) who are also overweight or obese.
The purpose of this study is to compare a tailored nutrition, physical activity, and behavioral weight management program for breast cancer survivors against a widely available commercial weight management program.
We hypothesize that an intervention tailored to the unique psychological, nutritional and physical needs of breast cancer survivors will provide superior physiological and psychological benefits compared to an existing commercial program.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
87
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Florida
-
Gainesville, Florida, United States, 32611
- University of Florida
-
Jacksonville, Florida, United States, 32224
- University of North Florida
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years to 65 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Female
- Age 21 to 65
- History of stage 1, 2, or 3 breast cancer
- Completed primary treatments (chemotherapy, radiation, and/or surgical treatment) for breast cancer (with or without maintenance therapy) within the last 3 months to 5 years of providing consent
- Be willing/able to attend groups and assessments in Gainesville or Jacksonville
- BMI of 27 to 45 kg/m2
- Weight-stable, i.e., not lost/gained ≥ 10 lbs in the preceding 6 months, or since the end of primary treatment
Exclusion Criteria:
- History of bariatric surgery
- Pregnant, lactating, or planning on becoming pregnant in next 12 months.
- Irritable bowel syndrome
- Serious infectious disease
- Chronic malabsorption syndrome
- Uncontrolled angina within the past 6 months
- History of musculo-skeletal or chronic lung diseases that limit physical activity
- Serum creatinin > 1.5 mg/dL
- Uncontrolled or insulin-dependent diabetes (i.e., hemoglobin A1c< 10 g/dL, fasting serum triglycerides > 400 mg/dL; oral medications are not exclusionary)
- At-rest blood pressure > 140/90 mg/Hg
- Myocardial infarction
- Stroke
- Congestive heart failure
- Chronic hepatitis
- Cirrhosis
- Chronic pancreatitis
- History of solid organ transplantation
- Cancer treatment within past 5 years (other than for breast cancer)
- Any other physical condition (other than history of breast cancer) deemed likely to limit 5-year life expectancy or significantly interfere with individuals' ability to participate in a lifestyle intervention involving eating and physical activity changes.
- Use of antipsychotic medications, monoamine oxidase inhibitors, systemic corticosteroids, human immunodeficiency virus or tuberculosis antibiotics, chemotherapeutics medications, or weight-loss medications.
- Significant psychiatric disorder
- Illicit drug use or excessive use of alcohol (i.e., > 2 drinks/day)
- Currently participating in Weight Watcher's or another weight loss program
- Currently participating in another research study
- Unable to read English at the 5th grade level
- Unable/unwilling to provide informed consent
- Unwilling to receive random assignment to TLI or CWLP
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
EXPERIMENTAL: Tailored Lifestyle Intervention (TLI)
Participants randomized to the TLI condition will receive a 3-month weight management program tailored to the specific needs of women in remission from breast cancer.
|
The intervention is a nutrition, physical activity, and behavioral weight management program that is tailored to the specific needs of breast cancer survivors.
|
|
ACTIVE_COMPARATOR: Commercial Weight Loss Program (CLWP)
Participants randomized to the CWLP condition will receive a 3-month commercial weight loss program (i.e., Weight Watchers) at no cost.
|
This intervention is a generic, widely-available weight management program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in body weight from baseline to post-intervention
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
Change in body weight from post-intervention to follow-up
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in inflammatory/metabolic disease markers associated with breast cancer recurrence from baseline to post-intervention
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
|
Change in HDL Cholesterol from baseline to post-intervention
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
|
Change in blood glucose control from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
HgA1c and fasting glucose to assess blood glucose control
|
baseline (month 0), post-intervention (month 3)
|
|
Change in caloric intake from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.
|
baseline (month 0), post-intervention (month 3)
|
|
Change in body composition from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).
|
baseline (month 0), post-intervention (month 3)
|
|
Change in waist circumference from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.
|
baseline (month 0), post-intervention (month 3)
|
|
Change in sagittal abdominal diameter from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.
|
baseline (month 0), post-intervention (month 3)
|
|
Change in physical activity from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).
|
baseline (month 0), post-intervention (month 3)
|
|
Change in health-related quality of life from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Health-related quality of life will be assessed using the European Organization of Research and Treatment of Cancer - Quality of Life (QLQ-30) and the breast-cancer specific addendum (BR-23).
|
baseline (month 0), post-intervention (month 3)
|
|
Change in self-efficacy from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.
|
baseline (month 0), post-intervention (month 3)
|
|
Use of weight management strategies
Time Frame: post-intervention (month 3)
|
The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).
|
post-intervention (month 3)
|
|
Height
Time Frame: baseline (month 0)
|
Height will be assessed in order to determine BMI.
|
baseline (month 0)
|
|
Change in blood pressure from baseline to post-intervention.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Systolic and diastolic blood pressure will be assessed at each time point using an appropriately sized cuff after the participant has been sitting quietly for at least 10 minutes.
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in LDL cholesterol at from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
|
Change in total cholesterol from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
|
Change in triglycerides from baseline to post-intervention.
Time Frame: baseline (month 0), post-intervention (month 3)
|
baseline (month 0), post-intervention (month 3)
|
|
|
Change in inflammatory/metabolic disease markers associated with breast cancer recurrence from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
|
|
Change in HDL Cholesterol from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
|
|
Change in blood glucose control from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
|
|
Change in caloric intake from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in body composition from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in waist circumference from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in sagittal abdominal diameter from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in physical activity from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in health-related quality of life from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Health-related quality of life will be assessed using the European Organization of Research and Treatment of Cancer - Quality of Life (QLQ-30) and the breast-cancer specific addendum (BR-23).
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in self-efficacy from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.
|
post-intervention (month 3), follow-up (month 9)
|
|
Use of weight management strategies at follow-up.
Time Frame: follow-up (month 9)
|
The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).
|
follow-up (month 9)
|
|
Change in blood pressure from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
Systolic and diastolic blood pressure will be assessed at each time point using an appropriately sized cuff after the participant has been sitting quietly for at least 10 minutes.
|
post-intervention (month 3), follow-up (month 9)
|
|
Change in LDL cholesterol at from post-intervention follow-up
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
|
|
Change in total cholesterol from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
|
|
Change in triglycerides from post-intervention to follow-up.
Time Frame: post-intervention (month 3), follow-up (month 9)
|
post-intervention (month 3), follow-up (month 9)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Anne Mathews, PhD, RD, University of Florida
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010 Jan 20;303(3):235-41. doi: 10.1001/jama.2009.2014. Epub 2010 Jan 13.
- Pharoah PD, Day NE, Duffy S, Easton DF, Ponder BA. Family history and the risk of breast cancer: a systematic review and meta-analysis. Int J Cancer. 1997 May 29;71(5):800-9. doi: 10.1002/(sici)1097-0215(19970529)71:53.0.co;2-b.
- McTiernan A. Behavioral risk factors in breast cancer: can risk be modified? Oncologist. 2003;8(4):326-34. doi: 10.1634/theoncologist.8-4-326.
- King MC, Marks JH, Mandell JB; New York Breast Cancer Study Group. Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science. 2003 Oct 24;302(5645):643-6. doi: 10.1126/science.1088759.
- Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003 Apr 24;348(17):1625-38. doi: 10.1056/NEJMoa021423.
- Berclaz G, Li S, Price KN, Coates AS, Castiglione-Gertsch M, Rudenstam CM, Holmberg SB, Lindtner J, Erien D, Collins J, Snyder R, Thurlimann B, Fey MF, Mendiola C, Werner ID, Simoncini E, Crivellari D, Gelber RD, Goldhirsch A; International Breast Cancer Study Group. Body mass index as a prognostic feature in operable breast cancer: the International Breast Cancer Study Group experience. Ann Oncol. 2004 Jun;15(6):875-84. doi: 10.1093/annonc/mdh222.
- Nichols HB, Trentham-Dietz A, Egan KM, Titus-Ernstoff L, Holmes MD, Bersch AJ, Holick CN, Hampton JM, Stampfer MJ, Willett WC, Newcomb PA. Body mass index before and after breast cancer diagnosis: associations with all-cause, breast cancer, and cardiovascular disease mortality. Cancer Epidemiol Biomarkers Prev. 2009 May;18(5):1403-9. doi: 10.1158/1055-9965.EPI-08-1094. Epub 2009 Apr 14.
- Gallicchio L, Kalesan B, Hoffman SC, Helzlsouer KJ. Non-cancer adverse health conditions and perceived health and function among cancer survivors participating in a community-based cohort study in Washington County, Maryland. J Cancer Surviv. 2008 Mar;2(1):12-9. doi: 10.1007/s11764-008-0046-1. Epub 2008 Feb 12.
- Fossa SD, Vassilopoulou-Sellin R, Dahl AA. Long term physical sequelae after adult-onset cancer. J Cancer Surviv. 2008 Mar;2(1):3-11. doi: 10.1007/s11764-007-0039-5. Epub 2007 Dec 4.
- Chen Z, Maricic M, Bassford TL, Pettinger M, Ritenbaugh C, Lopez AM, Barad DH, Gass M, Leboff MS. Fracture risk among breast cancer survivors: results from the Women's Health Initiative Observational Study. Arch Intern Med. 2005 Mar 14;165(5):552-8. doi: 10.1001/archinte.165.5.552.
- Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005 Jun;40(6):702-11. doi: 10.1016/j.ypmed.2004.09.011.
- Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005 Dec 1;23(34):8884-93. doi: 10.1200/JCO.2005.02.2343.
- Robien K, Demark-Wahnefried W, Rock CL. Evidence-based nutrition guidelines for cancer survivors: current guidelines, knowledge gaps, and future research directions. J Am Diet Assoc. 2011 Mar;111(3):368-75. doi: 10.1016/j.jada.2010.11.014. No abstract available.
- Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002 Dec 19-26;420(6917):860-7. doi: 10.1038/nature01322.
- Shacter E, Weitzman SA. Chronic inflammation and cancer. Oncology (Williston Park). 2002 Feb;16(2):217-26, 229; discussion 230-2.
- Vance V, Mourtzakis M, McCargar L, Hanning R. Weight gain in breast cancer survivors: prevalence, pattern and health consequences. Obes Rev. 2011 Apr;12(4):282-94. doi: 10.1111/j.1467-789X.2010.00805.x. Epub 2010 Sep 29.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2012
Primary Completion (ACTUAL)
March 1, 2016
Study Completion (ACTUAL)
July 1, 2016
Study Registration Dates
First Submitted
June 22, 2012
First Submitted That Met QC Criteria
June 26, 2012
First Posted (ESTIMATE)
June 28, 2012
Study Record Updates
Last Update Posted (ESTIMATE)
September 30, 2016
Last Update Submitted That Met QC Criteria
September 28, 2016
Last Verified
September 1, 2016
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MyLIFE2012
- 427-2012 (OTHER: UF IRB 01)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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