Changes in alcohol consumption, body weight and physical activity among breast cancer survivors and population-based unaffected women in a prospective study

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Changes in alcohol consumption, body weight and physical activity among breast cancer survivors and population-based unaffected women in a prospective study. / Orban, Ester; Jung, Audrey Y; Möhl, Annika; Behrens, Sabine; Becher, Heiko; Obi, Nadia; Chang-Claude, Jenny.

In: CANCER EPIDEMIOL, Vol. 70, 101852, 02.2021.

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@article{61b2fb52b33b4373b99ddf78a0977291,
title = "Changes in alcohol consumption, body weight and physical activity among breast cancer survivors and population-based unaffected women in a prospective study",
abstract = "BACKGROUND: It is unclear whether a breast cancer diagnosis affects health behaviour changes that occur with ageing. We aimed to compare long-term changes of alcohol consumption, body weight, and physical activity in women with breast cancer and in age-matched unaffected women.METHODS: We used data from 1,925 women with breast cancer and 3,473 unaffected women aged 50-74 years enrolled in the population-based case-control study MARIE (Mamma Carcinoma Risk Factor Investigation) in 2002-2005, who also completed the follow-up in 2014-2016. Multinomial logistic regression was applied to estimate odds ratios (ORs) and 95 % confidence intervals (CIs) for the associations between breast cancer status and categories of change in alcohol consumption, weight and physical activity.RESULTS: After 11.6 years of follow-up, breast cancer survivors had significantly lower odds than unaffected women of increasing alcohol consumption from ≤10 to >10 g/day (adjusted OR 0.48, 95 % CI 0.35-0.65), but were more likely to experience a major weight change of ≥10 % compared to having stable weight (±<5 %) (OR for increase and decrease 1.32, 95 % CI 1.03-1.70 and 1.36, 95 % CI 1.05-1.77, resp.) and to decrease transport physical activity to below 2.5 h/week compared to maintaining the activity level (OR 1.61, 95 % CI 1.26-2.04). No significant group difference was found for changes in recreational physical activity.CONCLUSION: Our data indicate that some long-term health behaviour changes can be attributed to a breast cancer diagnosis rather than ageing, suggesting that long-term medical care of breast cancer survivors could pay greater attention to weight control and sufficient physical activity.",
author = "Ester Orban and Jung, {Audrey Y} and Annika M{\"o}hl and Sabine Behrens and Heiko Becher and Nadia Obi and Jenny Chang-Claude",
note = "Copyright {\textcopyright} 2020 Elsevier Ltd. All rights reserved.",
year = "2021",
month = feb,
doi = "10.1016/j.canep.2020.101852",
language = "English",
volume = "70",
journal = "CANCER EPIDEMIOL",
issn = "1877-7821",
publisher = "Elsevier BV",

}

RIS

TY - JOUR

T1 - Changes in alcohol consumption, body weight and physical activity among breast cancer survivors and population-based unaffected women in a prospective study

AU - Orban, Ester

AU - Jung, Audrey Y

AU - Möhl, Annika

AU - Behrens, Sabine

AU - Becher, Heiko

AU - Obi, Nadia

AU - Chang-Claude, Jenny

N1 - Copyright © 2020 Elsevier Ltd. All rights reserved.

PY - 2021/2

Y1 - 2021/2

N2 - BACKGROUND: It is unclear whether a breast cancer diagnosis affects health behaviour changes that occur with ageing. We aimed to compare long-term changes of alcohol consumption, body weight, and physical activity in women with breast cancer and in age-matched unaffected women.METHODS: We used data from 1,925 women with breast cancer and 3,473 unaffected women aged 50-74 years enrolled in the population-based case-control study MARIE (Mamma Carcinoma Risk Factor Investigation) in 2002-2005, who also completed the follow-up in 2014-2016. Multinomial logistic regression was applied to estimate odds ratios (ORs) and 95 % confidence intervals (CIs) for the associations between breast cancer status and categories of change in alcohol consumption, weight and physical activity.RESULTS: After 11.6 years of follow-up, breast cancer survivors had significantly lower odds than unaffected women of increasing alcohol consumption from ≤10 to >10 g/day (adjusted OR 0.48, 95 % CI 0.35-0.65), but were more likely to experience a major weight change of ≥10 % compared to having stable weight (±<5 %) (OR for increase and decrease 1.32, 95 % CI 1.03-1.70 and 1.36, 95 % CI 1.05-1.77, resp.) and to decrease transport physical activity to below 2.5 h/week compared to maintaining the activity level (OR 1.61, 95 % CI 1.26-2.04). No significant group difference was found for changes in recreational physical activity.CONCLUSION: Our data indicate that some long-term health behaviour changes can be attributed to a breast cancer diagnosis rather than ageing, suggesting that long-term medical care of breast cancer survivors could pay greater attention to weight control and sufficient physical activity.

AB - BACKGROUND: It is unclear whether a breast cancer diagnosis affects health behaviour changes that occur with ageing. We aimed to compare long-term changes of alcohol consumption, body weight, and physical activity in women with breast cancer and in age-matched unaffected women.METHODS: We used data from 1,925 women with breast cancer and 3,473 unaffected women aged 50-74 years enrolled in the population-based case-control study MARIE (Mamma Carcinoma Risk Factor Investigation) in 2002-2005, who also completed the follow-up in 2014-2016. Multinomial logistic regression was applied to estimate odds ratios (ORs) and 95 % confidence intervals (CIs) for the associations between breast cancer status and categories of change in alcohol consumption, weight and physical activity.RESULTS: After 11.6 years of follow-up, breast cancer survivors had significantly lower odds than unaffected women of increasing alcohol consumption from ≤10 to >10 g/day (adjusted OR 0.48, 95 % CI 0.35-0.65), but were more likely to experience a major weight change of ≥10 % compared to having stable weight (±<5 %) (OR for increase and decrease 1.32, 95 % CI 1.03-1.70 and 1.36, 95 % CI 1.05-1.77, resp.) and to decrease transport physical activity to below 2.5 h/week compared to maintaining the activity level (OR 1.61, 95 % CI 1.26-2.04). No significant group difference was found for changes in recreational physical activity.CONCLUSION: Our data indicate that some long-term health behaviour changes can be attributed to a breast cancer diagnosis rather than ageing, suggesting that long-term medical care of breast cancer survivors could pay greater attention to weight control and sufficient physical activity.

U2 - 10.1016/j.canep.2020.101852

DO - 10.1016/j.canep.2020.101852

M3 - SCORING: Journal article

C2 - 33221667

VL - 70

JO - CANCER EPIDEMIOL

JF - CANCER EPIDEMIOL

SN - 1877-7821

M1 - 101852

ER -