Lifestyle intervention for Latina cancer survivors and caregivers: the Nuestra Salud randomized pilot trial

Crane, Tracy E.; Badger, Terry A.; O’Connor, Patrick; Segrin, Chris; Alvarez, Alexis; Freylersythe, Sarah; Penaloza, Irlena; Pace, Thaddeus W.W.; Sikorskii, Alla

doi:10.1007/s11764-020-00954-z

Cited by 16 publications

(67 citation statements)

References 79 publications

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“…An additional supportive approach to enhance delivery that has gained recent attention in cancer and energy balance interventions is the use of dyads. 127,128 This approach may enhance the family and social support that is highly valued by Black and Hispanic communities. 129,130 Application of novel diet and exercise approaches warrants further examination to ensure enjoyment and accessibility among an otherwise understudied population.…”

Section: Conclusion and Future Considerationsmentioning

confidence: 99%

Harnessing Nutrition and Physical Activity for Breast Cancer Prevention and Control to Reduce Racial/Ethnic Cancer Health Disparities

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et al. 2021

American Society of Clinical Oncology Educational Book

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There are well-known racial/ethnic disparities in the prevalence of obesity and physical inactivity, as well as breast cancer risk and survival. However, most of the current scientific evidence that serves as a foundation for nutrition and physical activity guidelines is based on studies conducted in predominantly non-Hispanic White populations. Similarly, exercise, diet, or lifestyle intervention trials for breast cancer prevention and survivorship are scarce in racial/ethnic minority populations. We review the current evidence for racial/ethnic disparities in obesity and breast cancer risk and survival (we are focusing on obesity, because this is considered an ASCO priority, and studies conducted in the United States), discuss the evolution of nutrition/physical activity guidelines for cancer prevention and control, and provide an overview of lifestyle interventions, including barriers and facilitators in implementation and dissemination science among minority populations underrepresented in research. There is a critical need to include racially/ethnically diverse populations in cancer prevention and control research or to specifically target minority populations in which disparities are known to exist to achieve much needed health equity.

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Section: Conclusion and Future Considerationsmentioning

confidence: 99%

Harnessing Nutrition and Physical Activity for Breast Cancer Prevention and Control to Reduce Racial/Ethnic Cancer Health Disparities

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Alfano

Qin

et al. 2021

American Society of Clinical Oncology Educational Book

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“…Among our 22 included trials, five were efficacy trials ( 57 – 60 , 63 ), twelve were author-defined feasibility/pilot studies ( 61 , 62 , 64 , 66 – 69 , 85 – 89 ) and five were on-going trials ( 90 , 91 ) [NCT03120390, NCT02982564, NCT05176756]. Among the 17 completed trials, 2 evaluated a diet intervention, 6 intervened on physical activity, and 9 targeted both diet and physical activity, but these studies differed in outcomes, intervention components, and study duration.…”

Section: Resultsmentioning

confidence: 99%

“…Most completed trials (n=14) were conducted in survivors with stage I-III breast cancer, while nine trials also included stage 0 ( 57 – 59 , 62 , 64 , 66 – 69 ), and three included stage IV breast cancers ( 60 , 67 , 87 ). Three studies did not report disease stage ( 61 , 85 , 89 ). The sample size across the 17 completed studies ranged from 20 to 246, with six trials focusing only on Black women ( 61 , 63 – 65 , 68 , 89 ), five only on Latina women ( 57 , 58 , 69 , 85 , 87 ) and six including both groups ( 59 , 60 , 62 , 66 , 67 , 86 ).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies did not report disease stage ( 61 , 85 , 89 ). The sample size across the 17 completed studies ranged from 20 to 246, with six trials focusing only on Black women ( 61 , 63 – 65 , 68 , 89 ), five only on Latina women ( 57 , 58 , 69 , 85 , 87 ) and six including both groups ( 59 , 60 , 62 , 66 , 67 , 86 ). Included trials were geographically limited to the Northeast USA (n=8, NY, NC, DC, NJ), Texas (n=4), California (n=3), Arizona (n=2), Illinois (n=2), Puerto Rico (n=1), Massachusetts (n=1) and one ongoing at three sites (California, New York, and Pennsylvania).…”

Section: Resultsmentioning

confidence: 99%

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Diet and physical activity interventions in Black and Latina women with breast cancer: A scoping review

et al. 2023

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BackgroundA growing number of lifestyle interventions are being developed to promote weight loss and adoption of a healthful lifestyles among breast cancer survivors; yet Black and Latina women remain underrepresented.PurposeWe performed a scoping review of the available peer-reviewed literature to describe and compare the content, design, methods, and primary outcomes of current diet and/or physical activity (PA) interventions after a breast cancer diagnosis among Black and Latina women.MethodsWe queried PubMed, EMBASE, CINAHL, MEDLINE, and Clinicaltrials.gov up to October 1, 2022, to identify all randomized controlled trials of diet and/or PA after diagnosis of breast cancer with a majority (>50%) of Black or Latina participants.ResultsTwenty-two randomized controlled trials were included in this review (five efficacy, twelve pilot, five on-going). Nine trials were among Latinas (two diet, four PA, and three diet/PA), six among Blacks (one PA and five diet/PA) and seven included both populations (five PA and two diet/PA), all of which examined different endpoints. Two of the five efficacy studies achieved their a priori outcome (one diet trial improved short term dietary intake; one PA trial achieved clinically significant improvements in metabolic syndrome score), both in Latinas. Eight pilot trials intervened on both diet and PA and three of them found favorable behavioral changes. Three (two for Latinas and one for Blacks) out of the nine diet and PA trials and three (all for Latinas) efficacy trials incorporated a culturally focused approach (i.e., traditional foods, music, Spanish content, bicultural health coaches, spirituality). Overall, four trials, including one efficacy trial, had one-year follow-up data, with three finding sustained behavior change. Electronic/mobile components were incorporated in five trials and one involved informal care givers. Most of the trials were geographically limited to the Northeast USA (n=8, NY, NC, DC, NJ) and Texas (n=4).ConclusionsMost of the trials we identified were pilot or feasibility studies and of short duration, demonstrating the need for large randomized controlled efficacy lifestyle interventions among Black and Latina breast cancer survivors. Culturally tailored programing was limited but is an important component to incorporate in future trials in these populations.

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“…Of the twenty intervention studies included [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39], all of the PA interventions were conducted in high income countries (Table 1). The mean age of participants ranged from 44.2 to 70.2, and the percentage of female participants ranged from 53% to 100%.…”

Section: Intervention Studiesmentioning

confidence: 99%

The prevalence of physical activity among informal carers: a systematic review of international literature

et al. 2022

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BackgroundPrevious research has found physical activity levels among carers are low, and that carers are at greater risk of physical inactivity than their non-carer counterparts. Alternatively, research also suggests providing care may be associated with higher levels of physical activity than the general population, due to physically active care duties. Overall, there is a need to better understand the physical activity levels of carers to develop appropriate interventions and policies to promote health and wellbeing among carers. AimTo systematically review studies reporting the prevalence of physical activity among carers. MethodPubMed, SPORTDiscus, PsycINFO, and CINAHL, OpenGrey, Google and Google Scholar were searched for eligible articles. ResultsA total of 77 observational studies and 20 interventional studies were included. In low quality studies which examined adherence to physical activity guidelines, 16%-84% of carers self-reported not meeting PA guidelines, whilst medium-high quality studies found 29.9% -99%< of carers self-reported not meeting physical activity guidelines. However, it is not clear if carers are at higher risk of physical inactivity than non-carers. Studies which compared the physical activity levels of carers to non-carers reported conflicting results, and the association between hours of carers time, burden or strain, and physical activity was not consistent across studies. ConclusionFurther research with validated measures of different physical activity domains (leisure time, daily physical activity, caregiving duties), mental and physical health, is needed to better understand the physical activity behaviours of carers, and the associated health outcomes.

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Lifestyle intervention for Latina cancer survivors and caregivers: the Nuestra Salud randomized pilot trial

Cited by 16 publications

References 79 publications

Harnessing Nutrition and Physical Activity for Breast Cancer Prevention and Control to Reduce Racial/Ethnic Cancer Health Disparities

Harnessing Nutrition and Physical Activity for Breast Cancer Prevention and Control to Reduce Racial/Ethnic Cancer Health Disparities

Diet and physical activity interventions in Black and Latina women with breast cancer: A scoping review

The prevalence of physical activity among informal carers: a systematic review of international literature

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