Associations among physical activity, body mass index, and health‐related quality of life by race/ethnicity in a diverse sample of breast cancer survivors

dc.contributor.authorPaxton, Raheem J.
dc.contributor.authorPhillips, Karon L.
dc.contributor.authorJones, Lovell A.
dc.contributor.authorChang, Shine
dc.contributor.authorTaylor, Wendell C.
dc.contributor.authorCourneya, Kerry S.
dc.contributor.authorPierce, John P.
dc.date.accessioned2020-07-07T16:53:11Z
dc.date.available2020-07-07T16:53:11Z
dc.date.issued2012-01-17
dc.description.abstractBACKGROUND: Health‐related quality of life (HRQOL), body mass index (BMI), and physical activity (PA) levels have all been associated with prognosis following breast cancer and may explain partially the higher mortality for breast cancer in certain racial/ethnic subgroups. In this study, associations between PA, BMI, and HRQOL by race were examined in a sample of breast cancer survivors. METHODS: Measures of PA, BMI, and HRQOL as well as demographic and medical characteristics of women (N = 3013, 13% nonwhite) who participated in the Women's Healthy Eating and Living Study were assessed at baseline. Analysis of covariance was used to examine the relationship between PA and obesity with HRQOL outcomes. Statistical tests were 2‐sided. RESULTS: African American women were less likely to meet guidelines for PA and more likely to be obese than women from other ethnic groups (P < .05). In adjusted models, women who met guidelines for PA reported significantly higher physical health composite (point differences ranged from 10.5 to 21.2 points, all P < .05) and vitality (point differences ranged from 9.9 to 16.5 points, all P < .05) scores than those who did not, regardless of race/ethnicity. Associations between obesity and HRQOL were mixed with fewer associations for Asian American and African American women and stronger associations for whites. CONCLUSIONS: Breast cancer survivors from racially and ethnically diverse populations have lower levels of PA and higher rates of obesity that are generally associated with poorer HRQOL. Culturally sensitive PA and weight loss interventions may improve these lifestyle characteristics and result in improved HRQOL.en_US
dc.description.sponsorshipWe thank the Women's Healthy Eating and Living Study Group, who were involved in patient recruitment and data collection, and the staff and participants of the Women's Healthy Eating and Living Study. This research was supported in part by National Cancer Institute grants K01CA158000 (to R.J.P.) and P60 MD000503 (to J.P.P.) and by the National Institutes of Health through the University of Texas MD Anderson Cancer Center Support Grant (CA016672).en_US
dc.description.urihttps://acsjournals.onlinelibrary.wiley.com/doi/full/10.1002/cncr.27389en_US
dc.format.extent14 pagesen_US
dc.genrejournal articles postprintsen_US
dc.identifierdoi:10.13016/m2e8ja-9iyi
dc.identifier.citationRaheem J. Paxton et al., Associations among physical activity, body mass index, and health‐related quality of life by race/ethnicity in a diverse sample of breast cancer survivors, American Cancer Society Journals, Volume118, Issue16 Pages 4024-4031(2012), https://doi.org/10.1002/cncr.27389en_US
dc.identifier.urihttps://doi.org/10.1002/cncr.27389
dc.identifier.urihttp://hdl.handle.net/11603/19077
dc.language.isoen_USen_US
dc.publisherWileyen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Sociology and Anthropology Department Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.rightsThis is the peer reviewed version of the following article: Raheem J. Paxton et al., Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors, American Cancer Society Journals, Volume118, Issue16 Pages 4024-4031(2012), https://doi.org/10.1002/cncr.27389, which has been published in final form at https://doi.org/10.1002/cncr.27389. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
dc.titleAssociations among physical activity, body mass index, and health‐related quality of life by race/ethnicity in a diverse sample of breast cancer survivorsen_US
dc.typeTexten_US

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