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dc.contributor.authorFazzino, Tera L.
dc.contributor.authorFleming, Kimberly
dc.contributor.authorBefort, Christie
dc.date.accessioned2017-09-11T00:05:35Z
dc.date.available2017-09-11T00:05:35Z
dc.date.issued2016
dc.identifier.citationFazzino, T. L., Fleming, K., & Befort, C. (2016). Alcohol Intake Among Breast Cancer Survivors: Change in Alcohol Use During a Weight Management Intervention. JMIR Cancer, 2(2), e15. http://doi.org/10.2196/cancer.6295en_US
dc.identifier.urihttp://hdl.handle.net/1808/24938
dc.descriptionA grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.en_US
dc.description.abstractBackground Daily alcohol intake in quantities as small as half a drink/day significantly increases the risk of breast cancer recurrence for postmenopausal survivors. Interventions designed to modify alcohol use among survivors have not been studied; however, lifestyle interventions that target change in dietary intake may affect alcohol intake.

Objective To evaluate change in alcohol use during a weight loss intervention for obese, rural-dwelling breast cancer survivors.

Methods Data were derived from an 18-month trial that included a 6-month weight loss intervention delivered via group conference calls, followed by a 12-month randomized weight loss maintenance phase in which participants received continued group calls or mailed newsletters. Participants who reported regular alcohol use at baseline (N=37) were included in this study.

Results Mean daily alcohol intake significantly decreased from baseline to 6 months during the weight loss intervention (19.6-2.3 g; P=.001). Mean alcohol intake did not significantly increase (b=0.99, P=.12) during the weight loss maintenance phase (months 6-18) and did not depend on randomization group (b=0.32, P=.799).

Conclusions Findings provide preliminary evidence that a weight loss intervention may address obesity and alcohol use risk factors for cancer recurrence. Minimal mail-based contact post weight loss can maintain alcohol use reductions through 18 months, suggesting durability in these effects. These results highlight a possibility that lifestyle interventions for survivors may modify health behaviors that are not the main foci of an intervention but that coincide with intervention goals.

Trial Registration Clinicaltrials.gov NCT01441011; https://clinicaltrials.gov/ct2/show/NCT01441011 (Archived by WebCite at http://www.webcitation.org/6lsJ9dMa9)
en_US
dc.publisherJMIR Publicationsen_US
dc.rights©Tera L Fazzino, Kimberly Fleming, Christie Befort. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.11.2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on http://cancer.jmir.org/, as well as this copyright and license information must be included.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/en_US
dc.titleAlcohol Intake Among Breast Cancer Survivors: Change in Alcohol Use During a Weight Management Interventionen_US
dc.typeArticleen_US
kusw.kuauthorFazzino, Tera L.
kusw.kuauthorBefort, Christie
kusw.kuauthorFleming, Kimberly
kusw.kudepartmentPreventive Medicine and Public Healthen_US
kusw.kudepartmentPsychiatry and behavioral Sciencesen_US
dc.identifier.doi10.2196/cancer.6295en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.identifier.pmid5367843en_US
dc.rights.accessrightsopenAccess


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©Tera L Fazzino, Kimberly Fleming, Christie Befort. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.11.2016.
This is an open-access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium,
provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to
the original publication on http://cancer.jmir.org/, as well as this copyright and license information must be included.
Except where otherwise noted, this item's license is described as: ©Tera L Fazzino, Kimberly Fleming, Christie Befort. Originally published in JMIR Cancer (http://cancer.jmir.org), 09.11.2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on http://cancer.jmir.org/, as well as this copyright and license information must be included.