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CompletedNCT01630499MyLIFEUpdated Sep 30, 2016

My Lifestyle Intervention of Food and Exercise

An interventional study of Tailored Lifestyle Intervention (TLI) and Commercial Weight Loss Program (CWLP) in Breast Cancer, sponsored by University of Florida. Completed at 2 sites in United States. Open to female participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-09-30.

Sponsored by University of Florida · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
87
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
Female
01

Study summary

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.

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Conditions studied

  • Breast Cancer

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Keywords

  • Cancer
  • Breast cancer
  • Breast cancer prevention
  • Breast cancer recurrence
  • Weight loss
  • Weight management
  • Overweight
  • Obesity
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 87 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

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

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
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
87 participants (actual)

Study arms

  • 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.

    Behavioral: Tailored Lifestyle Intervention (TLI)

  • 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.

    Behavioral: Commercial Weight Loss Program (CWLP)

Interventions

  • BehavioralTailored Lifestyle Intervention (TLI)

    The intervention is a nutrition, physical activity, and behavioral weight management program that is tailored to the specific needs of breast cancer survivors.

  • BehavioralCommercial Weight Loss Program (CWLP)

    This intervention is a generic, widely-available weight management program.

06

What researchers measure

Primary outcomes

  1. Change in body weight from baseline to post-intervention

    Time frame: baseline (month 0), post-intervention (month 3)

  2. Change in body weight from post-intervention to follow-up

    Time frame: post-intervention (month 3), follow-up (month 9)

Secondary outcomes

  1. 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)

  2. Change in HDL Cholesterol from baseline to post-intervention

    Time frame: baseline (month 0), post-intervention (month 3)

  3. Change in blood glucose control from baseline to post-intervention.

    HgA1c and fasting glucose to assess blood glucose control

    Time frame: baseline (month 0), post-intervention (month 3)

  4. Change in caloric intake from baseline to post-intervention.

    National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.

    Time frame: baseline (month 0), post-intervention (month 3)

  5. Change in body composition from baseline to post-intervention.

    Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).

    Time frame: baseline (month 0), post-intervention (month 3)

  6. Change in waist circumference from baseline to post-intervention.

    Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.

    Time frame: baseline (month 0), post-intervention (month 3)

  7. Change in sagittal abdominal diameter from baseline to post-intervention.

    Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.

    Time frame: baseline (month 0), post-intervention (month 3)

  8. Change in physical activity from baseline to post-intervention.

    Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).

    Time frame: baseline (month 0), post-intervention (month 3)

  9. Change in health-related quality of life from baseline to post-intervention.

    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).

    Time frame: baseline (month 0), post-intervention (month 3)

  10. Change in self-efficacy from baseline to post-intervention.

    Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.

    Time frame: baseline (month 0), post-intervention (month 3)

  11. Use of weight management strategies

    The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).

    Time frame: post-intervention (month 3)

  12. Height

    Height will be assessed in order to determine BMI.

    Time frame: baseline (month 0)

  13. Change in blood pressure from baseline to post-intervention.

    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.

    Time frame: post-intervention (month 3), follow-up (month 9)

  14. Change in LDL cholesterol at from baseline to post-intervention.

    Time frame: baseline (month 0), post-intervention (month 3)

  15. Change in total cholesterol from baseline to post-intervention.

    Time frame: baseline (month 0), post-intervention (month 3)

  16. Change in triglycerides from baseline to post-intervention.

    Time frame: baseline (month 0), post-intervention (month 3)

  17. 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)

  18. Change in HDL Cholesterol from post-intervention to follow-up.

    Time frame: post-intervention (month 3), follow-up (month 9)

  19. Change in blood glucose control from post-intervention to follow-up.

    Time frame: post-intervention (month 3), follow-up (month 9)

  20. Change in caloric intake from post-intervention to follow-up.

    National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.

    Time frame: post-intervention (month 3), follow-up (month 9)

  21. Change in body composition from post-intervention to follow-up.

    Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).

    Time frame: post-intervention (month 3), follow-up (month 9)

  22. Change in waist circumference from post-intervention to follow-up.

    Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.

    Time frame: post-intervention (month 3), follow-up (month 9)

  23. Change in sagittal abdominal diameter from post-intervention to follow-up.

    Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.

    Time frame: post-intervention (month 3), follow-up (month 9)

  24. Change in physical activity from post-intervention to follow-up.

    Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).

    Time frame: post-intervention (month 3), follow-up (month 9)

  25. Change in health-related quality of life from post-intervention to follow-up.

    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).

    Time frame: post-intervention (month 3), follow-up (month 9)

  26. Change in self-efficacy from post-intervention to follow-up.

    Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.

    Time frame: post-intervention (month 3), follow-up (month 9)

  27. Use of weight management strategies at follow-up.

    The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).

    Time frame: follow-up (month 9)

  28. Change in blood pressure from post-intervention to follow-up.

    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.

    Time frame: post-intervention (month 3), follow-up (month 9)

  29. Change in LDL cholesterol at from post-intervention follow-up

    Time frame: post-intervention (month 3), follow-up (month 9)

  30. Change in total cholesterol from post-intervention to follow-up.

    Time frame: post-intervention (month 3), follow-up (month 9)

  31. Change in triglycerides from post-intervention to follow-up.

    Time frame: post-intervention (month 3), follow-up (month 9)

07

Study locations

2 sites
  • University of Florida
    Gainesville, Florida 32611, United States
  • University of North Florida
    Jacksonville, Florida 32224, United States
08

References and documents

Publications

  • 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. PubMed 9180149 ↗
  • 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. PubMed 12897329 ↗
  • 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. PubMed 14576434 ↗
  • 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. PubMed 12711737 ↗
  • 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. PubMed 15151943 ↗
  • 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. PubMed 19366908 ↗
  • 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. PubMed 18648983 ↗
  • 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. PubMed 18648982 ↗
  • 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. PubMed 15767532 ↗
  • 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. PubMed 15850868 ↗
  • 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. PubMed 16314649 ↗
  • 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. PubMed 21338735 ↗
  • Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002 Dec 19-26;420(6917):860-7. doi: 10.1038/nature01322. PubMed 12490959 ↗
  • Shacter E, Weitzman SA. Chronic inflammation and cancer. Oncology (Williston Park). 2002 Feb;16(2):217-26, 229; discussion 230-2. PubMed 11866137 ↗
  • 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. PubMed 20071471 ↗
  • 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. PubMed 20880127 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 30, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01630499
Lead sponsor
University of Florida
Responsible party
Sponsor
First posted
Jun 28, 2012
Start date
Oct 2012
Primary completion
Mar 2016
Completion
Jul 2016
Last update
Sep 30, 2016

Study contacts

Anne Mathews, PhD, RD
principal investigator · University of Florida

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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