Abstract:
BACKGROUND:Overall incidence of breast cancer is slightly lower, but mortality rates are higher, for Black women compared to White women. Higher body mass index (BMI), sedentary lifestyles, and lower compliance with recommended breast health behaviors may contribute to higher risk and mortality. METHODS:A randomized pilot intervention trial was conducted to assess feasibility and efficacy of a combined breast health/weight loss intervention for 64 overweight or obese Black women, ages 35-65. The primary objectives were to determine whether a 20-week (twice weekly) intervention could decrease weight and dietary fat intake and increase physical activity and breast self-exam (BSE) proficiency. RESULTS:The project was implemented in two cohorts and retention was high for both (96% and 89%, respectively). Both cohorts showed increased proficiency in BSE in the intervention versus the control group (2.4 vs. -0.4, P<0.05; 3.3 vs. -0.2, P<0.001, respectively), but only cohort 2 showed decreased percent body weight (4.0% decrease vs. 0.9% increase, P<0.01), increased physical activity frequency (2.4 vs. 0.1 times/week, P<0.05), and a trend for decreased dietary fat (-2.6% kcal vs. 0.0% kcal, P=0.07) in the intervention compared to the control group. CONCLUSION:Few studies have documented weight loss among Black women, and no combined breast health/weight loss intervention has been conducted. This study documents the feasibility of recruiting, randomizing, and retaining women in a combined intervention and demonstrated weight loss and associated lifestyle changes.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Fitzgibbon ML,Stolley MR,Schiffer L,Sanchez-Johnsen LA,Wells AM,Dyer Adoi
10.1016/j.ypmed.2004.06.018subject
Has Abstractpub_date
2005-04-01 00:00:00pages
373-83issue
4eissn
0091-7435issn
1096-0260pii
S0091743504003469journal_volume
40pub_type
临床试验,杂志文章,随机对照试验abstract:PURPOSE:The goal of this study was to evaluate the effect of pubertal timing, and its interaction with prior childhood maltreatment, on the risk of cervical human papillomavirus (HPV) among sexually active adolescent minority female adolescents and young adults. METHODS:This cross-sectional study includes 842 adolesce...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106126
更新日期:2020-09-01 00:00:00
abstract::OBJECTIVE.: The aim of the study was to explore opportunities for more effective interventions on lifestyle modifications among hypertensives. METHODS.: Using 2007 data from the Behavioral Risk Factor Surveillance System from the United States, we assessed the prevalence of various lifestyle behaviors and receipt of p...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.12.007
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:In order to understand the factors that differentiate adolescents who have tried smoking from those who have become established smokers, this study examined which student- and school-level factors differentiated current smokers from experimental smokers among a nationally representative sample of Canadian sec...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.04.022
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Recognition that early sun exposure is an important risk factor for cutaneous melanoma in white populations has led to efforts to reduce children's sun exposure. 'Kidskin' was a non-randomized, school-based sun protection intervention trial in Perth, Western Australia (1995-1999). Its aim was to determine th...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2005.11.002
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Previous reports have indicated that coffee drinking is associated with an unhealthy lifestyle, compared with tea drinking, which may confound the effect in relation to coronary risk factors. METHODS:In a population sample of 2,400 25- to 64-year-old men and women, associations of lifestyle factors with cof...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1052
更新日期:1994-05-01 00:00:00
abstract::The most convincing evidence for a preventive role for any modality is obviously demonstration of incidence reduction produced by that modality. However, cancer prevention trials with cancer incidence as an endpoint have logistic problems rendering them essentially impossible to conduct for most malignancies. Hence a ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1993.1064
更新日期:1993-09-01 00:00:00
abstract::Poverty has consistently been linked to poor mental health and risky health behaviors, yet few studies evaluate the effectiveness of programs and policies to address these outcomes by targeting poverty itself. We test the hypothesis that the earned income tax credit (EITC)-the largest U.S. poverty alleviation program-...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106223
更新日期:2020-10-01 00:00:00
abstract::Black and Hispanic communities in the U.S. have endured a disproportionate burden of COVID-19-related morbidity and mortality. Racial and ethnic health disparities such as these are frequently aggravated by inequitable access to healthcare resources in disadvantaged communities. Yet, no known studies have investigated...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106282
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To examine whether total physical activity or activity patterns are associated with metabolic syndrome and its components. METHODS:Participants include 1994 controls from a case-control study of non-fatal myocardial infarction in Costa Rica (1994-2004). Physical activity was assessed via self-administered qu...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.11.006
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We investigated school factors associated with successful implementation of a seventh grade vaccination requirement. METHODS:The proportion of students vaccinated with hepatitis B vaccine and measles containing vaccine was determined from records of schools in San Diego County, California. A school survey i...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(02)00059-2
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:This study examined socioeconomic disparities in adolescent substance use utilizing a behavioral economic theoretical framework. We tested the hypothesis that teens of lower (vs. higher) socioeconomic status (SES) are vulnerable to substance use because they engage in fewer pleasurable substance-free activiti...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.05.021
更新日期:2015-11-01 00:00:00
abstract::Primordial prevention seeks to prevent future disease by influencing its social determinants. Henry Blackburn's writings are prime portrayals of social factors causing premature cardiovascular disease (CVD). His classic paper, Diet and Mass Hyperlipidemia, identified changes needed in professional attitudes, medical e...
journal_title:Preventive medicine
pub_type: 传,历史文章,杂志文章
doi:10.1006/pmed.1998.0474
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:To compare European students' personal use and approval of illicit substance use with their perceptions of peer behaviours and attitudes, and investigate whether perceptions of peer norms are associated with personal use of illicit substances and attitudes. METHOD:This study used baseline data from the Socia...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.07.039
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Raised serum uric acid (SUA) levels are associated with conditions at high risk for coronary heart disease. SUA levels can be partly modified by the diet, but little is known about the association of SUA with several dietary factors, particularly the quality of ingested lipids. METHODS:The associations betw...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0096
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:Few studies have examined the long-term adherence to a yearlong exercise intervention among postmenopausal women. We examined the patterns of adherence to a yearlong exercise intervention and the influence of demographic, physiologic, and psychosocial variables on patterns of adherence among 173 sedentary, o...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2004.04.017
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Elevated total homocysteine (tHcy) levels (>/= 15 micromol/L), resulting from enzyme or vitamin deficiency, increase risk for cardiac, cerebral, and peripheral vascular disease. This study examines tHcy levels in an Israeli population and the relationship to vitamin status and disease. The need for screening...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.09.001
更新日期:2003-12-01 00:00:00
abstract::The Rhode Island Department of Corrections (RIDOC) recently implemented the first state-wide, comprehensive medications for addiction treatment (MAT) program in the US. The objective of this study was to elucidate perceived barriers for individuals who participated in RIDOC's MAT program while incarcerated. Of the 588...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105766
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Missed childhood vaccination opportunities have been generally described, yet not since the immunization schedule's recent rapid expansion. Little is known about the relationship between the number of vaccine doses due and whether all scheduled doses are administered, and the effect of dose deferral on immun...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.12.001
更新日期:2005-08-01 00:00:00
abstract:INTRODUCTION:The Canadian Physical Activity Levels Among Youth (CANPLAY) study collected pedometer data from eight surveys between 2005 and 2014, making it a unique database of objective population physical activity surveillance. The purpose of this study was to describe secular physical activity trends for 5-19year ol...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.12.020
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:The relationship between strength training (ST) behavior and mortality remains understudied in large, national samples, although smaller studies have observed that greater amounts of muscle strength are associated with lower risks of death. We aimed to understand the association between meeting ST guidelines...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.038
更新日期:2016-06-01 00:00:00
abstract::Sunburn is associated with an increased risk for skin cancer. Denmark has one of the highest incidences of melanoma in the world, although it is a relatively northern country. The objective of this study was to determine whether sunburn is associated with demographic factors and health behaviour among young Danes. Cro...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.08.009
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Smokers who identified smoking cessation as the primary activity they could undertake to improve their health were compared with smokers who did not identify smoking cessation. Examined factors included personal characteristics, health status, smoking attitudes and behaviors, and social factors. METHODS:Sub...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1063
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:The aim of this experiment was to examine the differential impact of a narrative and a non-narrative skin cancer message on health promoting actions and information-seeking behaviors. METHODS:Participants were 230 Flemish university students aged 18 to 25 years who participated in a web based experiment in F...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.04.019
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:To investigate the effect of screening and five years of multi-factorial lifestyle intervention on changes in alcohol intake in a general population. METHODS:The study was a pre-randomized intervention study on lifestyle, Inter99 (1999-2006), Copenhagen, Denmark. Participants in the intervention group (n=6 091...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2009.06.007
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Implementation science is an emerging area in physical activity (PA) research. We sought to establish the current state of the evidence related to implementation of school-based PA models to explore 1) the relationship between implementation and health outcomes, and 2) factors that influence implementation. ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2014.12.034
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Knowledge about the prevalence, co-occurrence, and correlates of lifestyle related behaviors of overweight women is needed to inform the design of health promotion interventions for weight loss. METHODS:Cross-sectional study involves 394 overweight and obese women, aged 18 to 55 (mean age=41.26), 39% from m...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.10.005
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To investigate associations between employees' health locus of control (HLOC) and self-perceived health, health behaviors, and participation in health promotion programs (HPPs) and the mediating effect of self-perceived health and health behaviors on the relation between HLOC and participation. METHOD:Betwee...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.07.037
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To provide a systematic review of the existing literature on health consequences of vaporing of electronic cigarettes (ECs). METHODS:Search in: PubMed, EMBASE and CINAHL. INCLUSION CRITERIA:Original publications describing a health-related topic, published before 14 August 2014. PRISMA recommendations were ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2014.10.009
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Existing smoking cessation interventions tend to be under utilized by ethnic minority groups. We sought to identify smoking cessation interventions that have been adapted to meet the needs of African-, Chinese- and South Asian-origin populations, to increase understanding of the approaches used to promote beh...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2013.09.014
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Recent studies find lesbians at greater risk for overweight and obesity than heterosexual women. While this may reflect differences in attitudes concerning weight and body shape, little is actually known about risk factors within this group. This study examines correlates of obesity and exercise frequency am...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(03)00020-3
更新日期:2003-06-01 00:00:00