Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review

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dc.contributor.authorPaxton, Raheem J.
dc.contributor.authorGarner, William
dc.contributor.authorDean, Lorraine T.
dc.contributor.authorLogan, Georgiana
dc.contributor.authorAllen-Watts, Kristen
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherUniversity of North Texas Denton
dc.contributor.otherJohns Hopkins University
dc.contributor.otherJohns Hopkins Bloomberg School of Public Health
dc.date.accessioned2023-09-28T19:09:52Z
dc.date.available2023-09-28T19:09:52Z
dc.date.issued2019
dc.description.abstractBackground: African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like (e.g., triple negative) tumors, placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups. While access to equitable care, late disease stage at diagnosis, tumor biology, and sociodemographic characteristics contribute to health disparities, poor lifestyle characteristics (i.e., inactivity, obesity, and poor diet) contribute equally to these disparities. Lifestyle interventions hold promise in shielding African American survivors from second cancers, comorbidities, and premature mortality, but they are often underrepresented in studies promoting positive behaviors. This review examined the available literature to document health behaviors and lifestyle intervention (i.e., obesity, physical activity, and sedentary behavior) studies in African American breast cancer survivors. Methods: We used PubMed, Academic Search Premier, and Scopus to identify cross-sectional and intervention studies examining the lifestyle behaviors of African American breast cancer survivors. Identified intervention studies were assessed for risk of bias. Other articles were identified and described to provide context for the review. Results: Our systematic review identified 226 relevant articles. The cross-sectional articles indicated poor adherence to physical activity and dietary intake and high rates of overweight and obesity. The 16 identified intervention studies indicated reasonable to modest study adherence rates (>70%), significant reductions in weight (range -1.9 to -3.6%), sedentary behavior (-18%), and dietary fat intake (range -13 to -33%) and improvements in fruit and vegetable intake (range +25 to +55%) and physical activity (range +13 to +544%). The risk of bias for most studies were rated as high (44%) or moderate (44%). Conclusions: The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes. Future studies should consider examining (a) mediators and moderators of lifestyle behaviors and interventions, (b) biological outcomes, and (c) determinants of enhanced survival in this population.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationPaxton, R. J., Garner, W., Dean, L. T., Logan, G., & Allen-Watts, K. (2019). Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review. In Frontiers in Oncology (Vol. 9). Frontiers Media SA. https://doi.org/10.3389/fonc.2019.00003
dc.identifier.doi10.3389/fonc.2019.00003
dc.identifier.orcidhttps://orcid.org/0000-0002-5002-6618
dc.identifier.orcidhttps://orcid.org/0000-0002-2297-3239
dc.identifier.orcidhttps://orcid.org/0000-0001-6662-9598
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10959
dc.languageEnglish
dc.language.isoen_US
dc.publisherFrontiers
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAfrican American
dc.subjectbreast cancer
dc.subjectcancer survivor
dc.subjectcancer survivorship
dc.subjectdiet
dc.subjectphysical activity
dc.subjectreview
dc.subjectobesity
dc.subjectQUALITY-OF-LIFE
dc.subjectBODY-MASS INDEX
dc.subjectRANDOMIZED CONTROLLED-TRIAL
dc.subjectWEIGHT-LOSS INTERVENTION
dc.subjectDIETARY PATTERN-ANALYSIS
dc.subjectPHYSICAL-ACTIVITY
dc.subjectSEDENTARY BEHAVIOR
dc.subjectETHNIC-DIFFERENCES
dc.subjectMETABOLIC SYNDROME
dc.subjectVEGETABLE INTAKE
dc.subjectOncology
dc.titleHealth Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Reviewen_US
dc.typeReview
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