Breast cancer Cancer Malignant neoplasm of breast
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women 2. Family history of breast cancer (lifetime risk >1 in 6) 3. Pre, post or perimenopausal any age 4. Weight gain since age of 20 > 7 kg 5. Body mass index 24?45 kg/ m2 and / or body fat > 30% 6. Able to record diet diaries
Exclusion criteria
Exclusion criteria: 1. Already successfully losing weight 2. Pregnant or planning pregnancy over next few months 3. Eating disorder, depression or alcoholism 4. Co-morbidity which affects weight or ability to exercise (i.e. diabetes, CV, respiratory, musculoskeletal, or thyroid disease) 5. Previous history of cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Insulin sensitivity from fasting insulin (electrochemiluminescence immunoassay), and glucose (hexokinase/G6PD method) using homeostasis model assessment (HOMA) and Glycosylated hemoglobin (HbA1C) (baseline and 3 months only) 2. Body mass and composition: fat free mass and total fat mass (Bioelectrical impedance: Tanita MC-180) waist and hip and bust circumferences 3. Retention to the energy restriction programmes | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Plasma leptin (enzyme immunoassay) 2. Serum IGF-1, adiponectin, triglycerides, high density lipoprotein (HDL), and low density lipoprotein (LDL) cholesterol 3. Ketones in serum and urine 4. Inflammatory markers: Tumor necrosis factor (TNF), Interlukin (IL)-6 5. Markers of oxidative stress; advanced oxidation protein products (AOPP) 6. Intake of energy, fat, protein and carbohydrate (7-day food diary) ( Dietplan) 7. Activity - 7 day activity diary 8. Profile of mood states questionnaire 9. Hunger and appetite visual analogue scales 10. Any adverse effects associated with the programmes e.g. headaches, constipation, fatigue, cramp, sleep pattern disturbance 11. Resting systolic and diastolic blood pressure 12. Menstrual cycle length for premenopausal women not taking contraceptives | — |
Countries
England, United Kingdom