Effect of a Lifestyle Intervention on Nutritional Status and Prognosis of Endometrial Cancer Survivors

NCT ID: NCT03095664

Last Updated: 2021-07-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

SUSPENDED

Clinical Phase

NA

Total Enrollment

286 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2025-11-30

Brief Summary

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The objective of the present study is to implement and evaluate the effect of a counseling program to promote healthy eating and practice of physical activity in the nutritional status, quality of life and prognosis of women Type I (endometrioid) endometrial cancer.

Detailed Description

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Endometrial cancer (EC) is the fifth most commonly diagnosed malignant neoplasm among women worldwide. The incidence of EC is higher in high-income countries, but it has been increasing in low- and middle-income countries.

The main risk factors for EC include the presence of comorbidities, such as diabetes mellitus and hypertension, as well as conditions associated with prolonged exposure to estrogens. Obesity is recognized as a major risk factor for many cancers, including EC. Multiple mechanisms related to obesity are probably involved in the carcinogenesis of EC. Among obese women in the postmenopausal period, there is an increase of bioavailable circulating estrogens. These estrogens come from the aromatization of androgens in adipose tissue and from increased circulating estrogens secondary to the reduced synthesis of sex hormone binding globulin (SHBG) in the liver. Insulin resistance, hyperinsulinemia, increased secretion of adipocytokines and pro-inflammatory cytokines may also play a role in the carcinogenesis of EC.

Although the incidence of EC is remarkable, insufficient data has addressed the impact of obesity on EC outcomes. Since about 70% of women diagnosed with endometriod EC are obese, the consequences of obesity-related diseases should be taken into account in order to implement strategies to improve survival outcomes among these women.

Sedentary lifestyle and physical inactivity also seem to be relevant, and have been identified as predictors of poor prognosis in patients with different types of cancer. However, the role of lifestyle (including eating and social habits and physical activity) on endometrial cancer prognosis has not been assessed prospectively yet. Studies assessing nutritional status and lifestyle before and after EC diagnosis may elucidate whether and when these factors influence clinical outcomes, including long-term survival.

Conditions

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Endometrium Cancer Life Style Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention group

6 months after surgical treatment, women in the experimental group will attend a counseling program to promote healthy eating and physical activity.

Group Type EXPERIMENTAL

Intervention group

Intervention Type BEHAVIORAL

A behavior change program with 4 monthly 90-min sessions about healthy eating and physical activity.

Control group

Control group will receive usual care (verbal nutritional counseling after surgical treatment, at discharge).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intervention group

A behavior change program with 4 monthly 90-min sessions about healthy eating and physical activity.

Intervention Type BEHAVIORAL

Other Intervention Names

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Lifestyle intervention counseling program

Eligibility Criteria

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Inclusion Criteria

* endometrial cancer patients undergoing surgical treatment

Exclusion Criteria

* previous oncologic treatment
* cancer stage IV according to the International Federation of Gynecology and Obstetrics (FIGO)
* patients who report physical activity over 150 minutes/week of moderate or vigorous intensity
* individuals with decompensated diabetes mellitus or hypertension
* patients who have a contraindication to physical activity.
Minimum Eligible Age

20 Years

Maximum Eligible Age

69 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Brazilian National Cancer Institute

OTHER_GOV

Sponsor Role lead

Responsible Party

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Gabriela Villaça Chaves

PhD, researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gabriela V Chaves, PhD

Role: PRINCIPAL_INVESTIGATOR

Brazilian National Cancer Institute

Locations

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Brazilian National Cancer Institute

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Countries

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Brazil

References

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Agnew H, Kitson S, Crosbie EJ. Interventions for weight reduction in obesity to improve survival in women with endometrial cancer. Cochrane Database Syst Rev. 2023 Mar 27;3(3):CD012513. doi: 10.1002/14651858.CD012513.pub3.

Reference Type DERIVED
PMID: 36971688 (View on PubMed)

Other Identifiers

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55155116.9.0000.5274

Identifier Type: -

Identifier Source: org_study_id

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