Effect of a Lifestyle Intervention on Nutritional Status and Prognosis of Endometrial Cancer Survivors
NCT ID: NCT03095664
Last Updated: 2021-07-01
Study Results
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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SUSPENDED
NA
286 participants
INTERVENTIONAL
2016-11-30
2025-11-30
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
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.
Intervention group
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).
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.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* 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.
20 Years
69 Years
FEMALE
No
Sponsors
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Brazilian National Cancer Institute
OTHER_GOV
Responsible Party
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Gabriela Villaça Chaves
PhD, researcher
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
Countries
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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.
Other Identifiers
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55155116.9.0000.5274
Identifier Type: -
Identifier Source: org_study_id
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