A biobehavioral model of weight loss associated with meditative movement practice among breast cancer survivors

Larkey, Linda; Vega‐López, Sonia; Keller, Colleen; McClain, Darya; Ainsworth, Barbara E.; Ohri‐Vachaspati, Punam; Smith, Lisa L.; Jeong, Mihyun

doi:10.1177/2055102914565495

Cited by 12 publications

(21 citation statements)

References 124 publications

(160 reference statements)

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“…11 . Limited options for weight loss among this group of survivors suggests a need for creative solutions to encouraging this important lifestyle-related behavior change, the finding that women practicing QG/TCE may reduce BMI compared to those doing gentle exercise without meditation and breath focus warrants further investigation.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 A number of these factors and symptoms 8,9 often co-occur, possibly due to the underlying inflammatory biomarker changes most associated with fatigue, depression and sleep disorders. 10,11 The search continues for interventions to alleviate these persistent symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…12–14 This weight gain has been attributed to a pattern of stress, neuro-hormonal changes and inflammation, but fatigue, sedentary lifestyle, reduced body awareness and emotional eating likely also contribute. 11 Targeting weight gain in BCSs is critical because cancer-related weight gain, as well as an overweight or obese status at diagnosis, and sedentary behavior increase the risk of recurrence and all-cause mortality for BCSs. 15,16 Physical activity (PA) and weight loss for overweight and obese BCSs are important goals of behavioral interventions for the longitudinal care of BCSs.…”

Section: Introductionmentioning

confidence: 99%

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Exploratory outcome assessment of Qigong/Tai Chi Easy on breast cancer survivors

Larkey

Roe

Smith

et al. 2016

Complementary Therapies in Medicine

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Objective Breast cancer survivors (BCSs) experience symptoms affecting overall quality of life (QOL), often for a prolonged period post-treatment. Meditative Movement (MM), including Qigong and Tai Chi Easy (QG/TCE), has demonstrated benefit for improving QOL issues such as fatigue and sleep, but there is limited evidence of its impact on cognitive function, overall physical activity, and body weight for BCSs. Design This double-blind, randomized controlled pilot study with 87 female BCSs explored effects of QG/TCE on mental and physical QOL (Medical Outcomes Survey, Short Form), cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function and two cognitive performance tests from the WAIS III), overall levels of physical activity (PA)(Brief Physical Activity Questionnaire) and body mass index (BMI). Interventions Twelve weekly sessions of QG/TCE were compared to sham Qigong (SQG), a gentle movement control intervention similar to QG/TCE but without the focus on breathing and meditative state. Results Both groups demonstrated pre-to-post-intervention improvements in physical and mental health, level of PA, self-reported cognitive function, and cognitive performance tests, though without significant differences between QG/TCE and SQG. For a subset of women enrolled later in the study, a significant reduction in BMI [−0.66 (p=0.048)] was found for QG/TCE compared to SQG. Conclusions Practices that include gentle movement (such as QG/TCE or our sham protocol) among women with a history of breast cancer may improve many facets of the cancer experience, including QOL, cognitive function, and PA patterns. Practicing QG/TCE may show some advantage for BMI reduction compared to non-meditative gentle exercise.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploratory outcome assessment of Qigong/Tai Chi Easy on breast cancer survivors

Larkey

Roe

Smith

et al. 2016

Complementary Therapies in Medicine

Self Cite

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“…Additionally, mindfulness-based interventions may reduce stress-related emotions (eg, anxiety, depression), body mass index, metabolic imbalance, and disordered eating by focus on body awareness, emotional self-regulation, and attention to inner ''wisdom'' cues. 89 Because depressed pregnant women in our sample exhibited unhealthier lifestyle behaviors compared with nondepressed pregnant women, complementary health care approaches utilizing a movement component (eg, yoga, Tai Chi, Qigong) may be an effective approach to simultaneously manage GWG, depression, and related mental health distress (eg, stress, anxiety). Future research is necessary to test the effectiveness of complementary health care approaches in the simultaneous management of GWG and depression and determine which types are most beneficial in pregnant women.…”

Section: Perceptions Uses Of and Interests In Complementary Health mentioning

confidence: 99%

Perceptions, Uses of, and Interests in Complementary Health Care Approaches in Depressed Pregnant Women

Matthews

Huberty

Leiferman

et al. 2016

J Evid Based Complementary Altern Med

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Depression affects up to 23% of pregnant women and is associated with adverse physical/mental health outcomes for both the mother and baby. Depressed pregnant women may be more likely to engage in unhealthy lifestyle behaviors that contribute to an increased risk for chronic disease. Little is known regarding depressed pregnant women's perceptions, uses of, and interests in complementary health approaches. Study participants (mean age 28.7 ± 6.8; n = 1032) included pregnant women ≥8 weeks gestation who responded to a survey assessing physical and mental health and wellness practices. Of those completing the survey, depressed pregnant women (n = 272) had significantly higher levels of anxiety (P < .001) and stress (P < .001) and had poorer sleep quality (P < .001), mindfulness (P < .001), and social support (P < .001) compared to nondepressed pregnant women (n = 760). A majority (84%) of depressed pregnant women would consider using a complementary health approach for weight and/or stress management during pregnancy, and more than 50% were interested in yoga.

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“…The emphasis on self-care may have a positive impact on the mental and physical health (Beddoe & Lee, 2008) of interconception women who often report limited time and resources for self-care activities (Rhoades et al, 2016). In addition, mind–body practices may improve emotional self-regulation and awareness which may contribute to decreased stress and improved weight outcomes by increasing ones capacity to focus attention on physical needs (e.g., hunger/fullness cues, motivation for physical activity) (Larkey et al, 2014). These approaches may be more desirable to pregnant women because of the combined approach to health, and should be explored as a way to integrate weight and stress management efforts during this unique life stage.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Exploring the need for interventions to manage weight and stress during interconception

et al. 2016

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Interventions to manage weight and stress during the interconception period (i.e., time immediately following childbirth to subsequent pregnancy) are needed to promote optimal maternal and infant health outcomes. To address this gap, we summarize the current state of knowledge, critically evaluate the research focused on weight and stress management during the interconception period, and provide future recommendations for research in this area. Evidence supports the importance of weight and stress management during the reproductive years and the impact of weight on maternal and child health outcomes. However, evidence-based treatment models that address postpartum weight loss and manage maternal stress during the interconception period are lacking. This problem is further compounded by inconsistent definitions and measurements of stress. Recommendations for future research include interventions that address weight and stress tailored for women in the interconception period, interventions that address healthcare providers’ understanding of the significance of weight and stress management during interconception, and long-term follow-up studies that focus on the public health implications of weight and stress management during interconception. Addressing obesity and stress during the interconception period via a reproductive lens will be a starting point for women and their families to live long and healthy lives.

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A biobehavioral model of weight loss associated with meditative movement practice among breast cancer survivors

Cited by 12 publications

References 124 publications

Exploratory outcome assessment of Qigong/Tai Chi Easy on breast cancer survivors

Exploratory outcome assessment of Qigong/Tai Chi Easy on breast cancer survivors

Perceptions, Uses of, and Interests in Complementary Health Care Approaches in Depressed Pregnant Women

Exploring the need for interventions to manage weight and stress during interconception

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