Table 3.
Characteristics associated with positive behavior change in exercise, eating healthy foods, and making efforts to maintain a healthy body weight
| Exercise more often | Eat healthy foods more often | Make efforts to maintain a healthy body weight more often | ||||
|---|---|---|---|---|---|---|
| All women | Among women who reported <9 MET-hrs/ week before diagnosis- N=695 | All women | Among women with <5 fruit/veg servings/day before diagnosis- N=776 | All women | Among women with BMI≥25.0 kg/m2 before diagnosis- N=870 | |
| OR (95% CI)a | OR (95% CI)a | OR (95% CI)a | OR (95% CI)a | OR (95% CI)a | OR (95% CI)a | |
| Demographics | ||||||
|
| ||||||
| Age at Diagnosis | ||||||
| 35–50 | 1 | 1 | 1 | 1 | 1 | 1 |
| 51–60 | 1.07 (0.74–1.55) | 0.97 (0.58–1.60) | 1.16 (0.84–1.58) | 0.86 (0.57–1.30) | 0.86 (0.61–1.21) | 0.96 (0.61–1.50) |
| 61–70 | 0.94 (0.65–1.37) | 0.94 (0.56–1.56) | 0.83 (0.60–1.14) | 0.59 (0.38–0.90) | 0.78 (0.55–1.10) | 0.86 (0.55–1.34) |
| 71–80 | 0.49 (0.28–0.86) | 0.37 (0.16–0.86) | 0.50 (0.32–0.78) | 0.36 (0.20–0.66) | 0.51 (0.31–0.83) | 0.52 (0.28–0.95) |
| Per 5 year increase | 0.89 (0.83–0.96) | 0.89 (0.80–0.98) | 0.89 (0.84–0.95) | 0.84 (0.77–0.92) | 0.89 (0.83–0.96) | 0.89 (0.82–0.97) |
| Race/ethnicity | ||||||
| Non-Hispanic White | 1 | 1 | 1 | 1 | 1 | 1 |
| Non-Hispanic Black | 0.77 (0.40–2.51) | 0.61 (0.26–1.40) | 2.30 (1.39–3.79) | 1.94 (1.00–3.75) | 1.30 (0.75–2.24) | 1.15 (0.63–2.11) |
| Hispanic | 1.85 (0.91–3.75) | 1.20 (0.37–3.90) | 1.53 (0.79–2.95) | 1.91 (0.86–4.26) | 1.98 (1.02–3.88) | 2.43 (1.07–5.50) |
| BMI (kg/m 2) before diagnosis | ||||||
| <25.0 | 1 | 1 | 1 | 1 | 1 | Not included |
| 25.0–29.9 | 1.11 (0.81–1.52) | 0.82 (0.51–1.30) | 1.27 (0.97–1.66) | 1.05 (0.73–1.52) | 1.80 (1.34–2.42) | 1 |
| 30.0+ | 1.25 (0.91–1.73) | 0.94 (0.61–1.46) | 1.61 (1.22–2.12) | 1.33 (0.91–1.94) | 1.63 (1.20–2.22) | 0.90 (0.66–1.21) |
| Per 1 kg/m2 increase | 1.03 (1.01–1.05) | 1.01 (0.99–1.04) | 1.04 (1.02–1.06) | 1.03 (1.00–1.06) | 1.04 (1.02–1.06) | 1.00 (0.98–1.03) |
|
| ||||||
| Diagnosis characteristics | ||||||
|
| ||||||
| Time since diagnosis (years) | ||||||
| <2 | 1 | 1 | 1 | 1 | 1 | 1 |
| 2–3.9 | 0.98 (0.68–1.43) | 1.08 (0.64–1.81) | 1.13 (0.83–1.54) | 1.31 (0.86–1.99) | 0.73 (0.53–1.02) | 0.67 (0.45–0.99) |
| 4.0–5.9 | 1.38 (0.94–2.01) | 1.63 (0.97–2.75) | 1.38 (1.00–1.89) | 1.49 (0.96–2.30) | 0.91 (0.65–1.28) | 0.87 (0.58–1.32) |
| 6.0+ | 1.33 (0.83–2.16) | 1.66 (0.85–3.25) | 1.50 (1.00–2.26) | 1.61 (0.92–2.83) | 1.06 (0.69–1.63) | 1.29 (0.76–2.20) |
| Per 1 year increase | 1.11 (1.03–1.19) | 1.14 (1.03–1.26) | 1.15 (0.84–1.58) | 1.07 (0.99–1.17) | 1.02 (0.96–1.10) | 1.04 (0.96–1.14) |
| Stage | ||||||
| 0 | 1 | 1 | 1 | 1 | 1 | 1 |
| I | 0.99 (0.71–1.37) | 0.87 (0.56–1.37) | 1.15 (0.87–1.52) | 1.26 (0.86–1.85) | 1.11 (0.82–1.50) | 0.99 (0.67–1.44) |
| II | 1.18 (0.79–1.75) | 0.99 (0.58–1.69) | 1.59 (1.13–2.22) | 1.48 (0.92–2.38) | 0.87 (0.59–1.28) | 0.78 (0.49–1.24) |
| III/IV | 1.31 (0.73–2.35) | 1.08 (0.50–2.32) | 1.60 (0.96–2.68) | 2.26 (1.13–4.51) | 1.60 (0.93–2.76) | 1.65 (0.88–3.11) |
|
| ||||||
| Treatment history | ||||||
|
| ||||||
| Chemotherapy | ||||||
| No | 1 | 1 | 1 | 1 | 1 | 1 |
| Yes | 1.09 (0.82–1.45) | 1.10 (0.75–1.62) | 1.47 (1.16–1.86) | 1.56 (1.13–2.17) | 1.04 (0.80–1.35) | 1.00 (0.73–1.39) |
| Trastuzumab | ||||||
| No | 1 | 1 | 1 | 1 | 1 | 1 |
| Yes | 0.88 (0.53–1.47) | 1.37 (0.72–2.61) | 1.51 (1.00–2.27) | 1.56 (0.89–2.75) | 0.91 (0.57–1.47) | 0.70 (0.38–1.28) |
| Endocrine therapy | ||||||
| No | 1 | 1 | 1 | 1 | 1 | 1 |
| Yes | 1.47 (1.08–1.99) | 1.30 (0.86–1.98) | 1.17 (0.92–1.50) | 1.09 (0.78–1.53) | 1.20 (0.91–1.58) | 1.12 (0.80–1.58) |
| Surgery and Radiation | ||||||
| Mastectomy | 1 | 1 | 1 | 1 | 1 | 1 |
| BCS with radiation | 1.14 (0.86–1.50) | 1.33 (0.91–1.93) | 1.03 (0.82–1.31) | 1.12 (0.81–1.54) | 0.82 (0.63–1.06) | 0.91 (0.66–1.26) |
| BCS without radiation | 0.86 (0.40–1.81) | 1.33 (0.45–3.91) | 1.01 (0.56–1.83) | 1.06 (0.49–2.32) | 1.16 (0.63–2.16) | 0.89 (0.38–2.11) |
Abbreviations: BMI=body mass index; BCS=breast conserving surgery
a
Adjusted for age at diagnosis and time since diagnosis