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Combining weight-loss counseling with the weight watchers plan for obese breast cancer survivors . OBJECTIVE The objective was to develop effective weight-loss methods for women who have had breast cancer , because obesity may result in an adverse prognosis . RESEARCH METHODS AND PROCEDURES This randomized pilot study tested an individualized approach toward weight loss in obese women who have had a diagnosis of breast cancer . An individualized approach was applied either alone or combined with the commercial Weight Watchers program . Forty-eight women ( body mass index of 30 to 44 kg/m ( 2 ) ) were enrolled . RESULTS Weight change after 12 months of intervention was as follows ( mean +/- SD ) : 0.85 +/- 6.0 kg in the control group , -2.6 +/- 5.9 kg in the Weight Watchers group , -8.0 +/- 5.5 kg in the individualized group , and -9.4 +/- 8.6 kg in the comprehensive group that used both individualized counseling and Weight Watchers . Weight loss relative to control was statistically significant in the comprehensive group 3 , 6 , and 12 months after randomization , whereas weight loss in the individualized group was significant only at 12 months . Weight loss of 10 % or more of initial body weight was observed in 6 of 10 women in the comprehensive group at 12 months . In the comprehensive and Weight Watchers-only groups , weight loss was significantly related to frequency of attendance at Weight Watchers meetings , and attendance was more frequent in the comprehensive group . DISCUSSION These data indicate that the most weight loss was achieved when the counseling approach combined both Weight Watchers and individualized contacts . This was effective even though most of the individualized contacts were by telephone .
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Intervention_Educational
alone or combined with the commercial Weight Watchers program
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Intervention_Control
control group
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Intervention_Educational
Weight Watchers group
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Intervention_Educational
comprehensive group that used both individualized counseling and Weight Watchers
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Outcome_Physical
weight loss
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Outcome_Physical
Weight change
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Outcome_Physical
Weight loss
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Outcome_Physical
weight loss
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Outcome_Physical
Weight loss
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Outcome_Physical
weight loss
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Outcome_Physical
weight loss
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Participant_Condition
obese breast cancer survivors .
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Participant_Condition
obese women who have had a diagnosis of breast cancer .