Healthy Living After Cancer: Weight Management Pilot Study
Healthy Living After Cancer: Weight Management Pilot Study
Studies have shown that patients who weigh more at the time of cancer diagnosis may be at
 increased risk of complications from surgery, fatigue, poor body image and other problems.
 Some research suggests that losing weight after cancer diagnosis can lead to improvements in
 these problems, as well as having other potential benefits for cancer survivors. Programs
 that reduce calories and increase exercise have been shown to help cancer survivors lose
 weight, but more research is needed to develop and test weight loss programs in cancer
 survivors.

 This study is designed to look at the ability of a 15-week diet and exercise program to help
 cancer survivors lose weight. The investigator will look at changes in weight, body
 composition, quality of life, fatigue, body image as well as diet and exercise patterns, to
 see if this program can help men and women feel better and live healthier lives after cancer
 diagnosis.
Before the research starts

 -  After signing this consent form, the participant will be asked to answer some questions
 about their health and ability to exercise to find out if the participant can be in the
 research study.

 -  If these tests show that the participant is eligible to participate in the research
 study, the participant will be able to participate in the research study. If the
 participant does not meet the eligibility criteria, the participant will not be able to
 participate in this research study.

 -  After the screening procedures confirm that the participant are eligible to participate
 in the research study.

 -  The participant will be scheduled to come to Dana-Farber to complete a number of study
 measures at baseline and at 16 and 32-weeks after the participant enrolls in the study.

 -  We will ask the participant to complete a number of study questionnaires that will
 include questions about: diet and exercise habits, medical history and quality of life
 (social support, thoughts and feelings).

 It should take the participant about 30 minutes to complete the questionnaires. Some of the
 questions on these questionnaires are personal - the participant can refuse to answer these
 if the participant wishes. The information the participant provides is for research purposes
 only and will remain strictly confidential. The individuals (e.g. doctors, nurses, etc.)
 directly involved in the participant's care will not usually see their responses to these
 questions-if the participant wishes them to know this information please bring it to their
 attention.

 Study staff will also record the participant's height and weight and will also ask the
 participant to undergo a walking test to measure how far the participant can comfortably walk
 in 6 minutes.

 The participant will have an X-ray examination, called a dual energy x-ray absorptiometry
 (DEXA) scan that measures your body fat and bone mass at baseline and 16-weeks after
 enrollment. The DEXA scan involves lying still for about 10 minutes on a padded table. The
 scanner will not touch the participant and the participant will not feel any discomfort. The
 test does not require the participant to undress. If the participant wishes, we will provide
 your doctor with a copy of your DEXA scan.

 Randomization (assignment to a group):

 Because no one knows which of the study options is best, the participant will be "randomized"
 into one of the study groups: Immediate Weight Loss Program Group or Delayed Weight Loss
 Program Group. Randomization means that the participants are put into a group by chance. It
 is like flipping a coin. The central office that is coordinating the study will assign the
 participants to one of the two treatment groups. Neither the participant nor your doctor can
 choose what group the participant will be in. The participant will have an equal chance of
 being placed in either group.

 Immediate Weight Loss Program Group If the participant is placed in the Immediate Weight Loss
 Program group, the participant will participate in the weight loss program soon after signing
 up for the study. The program consists of 15 sessions focused on reducing calories and
 increasing exercise. Sample goals of the program include reducing weight by 1-2 pounds per
 week and increasing exercise to at least 150 minutes of moderate exercise (such as walking)
 per week. Weight loss sessions will take place once per week for 15-weeks at Dana-Farber. The
 participant will meet with a dietician and exercise specialist weekly during the sessions to
 set diet and exercise goals for the week. Each session will consist of discussion of a diet
 and/or exercise topic for 30 minutes and 30 minutes of group exercise, such as moderate-paced
 walking or step aerobics. The participant will also be given the opportunity to be weighed,
 either as part of the group or in private with one of the weight loss study staff members, at
 each session in order to track their progress.

 As part of participating in the weight loss program, the participant will be provided with a
 weight loss workbook with materials to supplement the weekly sessions. The participant will
 also be given a pedometer to help keep track of their exercise and a journal to keep track of
 their exercise and the food eaten each day. The participant will bring the journal to each
 weight loss session to review with study staff.

 Delayed Weight Loss Program Group If the participant is placed in the Delayed Weight Loss
 Program group, he/or she will be offered the opportunity to participate in the weight loss
 program after an initial 15-week waiting period. During this waiting period, the participant
 is welcome to work on weight loss on your own, but the investigators will not provide the
 participant with the weight loss program materials or counseling until after the initial
 15-week waiting period is over.
Inclusion Criteria:

 -  Written informed consent prior to any study-related procedures

 -  History of any malignancy

 -  Completed with all adjuvant surgery, chemotherapy and/or radiation at least one month
 prior to study enrollment (patients receiving ongoing hormonal or biologic therapy are
 eligible to participate)

 -  BMI >25kg/m2

 -  ECOG performance status of 0 or 1

 -  At least 18 years old

 -  Physically able to exercise and physician consent to start a weight loss program

 -  Willingness to be randomized

 -  English speaking and able to read English

 Exclusion Criteria:

 -  Self-reported inability to walk 2 blocks (at any pace)

 -  Serious digestive and/or absorptive problems, including inflammatory bowel disease and
 chronic diarrhea that preclude adherence to the study diet.

 -  Bariatric surgery within the last year

 -  Cardiovascular, respiratory or musculoskeletal disease or joint problems that preclude
 moderate physical activity. Examples would include unstable angina, recent myocardial
 infarction, oxygen-dependent pulmonary disease, and osteoarthritis requiring imminent
 joint replacement. Moderate arthritis that does not preclude physical activity is not
 a reason for ineligibility.

 -  Psychiatric disorders or conditions that would preclude participation in the study
 intervention (e.g. untreated major depression or psychosis, substance abuse, severe
 personality disorder).