Clinical Study

Effectiveness of a Global Multidisciplinary Supportive and Educational Intervention in Thermal Resort on Anthropometric and Biological Parameters, and the Disease-Free Survival after Breast Cancer Treatment Completion (PACThe)

Table 4

Variation in diet and body parameters between one-year follow-up and allocation.

SPA arm (n = 55)CTR arm (n = 49) value effect of
≤25 (n = 29)]25–30] (n = 15)>30 (n = 11)≤25 (n = 23)25–30 (n = 19)>30 (n = 7)SPATimeBMI

Diet parameters
Total energy intakekcal/d−41.7 ± 400.5+25.5 ± 556.4−400.1 ± 527.6−227.9 ± 362.6+165.6 ± 410.4−437.6 ± 955.10.910.0390.15
(-0.02%)(+10.8%)(−18.7%)(-12.3%)(+20.1%)(−10.3%)
Protein intakeg/d−4.6 ± 17.9+3.2 ± 25.5−5.8 ± 19.0−1.78 ± 27.1+5.1 ± 21.4−15.4 ± 45.40.710.240.35
(-3.9%)(+17.5%)(-3.1%)(+6.0%)(+26.1%)(−1.4%)
Carbohydrate intakeg/d+8.4 ± 52.2+6.1 ± 63.7−57.9 ± 78.3−28.4 ± 54.8+6.7 ± 51.2−46.7 ± 121.10.840.100.38
(+10.1%)(+16.7%)(−21.5%)(−9.8%)(+7.5%)(−1.5%)
Lipid intakeg/d−5.5 ± 26.4−1.3 ± 36.4−12.7 ± 25.2−9.4 ± 19.8+13.0 ± 13.0−24.6 ± 45.40.890.0990.15
(+0.2%)(+24.0%)(−13.8%)(−7.9%)(+67.3%)(−21.1%)

Body parameters
Body weightkg−0.10 ± 2.16+1.47 ± 4.00−0.73 ± 5.76−0.24 ± 2.67+0.26 ± 3.86+0.93 ± 2.410.560.45<10–7
(−0.2%)(+2.2%)(−0.3%)(−0.5%)(+0.4%)(+1.1%)
Lean mass (LM)%+1.03 ± 3.63−0.25 ± 1.66−0.34 ± 5.850.00 ± 3.20−0.02 ± 3.14+3.09 ± 7.070.180.85<10–7
(+1.7%)(−0.4%)(−0.0%)(−0.0%)(+0.1%)(+6.0%)
Fat mass (FM)%−0.85 ± 3.50+0.25 ± 1.66+0.31 ± 5.90−0.00 ± 3.20+0.02 ± 3.14−1.64 ± 6.050.110.86<10–7
(−2.7%)(+0.6%)(+2.0%)(0.0%)(+0.6%)(-3.6%)
LM/FM ratio+0.10 ± 0.39−0.01 ± 0.14−0.03 ± 0.37+0.04 ± 0.40−0.01 ± 0.29+0.17 ± 0.390.200.77<10–7
(+5.0%)(−0.6%)(+1.6%)(+1.7%)(+0.9%)(+14.4%)
Cell masskg+1.34 ± 6.57+0.95 2.21+0.54 ± 3.02−0.83 ± 4.52−0.66 ± 4.74+2.15 ± 5.820.190.34<10–7
(+6.8%)(+5.2%)(+2.0%)(−2.8%)(−1.7%)(+7.3%)
Total waterl+0.25 ± 1.62+0.51 ± 1.45+0.13 ± 2.53−0.06 ± 1.02+0.11 ± 1.86+1.07 ± 5.150.220.40<10–7
(+0.9%)(+1.7%)(+0.8%)(−0.1%)(+0.5%)(+3.2%)
Extracellular water%+0.51 ± 1.72−0.67 ± 1.67+0.02 ± 2.33+1.14 ± 4.10.98 ± 3.72−3.97 ± 10.720.800.86<10–7
(+2.0%)(−2.3%)(+0.6%)(+4.9%)(+4.3%)(−7.2%)
Intracellular water%+2.21 ± 9.32+0.61 ± 1.32−0.08 ± 1.99−0.35 ± 4.76−0.59 ± 4.68+1.65 ± 4.550.280.530.00012
(+7.7%)(+3.2%)(−0.2%)(−1.3%)(−1.9%)(+7.0%)
Tricipital fold thicknesscm+0.46 ± 3.74−0.57 ± 7.78−3.25 ± 5.41+0.23 ± 5.05+2.98 ± 5.60−2.51 ± 4.950.360.69<10–7
(+10.7%)(+1.5%)(−7.5%)(+14.1%)(+25.3%)(−6.3%)
Arm circumferencecm−0.10 ± 1.77−1.00 ± 1.49−1.46 ± 1.94−0.46 ± 1.71−0.32 ± 2.16−0.93 ± 2.010.580.32<10–7
(−0.3%)(−3.1%)(−3.6%)(−1.7%)(−1.1%)(−2.4%)
Waist circumference (WC)cm−2.93 ± 4.41+0.43 ± 3.68−1.09 ± 5.00−0.46 ± 5.65+1.45 ± 8.51−3.36 ± 6.240.730.81<10–7
(−3.7%)(−0.4%)(−1.0%)(−0.4%)(+2.7%)(−3.0%)
Hip circumference (HC)cm−0.59 ± 2.801.77 ± 2.830.23 ± 5.85−1.30 ± 3.56−0.13 ± 3.712.79 ± 5.530.800.66<10–7
(−0.6%)(+1.7%)(+0.4%)(−1.1%)(−0.1%)(2.5%)
WC/HC ratio−0.03 ± 00.05−0.01 ± 0.02−0.01 ± 0.07+0.01 ± 0.05+0.2 ± 0.08−0.05 ± 0.060.660.61<10–7
(−2.9%)(−1.5%)(−1.1%)(+0.9%)(+3.1%)(−4.9%)

Variation for each parameter is expressed in raw value (one-year follow-up value minus allocation value) and in percentage of the allocation value: + sign indicates an increase and –sign indicates a decrease. Two-way ANOVA was used to compare longitudinal variations between allocation arms (SPA effect), or one-year follow-up (time effect), or BMI groups (BMI effect), but without interaction test because of unequal class sizes. All tests were two-sided, and the nominal level of significance was 5%. Significant p values are indicated in bold.