{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:07:59Z","timestamp":1793502479964,"version":"4.5.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100000096","name":"National Center on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["1P60MD006920-01"],"award-info":[{"award-number":["1P60MD006920-01"]}],"id":[{"id":"10.13039\/100000096","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"national cancer institute","doi-asserted-by":"publisher","award":["P30 CA051008"],"award-info":[{"award-number":["P30 CA051008"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["K07 CA197112-02"],"award-info":[{"award-number":["K07 CA197112-02"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. Racial and Ethnic Health Disparities"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1007\/s40615-021-01145-x","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T18:21:47Z","timestamp":1632766907000},"page":"2063-2069","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The Effect of a 6-Month Exercise Intervention Trial on Allostatic Load in Black Women at Increased Risk for Breast Cancer: the FIERCE Study"],"prefix":"10.1007","volume":"9","author":[{"given":"Lucile L.","family":"Adams-Campbell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teletia","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Hicks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiachen","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiranjeev","family":"Dash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"issue":"18","key":"1145_CR1","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.1001\/archinte.1993.00410180039004","volume":"153","author":"BS McEwen","year":"1993","unstructured":"McEwen BS, Stress Stellar E, and the individual. Mechanisms leading to disease. Arch Intern Med. 1993;153(18):2093\u2013101.","journal-title":"Arch Intern Med."},{"key":"1145_CR2","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780192632890.001.0001","volume-title":"A lifecourse approach to women\u2019s health","author":"D Kuh","year":"2002","unstructured":"Kuh D, Hardy R. A lifecourse approach to women\u2019s health. New York: Oxford University Press; 2002."},{"key":"1145_CR3","volume-title":"Life in the middle: psychological and social development in middle age","author":"S Willis","year":"1999","unstructured":"Willis S, Reid J. Life in the middle: psychological and social development in middle age. San Diego: Academic Press; 1999."},{"issue":"5","key":"1145_CR4","doi-asserted-by":"publisher","first-page":"334","DOI":"10.4082\/kjfm.2013.34.5.334","volume":"34","author":"KH Lee","year":"2013","unstructured":"Lee KH, Park SW, Ye SM, et al. Relationships between dietary habits and allostatic load index in metabolic syndrome patients. Korean J Fam Med. 2013;34(5):334\u201346. https:\/\/doi.org\/10.4082\/kjfm.2013.34.5.334.","journal-title":"Korean J Fam Med"},{"issue":"1","key":"1145_CR5","first-page":"24","volume":"27","author":"HJ Jones","year":"2016","unstructured":"Jones HJ, Sternberg RM, Janson SL, Lee KA. A qualitative understanding of midlife sources of stress and support in African-American women. J Natl Black Nurses Assoc. 2016;27(1):24\u201330.","journal-title":"J Natl Black Nurses Assoc"},{"issue":"3","key":"1145_CR6","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/s40615-016-0246-8","volume":"4","author":"MT Duong","year":"2017","unstructured":"Duong MT, Bingham BA, Aldana PC, Chung ST, Sumner AE. Variation in the calculation of allostatic load score: 21 examples from NHANES. J Racial Ethn Health Disparities. 2017;4(3):455\u201361. https:\/\/doi.org\/10.1007\/s40615-016-0246-8.","journal-title":"J Racial Ethn Health Disparities"},{"key":"1145_CR7","volume-title":"Breast cancer facts & figures 2017\u20132018","author":"American Cancer Society","year":"2017","unstructured":"American Cancer Society. Breast cancer facts & figures 2017\u20132018. Atlanta: GA; American Cancer Society; 2017."},{"issue":"5","key":"1145_CR8","doi-asserted-by":"publisher","first-page":"826","DOI":"10.2105\/AJPH.2004.060749","volume":"96","author":"AT Geronimus","year":"2006","unstructured":"Geronimus AT, Hicken M, Keene D, Bound J. \u201cWeathering\u201d and age patterns of allostatic load scores among blacks and whites in the United States. Am J Public Health. 2006;96(5):826\u201333. https:\/\/doi.org\/10.2105\/AJPH.2004.060749.","journal-title":"Am J Public Health."},{"issue":"3","key":"1145_CR9","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1001\/jama.287.3.356","volume":"287","author":"ES Ford","year":"2002","unstructured":"Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third national health and nutrition examination survey. JAMA. 2002;287(3):356\u20139. https:\/\/doi.org\/10.1001\/jama.287.3.356.","journal-title":"JAMA"},{"issue":"8","key":"1145_CR10","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.jacc.2013.05.064","volume":"62","author":"H Beltran-Sanchez","year":"2013","unstructured":"Beltran-Sanchez H, Harhay MO, Harhay MM, McElligott S. Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. J Am Coll Cardiol. 2013;62(8):697\u2013703. https:\/\/doi.org\/10.1016\/j.jacc.2013.05.064.","journal-title":"J Am Coll Cardiol."},{"key":"1145_CR11","doi-asserted-by":"publisher","first-page":"E24","DOI":"10.5888\/pcd14.160287","volume":"14","author":"JX Moore","year":"2017","unstructured":"Moore JX, Chaudhary N, Akinyemiju T. Metabolic syndrome prevalence by race\/ethnicity and sex in the United States, national health and nutrition examination survey, 1988\u20132012. Prev Chronic Dis. 2017;14:E24. https:\/\/doi.org\/10.5888\/pcd14.160287.","journal-title":"Prev Chronic Dis"},{"key":"1145_CR12","volume-title":"Cancer facts & figures for African-Americans 2016\u20132018","author":"American Cancer Society","year":"2016","unstructured":"American Cancer Society. Cancer facts & figures for African-Americans 2016\u20132018. Atlanta: GA; American Cancer Society; 2016."},{"key":"1145_CR13","unstructured":"National Health Interview Survey, 2000, 2013 and 2014. http:\/\/www.cdc.gov\/nchc\/nhis.htm. Accessed 2014."},{"key":"1145_CR14","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.cct.2015.04.015","volume":"43","author":"C Dash","year":"2015","unstructured":"Dash C, Makambi K, Wallington SF, et al. An exercise trial targeting African-American women with metabolic syndrome and at high risk for breast cancer: rationale, design, and methods. Contemp Clin Trials. 2015;43:33\u20138. https:\/\/doi.org\/10.1016\/j.cct.2015.04.015.","journal-title":"Contemp Clin Trials"},{"issue":"5","key":"1145_CR15","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1002\/smi.1214","volume":"24","author":"A Fernander","year":"2008","unstructured":"Fernander A, Schumacher M. An examination of socio-culturally specific stress and coping factors on smoking status among African American women. Stress and Health: Journal of the International Society for the Investigation of Stress. 2008;24(5):365\u201374.","journal-title":"Stress and Health: Journal of the International Society for the Investigation of Stress"},{"issue":"12","key":"1145_CR16","doi-asserted-by":"publisher","first-page":"1988","DOI":"10.1016\/j.socscimed.2010.02.024","volume":"70","author":"J Mattei","year":"2010","unstructured":"Mattei J, Demissie S, Falcon LM, Ordovas JM, Tucker K. Allostatic load is associated with chronic conditions in the Boston Puerto Rican Health Study. Soc Sci Med. 2010;70(12):1988\u201396. https:\/\/doi.org\/10.1016\/j.socscimed.2010.02.024.","journal-title":"Soc Sci Med"},{"issue":"1","key":"1145_CR17","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/S0018-506X(02)00024-7","volume":"43","author":"BS McEwen","year":"2003","unstructured":"McEwen BS, Wingfield JC. The concept of allostasis in biology and biomedicine. Horm Behav. 2003;43(1):2\u201315. https:\/\/doi.org\/10.1016\/S0018-506X(02)00024-7.","journal-title":"Horm Behav"},{"issue":"1","key":"1145_CR18","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1093\/jnci\/84.1.24","volume":"84","author":"KM Kash","year":"1992","unstructured":"Kash KM, Holland JC, Halper MS, Miller DG. Psychological distress and surveillance behaviors of women with a family history of breast cancer. J Natl Cancer Inst. 1992;84(1):24\u201330.","journal-title":"J Natl Cancer Inst"},{"issue":"6","key":"1145_CR19","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1016\/j.whi.2015.07.002","volume":"25","author":"DM Upchurch","year":"2015","unstructured":"Upchurch DM, Rainisch BW, Chyu L. Greater leisure time physical activity is associated with lower allostatic load in white, black, and Mexican American midlife women: findings from the national health and nutrition examination survey, 1999 through 2004. Womens Health Issues. 2015;25(6):680\u20137. https:\/\/doi.org\/10.1016\/j.whi.2015.07.002.","journal-title":"Womens Health Issues"},{"issue":"5","key":"1145_CR20","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/j.amepre.2007.07.029","volume":"33","author":"WJ Brown","year":"2007","unstructured":"Brown WJ, Burton NW, Rowan PJ. Updating the evidence on physical activity and health in women. Am J Prev Med. 2007;33(5):404\u201311. https:\/\/doi.org\/10.1016\/j.amepre.2007.07.029.","journal-title":"Am J Prev Med"},{"issue":"4","key":"1145_CR21","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1097\/NCC.0b013e31819deab0","volume":"32","author":"D Spector","year":"2009","unstructured":"Spector D, Mishel M, Skinner CS, Deroo LA, Vanriper M, Sandler DP. Breast cancer risk perception and lifestyle behaviors among white and black women with a family history of the disease. Cancer Nurs. 2009;32(4):299\u2013308. https:\/\/doi.org\/10.1097\/NCC.0b013e31819deab0.","journal-title":"Cancer Nurs"}],"container-title":["Journal of Racial and Ethnic Health Disparities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40615-021-01145-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40615-021-01145-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40615-021-01145-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T17:01:34Z","timestamp":1663088494000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40615-021-01145-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,27]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["1145"],"URL":"https:\/\/doi.org\/10.1007\/s40615-021-01145-x","relation":{},"ISSN":["2197-3792","2196-8837"],"issn-type":[{"value":"2197-3792","type":"print"},{"value":"2196-8837","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,27]]},"assertion":[{"value":"28 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The procedures used in this study adhere to the tenets of the Declaration of Helsinki. Approval was obtained from the Georgetown University IRB2012-012: An Exercise RCT Targeting African-American Women with Metabolic Syndrome and High Risk for Breast Cancer. Clinical trial registration number NCT02103140.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}