{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T15:29:35Z","timestamp":1779895775281,"version":"3.53.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2022,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Overweight and obesity are strongly implicated in breast cancer (BC) development and are also a risk factor for BC-related lymphedema (BCRL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      An online cross-sectional survey was conducted between November 2017 and January 2018. Analyses were restricted to women with localized BC, who provided information about BCRL (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009238). Most women were not experiencing BCRL (55.46%). Mean self-reported weight at diagnosis was 68.55\u2009kg for women without BCRL and 74.43\u2009kg for women with BCRL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0021). In this study, 50.9% with BCRL were overweight\/obese at diagnosis (body mass index [BMI] \u226525) compared with 36.4% of women without BCRL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.003). For women without BCRL, 12.12% were classified as obese (BMI \u226530) versus 20.75% with BCRL. Women with BCRL were more likely to have gained &gt;5% of body weight (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03), be currently overweight or obese (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004), and less active (48.11%) than they were at diagnosis than women without BCRL (33.33%) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.042). Having a structured exercise program, following a prescribed diet, and being accountable to someone else were identified as the main facilitators to successful weight loss and weight maintenance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Clinicians should consider obesity when personalizing axillary treatment and encourage lifestyle interventions and lymphedema screening after BC treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2020.0048","type":"journal-article","created":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T15:23:35Z","timestamp":1636385015000},"page":"409-416","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Weight Gain and Lymphedema After Breast Cancer Treatment: Avoiding the Catch-22?"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3208-3966","authenticated-orcid":false,"given":"John","family":"Boyages","sequence":"first","affiliation":[{"name":"ICON Cancer Centre, Sydney Adventist Hospital, Wahroonga, Australia."},{"name":"Australian Lymphoedema Education Research and Treatment (ALERT), Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele E.","family":"Cave","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University, Penrith, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhevaksha","family":"Naidoo","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University, Penrith, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn C.L.","family":"Ee","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University, Penrith, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,22]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2013.874004"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-016-2300-8"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4239"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2012.11.003"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12609-013-0105-0"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/82.12.1201"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2013.0042"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2009.00855.x"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-020-6566-4"},{"key":"e_1_3_5_11_2","article-title":"Preventing and managing the global epidemic. 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