{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:16:49Z","timestamp":1777922209697,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"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":[[2023,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breast cancer-related lymphedema (BCRL) is a common complication of breast cancer treatment. Anecdotal and qualitative research suggests that heat and hot weather cause an exacerbation of BCRL; however, there is little quantitative evidence to support this. The aim of this article is to investigate the relationship between seasonal climate variation and limb size, volume, fluid distribution, and diagnosis in women following breast cancer treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>Women older than the age of 35 years who had undergone treatment for breast cancer were invited to participate. Twenty-five women aged between 38 and 82 years were recruited. Seventy-two percent received surgery, radiation therapy, and chemotherapy as part of their breast cancer treatment. Participants completed anthropometric, circumferential, and bioimpedance measures and a survey on three occasions: November (spring), February (summer), and June (winter). Diagnostic criteria of &gt;2\u2009cm and &gt;200\u2009mL difference between the affected and unaffected arm, and a positive bioimpedance ratio of &gt;1.139 for a dominant arm and &gt;1.066 for nondominant arm was applied across the three measurement occasions. No significant correlation between seasonal variation in climate and upper limb size, volume, or fluid distribution were found in women diagnosed with or at risk of developing BCRL. Lymphedema diagnosis depends on the season and diagnostic measurement tool utilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There was no statistically significant variation in limb size, volume, or fluid distribution in this population across spring, summer, and winter, although there were linked trends in these values. The diagnosis of lymphedema, however, varied between individual participants throughout the year. This has important implications for the implementation\/commencement of treatment and management. Further research with a larger population in different climates is required to explore the status of women with respect to BCRL. The use of common clinical diagnostic criteria did not result in consistent diagnostic classification of BCRL for the women involved in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2022.0017","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T16:12:13Z","timestamp":1677082333000},"page":"351-358","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Seasonal Variation in Upper Limb Size, Volume, Fluid Distribution, and Lymphedema Diagnosis, Following Breast Cancer Treatment"],"prefix":"10.1177","volume":"21","author":[{"given":"Jennifer","family":"Phillips","sequence":"first","affiliation":[{"name":"Physiotherapy, Faculty of Health Sciences and Medicine, Bond University, Robina, Queensland, Australia."},{"name":"Allied Health Department, The Wesley Hospital, Uniting Care Health, Auchenflower, Queensland, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5524-7786","authenticated-orcid":false,"given":"Susan","family":"Witt","sequence":"additional","affiliation":[{"name":"Lymphoedema Clinical Research Unit, Flinders University, Adelaide, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Piller","sequence":"additional","affiliation":[{"name":"Lymphoedema Clinical Research Unit, Flinders University, Adelaide, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Gordon","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, Flinders University, Adelaide, Australia."},{"name":"James Cook University, Townsville, Queensland, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.07.041"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12609-017-0237-8"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.4065\/80.11.1480"},{"key":"e_1_3_5_5_2","unstructured":"National Lymphoedema Partnership Commissioning Guidance for Lymphoedema Services for Adults in the United Kingdom\u2014Key Points. 2019. Available from: https:\/\/www.thebls.com\/documents-library\/commissioning-guidance-for-lymphoedema-services-for-adults-in-the-united-kingdom-key-points [Last accessed: January19 2021]."},{"key":"e_1_3_5_6_2","unstructured":"Breastcancer.org. The Impact of Surgery and Radiation Therapy on Lymphedema Risk. 2013. Available from: https:\/\/www.breastcancer.org\/treatment\/lymphedema\/how\/treat_impact [Last accessed: February22 2021]."},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_280471"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2019.28.4.219"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2013.11.232"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2018.10.006"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.16.3766"},{"issue":"3","key":"e_1_3_5_12_2","first-page":"118","article-title":"Post-breast cancer lymphedema: Incidence increases from 12 to 30 to 60 months","volume":"43","author":"Armer JM","year":"2010","unstructured":"Armer JM, , Stewart BR. Post-breast cancer lymphedema: Incidence increases from 12 to 30 to 60 months. Lymphology, 2010; 43(3):118\u2013127.","journal-title":"Lymphology"},{"issue":"1","key":"e_1_3_5_13_2","first-page":"24","article-title":"Climate change and climatic variation impact on chronic oedemas: A systematic review","volume":"16","author":"Witt S","year":"2021","unstructured":"Witt S, , Watt B, , Gordon S, et al. Climate change and climatic variation impact on chronic oedemas: A systematic review. J Lymphoedema, 2021; 16(1):24\u201332.","journal-title":"J Lymphoedema"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.50.5.292"},{"issue":"1","key":"e_1_3_5_15_2","first-page":"49","article-title":"Awareness and attitudes of lymphoedema patients toward compression stockings in the summer: A cross-sectional questionnaire survey","volume":"15","author":"Dai M","year":"2020","unstructured":"Dai M, , Minematsu T, , Nakagami G, et al. Awareness and attitudes of lymphoedema patients toward compression stockings in the summer: A cross-sectional questionnaire survey. J Lymphoedema, 2020; 15(1):49\u201353.","journal-title":"J Lymphoedema"},{"issue":"23","key":"e_1_3_5_16_2","first-page":"1","article-title":"Exploring adherence to daytime compression in women with breast cancer related lymphedema: A multi-methods study","volume":"7","author":"Al Onazi M","year":"2020","unstructured":"Al Onazi M, , Dolgoy N, , Parkinson J, et al. Exploring adherence to daytime compression in women with breast cancer related lymphedema: A multi-methods study. Plast Aesthet Res, 2020; 7(23):1\u201314.","journal-title":"Plast Aesthet Res"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/cpf.12605"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1113\/EP085915"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2007.11.002"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2015.0030"},{"issue":"2","key":"e_1_3_5_21_2","first-page":"246","article-title":"Breast cancer-related lymphedema: Women's experiences with an underestimated condition","volume":"51","author":"Thomas-MacLean R","year":"2005","unstructured":"Thomas-MacLean R, , Miedema B, , Tatemichi SR. Breast cancer-related lymphedema: Women's experiences with an underestimated condition. Can Fam Physician, 2005; 51(2):246\u2013247.","journal-title":"Can Fam Physician"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4741.2000.99072.x"},{"issue":"2","key":"e_1_3_5_23_2","first-page":"28","article-title":"Understanding normal seasonal variations in upper-limb size, volume and fluid distribution in a healthy female population: A North Queensland study","volume":"12","author":"Matthews M","year":"2021","unstructured":"Matthews M, , Gordon S, , Witt S, et al. Understanding normal seasonal variations in upper-limb size, volume and fluid distribution in a healthy female population: A North Queensland study. Wounds Int, 2021; 12(2):28\u201333.","journal-title":"Wounds Int"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.37358\/RC.20.2.7910"},{"key":"e_1_3_5_25_2","unstructured":"euroWEATHER. Heat and Discomfort Index. 2011; Available from: www.eurometeo.com\/english\/read\/doc_heat [Last accessed: March 15 2022]."},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02250574"},{"key":"e_1_3_5_27_2","article-title":"Daily weather observations","author":"Bureau of Meteorology","year":"2021","unstructured":"Bureau of Meteorology. Daily weather observations. Climate Data Online, 2021; Available from: www.bom.gov.au\/climate\/data\/index.shtml?bookmark=136&zoom=3&lat=-32.5355&lon=147.74&layers=B00000TFFFFFFFTFFFFFFFFFFFFFFFFFFFFTTT&dp=IDC10002-d [Last accessed: May 20, 2021].","journal-title":"Climate Data Online"},{"key":"e_1_3_5_28_2","unstructured":"Browning C. Lymphoedema: Prevalence risk factors and management: A review of research. In: (Redman S Pillar C Turner J Boyle F eds.) NHMRC National Breast Cancer Centre: Kings Cross N.S.W; 1998."},{"key":"e_1_3_5_29_2","volume-title":"StatPearls","author":"Casadei K","year":"2021","unstructured":"Casadei K, , Kiel J. Anthropometric Measurement. In: StatPearls. Stat Pearls Publishing Copyright \u00a9 2021. Stat Pearls Publishing LLC.: Treasure Island (FL); 2021."},{"issue":"3","key":"e_1_3_5_30_2","first-page":"675","article-title":"Reliability, technical error of measurement and validity of height measurement using portable Stadio","volume":"25","author":"Baharudin A","year":"2017","unstructured":"Baharudin A, , Ahmad MH, , Naidu BM, et al. Reliability, technical error of measurement and validity of height measurement using portable Stadio. Pertanika J Sci Technol, 2017; 25(3):675\u2013686.","journal-title":"Pertanika J Sci Technol"},{"key":"e_1_3_5_31_2","unstructured":"Better Health Channel. Body mass index calculator for adults. 2021 [cited 2011]. Available from: https:\/\/www.betterhealth.vic.gov.au\/tools\/body-mass-index-calculator-for-adult [Last accessed: October25 2021]."},{"key":"e_1_3_5_32_2","unstructured":"Australasian Lymphology Association. (2004). Guideline for a National Standard Technique of Measurement of Lymphoedematous Limbs. In: ALA's Measuring Standard & Forms. Available from: https:\/\/www.lymphoedema.org.au\/education-&-resources\/measurement-forms\/about-ala-measuring-forms-standards\/ [Last accessed: February12 2023]."},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-004-2045-x"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.3109\/07357900902918494"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/82.12.1201"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-012-2111-8"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-017-4451-x"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2017.0057"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.12647"},{"key":"e_1_3_5_40_2","unstructured":"ImpediMed IMP SFB7 Instructions for Use. ImpediMed Limited Carlsbad CA; 2007."},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2010.0014"},{"issue":"2","key":"e_1_3_5_42_2","first-page":"52","article-title":"Is BIS ready for prime time as the gold standard measure?","volume":"4","author":"Ward L.","year":"2009","unstructured":"Ward L. Is BIS ready for prime time as the gold standard measure?. J Lymphoedema, 2009; 4(2):52\u201356.","journal-title":"J Lymphoedema"},{"issue":"3","key":"e_1_3_5_43_2","first-page":"122","article-title":"Non-invasive assessment of the lymphedematous limb","volume":"33","author":"Stanton AWB","year":"2000","unstructured":"Stanton AWB, , Badger C, , Sitzla J. Non-invasive assessment of the lymphedematous limb. Lymphology, 2000; 33(3):122\u2013135.","journal-title":"Lymphology"},{"key":"e_1_3_5_44_2","unstructured":"National Heart Lung and Blood Institute. Assessing Your Weight and Health Risk. Aim for a Healthy Weight n.d. Available from: https:\/\/www.nhlbi.nih.gov\/health\/educational\/lose_wt\/risk.htm [Last accessed October25 2021]."},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc1521"},{"key":"e_1_3_5_46_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/86.2.205"},{"key":"e_1_3_5_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2504-9"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.4081\/vl.2018.7992"},{"key":"e_1_3_5_49_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12694"},{"key":"e_1_3_5_50_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2018.0087"},{"key":"e_1_3_5_51_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27467"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2022.0017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2022.0017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2022.0017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:14:36Z","timestamp":1777666476000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2022.0017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,1]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8,1]]}},"alternative-id":["10.1089\/lrb.2022.0017"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2022.0017","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,1]]}}}