{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:26:02Z","timestamp":1777915562996,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,4,1]],"date-time":"2012-04-01T00:00:00Z","timestamp":1333238400000},"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":["Nutr Health"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>\n                    Breast cancer survival rates are lower in African Americans (AAs) than in Caucasians, owing in part to a higher prevalence of obesity in the former, which increases the risk of recurrence and mortality. The Women\u2019s Intervention Nutrition Study (WINS) found that Caucasian women who followed a low-fat eating plan experienced a lower rate of cancer recurrence than women who maintained their usual diets. The purpose of this study was to test the feasibility of a WINS plan tailored to the cultural needs of AA breast cancer survivors. This feasibility pilot study was conducted at a university National Cancer Institute-designated comprehensive cancer center outpatient clinic with AA breast cancer survivors. The culturally specific WINS (WINS-c) plan included eight individual counseling sessions, five educational group meetings, and follow-up telephone calls over a 1-year period. Outcome measures included dietary fat, triglyceride, insulin and glucose levels, and fruit and vegetable intake. Participants ( n = 8) had a mean age of 61.1 years (standard error of the mean (SEM) 3.1 years) and a mean BMI of 32 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    (SEM 4.25 kg\/m)\n                    <jats:sup>2<\/jats:sup>\n                    . Baseline daily fat consumption decreased from 64.6\u00a0g (range 36.8\u2013119.6g) to 44.0\u00a0g (21.6\u201373.4g) at 52 weeks ( p = 0.07). Mean daily consumption of fruits and vegetables increased by 36% and 15%, respectively. Mean triglyceride levels decreased at 12 months ( p &lt; 0.05). Sustained hyperinsulinemia was noted in most participants, including those without diabetes. Mean calcium and vitamin D consumption decreased over the 1-year study period. In AA breast cancer survivors, the WINS-c program resulted in a trend toward reduced fat consumption and may represent a sustainable approach in this population for improvement of diet quality after breast cancer.\n                  <\/jats:p>","DOI":"10.1177\/0260106012459938","type":"journal-article","created":{"date-parts":[[2012,11,8]],"date-time":"2012-11-08T20:29:47Z","timestamp":1352406587000},"page":"97-105","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["A culturally specific dietary plan to manage weight gain among African American breast cancer survivors"],"prefix":"10.1177","volume":"21","author":[{"given":"Kathleen A","family":"Griffith","sequence":"first","affiliation":[{"name":"University of Maryland, Baltimore, School of Nursing, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee","family":"Royak-Schaler","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, School of Medicine, Department of Epidemiology and Public Health, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Nesbitt","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, School of Medicine, Department of Epidemiology and Public Health, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Zhan","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, School of Medicine, Department of Epidemiology and Public Health, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriane","family":"Kozlovsky","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, Baltimore Veterans Affairs Medical Center, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Pelser","sequence":"additional","affiliation":[{"name":"University of Maryland, Baltimore, School of Medicine, Department of Epidemiology and Public Health, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine H Rak","family":"Tkaczuk","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Greenebaum Cancer Center, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice S","family":"Ryan","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, Baltimore Veterans Affairs Medical Center, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,11,7]]},"reference":[{"key":"bibr1-0260106012459938","unstructured":"American Cancer Society (2011) Cancer facts & figures for African Americans 2011\u20132012. Available at: http:\/\/www.cancer.org\/Research\/CancerFactsFigures\/CancerFactsFiguresforAfricanAmericans\/index (accessed 4 June 2012)."},{"key":"bibr2-0260106012459938","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-010-1323-z"},{"key":"bibr3-0260106012459938","first-page":"785","volume":"67","author":"Boyd NF","year":"1981","journal-title":"Journal of the National Cancer Institute"},{"key":"bibr4-0260106012459938","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.4.1128"},{"key":"bibr5-0260106012459938","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj494"},{"key":"bibr6-0260106012459938","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.1.42"},{"key":"bibr7-0260106012459938","doi-asserted-by":"publisher","DOI":"10.1159\/000322648"},{"key":"bibr8-0260106012459938","unstructured":"Institute of Medicine (2006) Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. 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