AbstractWe tested the feasibility and preliminary efficacy of an online diet and physical activity program for women with early-stage breast cancer who had completed surgery, chemotherapy, and radiation therapy (ongoing endocrine therapy allowed). Participants with low fruit and vegetable (F/V) consumption and/or low moderate-to-vigorous physical activity (MVPA) levels were randomized to one of two doses - low (one Zoom group session) or high (12 Zoom group sessions) - of an online lifestyle program with the goal of improving F/V intake and MVPA.

。水果和蔬菜（F/V）消耗量低和/或中度至剧烈体力活动（MVPA）水平低的参与者被随机分为两种剂量之一-低剂量（一次缩放组会议）或高剂量（12次缩放组会议）-在线生活方式计划，目标是改善F/V摄入量和MVPA。

All participants received eHealth communications (text messages, study website access), a Fitbit, and a WiFi-enabled scale. Primary objectives evaluated feasibility. Secondary objectives compared the 6-month change in F/V intake and MVPA between the two dose groups. Seventy-four women (mean age = 58.4 years; 87% non-Hispanic White; mean time since diagnosis = 4.6 years) were accrued.

所有参与者都接受了电子健康通信（短信，研究网站访问），Fitbit和WiFi功能量表。主要目标评估可行性。次要目标比较了两个剂量组之间F/V摄入量和MVPA的6个月变化。74名女性（平均年龄58.4岁；87%的非西班牙裔白人；自诊断以来的平均时间（4.6年）。

Among women in the low dose group, 94% attended the single session; among women in the high dose group, 84% attended at least 8 of the 12 sessions. Retention at 6 months was 93%. High relative to low dose participants consumed 1.5 more servings/day of F/V at 6 months (P = 0.007) but MVPA levels did not differ between groups.

在低剂量组的女性中，94%参加了一次会议；在高剂量组的女性中，84%参加了12次会议中的至少8次。6个月时的保留率为93%。与低剂量参与者相比，高剂量参与者在6个月时每天多消耗1.5份F/V（P=0.007），但MVPA水平在各组之间没有差异。

We successfully implemented an online lifestyle program for early-stage breast cancer survivors. The high dose intervention demonstrated preliminary efficacy in improving F/V consumption in early-stage breast cancer survivors. Future trials can test the intervention in a larger and more diverse population of breast cancer survivors..

我们成功地为早期乳腺癌幸存者实施了在线生活方式计划。高剂量干预显示出改善早期乳腺癌幸存者F/V消耗的初步疗效。未来的试验可以在更大，更多样化的乳腺癌幸存者群体中测试干预措施。。

IntroductionNutrition and physical activity guidelines proposed by the American Cancer Society recommend breast cancer survivors consume five or more servings of fruits and vegetables per day and spend at least 150 min per week in moderate-to-vigorous physical activity (MVPA)1,2,3. Breast cancer recurrence and survival are associated with higher levels of systemic inflammation, greater abdominal adiposity, and reduced physical function, which are all affected by nutrition and physical activity4,5.

简介美国癌症协会提出的营养和体育锻炼指南建议乳腺癌幸存者每天食用五份或更多的水果和蔬菜，每周至少花费150分钟进行中度至剧烈的体育锻炼（MVPA）1,2,3。乳腺癌的复发和生存与全身炎症程度较高，腹部肥胖程度较高以及身体机能下降有关，这些都受到营养和身体活动的影响4,5。

Despite the evidence demonstrating the benefits of these lifestyle behaviors on improving cancer outcomes, most breast cancer survivors do not meet the nutrition and physical activity recommendations6,7. Reasons for not meeting these guidelines include a lack of knowledge and/or social support, low self-efficacy, poor self-regulation, and structural barriers for sustainable change8,9,10,11.Behavioral health interventions for cancer survivors with high frequency in-person contact are associated with large changes in behaviors, but this mode of delivery is costly and burdensome12.

尽管有证据表明这些生活方式行为对改善癌症预后有益，但大多数乳腺癌幸存者不符合营养和体力活动建议6,7。不符合这些指南的原因包括缺乏知识和/或社会支持，自我效能低，自我调节能力差，以及可持续变化的结构性障碍8,9,10,11。对癌症幸存者进行高频率的行为健康干预面对面接触与行为的巨大变化有关，但这种分娩方式既昂贵又繁重12。

Interventions that do not involve face-to-face contact, such as those that are telephone-based or web-based, cost less and can reach more people12. Furthermore, evidence indicates technology-based interventions can be a useful and effective strategy for improving health behaviors13,14 and are acceptable to cancer survivors15.

不涉及面对面的接触的干预措施，例如基于电话或网络的干预措施，成本较低，可以覆盖更多人12。此外，有证据表明，基于技术的干预措施可能是改善健康行为的有用且有效的策略13,14，并且是癌症幸存者可以接受的15。

Technologies include eHealth (defined as electronic delivery of health care information) and mHealth, a subcomponent of eHealth involving mobile technologies, such as smartphones and wearable devices. Trials of technology-based health interventions for cancer survivors have not only shown improvements in behavior, but that these interventions are safe and feasible to implement13,1.

技术包括电子健康（定义为医疗保健信息的电子传递）和mHealth，mHealth是电子健康的一个子组件，涉及智能手机和可穿戴设备等移动技术。针对癌症幸存者的基于技术的健康干预措施的试验不仅显示出行为的改善，而且这些干预措施是安全可行的13,1。

Data availability

数据可用性

The datasets used and analyzed for this trial are available from the corresponding author upon reasonable request.

本试验使用和分析的数据集可根据合理要求从通讯作者处获得。

Code availability

代码可用性

All data were analyzed using SAS v9.4 (SAS Institute, Cary, NC). The SAS programming code used for this trial is available from the corresponding author upon reasonable request.

所有数据均使用SAS v9.4（SAS Institute，Cary，NC）进行分析。。

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Download referencesAcknowledgementsWe wish to thank the Breast Cancer Research Foundation (BCRF 20-035) for financial support of this trial. Cook and Move for Your Life study activities were also financially supported by NIH P30CA015704 and the Washington State CARE Fund - Cancer Research Endowment Distinguished Research Grant.

下载参考文献致谢我们要感谢乳腺癌研究基金会（BCRF 20-035）对这项试验的财政支持。美国国立卫生研究院P30CA015704和华盛顿州护理基金-癌症研究基金会杰出研究基金也为库克和Move for Your Life研究活动提供了财政支持。

The above funders were not involved in the study design, collection, analysis, or interpretation of the data, or the development of the manuscript. We also thank the Cook and Move for Your Life participants for their contributions to science.Author informationAuthors and AffiliationsFred Hutchinson Cancer Center, Seattle, WA, USAHeather Greenlee, Eileen Rillamas-Sun, Rachel L.

上述资助者不参与研究设计，收集，分析或解释数据或手稿的开发。我们还要感谢厨师和搬家为您的生活参与者为科学做出的贡献。作者信息作者和附属机构弗雷德·哈钦森癌症中心，华盛顿州西雅图，美国希瑟·格林利，艾琳·里拉马斯·孙，雷切尔·L。

Yung, Sofia Cobos, Sidney M. Donzella, Yuhan Huang, Liza Schattenkerk, Katherine Ueland, Matthew VanDoren, Samantha A. Myers, Gino Garcia, Margarita Santiago-Torres, Chongzhi Di, Neelendu Dey, Katherine A. Guthrie & Nancy E. DavidsonUniversity of Washington, Seattle, WA, USAHeather Greenlee, Rachel L.

杨，索菲亚·科布斯，西德尼·M·唐泽拉，黄玉涵，丽莎·沙坦克，凯瑟琳·尤兰，马修·范多伦，萨曼莎·A·迈尔斯，吉诺·加西亚，玛格丽塔·圣地亚哥·托雷斯，崇智迪，尼伦杜·戴，凯瑟琳·A·古思里和南希·E·戴维森华盛顿大学，华盛顿州西雅图，美国希瑟·格林利，雷切尔·L。

Yung, Sidney M. Donzella, Yuhan Huang, Theresa King & Nancy E. DavidsonAuthorsHeather GreenleeView author publicationsYou can also search for this author in.

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PubMed Google ScholarContributionsH.G., R.L.Y., N.D., K.A.G., N.E.D. conceived of the project and obtained funding. H.G., R.L.Y., L.S., K.U., M.V.D., S.M., G.G., T.K., M.S.T. developed and implemented the intervention. E.R.S., S.C., S.M.D., Y.H., C.D. collected and cleaned the data.

PubMed谷歌学术贡献。G、 ，R.L.Y.，N.D.，K.A.G.，N.E.D.构思了该项目并获得了资金。H、 G.，R.L.Y.，L.S.，K.U.，M.V.D.，S.M.，G.G.，T.K.，M.S.T.制定并实施了干预措施。E、 。

E.R.S., S.M.D., Y.H., C.D., K.A.G. analyzed the data and provided statistical expertise. H.G., E.R.S. drafted the manuscript and interpreted the findings. All authors provided feedback and edits to the manuscript and approved this submitted version.Corresponding authorCorrespondence to.

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Heather Greenlee.Ethics declarations

希瑟·格林利。道德宣言

Competing interests

相互竞争的利益

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Reprints and permissionsAbout this articleCite this articleGreenlee, H., Rillamas-Sun, E., Yung, R.L. et al. Cook and Move for Your Life, an eHealth intervention for women with breast cancer.

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npj Breast Cancer 10, 62 (2024). https://doi.org/10.1038/s41523-024-00662-2Download citationReceived: 29 January 2024Accepted: 14 June 2024Published: 25 July 2024DOI: https://doi.org/10.1038/s41523-024-00662-2Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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