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@ARTICLE{Orban:165995,
      author       = {E. Orban and A. Y. Jung$^*$ and A. Möhl and S. Behrens$^*$
                      and H. Becher and N. Obi and J. Chang-Claude$^*$},
      title        = {{C}hanges in alcohol consumption, body weight and physical
                      activity among breast cancer survivors and population-based
                      unaffected women in a prospective study.},
      journal      = {Cancer epidemiology},
      volume       = {70},
      issn         = {1877-7821},
      address      = {Amsterdam [u.a.]},
      publisher    = {Elsevier},
      reportid     = {DKFZ-2020-02534},
      pages        = {101852},
      year         = {2021},
      note         = {#LA:C020#Volume 70, February 2021, 101852},
      abstract     = {It is unclear whether a breast cancer diagnosis affects
                      health behaviour changes that occur with ageing. We aimed to
                      compare long-term changes of alcohol consumption, body
                      weight, and physical activity in women with breast cancer
                      and in age-matched unaffected women.We used data from 1,925
                      women with breast cancer and 3,473 unaffected women aged
                      50-74 years enrolled in the population-based case-control
                      study MARIE (Mamma Carcinoma Risk Factor Investigation) in
                      2002-2005, who also completed the follow-up in 2014-2016.
                      Multinomial logistic regression was applied to estimate odds
                      ratios (ORs) and 95 $\%$ confidence intervals (CIs) for the
                      associations between breast cancer status and categories of
                      change in alcohol consumption, weight and physical
                      activity.After 11.6 years of follow-up, breast cancer
                      survivors had significantly lower odds than unaffected women
                      of increasing alcohol consumption from ≤10 to >10 g/day
                      (adjusted OR 0.48, 95 $\%$ CI 0.35-0.65), but were more
                      likely to experience a major weight change of ≥10 $\%$
                      compared to having stable weight (±<5 $\%)$ (OR for
                      increase and decrease 1.32, 95 $\%$ CI 1.03-1.70 and 1.36,
                      95 $\%$ CI 1.05-1.77, resp.) and to decrease transport
                      physical activity to below 2.5 h/week compared to
                      maintaining the activity level (OR 1.61, 95 $\%$ CI
                      1.26-2.04). No significant group difference was found for
                      changes in recreational physical activity.Our data indicate
                      that some long-term health behaviour changes can be
                      attributed to a breast cancer diagnosis rather than ageing,
                      suggesting that long-term medical care of breast cancer
                      survivors could pay greater attention to weight control and
                      sufficient physical activity.},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:33221667},
      doi          = {10.1016/j.canep.2020.101852},
      url          = {https://inrepo02.dkfz.de/record/165995},
}