The purpose of this study is to develop a weight loss intervention for obese African American breast cancer survivors.

The impact of obesity on insulin resistance and breast cancer prognosis is a matter of major concern for African American breast cancer survivors, who have higher rates of obesity, insulin-resistance, and diabetes than European Americans. Because weight loss requires a lifestyle change, weight loss counseling that incorporates spirituality may be particularly effective in African American women, who are more likely than European Americans to use spiritual influences in their lives.

Participants in this study will be randomly assigned to receive 18 months of either traditional or spiritualized individual dietary and exercise counseling in combination with the Weight Watchers weight loss program. The spiritual counseling will use an 8-component theoretical framework that will include meditation, readings, and the recording of thoughts. The program will address several areas important for long-term weight management, including coping with stress, setting priorities, dealing with emotional issues that trigger old behavior patterns, and developing accountability for following desired diet and exercise patterns.

Ages Eligible for Study:  18 Years   -   70 Years,  Genders Eligible for Study:  Female

Criteria

Inclusion Criteria:

• Body Mass Index of 30 to 40
• Stable body weight
• Stage I, II, or IIIA breast cancer diagnosis within the past 5 years
• Completed chemotherapy or radiation therapy more than 3 months ago

Exclusion Criteria:

• Recurrence of cancer
• Currently following a special diet
• Uncontrolled congestive heart failure, untreated hypertension, disabling osteoarthritis, drug or alcohol abuse, or psychiatric conditions that may interfere with counseling