Abstract
We examined the effect of waist-to-hip ratio, body mass index (BMI), diet, and physical activity on cognitive functioning among Hispanic/Latina breast cancer survivors in a cross-sectional design study. Participants were 54 Hispanic/Latina breast cancer survivors and completed the NIH Toolbox Cognition Battery. Linear Regression Models tested if statistically significant correlations held with covariates. After controlling for covariates, moderate and hard physical activity were not associated with cognition. However, very hard physical activity was positively associated with faster processing speed (β = 0.56, p < 0.001) and composite cognition score (β = 0.36, p < 0.05). Total time (minutes) of moderate to very hard physical activity was positively associated with cognitive flexibility (β = 0.52, p < 0.001). Total caloric intake was positively associated with episodic memory (β = 0.35 p < 0.05). BMI and WHR were not associated with cognition. These findings showed positive association with engagement in more MVPA and harder intensity physical activity to better cognitive functioning among Hispanic/Latina breast cancer survivors.
ClinicalTrials.gov NCT02780271
Similar content being viewed by others
Data Availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Code Availability
Not applicable.
References
How Common Is Breast Cancer? Breast Cancer Statistics. Cancer.org. https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html. Published 2021. Accessed February 5, 2021
Janelsins MC, Kesler SR, Ahles TA, Morrow GR. Prevalence, mechanisms, and management of cancer-related cognitive impairment. Int review of psychiatry. 2012;26(1):02–113.
Ahles TA, Root JC. Cognitive effects of cancer and cancer treatments. Annu Rev Clin Psychol. 2018;14:425–51. https://doi.org/10.1146/annurev-clinpsy-050817-084903.
Wefel JS, Kesler SR, Noll KR, Schagen SB. Clinical characteristics, pathophysiology, and management of noncentral nervous system cancer-related cognitive impairment in adults. CA Cancer J Clin. 2015;65(2):123–38.
Klemp JR, Myers JS, Fabian CJ, Kimler BF, Khan QJ, Sereika SM, Stanton AL. Cognitive functioning and quality of life following chemotherapy in pre- and peri-menopausal women with breast cancer. Support Care Cancer. 2018;26(2):75–583. https://doi.org/10.1007/s00520-017-3869-3.
Norman JE, Rutkowsky J, Bodine S, Rutledge JC. The potential mechanisms of exercise-induced cognitive protection: a literature review. Curr Pharm Des. 2018;24(17):827–1831. https://doi.org/10.2174/13816128246661804061051492.
Beilharz JE, Maniam J, Morris MJ. Diet-induced cognitive deficits: the role of fat and sugar, potential mechanisms and nutritional interventions. Nutrients. 2015;7(8):6719–38. https://doi.org/10.3390/nu70853074555146.
Ntlholang O, McCarroll K, Laird E, Molloy AM, Ward M, McNulty H, Hoey L, Hughes CF, Strain JJ, Casey M, Cunningham C. The relationship between adiposity and cognitive function in a large community-dwelling population: data from the trinity ulster department of agriculture (TUDA) ageing cohort study. Br J Nutr. 2018;120(5):517–27. https://doi.org/10.1017/S00071145180018483.
Hartman SJ, Marinac CR, Natarajan L, Patterson RE. Lifestyle factors associated with cognitive functioning in breast cancer survivors. Psychooncology. 2015;24(6):669–75. https://doi.org/10.1002/pon.3626.
American Cancer Society. Cancer Facts for Hispanics/Latinos 2018–2020. Atlanta American Cancer Society 2018
Kelly ME, Loughrey D, Lawlor BA, Robertson IH, Walsh C, Brennan S. The impact of exercise on the cognitive functioning of healthy older adults: A systematic review and meta-analysis. Ageing Res Rev. 2014;6:12–31.
Zimmer P, Baumann FT, Oberste M, Wright P, Garthe A, Schenk A, et al. Effects of exercise interventions and physical activity behavior on cancer related cognitive impairments: a systematic review. BioMed Res Int. 2016;2016:1–13. https://doi.org/10.1155/2016/1820954.
Marinac CR, Godbole S, Kerr J, Natarajan L, Patterson RE, Hartman SJ. Objectively measured physical activity and cognitive functioning in breast cancer survivors. J Cancer Surviv. 2015;9(2):230–8.
Coro D, Hutchinson A, Dahlenburg S, Banks S, Coates A. The relationship between diet and cognitive function in adult cancer survivors: a systematic review. J Cancer Surviv. 2019;13(5):773–91. https://doi.org/10.1007/s11764-019-00796-4.
American Psychological Association, APA Working Group on Stress and Health Disparities. (2017). Stress and health disparities: Contexts, mechanisms, and interventions among racial/ethnic minority and low-socioeconomic status populations. Retrieved from http://www.apa.org/pi/health-disparities/resources/stress-report.aspx
Marin M, Lord C, Andrews J, et al. Chronic stress, cognitive functioning and mental health. Neurobiol Learn Mem. 2011;96(4):583–95. https://doi.org/10.1016/j.nlm.2011.02.016.
Santiago-Torres M, Contento I, Koch P, Tsai WY, Brickman AM, Gaffney AO, Thomson CA, Crane TE, Dominguez N, Sepulveda J, Marín-Chollom AM, Paul R, Shi Z, Ulanday KT, Hale C, Hershman D, Greenlee H. ¡Mi Vida Saludable! A randomized, controlled, 2 × 2 factorial trial of a diet and physical activity intervention among Latina breast cancer survivors: study design and methods. Contemp Clin Trials. 2021;5:106524. https://doi.org/10.1016/j.cct.2021.106524.
Weintraub S, Dikmen SS, Heaton RK, Tulsky DS, Zelazo PD, Bauer PJ, Carlozzi NE, Slotkin J, Blitz D, Wallner-Allen K, Fox NA, Beaumont JL, Mungas D, Nowinski CJ, Richler J, Deocampo JA, Anderson JE, Manly JJ, Borosh B, Havlik R, Conway K, Edwards E, Freund L, King JW, Moy C, Witt E, Gershon RC. Cognition assessment using the NIH toolbox. Neurology. 2013;80(11 Suppl 3):S54–64.
Heaton RK, Akshoomoff N, Tulsky D, Mungas D, Weintraub S, Dikmen S, Beaumont J, Casaletto KB, Conway K, Slotkin J, Gershon R. Reliability and validity of composite scores from the NIH toolbox cognition battery in adults. J Int Neuropsychol Soc. 2014;20(6):588–98. https://doi.org/10.1017/S1355617714000241.
Sallis JF, Haskell WL, Wood PD, et al. Physical activity assessment methodology in the five-city project. Am J Epidemiol. 1985;121(1):91–106.
Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;6(5):56. https://doi.org/10.1186/1479-5868-5-56.
Johnson-Kozlow M, Sallis JF, Gilpin EA, et al. Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006;3:7. https://doi.org/10.1186/1479-5868-3-7.
Dwyer J, Picciano MF, Raiten DJ, Comm S. Collection of food and dietary supplement intake data: what we eat in America-NHANES. J Nutr. 2003;133(2):590s–600s.
McCullough ML, Wang Y, Hartman TJ, Hodge RA, Flanders WD, Stevens VL, Sampson L, Mitchell DC, Patel AV. The cancer prevention study-3 FFQ is a reliable and valid measure of nutrient intakes among racial/ethnic subgroups, compared with 24-hour recalls and biomarkers. J Nutr. 2021;151(3):636–48. https://doi.org/10.1093/jn/nxaa358.
Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hips J Behav Sci. 1987;9(2):183–205.
Ayala GX, Baquero B, Klinger S. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108(8):1330–44. https://doi.org/10.1016/j.jada.2008.05.009.
Benitez TJ, Dodgson JE, Coe K, Keller C. Utility of acculturation in physical activity research in Latina adults: an integrative review of literature. Health Educ Behav. 2016;43(3):256–70. https://doi.org/10.1177/1090198115601042.
Hamilton AS, Hofer TP, Hawley ST, Morrell D, Leventhal M, Deapen D, Salem B, Katz SJ. Latinas and breast cancer outcomes: population-based sampling, ethnic identity, and acculturation assessment. Cancer Epidemiol Biomarkers Prev. 2009;18(7):2022–9. https://doi.org/10.1158/1055-9965.EPI-09-0238.
IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp.Ndsr
Burzynska AZ, Wong CN, Voss MW, Cooke GE, Gothe NP, Fanning J, McAuley E, Kramer AF. Physical activity is linked to greater moment-to-moment variability in spontaneous brain activity in older adults. PLoS ONE. 2015;10(8):e0134819. https://doi.org/10.1371/journal.pone.0134819.
Erickson KI, Hillman C, Stillman CM, Ballard RM, Bloodgood B, Conroy DE, Macko R, Marquez DX, Petruzzello SJ, Powell KE. Physical activity, cognition, and brain outcomes: a review of the 2018 physical activity guidelines. Med Sci Sports Exerc. 2019;51(6):1242–51. https://doi.org/10.1249/MSS.0000000000001936.
Garden L, Clark H, Whybrow S, Stubbs RJ. Is misreporting of dietary intake by weighed food records or 24-hour recalls food specific? Eur J Clin Nutr. 2018;72(7):1026–34. https://doi.org/10.1038/s41430-018-0199-6.
Funding
National Institute of Health National Cancer Institute grant R01 CA186080-01A1; National Center Advancing Translational Sciences Awards grant UL1TR00040; Herbert Irving Comprehensive Cancer Center Avon Pilot Study grant.
Author information
Authors and Affiliations
Contributions
Conceptualization: AMM-C, CH, HG, AMB; Methodology: DLH, AMB, and HG; Formal analysis and investigation: AMM-C, HS; Writing—original draft preparation: AMM-C, CH; Writing—review and editing: All authors; Funding acquisition: HG, DLH. All authors were involved in the revision process and read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
Authors declare that they have no conflict of interest to disclose.
Ethical Approval
This study was approved by the Columbia University Irving Medical Center (CUIMC), Teachers College at Columbia University, and Fred Hutchinson Cancer Research Center Institutional Review Boards (IRB). Reference numbers for IRB: Columbia University #P0461 and Fred Hutchinson Cancer Research Center #578.
Consent to Participate
All participants in this study provided written informed consent.
Consent for Publication
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Marín-Chollom, A.M., Hale, C., Koch, P. et al. Cognitive Functioning and Health in Hispanic/Latina Breast Cancer Survivors. J Immigrant Minority Health 24, 597–604 (2022). https://doi.org/10.1007/s10903-021-01300-w
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-021-01300-w