title: Association between Body Mass Index and Physical Function among Endometrial Cancer Survivors.
abstract: OBJECTIVE
  We sought to quantify the relationship between body mass index (BMI) and physical function among endometrial cancer survivors. Understanding this relationship would help healthcare providers target efforts to refer obese endometrial cancer survivors to weight loss and exercise interventions.
  
  
  METHODS
  We conducted a survey of 213 endometrial cancer survivors who received cancer care at an academic l health system between 2006 and 2010. Physical function subscale was quantified using physical functional component score from the SF-12 questionnaire. We compared physical function of endometrial cancer survivors to population-based age-standardized normative values.
  
  
  RESULTS
  Among the 213 patients, 16% were normal weight (BMI ≤25 kg/m2), and 52% were obese (≥30 kg/m2). Higher BMI categories were associated with lower physical function (Ptrend = 0.003), as a continuous variable each 5kg/m2 higher BMI, physical function score was lower by 0.15 points (β = -0.15; P = 0.045). Compared to population-based age-standardized normative values, patients <75yrs reported lower physical function, whereas patients ≥75yrs reported better physical function. BMI was the only covariate associated with differences in physical function between survivors and age-standardized normative values (P = 0.039).
  
  
  CONCLUSIONS
  Among endometrial cancer survivors, higher BMI is associated with lower physical function. Younger endometrial cancer survivors report lower physical function compared to age-standardized normative values. Healthcare providers should be aware that younger, obese endometrial cancer survivors may particularly benefit from interventions such as exercise and weight loss to increase or preserve physical function.
authors.affiliation: Public Health Science, Penn State College of Medicine, Hershey, PA, United States of America.
authors.forename: Xiaochen
authors.identifier: http://orcid.org/0000-0003-3086-1285
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United States of America.
authors.forename: Justin C
authors.initials: JC
authors.lastname: Brown
authors.affiliation: Public Health Science, Penn State College of Medicine, Hershey, PA, United States of America.
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Schmitz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D016889:Endometrial Neoplasms / Q000150:complications / Q000503:physiopathology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011788:Quality of Life; D017741:Survivors