“I had treatment last year and I want to give something back.”
A study of healthy eating and exercise in women who have an increased risk of breast cancer (The Family History Lifestyle Study)
Please note - this trial is no longer recruiting patients. We hope to add results when they are available.
This study is comparing 3 different weight loss programmes for women who have an increased risk of developing breast cancer.
The study is open to women who:
- have a
family historyof breast cancer
- are attending a family history clinic
More about this trial
Some people have a higher risk of developing breast cancer than the general population because other members of their family have had certain cancers. This is called a family history of cancer.
You usually attend a clinic if you have a family history of breast cancer. At the clinic, the staff work out your individual risk of developing cancer. You then have regular
Being overweight and not having a healthy lifestyle can increase the risk of breast cancer and other diseases such as heart disease. We know from research that losing a bit of weight and keeping it off is linked to a lower risk of developing breast cancer. But family history breast cancer clinics don’t offer routine weight loss or lifestyle services.
In this study, researchers want to compare 3 weight loss programmes for women attending these clinics. Women have 1 of the following:
- detailed written information on healthy eating and physical activity
- detailed written information on healthy eating and physical activity and support from a dietician
- detailed written information on healthy eating and physical activity, support from a dietician and information about developing other medical conditions linked to being overweight
The main aims of the study are to find out:
- if women are willing to take part in a weight loss programme
- how well the different programmes work to help women lose weight
Who can enter
The following bullet points list the entry conditions for this study. Talk to your doctor or the study team if you are unsure about any of these. They will be able to advise you.
Who can take part
You may be able to join this study if all of the following apply.
- have a moderate to high risk of developing breast cancer
- are having a mammogram every year to 18 months or are taking part in a screening programme because of your family history of breast cancer
- have information about your risk of developing breast cancer
- are overweight or obese with a body mass index (
BMI) of 25 or more
- have access to the internet or a telephone
- understand and can write in English
- are willing to follow a diet and exercise plan
Who can’t take part
You cannot join this study if any of these apply.
You have had another cancer apart from
- have or have had a heart problem or blood vessel problem such as a heart attack, stroke, mini stroke, angina, heart failure or a blood vessel bulge (aneurysm)
- take medication for high cholesterol
- have diabetes
- are taking certain medication to help with mental health problems such as clozapine or risperidone as these can cause weight gain
- have a problem with drugs or alcohol
- are already on a special medical diet that cannot be changed
- are having treatment for weight loss, you have had stomach reduction surgery or you are planning to have this surgery in the next 12 months
- have kidney disease
- have a mental health problem that the study team think would affect you taking part
- another woman in your family is taking part in this study
- you have an eating disorder such as binge eating or bulimia
- you are already on a diet or a physical activity programme and you have lost more than 2 pounds or 1 kg in the last 2 weeks
- you are pregnant, planning a pregnancy or breastfeeding
This is a phase 3 trial. The researchers hope 209 women will take part.
It is a randomised trial. You are put into 1 of 3 groups by a computer. Neither you nor the researchers can decide which group you are in.
The 3 groups are:
- group 1 – you have written information about physical activity and diet
- group 2 – you have written information about diet and physical activity and support via the phone and email from a dietician
- group 3 – you have written information about diet and physical activity, support via the phone and email from a dietician and information about other diseases linked to being overweight such as diabetes and heart disease
Everyone is encouraged to lose 1lb to 2lb (½ kg to 1 kg) a week.
The study team are recommending 2 diets. They are:
- the 2 day diet – this is 2 days of low
calorie, low carbohydratefood and 5 days of the healthy Mediterranean diet
- the Mediterranean diet 7 days a week
Mediterranean healthy eating includes lower fat meats, fish, fruit, vegetables, wholegrains, beans, pulses and low fat dairy products.
The study team will give you a booklet on each diet and you can chose which diet you follow. Although they will recommend you try the 2 day diet first.
You aim to build up to 30 minutes of moderate to intense physical activity such as brisk walking for 5 days a week.
Research sub studies
There are 3 sub studies in this study. They are:
- a study of
mammogramslooking at breast density and any changes after weight loss
- a study looking for proteins in the blood linked to breast cancer
- an interview study to asking people’s views about this study and if the programmes helped them or not
The protein study involves having a blood test. You don’t have to agree to join any of these studies if you don’t want to. You can still join the main study.
Quality of life
The trial team will ask you to fill out paper or online questionnaires before you join the study and at set times during the study. The questionnaires will ask how you’ve been feeling. These are called
There are also some other questionnaires that ask about your general health and your weight and diet history.
You have 3 appointments at your local hospital. These are a visit:
- to see if you are suitable to join the study
- 6 months after joining the study
- at 12 months
At each visit you have some assessments that include:
- measuring your weight, height, body fat, waist, hips and bust
- blood pressure
- a finger prick blood test for women in group 3 to check cholesterol
Some women might feel disappointed if they can’t lose the weight they hoped they would.
You might have a bit of pain, discomfort or a small bruise after having a blood test.
How to join a clinical trial
Dr Michelle Harvie
Manchester University NHS Foundation Trust
Prevent Breast Cancer Ltd