A year after her breast cancer treatment was completed, Selena arrives at your office for her annual physical exam. You notice she has gained a significant amount of weight since her last visit. You want to figure out what is contributing to her weight gain, what effect it might have on her health, and what can be done about it. Recalling what you know about weight gain and cancer survivors, you consider that all of the following could be true for Selena EXCEPT:
A. Selena is like many breast cancer survivors, who commonly experience weight gain
B. Selena should not worry too much about her weight: although overweight and obesity are risk factors for first cancer, there is little relationship between overweight/obesity and long term health in a cancer survivor if a person completed treatment successfully.
C. Following treatment for cancer, many cancer survivors experience persistant, debilitating fatigue, which can interfere with performance of daily activities. Perhaps Selena is experiencing fatigue, which may contribute to a sedentary lifestyle.
D. Selena may be like other cancer survivors who hold the attitude that "I got cancer, now I deserve to let myself do whatever I want." which might contribute to unhealthy eating habits.
E. It is important for Selena to control her weight because it could put her at higher risk for a recurrence and/or other co-morbidities associated with excessive weight gain.