Physical resilience of older cancer survivors: An emerging concept

W. Duan-Porter, Harvey Jay Cohen, W. Demark-Wahnefried, R. Sloane, J.F. Pendergast, D.C. Snyder, M.C. Morey

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: To characterize factors contributing to physical resilience in older cancer survivors, as demonstrated by resistance to decline or recovery (resilience). Materials and Methods: We conducted a secondary analysis of data from a randomized controlled trial of cancer survivors ≥ 65 years old and ≥ 5 years from cancer diagnoses. Physical function was assessed quarterly over 2 years, with Short-Form 36 physical function subscale. Participants with ≥ 2 follow-up assessments (n = 594) were evaluated for physical resilience: 1) Resistance was defined as lack of any decline, where decline was a drop of ≥ 13 points, and 2) resilience (i.e., recovery) was defined as regaining ≥ 50% of lost function, subsequent to decline. Results: Mean age was 73.1 years and 89.1% were Caucasian. Forty-nine percent (n = 289) were resistant to decline in function; these individuals were younger, had higher education and income, were more likely to be Caucasian, and had higher baseline physical function (mean difference [MD] 7.8 points, 95% CI 5.0–10.8) and general health (MD 7.5 points, 95% CI 4.9–10.1). Fifty-seven percent (n = 137 of 239) demonstrated resilience, with 91.2% (n = 125) recovering within 6 months of declines; these participants had higher baseline physical function (MD 6.6 points, 95% CI 1.8–11.4), but similar pre-decline function. More participants who were resistant, and more who showed resilience, reported high self-efficacy and social support. Conclusions: The majority of older cancer survivors exhibited physical resilience; this was associated with high baseline health, physical function, self-efficacy, and social support. Assessing and targeting psychosocial factors may be important for interventions seeking to promote physical resilience. © 2016
Original languageEnglish
Pages (from-to)471-478
Number of pages8
JournalJournal of Geriatric Oncology
Volume7
Issue number6
DOIs
StatePublished - 2016

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Survivors
Self Efficacy
Social Support
Neoplasms
Health
Randomized Controlled Trials
Psychology
Education

Bibliographical note

Cited By :3

Export Date: 26 December 2018

Correspondence Address: Duan-Porter, W.; Durham VA Medical Center, 508 Fulton St, United States; email: wei.duan-porter@duke.edu

Keywords

  • Cancer survivors
  • Functional decline
  • Physical resilience
  • Recovery
  • Resistance
  • aged
  • Article
  • cancer diagnosis
  • cancer survivor
  • Caucasian
  • controlled study
  • education
  • educational status
  • ethnic difference
  • female
  • follow up
  • highest income group
  • human
  • male
  • physical capacity
  • physical performance
  • physical resilience
  • physical resistance
  • priority journal
  • randomized controlled trial (topic)
  • secondary analysis
  • self concept
  • Short Form 36
  • social support
  • convalescence
  • daily life activity
  • exercise
  • physiology
  • psychological resilience
  • psychology
  • randomized controlled trial
  • socioeconomics
  • United States
  • Activities of Daily Living
  • Aged
  • Cancer Survivors
  • Exercise
  • Female
  • Humans
  • Male
  • Recovery of Function
  • Resilience, Psychological
  • Self Efficacy
  • Social Support
  • Socioeconomic Factors

Cite this

Duan-Porter, W., Cohen, H. J., Demark-Wahnefried, W., Sloane, R., Pendergast, J. F., Snyder, D. C., & Morey, M. C. (2016). Physical resilience of older cancer survivors: An emerging concept. Journal of Geriatric Oncology, 7(6), 471-478. https://doi.org/10.1016/j.jgo.2016.07.009

Physical resilience of older cancer survivors: An emerging concept. / Duan-Porter, W.; Cohen, Harvey Jay; Demark-Wahnefried, W.; Sloane, R.; Pendergast, J.F.; Snyder, D.C.; Morey, M.C.

In: Journal of Geriatric Oncology, Vol. 7, No. 6, 2016, p. 471-478.

Research output: Contribution to journalArticle

Duan-Porter, W, Cohen, HJ, Demark-Wahnefried, W, Sloane, R, Pendergast, JF, Snyder, DC & Morey, MC 2016, 'Physical resilience of older cancer survivors: An emerging concept' Journal of Geriatric Oncology, vol. 7, no. 6, pp. 471-478. https://doi.org/10.1016/j.jgo.2016.07.009
Duan-Porter, W. ; Cohen, Harvey Jay ; Demark-Wahnefried, W. ; Sloane, R. ; Pendergast, J.F. ; Snyder, D.C. ; Morey, M.C. / Physical resilience of older cancer survivors: An emerging concept. In: Journal of Geriatric Oncology. 2016 ; Vol. 7, No. 6. pp. 471-478.
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T1 - Physical resilience of older cancer survivors: An emerging concept

AU - Duan-Porter, W.

AU - Cohen, Harvey Jay

AU - Demark-Wahnefried, W.

AU - Sloane, R.

AU - Pendergast, J.F.

AU - Snyder, D.C.

AU - Morey, M.C.

N1 - Cited By :3 Export Date: 26 December 2018 Correspondence Address: Duan-Porter, W.; Durham VA Medical Center, 508 Fulton St, United States; email: wei.duan-porter@duke.edu

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N2 - Objectives: To characterize factors contributing to physical resilience in older cancer survivors, as demonstrated by resistance to decline or recovery (resilience). Materials and Methods: We conducted a secondary analysis of data from a randomized controlled trial of cancer survivors ≥ 65 years old and ≥ 5 years from cancer diagnoses. Physical function was assessed quarterly over 2 years, with Short-Form 36 physical function subscale. Participants with ≥ 2 follow-up assessments (n = 594) were evaluated for physical resilience: 1) Resistance was defined as lack of any decline, where decline was a drop of ≥ 13 points, and 2) resilience (i.e., recovery) was defined as regaining ≥ 50% of lost function, subsequent to decline. Results: Mean age was 73.1 years and 89.1% were Caucasian. Forty-nine percent (n = 289) were resistant to decline in function; these individuals were younger, had higher education and income, were more likely to be Caucasian, and had higher baseline physical function (mean difference [MD] 7.8 points, 95% CI 5.0–10.8) and general health (MD 7.5 points, 95% CI 4.9–10.1). Fifty-seven percent (n = 137 of 239) demonstrated resilience, with 91.2% (n = 125) recovering within 6 months of declines; these participants had higher baseline physical function (MD 6.6 points, 95% CI 1.8–11.4), but similar pre-decline function. More participants who were resistant, and more who showed resilience, reported high self-efficacy and social support. Conclusions: The majority of older cancer survivors exhibited physical resilience; this was associated with high baseline health, physical function, self-efficacy, and social support. Assessing and targeting psychosocial factors may be important for interventions seeking to promote physical resilience. © 2016

AB - Objectives: To characterize factors contributing to physical resilience in older cancer survivors, as demonstrated by resistance to decline or recovery (resilience). Materials and Methods: We conducted a secondary analysis of data from a randomized controlled trial of cancer survivors ≥ 65 years old and ≥ 5 years from cancer diagnoses. Physical function was assessed quarterly over 2 years, with Short-Form 36 physical function subscale. Participants with ≥ 2 follow-up assessments (n = 594) were evaluated for physical resilience: 1) Resistance was defined as lack of any decline, where decline was a drop of ≥ 13 points, and 2) resilience (i.e., recovery) was defined as regaining ≥ 50% of lost function, subsequent to decline. Results: Mean age was 73.1 years and 89.1% were Caucasian. Forty-nine percent (n = 289) were resistant to decline in function; these individuals were younger, had higher education and income, were more likely to be Caucasian, and had higher baseline physical function (mean difference [MD] 7.8 points, 95% CI 5.0–10.8) and general health (MD 7.5 points, 95% CI 4.9–10.1). Fifty-seven percent (n = 137 of 239) demonstrated resilience, with 91.2% (n = 125) recovering within 6 months of declines; these participants had higher baseline physical function (MD 6.6 points, 95% CI 1.8–11.4), but similar pre-decline function. More participants who were resistant, and more who showed resilience, reported high self-efficacy and social support. Conclusions: The majority of older cancer survivors exhibited physical resilience; this was associated with high baseline health, physical function, self-efficacy, and social support. Assessing and targeting psychosocial factors may be important for interventions seeking to promote physical resilience. © 2016

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