Frailty in Older Breast Cancer Survivors: Age, Prevalence, and Associated Factors
Identifieur interne : 003630 ( Main/Exploration ); précédent : 003629; suivant : 003631Frailty in Older Breast Cancer Survivors: Age, Prevalence, and Associated Factors
Auteurs : Jill A. Bennett ; Kerri M. Winters-Stone ; Jessica Dobek ; Lillian M. NailSource :
- Oncology nursing forum [ 0190-535X ] ; 2013.
Abstract
Describe frailty and associated factors in breast cancer survivors
Cross-sectional descriptive
School of nursing
216 breast cancer survivors (BCS) aged 53–87 not currently participating in exercise
Performance tests, clinical measures, and self-reported questionnaires provided baseline data analyzed for this study
Frailty was defined as meeting 3 of the 5 criteria of the Frailty Phenotype: shrinking, exhaustion, low activity, slowness, and weakness. Data were compared to published data from women in the Cardiovascular Health Study (CHS) and Women’s Health and Aging Study (WHAS).
18% of BCS aged 70–79 were frail, compared to 11% of CHS and WHAS women aged 70–79. Frailty was more common at a younger age in BCS and more BCS were frail in all age groups compared to CHS women until approximately age 80 when prevalence of frailty was similar in the two groups. 50% of BCS were classified as prefrail because they met 1–2 of the 5 frailty criteria. Higher body mass index increased the odds of frailty and higher physical activity decreased the odds of frailty (OR= 1.12, p=.003 and OR=.99, p=.000 respectively).
Frailty and prefrailty may be common in BCS and may occur at an earlier age than in adults without a history of cancer.
Url:
DOI: 10.1188/13.ONF.E126-E134
PubMed: 23615146
PubMed Central: 3988495
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose/Objectives</title>
<p id="P1">Describe frailty and associated factors in breast cancer survivors</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional descriptive</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">School of nursing</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">216 breast cancer survivors (BCS) aged 53–87 not currently participating in exercise</p>
</sec>
<sec id="S5"><title>Methods</title>
<p id="P5">Performance tests, clinical measures, and self-reported questionnaires provided baseline data analyzed for this study</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Frailty was defined as meeting 3 of the 5 criteria of the Frailty Phenotype: shrinking, exhaustion, low activity, slowness, and weakness. Data were compared to published data from women in the Cardiovascular Health Study (CHS) and Women’s Health and Aging Study (WHAS).</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">18% of BCS aged 70–79 were frail, compared to 11% of CHS and WHAS women aged 70–79. Frailty was more common at a younger age in BCS and more BCS were frail in all age groups compared to CHS women until approximately age 80 when prevalence of frailty was similar in the two groups. 50% of BCS were classified as prefrail because they met 1–2 of the 5 frailty criteria. Higher body mass index increased the odds of frailty and higher physical activity decreased the odds of frailty (OR= 1.12, p=.003 and OR=.99, p=.000 respectively).</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">Frailty and prefrailty may be common in BCS and may occur at an earlier age than in adults without a history of cancer.</p>
</sec>
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<name sortKey="Nail, Lillian M" sort="Nail, Lillian M" uniqKey="Nail L" first="Lillian M." last="Nail">Lillian M. Nail</name>
<name sortKey="Winters Stone, Kerri M" sort="Winters Stone, Kerri M" uniqKey="Winters Stone K" first="Kerri M." last="Winters-Stone">Kerri M. Winters-Stone</name>
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