James P. Wilmot Cancer Institute, University of Rochester Medical Center, 601 Elmwood Avenue, Box 704, Rochester, NY 14642, USA.
James P. Wilmot Cancer Institute, University of Rochester Medical Center, 601 Elmwood Avenue, Box 704, Rochester, NY 14642, USA.
J Geriatr Oncol. 2018 Jul;9(4):405-410. doi: 10.1016/j.jgo.2018.03.003. Epub 2018 Mar 30.
The incidence of cancer in adults aged 60 years and older is expected to rise, and because cancer is associated with aging, the overall prevalence of cancer will rise as well. With advances in cancer treatment, more older adults will receive treatment but they will also suffer the biopsychosocial consequences of cancer and cancer treatment. In this review, we describe the importance of assessing biopsychosocial needs in this vulnerable population and highlight studies supporting the use of exercise in addressing these needs. We discuss challenges and research gaps in several areas including 1) Identifying the exercise doses and modes for specific outcomes, 2) Understanding risks and safety of exercise, and 3) Implementing exercise programs into clinical practice at the individual, health care team, and organizational levels, including strategies to increase adherence.
预计 60 岁及以上成年人的癌症发病率将会上升，并且由于癌症与衰老有关，因此癌症的总体患病率也会上升。随着癌症治疗的进步，将有更多的老年人接受治疗，但他们也将遭受癌症和癌症治疗的生物心理社会后果。在这篇综述中，我们描述了评估这一脆弱人群的生物心理社会需求的重要性，并强调了支持使用运动来满足这些需求的研究。我们讨论了几个领域的挑战和研究空白，包括 1）确定针对特定结果的运动剂量和模式，2）了解运动的风险和安全性，以及 3）在个人、医疗保健团队和组织层面将运动方案实施到临床实践中，包括增加依从性的策略。
