Physical performance limitations among adult survivors of childhood brain tumors
BACKGROUND: Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of ch...
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| Veröffentlicht in: | Cancer 2010-06, Vol.116 (12), p.3034-3044 |
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| creator | Ness, Kirsten K. Morris, E. Brannon Nolan, Vikki G. Howell, Carrie R. Gilchrist, Laura S. Stovall, Marilyn Cox, Cheryl L. Klosky, James L. Gajjar, Amar Neglia, Joseph P. |
| description | BACKGROUND:
Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood BTs.
METHODS:
In‐home evaluations and interviews were conducted for 156 participants (54% men). Results on measures of muscle strength, fitness, physical performance, and participation were compared between BT survivors and members of a population‐based comparison group by using chi‐square statistics and 2‐sample t tests. Associations between late effects and physical performance and between physical performance and participation were evaluated in regression models.
RESULTS:
The median age of BT survivors was 22 years (range, 18‐58 years) at the time of the current evaluation, and they had survived for a median of 14.7 years (range, 6.5‐45.9 years) postdiagnosis. Survivors had lower estimates of grip strength (women, 24.7 ± 9.2 kg vs 31.5 ± 5.8 kg; men, 39.0 ± 12.2 kg vs 53.0 ± 10.1 kg), knee extension strength (women, 246.6 ± 95.5 Newtons [N] vs 331.5 ± 5.8 N; men, 304.7 ± 116.4 N vs 466.6 ± 92.1 N), and peak oxygen uptake (women, 25.1 ± 8.8 mL/kg per minute vs 31.3 ± 5.1 mL/kg per minute; men, 24.6 ± 9.5 mL/kg per minute vs 33.2 ± 3.4 mL/kg per minute) than members of the population‐based comparison group. Physical performance was lower among survivors and was associated with not living independently (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.0‐12.2) and not attending college (OR, 2.3; 95% CI 1.2‐4.4).
CONCLUSIONS:
Muscle strength and fitness values among BT survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations. Physical performance limitations were associated with poor outcomes in home and school environments. The current data indicated an opportunity for interventions targeted at improving long‐term physical function in this survivor population. Cancer 2010. © 2010 American Cancer Society.
The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood brain tumors. Muscle strength and fitness values among brain tumor survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations. |
| doi_str_mv | 10.1002/cncr.25051 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3554250</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1238125036</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4821-e285a73465811d21656fcf824fac89bef530067a9579bc01fb84989d625e87043</originalsourceid><addsrcrecordid>eNp9kc1q3DAUhUVoSSY_mzxA0KYQAk4lWbLlTSGYpC2ENoQEshOyLGUUZGki2VPm7aupp2m76epyuR_nXM4B4BSjS4wQ-ai8ipeEIYb3wAKjpi4QpuQdWCCEeMFo-XQADlN6yWtNWLkPDghiFaWoWYC7u-UmWSUdXOloQhykVxo6O9hRjjb4BOUQ_DOU_eRGmKa4tusQEwwGqqV1_TKEHnZRWg_HaciXY_DeSJf0yW4egceb64f2S3H7_fPX9uq2UJQTXGjCmaxLWjGOcU9wxSqjDCfUSMWbThtWIlTVsmF10ymETcdpw5u-IkzzGtHyCHyadVdTN-heaT9G6cQq2kHGjQjSin8v3i7Fc1iLkjGaw8oC5zuBGF4nnUYx2KS0c9LrMCWBScnxFqwyejGjKoaUojZvNhiJbQViW4H4VUGGz_5-7A39nXkGPuwAmXLwJubIbfrDEc4Zq0nm8Mz9sE5v_mMp2m_t_Wz-E_lUn4M</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1238125036</pqid></control><display><type>article</type><title>Physical performance limitations among adult survivors of childhood brain tumors</title><source>Wiley Free Content</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Ness, Kirsten K. ; Morris, E. Brannon ; Nolan, Vikki G. ; Howell, Carrie R. ; Gilchrist, Laura S. ; Stovall, Marilyn ; Cox, Cheryl L. ; Klosky, James L. ; Gajjar, Amar ; Neglia, Joseph P.</creator><creatorcontrib>Ness, Kirsten K. ; Morris, E. Brannon ; Nolan, Vikki G. ; Howell, Carrie R. ; Gilchrist, Laura S. ; Stovall, Marilyn ; Cox, Cheryl L. ; Klosky, James L. ; Gajjar, Amar ; Neglia, Joseph P.</creatorcontrib><description>BACKGROUND:
Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood BTs.
METHODS:
In‐home evaluations and interviews were conducted for 156 participants (54% men). Results on measures of muscle strength, fitness, physical performance, and participation were compared between BT survivors and members of a population‐based comparison group by using chi‐square statistics and 2‐sample t tests. Associations between late effects and physical performance and between physical performance and participation were evaluated in regression models.
RESULTS:
The median age of BT survivors was 22 years (range, 18‐58 years) at the time of the current evaluation, and they had survived for a median of 14.7 years (range, 6.5‐45.9 years) postdiagnosis. Survivors had lower estimates of grip strength (women, 24.7 ± 9.2 kg vs 31.5 ± 5.8 kg; men, 39.0 ± 12.2 kg vs 53.0 ± 10.1 kg), knee extension strength (women, 246.6 ± 95.5 Newtons [N] vs 331.5 ± 5.8 N; men, 304.7 ± 116.4 N vs 466.6 ± 92.1 N), and peak oxygen uptake (women, 25.1 ± 8.8 mL/kg per minute vs 31.3 ± 5.1 mL/kg per minute; men, 24.6 ± 9.5 mL/kg per minute vs 33.2 ± 3.4 mL/kg per minute) than members of the population‐based comparison group. Physical performance was lower among survivors and was associated with not living independently (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.0‐12.2) and not attending college (OR, 2.3; 95% CI 1.2‐4.4).
CONCLUSIONS:
Muscle strength and fitness values among BT survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations. Physical performance limitations were associated with poor outcomes in home and school environments. The current data indicated an opportunity for interventions targeted at improving long‐term physical function in this survivor population. Cancer 2010. © 2010 American Cancer Society.
The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood brain tumors. Muscle strength and fitness values among brain tumor survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations.</description><identifier>ISSN: 0008-543X</identifier><identifier>ISSN: 1097-0142</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.25051</identifier><identifier>PMID: 20564409</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Activities of Daily Living ; Adolescent ; Adult ; Age ; Age Factors ; Biological and medical sciences ; Body Mass Index ; Brain Neoplasms - physiopathology ; Brain Neoplasms - therapy ; brain tumor ; cancer survivor ; Child ; Child, Preschool ; Cranial Irradiation - adverse effects ; Dependency (Psychology) ; disability ; Educational Status ; Employment ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Motor Activity ; Muscle Strength ; Neurology ; pediatric ; Physical Fitness ; physical performance ; Quality of Life ; Risk Factors ; Sensation Disorders - etiology ; Survivors - statistics & numerical data ; Tumors ; Tumors of the nervous system. Phacomatoses</subject><ispartof>Cancer, 2010-06, Vol.116 (12), p.3034-3044</ispartof><rights>Copyright © 2010 American Cancer Society</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4821-e285a73465811d21656fcf824fac89bef530067a9579bc01fb84989d625e87043</citedby><cites>FETCH-LOGICAL-c4821-e285a73465811d21656fcf824fac89bef530067a9579bc01fb84989d625e87043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.25051$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.25051$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22885572$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20564409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ness, Kirsten K.</creatorcontrib><creatorcontrib>Morris, E. Brannon</creatorcontrib><creatorcontrib>Nolan, Vikki G.</creatorcontrib><creatorcontrib>Howell, Carrie R.</creatorcontrib><creatorcontrib>Gilchrist, Laura S.</creatorcontrib><creatorcontrib>Stovall, Marilyn</creatorcontrib><creatorcontrib>Cox, Cheryl L.</creatorcontrib><creatorcontrib>Klosky, James L.</creatorcontrib><creatorcontrib>Gajjar, Amar</creatorcontrib><creatorcontrib>Neglia, Joseph P.</creatorcontrib><title>Physical performance limitations among adult survivors of childhood brain tumors</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND:
Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood BTs.
METHODS:
In‐home evaluations and interviews were conducted for 156 participants (54% men). Results on measures of muscle strength, fitness, physical performance, and participation were compared between BT survivors and members of a population‐based comparison group by using chi‐square statistics and 2‐sample t tests. Associations between late effects and physical performance and between physical performance and participation were evaluated in regression models.
RESULTS:
The median age of BT survivors was 22 years (range, 18‐58 years) at the time of the current evaluation, and they had survived for a median of 14.7 years (range, 6.5‐45.9 years) postdiagnosis. Survivors had lower estimates of grip strength (women, 24.7 ± 9.2 kg vs 31.5 ± 5.8 kg; men, 39.0 ± 12.2 kg vs 53.0 ± 10.1 kg), knee extension strength (women, 246.6 ± 95.5 Newtons [N] vs 331.5 ± 5.8 N; men, 304.7 ± 116.4 N vs 466.6 ± 92.1 N), and peak oxygen uptake (women, 25.1 ± 8.8 mL/kg per minute vs 31.3 ± 5.1 mL/kg per minute; men, 24.6 ± 9.5 mL/kg per minute vs 33.2 ± 3.4 mL/kg per minute) than members of the population‐based comparison group. Physical performance was lower among survivors and was associated with not living independently (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.0‐12.2) and not attending college (OR, 2.3; 95% CI 1.2‐4.4).
CONCLUSIONS:
Muscle strength and fitness values among BT survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations. Physical performance limitations were associated with poor outcomes in home and school environments. The current data indicated an opportunity for interventions targeted at improving long‐term physical function in this survivor population. Cancer 2010. © 2010 American Cancer Society.
The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood brain tumors. Muscle strength and fitness values among brain tumor survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations.</description><subject>Activities of Daily Living</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Brain Neoplasms - physiopathology</subject><subject>Brain Neoplasms - therapy</subject><subject>brain tumor</subject><subject>cancer survivor</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cranial Irradiation - adverse effects</subject><subject>Dependency (Psychology)</subject><subject>disability</subject><subject>Educational Status</subject><subject>Employment</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Activity</subject><subject>Muscle Strength</subject><subject>Neurology</subject><subject>pediatric</subject><subject>Physical Fitness</subject><subject>physical performance</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Sensation Disorders - etiology</subject><subject>Survivors - statistics & numerical data</subject><subject>Tumors</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>0008-543X</issn><issn>1097-0142</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAUhUVoSSY_mzxA0KYQAk4lWbLlTSGYpC2ENoQEshOyLGUUZGki2VPm7aupp2m76epyuR_nXM4B4BSjS4wQ-ai8ipeEIYb3wAKjpi4QpuQdWCCEeMFo-XQADlN6yWtNWLkPDghiFaWoWYC7u-UmWSUdXOloQhykVxo6O9hRjjb4BOUQ_DOU_eRGmKa4tusQEwwGqqV1_TKEHnZRWg_HaciXY_DeSJf0yW4egceb64f2S3H7_fPX9uq2UJQTXGjCmaxLWjGOcU9wxSqjDCfUSMWbThtWIlTVsmF10ymETcdpw5u-IkzzGtHyCHyadVdTN-heaT9G6cQq2kHGjQjSin8v3i7Fc1iLkjGaw8oC5zuBGF4nnUYx2KS0c9LrMCWBScnxFqwyejGjKoaUojZvNhiJbQViW4H4VUGGz_5-7A39nXkGPuwAmXLwJubIbfrDEc4Zq0nm8Mz9sE5v_mMp2m_t_Wz-E_lUn4M</recordid><startdate>20100615</startdate><enddate>20100615</enddate><creator>Ness, Kirsten K.</creator><creator>Morris, E. Brannon</creator><creator>Nolan, Vikki G.</creator><creator>Howell, Carrie R.</creator><creator>Gilchrist, Laura S.</creator><creator>Stovall, Marilyn</creator><creator>Cox, Cheryl L.</creator><creator>Klosky, James L.</creator><creator>Gajjar, Amar</creator><creator>Neglia, Joseph P.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>20100615</creationdate><title>Physical performance limitations among adult survivors of childhood brain tumors</title><author>Ness, Kirsten K. ; Morris, E. Brannon ; Nolan, Vikki G. ; Howell, Carrie R. ; Gilchrist, Laura S. ; Stovall, Marilyn ; Cox, Cheryl L. ; Klosky, James L. ; Gajjar, Amar ; Neglia, Joseph P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4821-e285a73465811d21656fcf824fac89bef530067a9579bc01fb84989d625e87043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Activities of Daily Living</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Brain Neoplasms - physiopathology</topic><topic>Brain Neoplasms - therapy</topic><topic>brain tumor</topic><topic>cancer survivor</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cranial Irradiation - adverse effects</topic><topic>Dependency (Psychology)</topic><topic>disability</topic><topic>Educational Status</topic><topic>Employment</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor Activity</topic><topic>Muscle Strength</topic><topic>Neurology</topic><topic>pediatric</topic><topic>Physical Fitness</topic><topic>physical performance</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Sensation Disorders - etiology</topic><topic>Survivors - statistics & numerical data</topic><topic>Tumors</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ness, Kirsten K.</creatorcontrib><creatorcontrib>Morris, E. Brannon</creatorcontrib><creatorcontrib>Nolan, Vikki G.</creatorcontrib><creatorcontrib>Howell, Carrie R.</creatorcontrib><creatorcontrib>Gilchrist, Laura S.</creatorcontrib><creatorcontrib>Stovall, Marilyn</creatorcontrib><creatorcontrib>Cox, Cheryl L.</creatorcontrib><creatorcontrib>Klosky, James L.</creatorcontrib><creatorcontrib>Gajjar, Amar</creatorcontrib><creatorcontrib>Neglia, Joseph P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ness, Kirsten K.</au><au>Morris, E. Brannon</au><au>Nolan, Vikki G.</au><au>Howell, Carrie R.</au><au>Gilchrist, Laura S.</au><au>Stovall, Marilyn</au><au>Cox, Cheryl L.</au><au>Klosky, James L.</au><au>Gajjar, Amar</au><au>Neglia, Joseph P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical performance limitations among adult survivors of childhood brain tumors</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2010-06-15</date><risdate>2010</risdate><volume>116</volume><issue>12</issue><spage>3034</spage><epage>3044</epage><pages>3034-3044</pages><issn>0008-543X</issn><issn>1097-0142</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND:
Young adult survivors of childhood brain tumors (BTs) may have late effects that compromise physical performance and everyday task participation. The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood BTs.
METHODS:
In‐home evaluations and interviews were conducted for 156 participants (54% men). Results on measures of muscle strength, fitness, physical performance, and participation were compared between BT survivors and members of a population‐based comparison group by using chi‐square statistics and 2‐sample t tests. Associations between late effects and physical performance and between physical performance and participation were evaluated in regression models.
RESULTS:
The median age of BT survivors was 22 years (range, 18‐58 years) at the time of the current evaluation, and they had survived for a median of 14.7 years (range, 6.5‐45.9 years) postdiagnosis. Survivors had lower estimates of grip strength (women, 24.7 ± 9.2 kg vs 31.5 ± 5.8 kg; men, 39.0 ± 12.2 kg vs 53.0 ± 10.1 kg), knee extension strength (women, 246.6 ± 95.5 Newtons [N] vs 331.5 ± 5.8 N; men, 304.7 ± 116.4 N vs 466.6 ± 92.1 N), and peak oxygen uptake (women, 25.1 ± 8.8 mL/kg per minute vs 31.3 ± 5.1 mL/kg per minute; men, 24.6 ± 9.5 mL/kg per minute vs 33.2 ± 3.4 mL/kg per minute) than members of the population‐based comparison group. Physical performance was lower among survivors and was associated with not living independently (odds ratio [OR], 5.0; 95% confidence interval [CI], 2.0‐12.2) and not attending college (OR, 2.3; 95% CI 1.2‐4.4).
CONCLUSIONS:
Muscle strength and fitness values among BT survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations. Physical performance limitations were associated with poor outcomes in home and school environments. The current data indicated an opportunity for interventions targeted at improving long‐term physical function in this survivor population. Cancer 2010. © 2010 American Cancer Society.
The objective of this study was to evaluate muscle strength, fitness, physical performance, and task participation among adult survivors of childhood brain tumors. Muscle strength and fitness values among brain tumor survivors were similar to those among individuals aged ≥60 years and were associated with physical performance limitations.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20564409</pmid><doi>10.1002/cncr.25051</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Adolescent Adult Age Age Factors Biological and medical sciences Body Mass Index Brain Neoplasms - physiopathology Brain Neoplasms - therapy brain tumor cancer survivor Child Child, Preschool Cranial Irradiation - adverse effects Dependency (Psychology) disability Educational Status Employment Female Humans Male Medical sciences Middle Aged Motor Activity Muscle Strength Neurology pediatric Physical Fitness physical performance Quality of Life Risk Factors Sensation Disorders - etiology Survivors - statistics & numerical data Tumors Tumors of the nervous system. Phacomatoses |
| title | Physical performance limitations among adult survivors of childhood brain tumors |
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