Abstract
Falls are a major issue among older adults with cancer and lead to interruptions in cancer treatment. Resistance and balance training can prevent falls in older adults, but minimal evidence is available regarding the older cancer population, who often have unique risk factors. We used a pre–post design to assess the feasibility of a remotely delivered exercise program that progressed in difficulty and its efficacy on lower body strength, balance, and falls in older adults with cancer who had prior in-person exercise experience. Twenty-six older adults with cancer completed the intervention. Attendance rate for the virtual component was 97.6% and for the independent component was 84.7%. Participants perceived the program as rewarding and enjoyable (100%), felt this program prepared them to exercise on their own (92%), were confident to continue exercising on their own (81%), and would recommend the program to other patients (100%). The median balance score at baseline and end-of-study was 4 (IQR = 0). The median chair-stand time decreased from 9.2 s (IQR = 3.13) to 7.7 s (IQR = 4.6). A statistically significant difference in lower body strength (r = 0.68, p = 0.001) was detected post-intervention. The findings from this study can inform the design of a larger randomized trial.
Highlights
To ensure physical suitability to partake in the program, participants were assessed by telephone with the Physical Activity
One participant withdrew due to personal reasons unrelated to the program
8-week strength and balance training program was highly feasible among older adults with cancer, and it may have potential for improving lower body strength, which is an important index of falls
Summary
Falls are a major concern in older adults with cancer due to the disease and effects of its treatments [1], which can increase the risk for falls and fall injuries [2,3,4]. This population has higher fall rates and fall injuries than their cancer-free counterparts [5,6], and one-quarter of injuries in older adults with cancer involve bone fractures [7]. Levels of physical activity (PA) in the older cancer population often decline after diagnosis and during treatment [8]
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