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Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance

Guidance on frameworks for physical resilience, resistance and reserve are underdeveloped. We examined different “physical resilience” characterizations within n=6,538 Atherosclerosis Risk in Communities Study participants (median age: 75 years), followed for 5+ years. Fifteen illustrative clinical,...

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Autores principales: Griswold, Michael, Windham, B Gwen, Henegan, James, Bandeen-Roche, Karen, Mcmullan, Matthew, Kucharska-Newton, Anna, Palta, Priya, Mosley, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742875/
http://dx.doi.org/10.1093/geroni/igaa057.3028
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author Griswold, Michael
Windham, B Gwen
Henegan, James
Bandeen-Roche, Karen
Mcmullan, Matthew
Kucharska-Newton, Anna
Palta, Priya
Mosley, Thomas
author_facet Griswold, Michael
Windham, B Gwen
Henegan, James
Bandeen-Roche, Karen
Mcmullan, Matthew
Kucharska-Newton, Anna
Palta, Priya
Mosley, Thomas
author_sort Griswold, Michael
collection PubMed
description Guidance on frameworks for physical resilience, resistance and reserve are underdeveloped. We examined different “physical resilience” characterizations within n=6,538 Atherosclerosis Risk in Communities Study participants (median age: 75 years), followed for 5+ years. Fifteen illustrative clinical, lifestyle and social stressors, each having varying levels of severity, chronicity and relevance, were paired with six functional outcome measure trajectories. Contrasts were made against four fundamental comparator groups (including those without stressors). Particular pairings of stressors and functional measures substantially impacted resilience classifications and related determinants. For example, 5-year recurring robustness (0/5 frailty indicators) was only 12% for participants after Heart Failure (HF), versus 47% with no HF event; relative-risk: RR=0.26 (95%CI: 0.15,0.44). Conversely, recurring robustness was 43% after reporting low social support versus 51% with adequate support; RR=0.87(0.73,1.02). We highlight major components that impacted resilience determinations and outline a broad conceptual framework to help optimize physical resilience assessment and aid future research. Part of a symposium sponsored by Epidemiology of Aging Interest Group.
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spelling pubmed-77428752020-12-21 Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance Griswold, Michael Windham, B Gwen Henegan, James Bandeen-Roche, Karen Mcmullan, Matthew Kucharska-Newton, Anna Palta, Priya Mosley, Thomas Innov Aging Abstracts Guidance on frameworks for physical resilience, resistance and reserve are underdeveloped. We examined different “physical resilience” characterizations within n=6,538 Atherosclerosis Risk in Communities Study participants (median age: 75 years), followed for 5+ years. Fifteen illustrative clinical, lifestyle and social stressors, each having varying levels of severity, chronicity and relevance, were paired with six functional outcome measure trajectories. Contrasts were made against four fundamental comparator groups (including those without stressors). Particular pairings of stressors and functional measures substantially impacted resilience classifications and related determinants. For example, 5-year recurring robustness (0/5 frailty indicators) was only 12% for participants after Heart Failure (HF), versus 47% with no HF event; relative-risk: RR=0.26 (95%CI: 0.15,0.44). Conversely, recurring robustness was 43% after reporting low social support versus 51% with adequate support; RR=0.87(0.73,1.02). We highlight major components that impacted resilience determinations and outline a broad conceptual framework to help optimize physical resilience assessment and aid future research. Part of a symposium sponsored by Epidemiology of Aging Interest Group. Oxford University Press 2020-12-16 /pmc/articles/PMC7742875/ http://dx.doi.org/10.1093/geroni/igaa057.3028 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Griswold, Michael
Windham, B Gwen
Henegan, James
Bandeen-Roche, Karen
Mcmullan, Matthew
Kucharska-Newton, Anna
Palta, Priya
Mosley, Thomas
Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title_full Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title_fullStr Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title_full_unstemmed Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title_short Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
title_sort conceptualizing resilience: impacts of adverse stressor severity, chronicity, and relevance
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7742875/
http://dx.doi.org/10.1093/geroni/igaa057.3028
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