Psychological resilience in older adults with type 2 diabetes from the Look AHEAD Trial

Journal of the American Geriatrics Society - Tập 71 Số 1 - Trang 206-213 - 2023
KayLoni L. Olson1,2, Marjorie Howard3, Jeanne M. McCaffery4, Gareth R. Dutton5, Mark A. Espeland3, Felicia Simpson6, Karen Johnson7, Medha Munshi8,9, Thomas A. Wadden10, Rena R. Wing1,2
1Department of Psychiatry and Human Behavior Brown Medical School Providence Rhode Island USA
2Weight Control and Diabetes Research Center The Miriam Hospital Providence Rhode Island USA
3Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston–Salem, North Carolina, USA
4Department of Allied Health Sciences University of Connecticut Storrs Connecticut USA
5Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
6Department of Mathematics Winston‐Salem State University Winston‐Salem North Carolina USA
7Department of Preventive Medicine University of Tennessee Health Science Center Knoxville Tennessee USA
8Division of Gerontology, Beth Israel Deaconness Medical Center Beth Israel Deaconess Medical School Boston Massachusetts USA
9Harvard Medical School, Harvard University, Boston, Massachusetts, USA
10Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Tóm tắt

AbstractBackgroundThere is growing interest in identifying factors associated with healthy aging. This cross‐sectional study evaluated associations of psychological resilience with factors associated with aging in older adults with type 2 diabetes mellitus (T2DM).MethodsParticipants were 3199 adults (72.2 ± 6.2 years of age, 61% female, 61% White, body mass index [BMI] = 34.2 ± 8.2 kg/m2) with T2DM enrolled in Look AHEAD (a multi‐site randomized clinical trial comparing an intensive lifestyle intervention for weight loss to diabetes education and support). Participants were followed observationally after the 10‐year intervention was discontinued. The following items were assessed approximately 14.4 years post‐randomization in a cross‐sectional analysis: Brief Resilience Scale; overnight hospitalizations in past year; physical functioning measured objectively (gait speed, grip strength) and via self‐report (Pepper Assessment Tool for Disability; physical quality of life [QOL; SF‐36]); a measure of phenotypic frailty based on having ≥3 of unintentional weight loss, low energy, slow gait, reduced grip strength, and physical inactivity. Depressive symptoms (PHQ‐9) and mental QOL (SF‐36) were also measured. Logistic/linear/multinomial regression was used to evaluate the association of variables with resilience adjusted for age, race/ethnicity, and gender.ResultsGreater psychological resilience was associated with lower BMI, fewer hospitalizations, better physical functioning (i.e., lower self‐reported disability, better physical QOL, faster gait speed, greater grip strength, lower likelihood of frailty), fewer depressive symptoms, and greater mental QOL (all p < 0.05). Psychological resilience moderated the relationship of number of hospitalizations in the past year with self‐reported disability and grip strength.ConclusionsPsychological resilience is associated with better physical function and QOL among older adults. Results should be interpreted cautiously given cross‐sectional nature of analyses. Exploring the clinical benefits of resilience is consistent with efforts to shift the narrative on aging beyond “loss and decline” to highlight opportunities to facilitate healthy aging.

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Tài liệu tham khảo

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Journal of the American Geriatrics Society

Tập 71 Số 1

206-213

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