Bone fragility and quality of life in cancer survivors is the focus of my research. Our research has shown that breast cancer survivors have poorer bone health and fall more compare to women who have not been treated for breast cancer and both factors contribute to an increased risk of fracture after cancer treatment. We are continuing to examine treatment related causes of falls in breast cancer survivors to better develop interventions that reduce fall risk. In addition to breast cancer, prostate cancer survivors may be at higher fracture risk due to bone and muscle destroying treatments. A major focus of our research is testing the ability of a specific exercise intervention that we developed in non-cancer populations to reduce fracture risk and improve quality of life in breast and prostate cancer survivors. Beyond fracture risk, the intersection of aging and cancer treatment can increase the risk of frailty and loss of independence in older cancer survivors. Exercise may prevent frailty development, and determining the optimal type and amount of exercise to do so is the focus of another intervention study in older breast cancer survivors. The next step for our research is to translate our findings into evidence-based programs that can be disseminated and broadly implemented in the greater cancer survivor community, including innovative programs that can reach frail elders and rural adults.
- B.S., University of California, Davis California 1991
- Ph.D., Oregon State University, Corvallis Oregon 2000
Memberships and associations
- American College of Sports Medicine; American Society of Bone and Mineral Research
- "Identifying a Relationship Between Physical Frailty and Heart Failure Symptoms." Journal of Cardiovascular Nursing In: , 28.03.2017.
- "Cancer Rehabilitation : An Overview of Current Need, Delivery Models, and Levels of Care." Physical Medicine and Rehabilitation Clinics of North America In: , Vol. 28, No. 1, 01.02.2017, p. 1-17.
- "Effects and moderators of exercise on quality of life and physical function in patients with cancer : An individual patient data meta-analysis of 34 RCTs." Cancer Treatment Reviews In: , Vol. 52, 01.01.2017, p. 91-104.
- "Falls and Frailty in Prostate Cancer Survivors : Current, Past, and Never Users of Androgen Deprivation Therapy." Journal of the American Geriatrics Society In: , 2017.
- "Frequency of and Significance of Physical Frailty in Patients With Heart Failure." American Journal of Cardiology In: , 02.11.2016.
- "Toward a National Initiative in Cancer Rehabilitation : Recommendations From a Subject Matter Expert Group." Archives of Physical Medicine and Rehabilitation In: , Vol. 97, No. 11, 01.11.2016, p. 2006-2015.
- "The prevalence of frailty in heart failure : A systematic review and meta-analysis." International Journal of Cardiology In: , 12.10.2016.
- "Perpetuating effects of androgen deficiency on insulin resistance." International Journal of Obesity In: , 13.09.2016.
- "Benefits of partnered strength training for prostate cancer survivors and spouses : results from a randomized controlled trial of the Exercising Together project." Journal of Cancer Survivorship In: , 29.12.2015, p. 1-12.
- "Preventing frailty in older cancer survivors." Topics in Geriatric Rehabilitation In: , Vol. 31, No. 4, 27.10.2015, p. 241-245.
- "Do cognitive measures and brain circuitry predict outcomes of exercise in Parkinson Disease : A randomized clinical trial." BMC Neurology In: , Vol. 15, No. 1, 218, 24.10.2015.
- "The Effects of Partnered Exercise on Physical Intimacy in Couples Coping With Prostate Cancer." Health Psychology In: , 12.10.2015.
- "Exercise and Cancer Risk--How Much Is Enough?" JAMA oncology In: , Vol. 1, No. 6, 01.09.2015, p. 776-777.
- "Resistance exercise reduces body fat and insulin during androgen-deprivation therapy for prostate cancer." Oncology Nursing Forum In: , Vol. 42, No. 4, 01.07.2015, p. 348-356.
- "Resistance training reduces disability in prostate cancer survivors on androgen deprivation therapy : Evidence from a randomized controlled trial." Archives of Physical Medicine and Rehabilitation In: , Vol. 96, No. 1, 01.01.2015, p. 7-14.
- "Review of exercise studies in prostate cancer survivors receiving androgen deprivation therapy calls for an aggressive research agenda to generate high-quality evidence and guidance for exercise as standard of care." Journal of Clinical Oncology In: , Vol. 32, No. 23, 10.08.2014, p. 2518-2519.
- "Measuring activity levels associated with rehabilitative care in hospitalized older adults." Geriatric Nursing In: , Vol. 35, No. 2S, 2014.
- "Influence of weight training on skeletal health of breast cancer survivors with or at risk for breast cancer-related lymphedema." Journal of Cancer Survivorship In: , Vol. 8, No. 2, 2014, p. 260-268.
- "Musculoskeletal changes after 1 year of exercise in older breast cancer survivors." Journal of Cancer Survivorship In: , Vol. 8, No. 2, 2014, p. 304-311.
- "Skeletal response to resistance and impact training in prostate cancer survivors." Medicine and Science in Sports and Exercise In: , Vol. 46, No. 8, 2014, p. 1482-1488.
- "Tai Ji Quan for the aging cancer survivor : Mitigating the accelerated development of disability, falls, and cardiovascular disease from cancer treatment." Journal of Sport and Health Science In: , Vol. 3, No. 1, 2014, p. 52-57.
- "Attention to principles of exercise training : A review of exercise studies for survivors of cancers other than breast." British Journal of Sports Medicine In: , Vol. 48, No. 12, 2014, p. 987-995.
- "Patterns and predictors of symptom incongruence in older couples coping with prostate cancer." Supportive Care in Cancer In: , Vol. 22, No. 5, 2014, p. 1341-1348.
- "Lower nutritional status and higher food insufficiency in frail older US adults." British Journal of Nutrition In: , Vol. 110, No. 1, 14.07.2013, p. 172-178.
- "Frailty in older breast cancer survivors : Age, prevalence, and associated factors." Oncology Nursing Forum In: , Vol. 40, No. 3, 05.2013.
- "Impact + resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors : A randomized controlled trial." Osteoporosis International In: , Vol. 24, No. 5, 05.2013, p. 1637-1646.
- "Exercise and cancer." Annual review of nursing research In: , Vol. 31, 2013, p. 327-365.
- "Comparison of tai chi vs. strength training for fall prevention among female cancer survivors : Study protocol for the GET FIT trial." BMC Cancer In: , Vol. 12, 577, 05.12.2012.
- "Exercise effects on hip bone mineral density in older, post-menopausal breast cancer survivors are age dependent." Archives of Osteoporosis In: , Vol. 7, No. 1-2, 12.2012, p. 301-306.
- "Erratum : Review of exercise studies in breast cancer survivors: attention to principles of exercise training (British Journal of Sports Medicine (2012) 46 (909-16))." British Journal of Sports Medicine In: , Vol. 46, No. 16, 12.2012, p. 1144.