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Report: NIA Workshop on Measures of Physiologic Resiliencies in Human Aging
Open accessAbstract
BACKGROUND/OBJECTIVES: Resilience, the ability to resist or recover from adverse effects of a stressor, is of widespread interest in social, psychologic, biologic, and medical research and particularly salient as the capacity to respond to stressors becomes diminished with aging. To date, research on human resilience responses to and factors influencing these responses has been limited. METHODS: The National Institute on Aging convened a workshop in August 2015 on needs for research to improve measures to predict and assess resilience in human aging. Effects of aging-related factors in impairing homeostatic responses were developed from examples illustrating multiple determinants of clinical resilience outcomes. Research directions were identified by workshop participants. RESULTS: Research needs identified included expanded uses of clinical data and specimens in predicting or assessing resilience, and contributions from epidemiological studies in identifying long-term predictors. Better measures, including simulation tests, are needed to assess resilience and its determinants. Mechanistic studies should include exploration of influences of biologic aging processes on human resiliencies. Important resource and infrastructure needs include consensus phenotype definitions of specific resiliencies, capacity to link epidemiological and clinical resilience data, sensor technology to capture responses to stressors, better laboratory animal models of human resiliencies, and new analytic methods to understand the effects of multiple determinants of stress responses. CONCLUSIONS: Extending the focus of care and research to improving the capacity to respond to stressors could benefit older adults in promoting a healthier life span.
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“Interlinked and fundamental aging processes appear to be a root-cause contributor to many disorders and diseases.”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [17]
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“The Geroscience Hypothesis holds that these pillars of aging, including cellular senescence, tend to progress in concert and may be root-cause contributors to the pathophysiology of multiple diseases”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [17]
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Items 101–169 of 169
Psychometric properties of an Arabic translation of the resilience scale for older adults
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Physical Resilience After Hip Fracture: Unpacking the Roles of Resistance and Recovery
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Self-citationIdentifying predictors of resilience to stressors in single-arm studies of pre–post change
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“The National Institute on Aging in the United States has prioritized the development of instruments to objectively measure an individual’s level of physical resilience [3].”
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Drake, L. Y., Roos, B. B., Wicher, S. A., Khalfaoui, L., Nesbitt, L. L., Fang, Y. H., Pabelick, C. M., & Prakash, Y. S. (2024) · American Journal of Physiology-Lung Cellular and Molecular Physiology · doi:10.1152/ajplung.00145.2024 · Cited by 4
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“The literature is mixed in this regard, with reports of lower resilience with advancing age, likely due to cumulative life stressors or homeostatic mechanistic changes (42, 43), and other studies demonstrating high resilience amongst the oldest-old (44, 45).”
Cocota's Story: Life Lessons in Aging, Resilience, and End‐of‐Life Agency From a Brazilian Matriarch
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Toward a cosmopolitan appreciation of “resilience” in the world of aging research
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“Resilience is widely recognized as a pillar of successful aging (see, e.g., Hadley et al., 2017; Merchant et al., 2022; Tric ǎ et al., 2024) and is commonly observed among older people, often conceptualized as “resilience in older people” (Lima et al., 2023; Perez-Rojo et al., 2022).”
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Obesity is linked to impaired sensorimotor synchronization during walking but not tapping
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Physical activity, dysfunctional metabolism, and antitumor immunity
Shaver, A. L., Nikita, N., Tran, B. V., & Kim, F. J. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-14064-8.90010-9
Editorial: Clinical uses and alternative approaches of frailty determination
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A scoping review of resilience in adults with cancer based on the NIH resilience concept model
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Comparing two methods to quantify physical resilience
Whitson, H. E., Ashner, M. C., Kraus, V. B., Peskoe, S., Huebner, J. L., Simon, C. B., Hall, K., & Colon-Emeric, C. S. (2026) · The Journal of Frailty & Aging · doi:10.1016/j.tjfa.2026.100179
“Over the past decade, physical resilience has been advanced as an important construct in clinical research in older adults, both because late life is associated with increased exposure to health stressors and because aging biology alters one ’ s capacity to respond to stressors [4 – 6].”
Self-citationHuang, S., Liu, H., Liu, Q., Luo, L., Chen, W., Zhou, Z. M., Hu, X., Xu, Q., Xing, C., Tao, X., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1815512
“In 2015, the National Institute on Aging discussed and proposed that the level of physiological resilience is crucial for the clinical outcomes of elderly individuals after exposure to stressors such as infections, trauma, etc. (29).”
Fernández-Lorenzo, S., Marín‐Pagán, C., Ruiz, L. P., Gambini, J., Lupu, R. I., Martínez-Noguera, F. J., & Escobar, J. (2026) · Biomedicines · doi:10.3390/biomedicines14081705
“This concept overlaps partially with intrinsic capacity and physical resilience, although it emphasises the dynamic reserve available to preserve mobility and autonomy under conditions of ageing, disease or inactivity [6,7].”
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Self-citationChronological age and failure to rescue after colorectal cancer surgery: A multicentre cohort study
Cwalinski, T., Kazanowski, M., Piątkowski, J., et al. (2026) · Aging Clinical and Experimental Research · doi:10.1007/s40520-026-03508-y
“In surgery, outcome may reflect base-line reserve, operative stress, complications, and recovery [ 8–11 ].”
Mazonson, B. R., Kim, Y.-T., & Thompson, L. V. (2026) · Translational Exercise Biomedicine · doi:10.1515/teb-2026-0016
“The Geroscience Hypothesis proposes that these hallmarks drive the pathophysiology of chronic diseases, leading to diminished tissue resistance and resilience (the capacity to resist or recover from adverse e ff ects of stressors) [36, 37].”
Umegaki, H., Nakashima, H., Yamada, Y., et al. (2026) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2026.106492
Metadata
- Authors
- Hadley, E. C., Kuchel, G. A., Newman, A. B., Allore, H. G., Bartley, J. M., Bergeman, C. S., Blinov, M. L., Colon-Emeric, C. S., Dabhar, F. S., Dugan, L. L., Dutta, C., Eldadah, B. A., Ferrucci, L., Kirkland, J. L., Kritchevsky, S. B., Lipsitz, L. A., Nadkarni, N. K., Reed, M. J., Schmader, K. E., Sierra, F., Studenski, S. A., Varadhan, R., Walston, J. D., Whitson, H. E., & Yung, R.
- Affiliations
- National Institutes of Health (US)
- UConn Health (US)
- University of Pittsburgh (US)
- Yale University (US)
- University of Notre Dame (US)
- University of Connecticut (US)
- Duke University (US)
- Stanford Medicine (US)
- Vanderbilt University (US)
- Mayo Clinic (US)
- Wake Forest University Health Sciences (US)
- Beth Israel Deaconess Medical Center (US)
- University of Washington (US)
- Johns Hopkins University (US)
- University of Michigan (US)
- Corresponding author
- Newman, Anne B
- ORCID
- Kuchel, George A
- Newman, Anne B
- Allore, Heather G
- Bartley, Jenna M
- Bergeman, Cindy S
- Blinov, Michael L
- Colon-Emeric, Cathleen S
- Dugan, Laura L
- Ferrucci, Luigi
- Kirkland, James L
- Kritchevsky, Stephen B
- Lipsitz, Lewis A
- Nadkarni, Neelesh K
- Reed, May J
- Schmader, Kenneth E
- Sierra, Felipe
- Studenski, Stephanie A
- Varadhan, Ravi
- Walston, Jeremy D
- Whitson, Heather E
- Yung, Raymond
- Venue
- The Journals of Gerontology: Series A
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-05-05
- Volume
- 72
- Issue
- 7
- Pages
- 980-990
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- PMC
- PMC5861884
- OpenAlex
- W2611341457
- Semantic Scholar
- 8a4b73ffa8c7090642e3d117a7432fc9e395e304
- Cited by
- 173
- References
- 32
- Citations by year
- 2026: 22 · 2025: 20 · 2024: 16 · 2023: 22 · 2022: 29 · 2021: 17 · 2020: 13 · 2019: 20 · 2018: 11 · 2017: 3
- FWCI
- 15.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- Locations
- The Journals of Gerontology Series A (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- University of Michigan Library
- Funders
- National Institute on Aging
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- resilience, human aging, stress response, homeostatic responses, older adults, biological aging, sensor technology
- MeSH terms
- Adaptation, Psychological, Aged, Aging, Consensus Statements as Topic, Female, Humans, Male, Stress, Psychological, Geriatric Assessment, Behavioral Research, Resilience, Psychological
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