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The effects of specific medical conditions on the functional limitations of elders in the Framingham study

Author

Listed:
  • Guccione, A.A.
  • Felson, D.T.
  • Anderson, J.J.
  • Anthony, J.M.
  • Zhang, Y.
  • Wilson, P.W.F.
  • Kelly-Hayes, M.
  • Wolf, P.A.
  • Kreger, B.E.
  • Kannel, W.B.

Abstract

Objectives. The purpose of this study was to identify associations between specific medical conditions in the elderly and limitations in functional tasks to compare risks of disability across medical conditions, controlling for age, sex, and comorbidity and to determine the proportion of disability attributable to each condition. Methods. The subjects were 709 noninstitutionalized men and 1060 women of the Framingham Study cohort (mean age 73.7 ± 6.3 years). Ten medical conditions were identified for study: knee osteoarthritis, hip fracture, diabetes, stroke, heart disease intermittent claudication, congestive heart failure, chronic obstructive pulmonary disease, depressive symptomatology and cognitive impairment. Adjusted odds ratios were calculated for dependence on human assistance in seven functional activities. Results. Stroke was significantly associated with functional limitations in all seven tasks depressive symptomatology and hip fracture were associated with limitations in five tasks: and knee osteoarthritis, heart disease, congestive heart failure, and chronic obstructive pulmonary disease, were associated with limitations in four tasks each. Conclusions. In general, stroke, depressive symptomatology, hip fracture, knee osteoarthritis, and heart disease account for more physical disability in noninstitutionalized elderly men and women than other diseases.

Suggested Citation

  • Guccione, A.A. & Felson, D.T. & Anderson, J.J. & Anthony, J.M. & Zhang, Y. & Wilson, P.W.F. & Kelly-Hayes, M. & Wolf, P.A. & Kreger, B.E. & Kannel, W.B., 1994. "The effects of specific medical conditions on the functional limitations of elders in the Framingham study," American Journal of Public Health, American Public Health Association, vol. 84(3), pages 351-358.
    • Handle: RePEc:aph:ajpbhl:1994:84:3:351-358_9
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    Cited by:

    1. Shemendyuk, Aleksandr & Wagner, Joël, 2024. "On the factors determining the health profiles and care needs of institutionalized elders," Insurance: Mathematics and Economics, Elsevier, vol. 114(C), pages 223-241.
    2. David R. Axon & Humza Ullah, 2023. "A Retrospective Database Study of Health Costs among United States Older Adults Who Documented Having Pain and Functional Impairment," Disabilities, MDPI, vol. 3(2), pages 1-10, April.
    3. Hyungsoo Kim & Jinkook Lee & Doh-Khul Kim, 2006. "The Impact of Age and Health on Vehicle Choices among Elders," Journal of Family and Economic Issues, Springer, vol. 27(3), pages 437-457, September.
    4. Ami Ogawa & Hirotaka Iijima & Masaki Takahashi, 2022. "Identification of Early Knee Osteoarthritis Based on Knee Joint Trajectory during Stair Climbing," IJERPH, MDPI, vol. 19(22), pages 1-11, November.
    5. Thierry Thomas & Françoise Amouroux & Patrice Vincent, 2017. "Intra articular hyaluronic acid in the management of knee osteoarthritis: Pharmaco-economic study from the perspective of the national health insurance system," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-17, March.
    6. Maria M Wertli & Judith M Schlapbach & Alan G Haynes & Claudia Scheuter & Sabrina N Jegerlehner & Radoslaw Panczak & Arnaud Chiolero & Nicolas Rodondi & Drahomir Aujesky, 2020. "Regional variation in hip and knee arthroplasty rates in Switzerland: A population-based small area analysis," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-18, September.
    7. Mary Beth Landrum & Kate A. Stewart & David M. Cutler, 2009. "Clinical Pathways to Disability," NBER Chapters, in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 151-187, National Bureau of Economic Research, Inc.
    8. Barbara Resnick, 1998. "Functional Performance of Older Adults in a Long-Term Care Setting," Clinical Nursing Research, , vol. 7(3), pages 230-246, August.
    9. Parminder Raina & Steven Dukeshire & Joan Lindsay, 1997. "Prevalence, Risk Factors, and Primary Causes of Disability Among Canadian Seniors: An Analysis of the 1986 and 1991 Health and Activity Limitation Surveys," Independence and Economic Security of the Older Population Research Papers 11, McMaster University.
    10. Shih-Wei Huang & Yi-Wen Chen & Reuben Escorpizo & Chun-De Liao & Tsan-Hon Liou, 2021. "Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    11. Haas, Steven, 2008. "Trajectories of functional health: The 'long arm' of childhood health and socioeconomic factors," Social Science & Medicine, Elsevier, vol. 66(4), pages 849-861, February.
    12. Wilma Nusselder & Caspar Looman, 2004. "Decomposition of differences in health expectancy by cause," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 315-334, May.

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