Disability Trends Among Older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004

Seeman, Teresa E.; Merkin, Sharon Stein; Crimmins, Eileen M.; Karlamangla, Arun S.

doi:10.2105/ajph.2008.157388

Cited by 315 publications

(267 citation statements)

References 32 publications

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“…The persistent functional deficits present after THA may have substantial consequences [44], including increased fall risk [53]. Furthermore, mobility disability (eg, the inability to independently walk and climb stairs) [20] places a burden on our healthcare system as a result of increased use [42] and is a risk factor for decreased life expectancy in older adults [20].…”

Section: Introductionmentioning

confidence: 99%

Muscle Strength and Functional Recovery During the First Year After THA

Judd¹,

Dennis

Thomas³

et al. 2013

Clin Orthop Relat Res

135

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Background Patients undergoing total hip arthroplasty (THA) often are satisfied with the decrease in pain and improvement in function they achieve after surgery. Even so, strength and functional performance deficits persist after recovery, but these remain poorly characterized; knowledge about any ongoing strength or functional deficits may allow therapists to design rehabilitation programs to optimize recovery after THA. Questions/purposes The purposes of this study were to (1) evaluate postoperative muscle strength, function, and quality of life during the first year after THA; and (2) compare strength and function in patients 1 year after THA with a cohort of healthy peers. Methods Twenty-six patients undergoing THA were assessed 1, 3, 6, and 12 months postoperatively, and 19 adults with no hip pathology were tested as a control group. Isometric muscle strength (hip flexors, extensors, abductors, knee extensors, and flexors), functional performance (stair climbing, five times sit-to-stand, timed-up-and-go, 6-minute walk, and single-limb stance tests), and selfreported function (Hip Disability and Osteoarthritis Score, SF-36, and UCLA activity score) were compared. Results One month after THA, patients had 15% less hip flexor and extensor torque, 26% less abductor torque, 14% less knee extensor and flexor torque, and worse performance on the stair climbing, timed-up-and-go, single-limb stance, and 6-minute walk. Compared with healthy adults, patients 12 months after THA had 17% less knee extensor and 23% less knee flexor torque; however, the functional testing (including stair climbing, five times sit-to-stand, and the 6-minute walk) showed no significant differences with the patient numbers available between individuals undergoing THA and healthy control subjects. SF-36 Physical Component Scores, although significantly improved from preoperative levels, were significantly worse than healthy adults 1 year after THA (p \ 0.01).

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Section: Introductionmentioning

confidence: 99%

Muscle Strength and Functional Recovery During the First Year After THA

Judd¹,

Dennis

Thomas³

et al. 2013

Clin Orthop Relat Res

135

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“…For people younger than 85 years, studies from the United States have reported declining rates of disability (Cai and Lubitz 2007;Crimmins 2004Crimmins , 2009Manton and Gu 2006), but also stable or increasing disability levels (Fuller-Thomson et al 2009;Seeman et al 2010). The rates in Europe have varied according to country, period, setting, and methodology Parker et al 2008;Robine et al 2009).…”

Section: Introductionmentioning

confidence: 99%

“…The rates in Europe have varied according to country, period, setting, and methodology Parker et al 2008;Robine et al 2009). For the oldest old, data are sparse, and the results have shown both rising and declining trends (Cai and Lubitz 2007;Engberg et al 2008;Parker et al 2005;Seeman et al 2010). Recent publications from the United States indicate a more favorable trend among the oldest old than among those younger than 80 years (Cai and Lubitz 2007;Seeman et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Disability trends among nonagenarians in 2001–2007: Vitality 90+ Study

et al. 2011

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Substantial growth of the population aged 90 years or over has focused interest on trends in the functioning and disability of the oldest old, but research findings are scarce and they vary. In the Vitality 90? Study, we evaluated overall, gender-specific, and agespecific trends in disability among total cohorts of people aged 90 years or older in the city of Tampere, Finland, in the years 2001, 2003, and 2007. The size of the target population ranged from 1113 to 1146 and the participation rate from 79 to 86%. The participants were asked whether they were able to get in and out of bed, dress and undress, move about indoors, walk 400 m, and use stairs. Independence was defined as being able to perform an activity without help. The aggregate outcome measures included independence in all five activities, dependence in one to four activities, dependence in all five activities (severe dependence), and a disability score. In analyses taking into account the within subject associations which resulted due to those who participated in several years, and proxy respondents, no overall or gender-specific trend was found in any of the independence or dependence estimates. In each year, independence decreased clearly by increasing age. Our results imply stable disability levels in nonagenarians in a population with increasing life expectancy and improving survival until the age of 90. Longer-time series are needed to confirm the trends.

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“…1,2 Although the baby boomers have a longer life expectancy than the previous cohort, the silent generation (born 1925 to 1945), baby boomers will have higher rates of chronic conditions such as diabetes, hypertension, and cancer than their predecessors. [3][4][5][6][7] The increasing proportion of older adults with comorbidities requires innovative strategies to help individuals cope with and prevent aging-related functional decline. One area of health care that more people are turning to is complementary and alternative medicine (CAM), a group of modalities, practices, and products that either supplement or substitute con-ventional medicine.…”

mentioning

confidence: 99%

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Rowland-Seymour

Frankel

et al. 2014

The Journal of the American Board of Family Medicine

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Methods: This study compares CAM usage between baby boomers (n ‫؍‬ 7734) and the silent generation (n ‫؍‬ 4682) through secondary analyses of the 2007 National Health Interview Survey data. The analysis also compares chronic disease and pain status. Multivariate logistic regression models were developed to identify generational differences.Results: Although the silent generation reported twice as many chronic disease (51.3% vs 26.1%; P < .001) and more painful conditions (56.1% vs 52.2%; P < .001), baby boomers were more likely to use CAM within the past year (43.1% vs 35.4%; P < .001). Adjusting for covariates, baby boomers with heart disease, cancer, and diabetes were more likely to use CAM than adults from the silent generation. Chronic pain status was independently associated with greater CAM use (adjusted odds ratio, 2.26; 95% confidence interval, 2.03-2.52).Conclusions: Baby boomers reported significantly higher rates of CAM use than the silent generation for both chronic diseases and painful conditions. Family physicians caring for the aging population must use patient-centered communication about the risks/benefits of CAM, which is necessary to promote effective coping with chronic illnesses and pain. (J Am Board Fam Med 2014;27:465-473.)

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Disability Trends Among Older Americans: National Health and Nutrition Examination Surveys, 1988–1994 and 1999–2004

Abstract: Our results have significant and sobering implications: older Americans face increased disability, and society faces increased costs to meet the health care needs of these disabled Americans.

Cited by 315 publications

References 32 publications

Muscle Strength and Functional Recovery During the First Year After THA

Muscle Strength and Functional Recovery During the First Year After THA

Disability trends among nonagenarians in 2001–2007: Vitality 90+ Study

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

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