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Titolo:
SELF-REPORTED CAUSES OF PHYSICAL-DISABILITY IN OLDER-PEOPLE - THE CARDIOVASCULAR HEALTH STUDY
Autore:
ETTINGER WH; FRIED LP; HARRIS T; SHEMANSKI L; SCHULZ R; ROBBINS J;
Indirizzi:
WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT INTERNAL MED,MED CTR BLVD WINSTON SALEM NC 27157 WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI WINSTON SALEMNC 27157 JOHNS HOPKINS UNIV,SCH MED,DEPT MED BALTIMORE MD 21205 NIA,EPIDEMIOL DEMOG & BIOMETRY PROGRAM BETHESDA MD 20892 UNIV WASHINGTON,DEPT BIOSTAT SEATTLE WA 98195 UNIV PITTSBURGH,UNIV CTR SOCIAL & URBAN RES PITTSBURGH PA 00000 UNIV CALIF DAVIS,DEPT MED DAVIS CA 95616
Titolo Testata:
Journal of the American Geriatrics Society
fascicolo: 10, volume: 42, anno: 1994,
pagine: 1035 - 1044
SICI:
0002-8614(1994)42:10<1035:SCOPIO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMPACT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
W.H. Ettinger et al., "SELF-REPORTED CAUSES OF PHYSICAL-DISABILITY IN OLDER-PEOPLE - THE CARDIOVASCULAR HEALTH STUDY", Journal of the American Geriatrics Society, 42(10), 1994, pp. 1035-1044

Abstract

OBJECTIVE: To determine the major conditions and symptoms reported tocause difficulty in 17 physical tasks of daily life and the criterionvalidity of self-report of diseases given as the causes of the difficulty in functioning, in community dwelling older people. DESIGN: Crosssectional analyses of data obtained in an observational cohort study. SETTING: Research clinics in four US communities: Winston-Salem, NC, Hagerstown, MD, Pittsburgh, PA, and Sacramento, CA. PARTICIPANTS: 5201community-dwelling people greater than or equal to 65 years old. RESULTS: Arthritis and other musculoskeletal diseases were given as the primary causes of difficulty in performing physical tasks by 49.0% of the participants reporting difficulty in any task, followed by heart disease (13.7%), injury (12.0%), old age (11.7%), lung disease (6.0%), and stroke (2.9%). The self-reports of diseases that caused disability varied by task. Whereas arthritis was given as a cause of difficulty inmost of the 17 different tasks, heart and lung disease were more likely to be reported as causing difficulty with activities requiring highaerobic work capacity such as walking one-half mile or doing heavy housework. Stroke was more likely to be reported as causing difficulty with use of the upper extremities and in performing basic activities ofdaily living. There was a high degree of consistency (91%) between the diseases and symptoms reported to cause disabilities. The percentageof people who reported a disease as the cause of their difficulty performing a task and had independent confirmation of the diagnosis was 85% in men and 71% in women, and varied according to type of disease and the individual's cognitive status and health status. CONCLUSION: These data suggest that age-related chronic diseases are important causesof disability in older people but that the type of disability is dependent on the underlying disease that causes the disability. Also, self-report of the cause of disability appears to be generally accurate but is influenced by gender, health status, and type of disease.

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Documento generato il 04/12/20 alle ore 03:50:11