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Titolo:
AGING, HEALTH RISKS, AND CUMULATIVE DISABILITY
Autore:
VITA AJ; TERRY RB; HUBERT HB; FRIES JF;
Indirizzi:
1000 WELCH RD,SUITE 203 PALO ALTO CA 94304 STANFORD UNIV,SCH MED,DEPT MED STANFORD CA 00000
Titolo Testata:
The New England journal of medicine
fascicolo: 15, volume: 338, anno: 1998,
pagine: 1035 - 1041
SICI:
0028-4793(1998)338:15<1035:AHRACD>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALL-CAUSE MORTALITY; PHYSICAL-ACTIVITY; ELDERLY POPULATION; COLLEGE ALUMNI; OLDER PERSONS; LONGER LIFE; FOLLOW-UP; MEN; COMPRESSION; MORBIDITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
43
Recensione:
Indirizzi per estratti:
Citazione:
A.J. Vita et al., "AGING, HEALTH RISKS, AND CUMULATIVE DISABILITY", The New England journal of medicine, 338(15), 1998, pp. 1035-1041

Abstract

Background Persons with lower health risks tend to live longer than those with higher health risks, but there has been concern that greaterlongevity may bring with it greater disability. We performed a longitudinal study to determine whether persons with lower potentially modifiable health risks have more or less cumulative disability. Methods Westudied 1741 university alumni who were surveyed first in 1962 (average age, 43 years) and then annually starting in 1986, Strata of high, moderate, and low risk were defined on the basis of smoking, body-massindex, and exercise patterns. Cumulative disability was determined with a health-assessment questionnaire and scored on a scale of 0 to 3. Cumulative disability from 1986 to 1994 (average age in 1994, 75 years) or death was the measure of lifetime disability. Results Persons with high health risks in 1962 or 1986 had twice the cumulative disability of those with low health risks (disability index, 1.02 vs. 0.49; P <0.001). The results were consistent among survivors, subjects who died, men, and women and for both the last year and the last two years ofobservation. The onset of disability was postponed by more than five years in the low-risk group as compared with the high-risk group. The disability index for the low-risk subjects who died was half that for the high-risk subjects in the last one or two years of observation. Conclusions Smoking, body-mass index, and exercise patterns in midlife and late adulthood are predictors of subsequent disability. Not only dopersons with better health habits survive longer, but in such persons, disability is postponed and compressed into fewer years at the end of life. (C) 1998, Massachusetts Medical Society.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 23:08:58