Evidence for decline in disability and improved health among persons aged 55 to 70 years: The Framingham Heart Study
Evidence for decline in disability and improved health among persons aged 55 to 70 years: The Framingham Heart Study
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DOI：
10.2105/ajph.89.11.1678
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发表时间：
1999-11-01
影响因子：
12.7
通讯作者：
Felson, DT
中科院分区：
文献类型：
--
作者：
Allaire, SH;LaValley, MP;Felson, DT
目标。这项研究检测了 55 至 70 岁人群残疾和健康状况的长期变化，这个年龄段是残疾和发病率开始增加以及退休的时期。方法。使用弗雷明汉心脏研究的原始队列 (n = 1760) 和后代 (n = 1688) 队列中年龄相仿的成员（代表 2 代）的数据完成了横断面比较。通过逻辑回归按性别和慢性病亚组进行分析。结果。后代队列中的残疾程度明显低于原始队列。 36% 的后代男性患有残疾，而原始队列男性的这一比例为 52% (P =.001)；在女性中，这一比例分别为 54% 和 72% (P =.001)。认为自己的健康状况一般或较差的后代越来越少，患有慢性病的后代也越来越少。后代的体力活动更加活跃，吸烟或饮酒的可能性较小，但他们的平均体重却更大。慢性病患者的残疾率长期下降非常明显。结论。我们的研究结果表明，在退休时，人口的长期变化将导致残疾程度降低，全球范围内的人口更加健康。
Objectives. This study detected secular change in disability and health among persons aged 55 to 70 years, the life period when increases in disability and morbidity begin and retirement occurs.Methods. Cross-sectional comparisons were completed with data from similarly aged members of the original (n = 1760) and offspring (n = 1688) cohorts of the Framingham Heart Study, which represent 2 generations. Analyses were conducted by gender and on chronic disease subgroups by logistic regression. Results. There was substantially less disability in the offspring cohort than in the original cohort. Thirty-six percent of offspring men were disabled vs 52% of original cohort men (P =.001); among women, these proportions were 54% vs 72% (P =.001). Fewer offspring perceived their health as fair or poor and fewer had chronic diseases. Offspring were more physically active and less likely to smoke or consume high amounts of alcohol, but their average weight was greater. The secular decline in disability was strongly evident among individuals with chronic diseases.Conclusions. Our findings depict a secular change toward a less disabled and globally healthier population in the period of life when retirement occurs.