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Epidemiologie älterer Menschen

  • Chapter
Klinische Geriatrie

Zusammenfassung

Allgemein wird eine epidemiologische Betrachtungsweise des Alterungsprozesses immer verbunden mit negativen Aspekten wie Mortalität, Gebrechlichkeit oder Pflegebedürftigkeit. Diese Sichtweise beruht auf einer Vorstellung, die geprägt ist von epidemiologischen Untersuchungen an jüngeren Personen. Dabei wird der enorme Fortschritt, der in den letzten Jahren sowohl theoretisch als auch empirisch zu verzeichnen ist, nicht ausreichend wahrgenommen. Ziel diese Kapitels ist es daher, die wesentlichen Konzepte und Forschungsergebnisse zu den Themen aktive Lebensjahre, chronische Krankheiten und funktionelle Defizite aufzuzeigen und so aufgrund dieser neuen oder zumindest anderen epidemiologischen Perspektive neue Wege für die Prävention und Behandlung älterer Menschen zu eröffnen.

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Literatur

  • Anderson RT, James MK, Miller ME, Worley AS, Longino Jr CF (1998) The timing of change: Patterns in transitions in functional status among elderly persons. J Gerontol 53B: S17–S27

    Article  Google Scholar 

  • Anttila S (1991) Functional capacity in two elderly populations aged 75 or over: Comparisons at 10 years’ intervals. J Clin Epidemiol 44:1181–1186

    Article  PubMed  CAS  Google Scholar 

  • Avlund K, Schultz-Larsen K, Davidsen M (1998) Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years. J Clin Epidemiol 51:323–333

    Article  PubMed  CAS  Google Scholar 

  • Bates DW, Spell N, Cullen DJ, Burdick E, Laird N, Petersen LA (1997) The costs of adverse drug events in hospitalized patients. JAMA 277:307–311

    Article  PubMed  CAS  Google Scholar 

  • Beckett LA, Brock DB, Lemke JH et al. (1996) Analysis of change in self-reported physical function among older persons in four population studies. Am J Epidemiol 143:766–778

    PubMed  CAS  Google Scholar 

  • Bernard SL, Kincade JE, Konrad TR (1997) Predicting mortality from Community surveys of older adults: The importance of self-rated functional ability. J Gerontol 52B: 155–163

    Article  Google Scholar 

  • Bickel H (1996) Pflegebedürftigkeit im Alter: Ergebnisse einer Populations-bezogenen retrospektiven Längsschnittstudie. Gesundheitswesen 58 (Suppl) 56–62

    PubMed  CAS  Google Scholar 

  • Bone MR, Bebbington AC, Nicolaas G (1998) Policy applications of health expectancy. J Aging Health 10:136–153

    Article  Google Scholar 

  • Booth BM, Blow FC, Loveland Cook CA (1998) Functional impairment and co-occuring Psychiatric disorders in medically hospitalized men. Arch Intern Med 158:1551–1559

    Article  PubMed  CAS  Google Scholar 

  • Bopp M, Gutzwiller F (1998) Die mittlere Lebenserwartung in der Schweiz - historische und internationaler Hintergrund und einige Gedanken zur zukünftigen Entwicklung. Soz Präventivmed 43:149–161

    Article  PubMed  CAS  Google Scholar 

  • Bortz WM II (1993) The physics of frailty. J Am Geriatr Soc 41: 1004–1008

    PubMed  Google Scholar 

  • Bosworth HB, Schaie KW (1997) The relationship of social environment, social networks, and health outcomes in the Seattle longitudinal study: Two analytical approaches. J Gerontol 52B: 197–205

    Article  Google Scholar 

  • Boult C, Altmann M, Gilbertson D, Yu C, Kane R (1996) Decreasing disability in the 2Ist Century: The future effects of Controlling six fatal and nonfatal conditions. Am J Public Health 86:1388–1393

    Article  PubMed  CAS  Google Scholar 

  • Bowling A, Grundy E (1997) Activities of daily living: Changes in functional ability in three samples of elderly and very elderly people. Age Ageing 26:107–114

    Article  PubMed  CAS  Google Scholar 

  • Bowling A, Grundy E (1998) The association between social networks and mortality in later life. Rev Clin Gerontol 8: 353–361

    Article  Google Scholar 

  • Branch LG, Guralnik JM, Foley DJ (1991) Active life expectancy for 10000 caucasian men and women in three communities. J Gerontol 46:M145–M150

    PubMed  CAS  Google Scholar 

  • Brown I, Renwick R, Raphael D (1995) Frailty: Constructing a common meaning, definition, and conceptual framework. Int J Rehabil Res 18:93–102

    Article  PubMed  CAS  Google Scholar 

  • Buchner DM, Wagner EH (1992) Preventing frail health. Clin Geriatr Med 8:1–17

    PubMed  CAS  Google Scholar 

  • Buono MD, Urciuoli O, De Leo D (1998) Quality of life and longevity: A study of centenarians. Age Ageing 27:207–216

    Article  Google Scholar 

  • Butler RN (1997) Population aging and health. Br Med J 315: 1082–1084

    Article  CAS  Google Scholar 

  • Campbell AJ, Buchner DM (1997) Unstable disability and the fluctuations of fraility. Age Ageing 26:315–318

    Article  PubMed  CAS  Google Scholar 

  • Caplan GA, Brown A, Croker WD, Doolan J (1998) Risk of admission within 4 weeks of discharge of elderly patients from the emergency department - The DEED study. Age Ageing 27:697–702

    Article  PubMed  CAS  Google Scholar 

  • Carlson E, Zocchi KA, Bettencourt DM, Gambrel ML, Freeman JL, Zhang D (1998) Measuring frailty in the hospitalized elderly: Concept of functional homeostasis. Am J Phys Med Rehabil 77:252–257

    Article  PubMed  CAS  Google Scholar 

  • Caselli G, Lopez AD (1996) Health and mortality among elderly populations. Clarendon, Oxford

    Google Scholar 

  • Chiang CL (1991) Competing risks in mortality analysis. Ann RevPublic Health 12:281–307

    Article  CAS  Google Scholar 

  • Cornoni-Huntley JC, Huntley RR, Feldman JJ (1990) Health status and well-being of the elderly. Oxford University Press, New York

    Google Scholar 

  • Covinsky KE, Justice AC, Rosenthal GE, Palmer RM, Landefeld CS (1997) Measuring prognosis and case mix in hospitalized eiders: The importance of functional status. J Gen Intern Med 12:203–208

    PubMed  CAS  Google Scholar 

  • Crimmins EM, Saito Y, Reynolds SL (1997) Further evidence on recent trends in the prevalence and incidence of disability among older Americans from two sources: The LSOA and the NHIS.J Gerontol 52:S59–71

    CAS  Google Scholar 

  • Deeg DJH, Van Zonneveld RJ, Van der Maas PJ, Habbema JDF (1989) Medical and social predictors of longevity in the elderly: Total predictive value and interdependence. Soc Sei Med 29:1271–1280

    Article  CAS  Google Scholar 

  • Dening TR, Chi LY, Brayne C, Huppert FA, Paykel ES, O’Connor DW (1998) Changes in self-rated health, disability and contact with services in a very elderly cohort: A 6-year follow-up study. Age Ageing 27:23–34

    Article  PubMed  CAS  Google Scholar 

  • Doblhammer G, Kytir J (1998) Social inequalities in disabilityfree and healthy life expectancy in Austria. Wien Klin Wochenschr 110:393–396

    PubMed  CAS  Google Scholar 

  • Dontas AS, Toupadaki N, Tzonou A, Kasviki-Charvati P (1996) Survival in the oldest old - Death risk factors in old and very old subjects. J Aging Health 8:220–237

    Article  PubMed  CAS  Google Scholar 

  • Dunlop DD, Hughes SL, Manheim LM (1997) Disability in activities of daily living: Patterns of change and a hierarchy of disability. Am J Public Health 87:378–383

    Article  PubMed  CAS  Google Scholar 

  • Dunn J, Rudberg MA, Furner SE, Casell CK (1992) Mortality, disability, and falls in older persons: The role of underlying disease and diability. Am J Public Health 82:395–340

    Article  PubMed  CAS  Google Scholar 

  • Ebrahim S, Kalache A (1996) Epidemiology in old age. BMJ Publishing Group, London

    Google Scholar 

  • Edwards SD (1997) Dismantling the disability/handicap distinction. J Med Phil 22:589–606

    CAS  Google Scholar 

  • Era P, Schroll M, Ytting H, Gausenilsson I, Heikkinen E, Steen B (1996) Postural balance and its sensory-motor correlates in 75-year-old men and women: A cross-national comparative study. J Gerontol 51A:M53–M63

    Google Scholar 

  • Ettinger WH, Fried LP, Bandeen-Roche K et al. (1994) Self-reported causes of physical disability in older people: The Cardiovascular Health Study. J Am Geriatr Soc 42: 1035–1044

    PubMed  Google Scholar 

  • Femia EE, Zarit SH, Johansson B (1997) Predicting change in activities of daily living: A longitudinal study of the oldest old in Sweden. J Gerontol 52B:P294–P302

    Article  Google Scholar 

  • Ferrucci L, Guralnik JM, Simonsick E, Salive ME, Corti C, Langlois J (1996a) Progressive versus catastrophic disability: A longitudinal view of the disablement process. J Gerontol 51A:M123–M130

    Google Scholar 

  • Ferrucci L, Guralnik JM, Salive ME (1996b) Effect of age and severity of disability on short-term Variation in Walking speed: The Women’s Health and Aging Study. J Clin Epidemiol 49:1089–1096

    Article  PubMed  CAS  Google Scholar 

  • Ferrucci L, Guralnik JM, Pahor M, Corti MC, Havlik RJ (1997) Hospital diagnoses, Medicare charges, and nursing home admissions in the year when older persons become severely disabled. JAMA 277:728–734

    Article  PubMed  CAS  Google Scholar 

  • Ferrucci L, Guralnik JM, Cecchi F, Marchionni N, Salani B, Kasper J (1998) Constant hierarchic patterns of physical funetioning across seven populations in five countries. Gerontologist 38:286–294

    Article  PubMed  CAS  Google Scholar 

  • Forbes WF, Thompson ME (1990) Age-related diseases and normal aging: The nature of the relationship. J Clin Epidemiol 43:191–193

    Article  PubMed  CAS  Google Scholar 

  • Freedman JD, Beck A, Robertson B, Calonge BN, Gade G (1996) Using a mailed survey to predict hospital admission among patients older than 80. J Am Geriatr Soc 44:689–692

    PubMed  CAS  Google Scholar 

  • Fried LP, Guralnik JM (1997) Disability in older adults: Evidence regarding significance, etiology, and risk. J Am Geriatr Soc 45:92–100

    PubMed  CAS  Google Scholar 

  • Fried LP, Ettinger WH, Hermanson B, Newman AB, Gardin J (1994) Physical disability in older adults: A physiological approach. J Clin Epidemiol 47:747–760

    Article  PubMed  CAS  Google Scholar 

  • Fried LP, Bandeen-Roche K, Williamson JD (1996) Functional decline in older adults: Expanding methods of ascertainment. J Gerontol 51A: M206–M214

    Google Scholar 

  • Fried LP, Kronmal RA, Newman AB (1998) Risk factors for 5-year mortality in older adults: The Cardiovascular Health Study. JAMA 279:585–592

    Article  PubMed  CAS  Google Scholar 

  • Fries JF (1980) Aging, natural death and the compression of morbidity. N Engl J Med 303:130–135

    Article  PubMed  CAS  Google Scholar 

  • Fries JF (1983) The compression of morbidity. Milb Mem Fund Quart 61:397–419

    Article  CAS  Google Scholar 

  • Fries JF (1988) Aging, illness, and health policy: Implications of the compression of morbidity. Perspect Biol Med 31: 407–428

    PubMed  CAS  Google Scholar 

  • Fries JF (1996) Physical activity,the compression of morbidity, and the health of the elderly. JR Soc Med 89:64–68

    CAS  Google Scholar 

  • Fries JF (1997)Can preventive gerontology be on the way? Am J Public Health 87:1591–1593

    CAS  Google Scholar 

  • Gill TM, Williams CS, Richardson ED, Tinetti ME (1996) Impairments in physical Performance and cognitive status as predisposing factors for functional dependence among nondisabled older persons. J Gerontol 51A:M283–M288

    Google Scholar 

  • Gill TM, Williams CS, Mende de Leon CF, Tinetti ME (1997) The role of change in physical Performance in determining risk for dependence in activities of daily living among nondisabled community-living elderly persons. J Clin Epidemiol 50:765–772

    Article  PubMed  CAS  Google Scholar 

  • Gill TM, Robinson JT, Tinetti ME (1998) Difficulty and dependance: Two components of the disability continuum among community-living older persons. Ann Intern Med 128: 96–101

    PubMed  CAS  Google Scholar 

  • Glass TA (1998) Conjugating the „tenses“ of funetion: Discordance among hypothetical, experimental, and enacted funetion in other adults. Gerontologist 38:101–123

    Article  PubMed  CAS  Google Scholar 

  • Goldberg RJ, Larson M, Levy D (1996) Factors associated with survival to 75 years of age in middle-aged men and women -The Framingham Study. Arch Intern Med 156:505–512

    Article  PubMed  CAS  Google Scholar 

  • Gray SL, Sager M, Lestico MR, Jalaluddin M (1998) Adverse drug events in hospitalized elderly. J Gerontol 53A: M59-M63

    Google Scholar 

  • Gregg EW, Kriska AM, Fox KM, Cauley JA (1996) Self-rated health and the spectrum of physical activity and physical funetion in older women. J Aging Phys Activ 4:349 - 361

    Google Scholar 

  • Greiner PA, Snowdon DA, Greiner LH (1996) The relationship of self-rated funetion and self-rated health to concurrent functional ability, functional decline, and mortality: findings from the Nun Study. J Gerontol 51 :S234–S241

    CAS  Google Scholar 

  • Grimby A, Svanborg A (1997) Morbidity and health-related quality of life among ambulant elderly Citizens. Aging 9 : 356–364

    PubMed  CAS  Google Scholar 

  • Gruenberg E (1977) The failure of success. Milb Mem Fund Quart 55:3–24

    Article  CAS  Google Scholar 

  • Guralnik JM (1994) Understanding the relationship between disease and disability. J Am Geriatr Soc 42:1128–1129

    PubMed  CAS  Google Scholar 

  • Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB (1995) Lower-extremity funetion in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332:556–561

    Article  PubMed  CAS  Google Scholar 

  • Guralnik JM, Fried LP, Salive ME (1996) Disability as a public health outcome in the aging population. Ann Rev Public Health 17:25–46

    Article  CAS  Google Scholar 

  • Harris T. Kovar MG, Suzman R, Kleinman JC, Feldman JJ (1989) Longitudinal study of physical ability in the oldestold. Am J Public Health 79:698–702

    Article  PubMed  CAS  Google Scholar 

  • Hays JC, Schoenfeld D, Blazer DG, Gold DT (1996) Global selfratings of health and mortality: Hazard in the North Carolina Piedmont. J Clin Epidemiol 49:969–980

    Article  PubMed  CAS  Google Scholar 

  • Hayward MD, Crimmins EM, Saito Y (1998) Cause of death and active life expectancy in the older population of the United States. J Aging Health 10:192–213

    Article  Google Scholar 

  • Hebert R (1997) Functional decline in old age. Can Med Assoc J 157:1037–1045

    CAS  Google Scholar 

  • Hebert R, Brayne C, Spiegelhalter D (1997) Incidence of functional decline and improvement in a community-dwelling very elderly population. Am J Epidemiol 145:935–944

    PubMed  CAS  Google Scholar 

  • Heerkens YF, Brandsma JW, Lakerveld-Heyl K, van Ravensberg CD (1994) Impairments and disability - the difference: Proposal for adjustment of the International Classification of Impairments, Disabilities and Handicaps. Phys Ther 74: 430–442

    CAS  Google Scholar 

  • Hirsch CH, Fried LP, Harris T (1997) Correlates of performancebased measures of muscle function in the elderly: The Cardiovascular Health Study. J Gerontol 52A:M192–M200

    Google Scholar 

  • Hoeymans N, Feskens EJM, Van den Bos GAM, Kromhout D (1996) Measuring functional status: Cross-sectional and longitudinal associations between Performance and selfreport (Zutphen Elderly Study 1990-1993). J Clin Epidemiol 49:1103–1110

    Article  PubMed  CAS  Google Scholar 

  • Hoeymans N, Feskens EJM, Van den Bos GAM, Kromhout D (1997) Age, time, and cohort effects on functional status and self-rated health in elderly men. Am J Public Health 87: 1620–1625

    Article  PubMed  CAS  Google Scholar 

  • Hughes S, Gibbs J, Dunlop D (1997) Predictors of decline in manual Performance in older adults. J Am Geriatr Soc 45: 905–910

    PubMed  CAS  Google Scholar 

  • Idler EL, Angel RJ (1990) Self-rated health and mortality in the NHANES-I Epidemiologie Follow-up Study. Am J Public Health 80:446–452

    Article  PubMed  CAS  Google Scholar 

  • Idler EL, Benyamini Y (1997) Self-rated health and mortality: A review of twenty-seven Community studies. J Health Soc Behav 38:21–37

    Article  PubMed  CAS  Google Scholar 

  • Inouye SK, Peduzzi PN, Robison JT, Hughes JS, Horwitz RI, Concato J (1998) Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 279:1187–1193

    Article  PubMed  CAS  Google Scholar 

  • Jette AM (1994) Physical disablement concepts for physical therapy research and practice. Phys Ther 74:380–386

    PubMed  CAS  Google Scholar 

  • Jette AM, Assmann SF, Rooks D, Harris BA, Crawford S (1998) Interrelationships among disablement concepts. J Gerontol 53 A: M395–M404

    Google Scholar 

  • Kane RL, Radosevich DM, Vaupel JW (1990) Compression of morbidity: Issues and irrelevancies. In: Kane RL (ed) Improving the health of older people: A world view. Oxford University Press, Oxford, pp 30–49

    Google Scholar 

  • Kannel WB (1997) Cardiovascular risk factors in the elderly. Coron Artery Dis 8:565–575

    PubMed  CAS  Google Scholar 

  • Katz S, Branch LG, Branson MH et al. (1983) Active life expectancy. N Engl J Med 309:1218–1224

    Article  PubMed  CAS  Google Scholar 

  • Keil JE, Gazes PC, Sutherland SE, Rust PF, Branch LG, Tyroler HA (1989) Predictors of physical disability in elderly blacks and whites of the Charleston Heart Study. J Clin Epidemiol 42:521–529

    Article  PubMed  CAS  Google Scholar 

  • Kempen Gl, Myers AM, Powell LE (1995) Hierarchical structures in ADL and IADL: Analytical assumptions and applications for clinicians and researchers. J Clin Epidemiol 48: 1299–1305

    Article  PubMed  CAS  Google Scholar 

  • Kempen GIJM, Ormel J, Brilman EI, Relyveld J (1997) Adaptive responses among Dutch elderly: The impact of eight chronic medical conditions on health-related quality of life. Am J Public Health 87:38–44

    Article  PubMed  CAS  Google Scholar 

  • Kempen G, Miedema I, Van den Bos G, Ormel J (1998a) Relationship of domain-speeifie measures of health to pereeived overall health among older subjects. J Clin Epidemiol 51: 11–18

    Article  PubMed  CAS  Google Scholar 

  • Kempen GIJM, Verbrugge LM, Merrill SS, Ormel J (1998b) The impact of multiple impairments on disability in communitydwelling older people. Age Ageing 27:595 - 604

    Article  PubMed  CAS  Google Scholar 

  • Khaw KT (1997a) Healthy aging. Br Med J 315:1090–1096

    Article  CAS  Google Scholar 

  • Khaw KT (1997b) Epidemiological aspects of ageing. Philos Trans Roy Soc London B Biol Sei 352:1829–1835

    Article  CAS  Google Scholar 

  • Kivinen P, Halonen P, Eronen M, Nissinen A (1998) Self-rated health, physician-rated health and associated factors among elderly man: The Finnish cohorts of the seven countries study. Age Ageing 27:41– 48

    Article  PubMed  CAS  Google Scholar 

  • Kliebsch U, Stürmer T, Siebert H, Brenner H(1998) Risk factors of institutionalization in an elderly disabled population. Eur J Public Health 8:106–112

    Article  Google Scholar 

  • Kosorok MR, Omenn GS, Diehr P (1992) Restricted activity days among older adults. Am J Public Health 829:1263–1267

    Article  Google Scholar 

  • Kunkel SR, Applebaum RA (1992) Estimating the prevalence of long-term disability for an aging society. J Gerontol 47: 253–269

    Google Scholar 

  • La Vecchia C, Levi F, Lucchini F, Negri E (1998) Trends in mortality from major diseases in Europe, 1980-1993. Eur J Epidemiol 14:1–8

    Article  PubMed  Google Scholar 

  • Lammi UK, Kivelä, SL, Nissinen A (1989) Predictors of disability in elderly finnish men - a longitudinal study. J Clin Epidemiol 43:1215–1225

    Article  Google Scholar 

  • Lammi UK, Kivelä SL, Nissinen A(1990) Predictors of high functional capacity and mortality in elderly Finnish men. Aging 21:65–77

    Google Scholar 

  • Landefeld CS, Palmer RM, Kresevic DM (1995) A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 332:1338–1344

    Article  PubMed  CAS  Google Scholar 

  • Landerman LR, Fillenbaum GG (1997) Differential relationships of risk factors to alternative measures of disability. J Aging Health 9:266–279

    Article  PubMed  CAS  Google Scholar 

  • Langlois JA, Maggi S, Harris T (1996) Self-report of difficulty in performing functional activities identifies a broad ränge of disability in old age. J Am Geriatr Soc 44:1421–1428

    PubMed  CAS  Google Scholar 

  • Laukkanen P, Heikkinen E, Schroll M (1997) A comparative study of factors related to carrying out physical activities of daily living (PADL) among 75-year-old men and women in two nordic localities. Aging 9:258–267

    PubMed  CAS  Google Scholar 

  • Lawrence RH, Jette AM (1996) Disentangling the disablement process. J Gerontol 51B:S173–S182

    Article  Google Scholar 

  • Linden M, Gilberg R, Horgas AL, Steinhagen-Thiessen (1996) Die Inanspruchnahme medizinischer und pflegerischer Hilfe im hohen Alter. In: Mayer KU (Hrsg) Die Berliner Altersstudie. Akademie, Berlin, S 475–495

    Google Scholar 

  • Lyons RA, Crome P, Monaghan S, Killalea D, Daley JA (1997) Health status and disability among elderly people in three UK districts. Age Ageing 26:203–209

    Article  PubMed  CAS  Google Scholar 

  • Mackenbach JP, Kunst AE, Lautenbach H (1997) Competing causes of death: A death certificate study. J Clin Epidemiol 50:1069–1077

    Article  PubMed  CAS  Google Scholar 

  • Mahoney JE, Sager MA, Jalaluddin M (1998) New Walking dependance associated with hospitalization for acute medical illness: Incidence and significance. J Gerontol 53A: M307–M312

    Google Scholar 

  • Manton KG (1989) Epidemiological, demographic and social correlates of disability among the elderly. Milbank Q 67 (Suppl 2) 13–58

    Article  PubMed  Google Scholar 

  • Manton KG, Stallard E (1996) Longevity in the United States: Age and sex-speeifie evidence on life Span limits from mortality patterns 1960-1990. J Gerontol 51A:B362–B375

    Google Scholar 

  • Manton KG, Stallard E, Corder LS (1998) The dynamics of dimensions of age-related disability 1982 to 1994 in the U.S. elderly population. J Gerontol 53A:B59–B70

    Google Scholar 

  • Mateev A, Gaspoz JM, Borst F, Waldvogel F, Weber D (1998) Use of a short-form Screening procedure to detect unrecognized functional disability in the hospitalized elderly. J Clin Epidemiol 51:309–314

    Article  PubMed  CAS  Google Scholar 

  • Matthesius RG, Jochheim K-A, Barolin GS, Heinz C (1995) Die ICIDH: International Classification of Impairments, Disabilities, and Handicaps. Ullstein, Wiesbaden

    Google Scholar 

  • McGee MA, Johnson AL, Kay DWK (1998) The description of activities of daily living in five centres in England and Wales. Age Ageing 27:605–613

    Article  PubMed  CAS  Google Scholar 

  • Memel D (1996) Chronic disease of physical disability? The role of the general practitioner. Br J Gen Pract 46:10

    Google Scholar 

  • Menotti A, Kromhout D, Nissinen A (1996) Short-term allcause mortality and its determinants in elderly male populations in Finland, the Netherlands, and Italy: The FINE Study. Prev Med 25:319–326

    Article  PubMed  CAS  Google Scholar 

  • Menotti A, Blackburn H, Seccareccia F (1997) The relation of chronic diseases to all-cause mortality risk - The Seven Countries Study. Ann Med 29:135–141

    Article  PubMed  CAS  Google Scholar 

  • Merrill SS, Seeman TE, Kasl SV, Berkman LF (1997) Gender differences in the comparison of self-reported disability and Performance measures. J Gerontol 52A:M19–M26

    Google Scholar 

  • Myers GC, Manton KG (1984)Compression of mortality: Myth or reality? Gerontologist 24:346–353

    PubMed  CAS  Google Scholar 

  • Nagi S (1976) An epidemiology of disability among adults in the U.S. Milbank Mem Fund Q 54:439–455

    Article  CAS  Google Scholar 

  • Nordenfeit L (1997) The importance of a disability/handicap distinction. J Med Phil 22:607–622

    Google Scholar 

  • NusselderWJ, Mackenbach JP (1997) Rectangularization of the survival curve in the Netherlands: An analysis of underlying causes of death. J Gerontol 52B:S145–S154

    Article  Google Scholar 

  • Nusselder WJ, Van der Velden K, Van Sonsbeek JLA, Lenior ME, Van den Bos GAM (1996) The elimination of selected chronic diseases in a population: The compression and expansion of morbidity. Am J Public Health 86:187–194

    Article  PubMed  CAS  Google Scholar 

  • Oliver M (1998) Theories of disability in health practice and research. Br Med J 317:1446–1449

    Article  CAS  Google Scholar 

  • Paccaud F, Pinto CS, Marazzi A, Mili J (1998) Age at death and rectangularisation of the survival curve: Trends in Switzerland, 1969-1994. J Epidemiol Community Health 52: 412–415

    Article  PubMed  CAS  Google Scholar 

  • Penninx BWJH, Tilburg TV, Kriegsman DMW, Deeg DJH, Boeke AJP, Van Eijk TM (1997) Effects of social support and personal coping resources on mortality in older age: The Longitudinal Aging Study Amsterdam. Am J Epidemiol 146:510–519

    PubMed  CAS  Google Scholar 

  • Perenboom RJM, Boshuizen HC, Breteler MMB, Ott A, Vande-Water HPA (1996) Dementia-free life expectancy (Dem-FLE) in the Netherlands. Soc Sei Med 43:1703–1708

    Article  CAS  Google Scholar 

  • Picavet HSJ, Van den Bos GAM (1996) Comparing survey data on functional disability: The impact of some methodological differences. J Epidemiol Community Health 50:86–93

    Article  PubMed  CAS  Google Scholar 

  • Picavet HSJ, Van den Bos GAM (1997) The contribution of six chronic conditions to the total bürden of mobility disability in the Dutch population. Am J Public Health 87:1680–1682

    Article  PubMed  CAS  Google Scholar 

  • Pientka L (1997) Funktionelle Beeinträchtigung im Alter: Epidemiologische Aspekte. Ther Umsch 6:298–302

    Google Scholar 

  • Potts S, Feinglass J, Lefervere F, Kadah H, Branson C, Webster JA (1993) Quality-of-care analysis of cascade iatrogenesis in frail elderly hospital patients. QRB Qual Rev Bull 6: 199–205

    Google Scholar 

  • Prince M (1998) The Classification and measurement of disablement, with emphasis on depression, and its applications for clinical gerontology. Rev Clin Gerontol 8:227–240

    Article  Google Scholar 

  • Rathouz PJ, Kasper JD, Zeger SL (1998) Short-term consistency in self-reported physical funetioning among elderly women. Am J Epidemiol 147:764–773

    PubMed  CAS  Google Scholar 

  • Reuben DB (1998) Warning signs along the road to functional dependency. Ann Intern Med 128:138–139

    PubMed  CAS  Google Scholar 

  • Reynolds SL, Crimmins EM, Saito Y (1998) Cohort differences in disability and disease presence. Gerontologist 38:578–590

    Article  PubMed  CAS  Google Scholar 

  • Riggs JE, Schochet SS Jr (1992) Rising mortality due to Parkinson’s disease and amyotrophic lateral sclerosis: A manifestation of the competitive nature of human mortality. J Clin Epidemiol 459:1007–1012

    Article  Google Scholar 

  • Robine JM, Ritchie K (1991) Healthy life expectancy: Evaluation of global indicator of change in population health. Br Med J 302:457–460

    Article  CAS  Google Scholar 

  • Robine JM, Mormiche P, Sermet C (1998) Examination of the causes and mechanisms of the increase in disability-free life expectancy. J Aging Health 10:171–191

    Article  Google Scholar 

  • Rockwood K, Fox RA, Stolee P, Robertson D, Beattie BL (1994) Frailty in elderly people: An evolving concept. Can Med AssocJ 150:489–495

    CAS  Google Scholar 

  • Rogers A, Rogers RG, Belanger A (1990) Longer life but worse health? Measurement and dynamics. Gerontologist 30: 640–648

    Article  PubMed  CAS  Google Scholar 

  • Roos N, Hävens B (1991) Predictors of successful aging: A 12 y study of Manitoby elderly. Am J Public Health 81:63–68

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg MW, Moore EG (1997) The health of Canada’s elderly population: Current status and future implications. Can Med Assoc J 157:1025–1032

    CAS  Google Scholar 

  • Rothenberg RB (1990) Chronic disease in the 90 s. Ann Rev Public Health 11:267–296

    Article  CAS  Google Scholar 

  • Rothenberg R, Lentzner HR, Parker RA (1991) Population aging patterns: The expansion of mortality. J Gerontol 46: S66–S70

    PubMed  CAS  Google Scholar 

  • Rowe JW, Kahn RL (1997) Sucessful aging. Gerontologist 37: 433–440

    Article  PubMed  CAS  Google Scholar 

  • Rudberg MA, Parzen MI, Leonard LA, Cassel CK (1996) Functional limitation pathways and transitions in communitydwelling older persons. Gerontologist 36:430–440

    Article  PubMed  CAS  Google Scholar 

  • Sager MA, Rudberg MA (1998) Functional decline associated with hospitalization for acute illness. Clin Geriatr Med 14: 669–679

    PubMed  CAS  Google Scholar 

  • Sager MA, Franke T, Inouye SK (1996a) Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 156:645–652

    Article  PubMed  CAS  Google Scholar 

  • Sager MA, Rudberg MA, Jalaluddin M, Franke T, Inouye SK, Landefeld CS (1996 b) Hospital admission risk profile (HARP): Identifying older patients at risk for functional decline following acute medical illness and hospitalization. J Am Geriatr Soc 44:251–257

    PubMed  CAS  Google Scholar 

  • Schellevis FG, van der Velden J, van de Lisdonk E (1993) Comorbidity of chronic diseases in general practice. J Clin Epidemiol 46:469–473

    Article  PubMed  CAS  Google Scholar 

  • Schlierf G, Kruse W, Oster P (1990) Epidemiologie von Erkrankungen und Behinderungen Hochbetagter. Z Gerontol 23: 108–111

    PubMed  CAS  Google Scholar 

  • Schneekloth U, Potthoff P (1993) Hilfe- und Pflegebedürftige in privaten Haushalten. Kohlhammer, Stuttgart

    Google Scholar 

  • Schroll M, Avlund K, Davidsen M (1997) Predictors of five-year functional ability in a longitudinal survey of men and women aged 75 to 80. The 1914-population in Glostrup, Denmark. Aging 9:143–152

    CAS  Google Scholar 

  • Scott WK, Macera CA, Cornman CB, Sharpe PA (1997) Functional health status as a predictor of mortality in men and women over 65. J Clin Epidemiol 50:291–296

    Article  PubMed  CAS  Google Scholar 

  • Seeman TE, Bruce ML, McAvay GJ (1996) Social network characteristics and onset of ADL disability: MacArthur Studies of successfull aging. J Gerontol 51B:S191–S200

    Article  Google Scholar 

  • Seemann TE, Singer BH, Rowe JW, Horwitz RI, McEwen BS (1997) Price of adaption - Allostatic load and its health consequences - MacArthur Studies of Successful Aging. Arch Intern Med 157:2259–2268

    Article  Google Scholar 

  • Simons LA, Friedlander Y, McCallum J, Simons J (1996) Predictors of mortality in the prospective Dubbo study of Australian elderly. Aust NZJ Med 26:40–48

    Article  CAS  Google Scholar 

  • Smits CHM, Deeg DJH, Jonker C (1997) Cognitive and emotional predictors of disablement in older adults. J Aging Health 9:204–221

    Article  PubMed  CAS  Google Scholar 

  • Spiers N, Jagger C, Clarke M (1996) Physical funetion and perceives health: Cohort differences and interrelationships in older people. J Gerontol 51B: S226–S233

    Article  Google Scholar 

  • Statistisches Bundesamt (1998) Gesundheitsbericht für Deutschland. Metzler-Poeschel, Stuttgart

    Google Scholar 

  • Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA (1996) Successful aging: Predictors and associated activities. Am J Epidemiol 144:135–141

    PubMed  CAS  Google Scholar 

  • Strawbridge WJ, Shema SJ, Balfour JL, Higby HR, Kaplan GA (1998) Antecedents of frailty over three decades in an older cohort. J Gerontol 53B:S9–S16

    Article  Google Scholar 

  • Sullivan DF (1971) A Single index of mortality and morbidity. HSMHA Health Rep 86:347–354

    Article  PubMed  CAS  Google Scholar 

  • Sutherland JE, Persky VW, Brody JA (1990) Proportionate mortality trends: 1959 through 1986. JAMA 264:3178–3184

    Article  PubMed  CAS  Google Scholar 

  • Tallis R (1998) Increasing longevity: Medical, social and political implications. Royal College of Physicians, London

    Google Scholar 

  • Uhlenberg P (1996) Mortality decline in the twentieth Century and supply of kin over the life course. Gerontologist 36: 681–685

    Article  PubMed  CAS  Google Scholar 

  • Valderrama-Gama E, Damian J, Guallar E, Rodriguez-Manas L (1998) Previous disability as a predictor of outcome in a geriatric rehabilitation unit. J Gerontol 53A:M405–M409

    Google Scholar 

  • Van Doorn C, Kasl SV (1998) Can parental longevity and selfrated life expectancy predict mortality among older persons? Results from an Australian cohort. J Gerontol 53B: S28–S34

    Article  Google Scholar 

  • Verbrugge LM (1984) Longer life but worsening health? Trends in health and mortality of middle-aged and older persons. Milbank Mem Fund Q 62:475–519

    Article  CAS  Google Scholar 

  • Verbrugge LM (1989) Recent, present, and future health of American adults. Ann Rev Public Health 10:333–361

    Article  CAS  Google Scholar 

  • Verbrugge LM, Jette AM (1994) The disablement process. Soc Sei Med 38:1–14

    Article  CAS  Google Scholar 

  • Verbrugge LM, Lepkowski JM, Imanaka Y (1989) Comorbidity and its impact on disability. Milbank Q 67:450–484

    Article  PubMed  CAS  Google Scholar 

  • Verbrugge LM, Gruber-Baldini AL, Fozard JL (1996) Age differences and age changes in activities: Baltimore Longitudinal Study of Aging. J Gerontol 51B:S30–S41

    Article  Google Scholar 

  • Viitasalo V, Nissinen A, Kivinen P, Takala J (1996) The last year of life: Mortality, cause of death and need for help among old men. Scand J Soc Med 24:132–139

    PubMed  CAS  Google Scholar 

  • Vita AJ, Terry RB, Hubert HB, Fries JF (1998) Aging, health risks, and cumulative disability. N Engl J Med 338:1035–1041

    Article  PubMed  CAS  Google Scholar 

  • Wagner EH (1997) Preventing decline in funetion - Evidence from randomized trials around the world. West J Med 167: 295–298

    PubMed  CAS  Google Scholar 

  • Weijenberg MP, Feskens EJM, Souverijn JHM, Kromhout D (1997) Serum albumin, coronary heart disease risk, and mortality in an elderly cohort. Epidemiol 8:87–92

    Article  CAS  Google Scholar 

  • Wiener JM,Hanley RJ, Clark R, Van Nostrand JF (1990) Measuring the activities of daily living: Comparisons across national surveys. J Gerontol 45: S229–S37

    PubMed  CAS  Google Scholar 

  • Wilcox VL, Kasl SV, Idler EL (1996) Self-rated health and physical disability in elderly survivors of a major medical event. J Gerontol 51B: S96–S104

    Article  Google Scholar 

  • Williamson JD, Fried LP (1996) Characterization of older adults who attribute functional decrements to „old age“. J Am Geriatr Soc 44:1429

    PubMed  CAS  Google Scholar 

  • Winblad I (1993) Comparison of the prevalence of disability in two birth cohorts at the age of 75 years and over. J Clin Epidemiol 46:303–308

    Article  PubMed  CAS  Google Scholar 

  • Winograd CH, Lindenberger EC, Chavez CM (1997) Identifying hospitalized older patients at varying risk for physical Performance decline: A new approach. J Am Geriatr Soc 45: 604–609

    PubMed  CAS  Google Scholar 

  • Wolinsky FD, Stump TE, Callahan CM, Johnson RJ (1996) Consistency and change in functional status among older adults over time. J Aging Health 8:155–182

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization/WHO (1989) Health of the elderly. Report of a WHO Expert Committee. WHO Tech Rep Ser 779:1–98

    Google Scholar 

  • World Health Organization/WHO (1997) ICIDH-2: International Classification of Impairments, Activities, and Participation. A manual of dimensions of disablement and funetioning. Beta-1 draft for field trials. World Health Organization, Geneva

    Google Scholar 

  • Wright JC, Weinstein MC (1998) Gains in life expectancy from medical interventions - Standardizing data on outcomes. N Engl J Med 339:380–386

    Article  PubMed  CAS  Google Scholar 

  • Wyller TB (1997) Disability models in geriatrics: Comprehensive rather than competing models should be promoted. Disabil Rehabil 19: 480–483

    Article  PubMed  CAS  Google Scholar 

  • Yasuda N, Zimmerman SI, Hawkes W, Fredman L, Hebel JR, Magaziner J (1997) Relation of social network characteristics to 5-year mortality among young-old versus old-old white women in an urban Community. Am J Epidemiol 145: 516–523

    PubMed  CAS  Google Scholar 

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Authors
  1. L. Plentka
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Editors and Affiliations

  1. Bethesda Geriatrische Klinik, Geriatrisches Zentrum Ulm/Alb-Donau, Universität Ulm, Zollernring 26, 89073, Ulm, Germany

    Thorsten Nikolaus

  2. Bethesda Geriatrische Klinik, Geriatrisches Zentrum Ulm/Alb-Donau, Zollernring 26, 89073, Ulm, Germany

    Clemens Becker

  3. Geriatrisches Zentrum Bethanien am, Klinikum der Universität Heidelberg, Rohrbacherstr. 149, 69126, Heidelberg, Germany

    Peter Oster  & Günter Schlierf  & 

  4. Medizinisch-Geriatrische Klinik, Augusta-Kranken-Anstalt, Dr.-C.-Otto-Str. 27, 44879, Bochum, Germany

    Ludger Pientka

  5. Reha-Zentrum Reuterstraße Geriatrische Klinik, Reuterstr. 10, 51467, Bergisch Gladbach, Germany

    Wolfgang von Renteln-Kruse

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Plentka, L. (2000). Epidemiologie älterer Menschen. In: Nikolaus, T., Becker, C., Oster, P., Pientka, L., Schlierf, G., von Renteln-Kruse, W. (eds) Klinische Geriatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59691-9_7

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  • DOI: https://doi.org/10.1007/978-3-642-59691-9_7

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