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Epidemiologie älterer Menschen

  • L. Plentka

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

  1. 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–S27CrossRefGoogle Scholar
  2. Anttila S (1991) Functional capacity in two elderly populations aged 75 or over: Comparisons at 10 years’ intervals. J Clin Epidemiol 44:1181–1186PubMedCrossRefGoogle Scholar
  3. 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 51:323–333PubMedCrossRefGoogle Scholar
  4. Bates DW, Spell N, Cullen DJ, Burdick E, Laird N, Petersen LA (1997) The costs of adverse drug events in hospitalized patients. JAMA 277:307–311PubMedCrossRefGoogle Scholar
  5. 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 143:766–778PubMedGoogle Scholar
  6. 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: 155–163CrossRefGoogle Scholar
  7. Bickel H (1996) Pflegebedürftigkeit im Alter: Ergebnisse einer Populations-bezogenen retrospektiven Längsschnittstudie. Gesundheitswesen 58 (Suppl) 56–62PubMedGoogle Scholar
  8. Bone MR, Bebbington AC, Nicolaas G (1998) Policy applications of health expectancy. J Aging Health 10:136–153CrossRefGoogle Scholar
  9. Booth BM, Blow FC, Loveland Cook CA (1998) Functional impairment and co-occuring Psychiatric disorders in medically hospitalized men. Arch Intern Med 158:1551–1559PubMedCrossRefGoogle Scholar
  10. Bopp M, Gutzwiller F (1998) Die mittlere Lebenserwartung in der Schweiz - historische und internationaler Hintergrund und einige Gedanken zur zukünftigen Entwicklung. Soz Präventivmed 43:149–161PubMedCrossRefGoogle Scholar
  11. Bortz WM II (1993) The physics of frailty. J Am Geriatr Soc 41: 1004–1008PubMedGoogle Scholar
  12. 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: 197–205CrossRefGoogle Scholar
  13. 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 86:1388–1393PubMedCrossRefGoogle Scholar
  14. Bowling A, Grundy E (1997) Activities of daily living: Changes in functional ability in three samples of elderly and very elderly people. Age Ageing 26:107–114PubMedCrossRefGoogle Scholar
  15. Bowling A, Grundy E (1998) The association between social networks and mortality in later life. Rev Clin Gerontol 8: 353–361CrossRefGoogle Scholar
  16. Branch LG, Guralnik JM, Foley DJ (1991) Active life expectancy for 10000 caucasian men and women in three communities. J Gerontol 46:M145–M150PubMedGoogle Scholar
  17. Brown I, Renwick R, Raphael D (1995) Frailty: Constructing a common meaning, definition, and conceptual framework. Int J Rehabil Res 18:93–102PubMedCrossRefGoogle Scholar
  18. Buchner DM, Wagner EH (1992) Preventing frail health. Clin Geriatr Med 8:1–17PubMedGoogle Scholar
  19. Buono MD, Urciuoli O, De Leo D (1998) Quality of life and longevity: A study of centenarians. Age Ageing 27:207–216CrossRefGoogle Scholar
  20. Butler RN (1997) Population aging and health. Br Med J 315: 1082–1084CrossRefGoogle Scholar
  21. Campbell AJ, Buchner DM (1997) Unstable disability and the fluctuations of fraility. Age Ageing 26:315–318PubMedCrossRefGoogle Scholar
  22. 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 27:697–702PubMedCrossRefGoogle Scholar
  23. 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 77:252–257PubMedCrossRefGoogle Scholar
  24. Caselli G, Lopez AD (1996) Health and mortality among elderly populations. Clarendon, OxfordGoogle Scholar
  25. Chiang CL (1991) Competing risks in mortality analysis. Ann RevPublic Health 12:281–307CrossRefGoogle Scholar
  26. Cornoni-Huntley JC, Huntley RR, Feldman JJ (1990) Health status and well-being of the elderly. Oxford University Press, New YorkGoogle Scholar
  27. 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 12:203–208PubMedGoogle Scholar
  28. 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:S59–71Google Scholar
  29. 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 29:1271–1280CrossRefGoogle Scholar
  30. 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 27:23–34PubMedCrossRefGoogle Scholar
  31. Doblhammer G, Kytir J (1998) Social inequalities in disabilityfree and healthy life expectancy in Austria. Wien Klin Wochenschr 110:393–396PubMedGoogle Scholar
  32. 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 8:220–237PubMedCrossRefGoogle Scholar
  33. 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 87:378–383PubMedCrossRefGoogle Scholar
  34. 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 82:395–340PubMedCrossRefGoogle Scholar
  35. Ebrahim S, Kalache A (1996) Epidemiology in old age. BMJ Publishing Group, LondonGoogle Scholar
  36. Edwards SD (1997) Dismantling the disability/handicap distinction. J Med Phil 22:589–606Google Scholar
  37. 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–M63Google Scholar
  38. 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: 1035–1044PubMedGoogle Scholar
  39. 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–P302CrossRefGoogle Scholar
  40. 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–M130Google Scholar
  41. 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 49:1089–1096PubMedCrossRefGoogle Scholar
  42. 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 277:728–734PubMedCrossRefGoogle Scholar
  43. 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 38:286–294PubMedCrossRefGoogle Scholar
  44. Forbes WF, Thompson ME (1990) Age-related diseases and normal aging: The nature of the relationship. J Clin Epidemiol 43:191–193PubMedCrossRefGoogle Scholar
  45. 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 44:689–692PubMedGoogle Scholar
  46. Fried LP, Guralnik JM (1997) Disability in older adults: Evidence regarding significance, etiology, and risk. J Am Geriatr Soc 45:92–100PubMedGoogle Scholar
  47. Fried LP, Ettinger WH, Hermanson B, Newman AB, Gardin J (1994) Physical disability in older adults: A physiological approach. J Clin Epidemiol 47:747–760PubMedCrossRefGoogle Scholar
  48. Fried LP, Bandeen-Roche K, Williamson JD (1996) Functional decline in older adults: Expanding methods of ascertainment. J Gerontol 51A: M206–M214Google Scholar
  49. Fried LP, Kronmal RA, Newman AB (1998) Risk factors for 5-year mortality in older adults: The Cardiovascular Health Study. JAMA 279:585–592PubMedCrossRefGoogle Scholar
  50. Fries JF (1980) Aging, natural death and the compression of morbidity. N Engl J Med 303:130–135PubMedCrossRefGoogle Scholar
  51. Fries JF (1983) The compression of morbidity. Milb Mem Fund Quart 61:397–419CrossRefGoogle Scholar
  52. Fries JF (1988) Aging, illness, and health policy: Implications of the compression of morbidity. Perspect Biol Med 31: 407–428PubMedGoogle Scholar
  53. Fries JF (1996) Physical activity,the compression of morbidity, and the health of the elderly. JR Soc Med 89:64–68Google Scholar
  54. Fries JF (1997)Can preventive gerontology be on the way? Am J Public Health 87:1591–1593Google Scholar
  55. 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–M288Google Scholar
  56. 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 50:765–772PubMedCrossRefGoogle Scholar
  57. 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: 96–101PubMedGoogle Scholar
  58. Glass TA (1998) Conjugating the „tenses“ of funetion: Discordance among hypothetical, experimental, and enacted funetion in other adults. Gerontologist 38:101–123PubMedCrossRefGoogle Scholar
  59. 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 156:505–512PubMedCrossRefGoogle Scholar
  60. Gray SL, Sager M, Lestico MR, Jalaluddin M (1998) Adverse drug events in hospitalized elderly. J Gerontol 53A: M59-M63Google Scholar
  61. 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 - 361Google Scholar
  62. 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–S241Google Scholar
  63. Grimby A, Svanborg A (1997) Morbidity and health-related quality of life among ambulant elderly Citizens. Aging 9 : 356–364PubMedGoogle Scholar
  64. Gruenberg E (1977) The failure of success. Milb Mem Fund Quart 55:3–24CrossRefGoogle Scholar
  65. Guralnik JM (1994) Understanding the relationship between disease and disability. J Am Geriatr Soc 42:1128–1129PubMedGoogle Scholar
  66. 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 332:556–561PubMedCrossRefGoogle Scholar
  67. Guralnik JM, Fried LP, Salive ME (1996) Disability as a public health outcome in the aging population. Ann Rev Public Health 17:25–46CrossRefGoogle Scholar
  68. Harris T. Kovar MG, Suzman R, Kleinman JC, Feldman JJ (1989) Longitudinal study of physical ability in the oldestold. Am J Public Health 79:698–702PubMedCrossRefGoogle Scholar
  69. Hays JC, Schoenfeld D, Blazer DG, Gold DT (1996) Global selfratings of health and mortality: Hazard in the North Carolina Piedmont. J Clin Epidemiol 49:969–980PubMedCrossRefGoogle Scholar
  70. 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 10:192–213CrossRefGoogle Scholar
  71. Hebert R (1997) Functional decline in old age. Can Med Assoc J 157:1037–1045Google Scholar
  72. Hebert R, Brayne C, Spiegelhalter D (1997) Incidence of functional decline and improvement in a community-dwelling very elderly population. Am J Epidemiol 145:935–944PubMedGoogle Scholar
  73. 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: 430–442Google Scholar
  74. 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–M200Google Scholar
  75. 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 49:1103–1110PubMedCrossRefGoogle Scholar
  76. 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: 1620–1625PubMedCrossRefGoogle Scholar
  77. Hughes S, Gibbs J, Dunlop D (1997) Predictors of decline in manual Performance in older adults. J Am Geriatr Soc 45: 905–910PubMedGoogle Scholar
  78. Idler EL, Angel RJ (1990) Self-rated health and mortality in the NHANES-I Epidemiologie Follow-up Study. Am J Public Health 80:446–452PubMedCrossRefGoogle Scholar
  79. Idler EL, Benyamini Y (1997) Self-rated health and mortality: A review of twenty-seven Community studies. J Health Soc Behav 38:21–37PubMedCrossRefGoogle Scholar
  80. 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 279:1187–1193PubMedCrossRefGoogle Scholar
  81. Jette AM (1994) Physical disablement concepts for physical therapy research and practice. Phys Ther 74:380–386PubMedGoogle Scholar
  82. Jette AM, Assmann SF, Rooks D, Harris BA, Crawford S (1998) Interrelationships among disablement concepts. J Gerontol 53 A: M395–M404Google Scholar
  83. 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 30–49Google Scholar
  84. Kannel WB (1997) Cardiovascular risk factors in the elderly. Coron Artery Dis 8:565–575PubMedGoogle Scholar
  85. Katz S, Branch LG, Branson MH et al. (1983) Active life expectancy. N Engl J Med 309:1218–1224PubMedCrossRefGoogle Scholar
  86. 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 42:521–529PubMedCrossRefGoogle Scholar
  87. 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: 1299–1305PubMedCrossRefGoogle Scholar
  88. 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 87:38–44PubMedCrossRefGoogle Scholar
  89. 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: 11–18PubMedCrossRefGoogle Scholar
  90. Kempen GIJM, Verbrugge LM, Merrill SS, Ormel J (1998b) The impact of multiple impairments on disability in communitydwelling older people. Age Ageing 27:595 - 604PubMedCrossRefGoogle Scholar
  91. Khaw KT (1997a) Healthy aging. Br Med J 315:1090–1096CrossRefGoogle Scholar
  92. Khaw KT (1997b) Epidemiological aspects of ageing. Philos Trans Roy Soc London B Biol Sei 352:1829–1835CrossRefGoogle Scholar
  93. 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– 48PubMedCrossRefGoogle Scholar
  94. Kliebsch U, Stürmer T, Siebert H, Brenner H(1998) Risk factors of institutionalization in an elderly disabled population. Eur J Public Health 8:106–112CrossRefGoogle Scholar
  95. Kosorok MR, Omenn GS, Diehr P (1992) Restricted activity days among older adults. Am J Public Health 829:1263–1267CrossRefGoogle Scholar
  96. Kunkel SR, Applebaum RA (1992) Estimating the prevalence of long-term disability for an aging society. J Gerontol 47: 253–269Google Scholar
  97. La Vecchia C, Levi F, Lucchini F, Negri E (1998) Trends in mortality from major diseases in Europe, 1980-1993. Eur J Epidemiol 14:1–8PubMedCrossRefGoogle Scholar
  98. Lammi UK, Kivelä, SL, Nissinen A (1989) Predictors of disability in elderly finnish men - a longitudinal study. J Clin Epidemiol 43:1215–1225CrossRefGoogle Scholar
  99. Lammi UK, Kivelä SL, Nissinen A(1990) Predictors of high functional capacity and mortality in elderly Finnish men. Aging 21:65–77Google Scholar
  100. 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 332:1338–1344PubMedCrossRefGoogle Scholar
  101. Landerman LR, Fillenbaum GG (1997) Differential relationships of risk factors to alternative measures of disability. J Aging Health 9:266–279PubMedCrossRefGoogle Scholar
  102. 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 44:1421–1428PubMedGoogle Scholar
  103. 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 9:258–267PubMedGoogle Scholar
  104. Lawrence RH, Jette AM (1996) Disentangling the disablement process. J Gerontol 51B:S173–S182CrossRefGoogle Scholar
  105. 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 475–495Google Scholar
  106. Lyons RA, Crome P, Monaghan S, Killalea D, Daley JA (1997) Health status and disability among elderly people in three UK districts. Age Ageing 26:203–209PubMedCrossRefGoogle Scholar
  107. Mackenbach JP, Kunst AE, Lautenbach H (1997) Competing causes of death: A death certificate study. J Clin Epidemiol 50:1069–1077PubMedCrossRefGoogle Scholar
  108. Mahoney JE, Sager MA, Jalaluddin M (1998) New Walking dependance associated with hospitalization for acute medical illness: Incidence and significance. J Gerontol 53A: M307–M312Google Scholar
  109. Manton KG (1989) Epidemiological, demographic and social correlates of disability among the elderly. Milbank Q 67 (Suppl 2) 13–58PubMedCrossRefGoogle Scholar
  110. 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–B375Google Scholar
  111. 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–B70Google Scholar
  112. 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 51:309–314PubMedCrossRefGoogle Scholar
  113. Matthesius RG, Jochheim K-A, Barolin GS, Heinz C (1995) Die ICIDH: International Classification of Impairments, Disabilities, and Handicaps. Ullstein, WiesbadenGoogle Scholar
  114. McGee MA, Johnson AL, Kay DWK (1998) The description of activities of daily living in five centres in England and Wales. Age Ageing 27:605–613PubMedCrossRefGoogle Scholar
  115. Memel D (1996) Chronic disease of physical disability? The role of the general practitioner. Br J Gen Pract 46:10Google Scholar
  116. 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 25:319–326PubMedCrossRefGoogle Scholar
  117. Menotti A, Blackburn H, Seccareccia F (1997) The relation of chronic diseases to all-cause mortality risk - The Seven Countries Study. Ann Med 29:135–141PubMedCrossRefGoogle Scholar
  118. 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–M26Google Scholar
  119. Myers GC, Manton KG (1984)Compression of mortality: Myth or reality? Gerontologist 24:346–353PubMedGoogle Scholar
  120. Nagi S (1976) An epidemiology of disability among adults in the U.S. Milbank Mem Fund Q 54:439–455CrossRefGoogle Scholar
  121. Nordenfeit L (1997) The importance of a disability/handicap distinction. J Med Phil 22:607–622Google Scholar
  122. NusselderWJ, Mackenbach JP (1997) Rectangularization of the survival curve in the Netherlands: An analysis of underlying causes of death. J Gerontol 52B:S145–S154CrossRefGoogle Scholar
  123. 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 86:187–194PubMedCrossRefGoogle Scholar
  124. Oliver M (1998) Theories of disability in health practice and research. Br Med J 317:1446–1449CrossRefGoogle Scholar
  125. 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: 412–415PubMedCrossRefGoogle Scholar
  126. 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 146:510–519PubMedGoogle Scholar
  127. Perenboom RJM, Boshuizen HC, Breteler MMB, Ott A, Vande-Water HPA (1996) Dementia-free life expectancy (Dem-FLE) in the Netherlands. Soc Sei Med 43:1703–1708CrossRefGoogle Scholar
  128. Picavet HSJ, Van den Bos GAM (1996) Comparing survey data on functional disability: The impact of some methodological differences. J Epidemiol Community Health 50:86–93PubMedCrossRefGoogle Scholar
  129. 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 87:1680–1682PubMedCrossRefGoogle Scholar
  130. Pientka L (1997) Funktionelle Beeinträchtigung im Alter: Epidemiologische Aspekte. Ther Umsch 6:298–302Google Scholar
  131. 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: 199–205Google Scholar
  132. Prince M (1998) The Classification and measurement of disablement, with emphasis on depression, and its applications for clinical gerontology. Rev Clin Gerontol 8:227–240CrossRefGoogle Scholar
  133. Rathouz PJ, Kasper JD, Zeger SL (1998) Short-term consistency in self-reported physical funetioning among elderly women. Am J Epidemiol 147:764–773PubMedGoogle Scholar
  134. Reuben DB (1998) Warning signs along the road to functional dependency. Ann Intern Med 128:138–139PubMedGoogle Scholar
  135. Reynolds SL, Crimmins EM, Saito Y (1998) Cohort differences in disability and disease presence. Gerontologist 38:578–590PubMedCrossRefGoogle Scholar
  136. 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 459:1007–1012CrossRefGoogle Scholar
  137. Robine JM, Ritchie K (1991) Healthy life expectancy: Evaluation of global indicator of change in population health. Br Med J 302:457–460CrossRefGoogle Scholar
  138. Robine JM, Mormiche P, Sermet C (1998) Examination of the causes and mechanisms of the increase in disability-free life expectancy. J Aging Health 10:171–191CrossRefGoogle Scholar
  139. Rockwood K, Fox RA, Stolee P, Robertson D, Beattie BL (1994) Frailty in elderly people: An evolving concept. Can Med AssocJ 150:489–495Google Scholar
  140. Rogers A, Rogers RG, Belanger A (1990) Longer life but worse health? Measurement and dynamics. Gerontologist 30: 640–648PubMedCrossRefGoogle Scholar
  141. Roos N, Hävens B (1991) Predictors of successful aging: A 12 y study of Manitoby elderly. Am J Public Health 81:63–68PubMedCrossRefGoogle Scholar
  142. Rosenberg MW, Moore EG (1997) The health of Canada’s elderly population: Current status and future implications. Can Med Assoc J 157:1025–1032Google Scholar
  143. Rothenberg RB (1990) Chronic disease in the 90 s. Ann Rev Public Health 11:267–296CrossRefGoogle Scholar
  144. Rothenberg R, Lentzner HR, Parker RA (1991) Population aging patterns: The expansion of mortality. J Gerontol 46: S66–S70PubMedGoogle Scholar
  145. Rowe JW, Kahn RL (1997) Sucessful aging. Gerontologist 37: 433–440PubMedCrossRefGoogle Scholar
  146. Rudberg MA, Parzen MI, Leonard LA, Cassel CK (1996) Functional limitation pathways and transitions in communitydwelling older persons. Gerontologist 36:430–440PubMedCrossRefGoogle Scholar
  147. Sager MA, Rudberg MA (1998) Functional decline associated with hospitalization for acute illness. Clin Geriatr Med 14: 669–679PubMedGoogle Scholar
  148. Sager MA, Franke T, Inouye SK (1996a) Functional outcomes of acute medical illness and hospitalization in older persons. Arch Intern Med 156:645–652PubMedCrossRefGoogle Scholar
  149. 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 44:251–257PubMedGoogle Scholar
  150. Schellevis FG, van der Velden J, van de Lisdonk E (1993) Comorbidity of chronic diseases in general practice. J Clin Epidemiol 46:469–473PubMedCrossRefGoogle Scholar
  151. Schlierf G, Kruse W, Oster P (1990) Epidemiologie von Erkrankungen und Behinderungen Hochbetagter. Z Gerontol 23: 108–111PubMedGoogle Scholar
  152. Schneekloth U, Potthoff P (1993) Hilfe- und Pflegebedürftige in privaten Haushalten. Kohlhammer, StuttgartGoogle Scholar
  153. 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 9:143–152Google Scholar
  154. 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 50:291–296PubMedCrossRefGoogle Scholar
  155. Seeman TE, Bruce ML, McAvay GJ (1996) Social network characteristics and onset of ADL disability: MacArthur Studies of successfull aging. J Gerontol 51B:S191–S200CrossRefGoogle Scholar
  156. 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 157:2259–2268CrossRefGoogle Scholar
  157. Simons LA, Friedlander Y, McCallum J, Simons J (1996) Predictors of mortality in the prospective Dubbo study of Australian elderly. Aust NZJ Med 26:40–48CrossRefGoogle Scholar
  158. Smits CHM, Deeg DJH, Jonker C (1997) Cognitive and emotional predictors of disablement in older adults. J Aging Health 9:204–221PubMedCrossRefGoogle Scholar
  159. Spiers N, Jagger C, Clarke M (1996) Physical funetion and perceives health: Cohort differences and interrelationships in older people. J Gerontol 51B: S226–S233CrossRefGoogle Scholar
  160. Statistisches Bundesamt (1998) Gesundheitsbericht für Deutschland. Metzler-Poeschel, StuttgartGoogle Scholar
  161. Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA (1996) Successful aging: Predictors and associated activities. Am J Epidemiol 144:135–141PubMedGoogle Scholar
  162. 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–S16CrossRefGoogle Scholar
  163. Sullivan DF (1971) A Single index of mortality and morbidity. HSMHA Health Rep 86:347–354PubMedCrossRefGoogle Scholar
  164. Sutherland JE, Persky VW, Brody JA (1990) Proportionate mortality trends: 1959 through 1986. JAMA 264:3178–3184PubMedCrossRefGoogle Scholar
  165. Tallis R (1998) Increasing longevity: Medical, social and political implications. Royal College of Physicians, LondonGoogle Scholar
  166. Uhlenberg P (1996) Mortality decline in the twentieth Century and supply of kin over the life course. Gerontologist 36: 681–685PubMedCrossRefGoogle Scholar
  167. 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–M409Google Scholar
  168. 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–S34CrossRefGoogle Scholar
  169. Verbrugge LM (1984) Longer life but worsening health? Trends in health and mortality of middle-aged and older persons. Milbank Mem Fund Q 62:475–519CrossRefGoogle Scholar
  170. Verbrugge LM (1989) Recent, present, and future health of American adults. Ann Rev Public Health 10:333–361CrossRefGoogle Scholar
  171. Verbrugge LM, Jette AM (1994) The disablement process. Soc Sei Med 38:1–14CrossRefGoogle Scholar
  172. Verbrugge LM, Lepkowski JM, Imanaka Y (1989) Comorbidity and its impact on disability. Milbank Q 67:450–484PubMedCrossRefGoogle Scholar
  173. Verbrugge LM, Gruber-Baldini AL, Fozard JL (1996) Age differences and age changes in activities: Baltimore Longitudinal Study of Aging. J Gerontol 51B:S30–S41CrossRefGoogle Scholar
  174. 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 24:132–139PubMedGoogle Scholar
  175. Vita AJ, Terry RB, Hubert HB, Fries JF (1998) Aging, health risks, and cumulative disability. N Engl J Med 338:1035–1041PubMedCrossRefGoogle Scholar
  176. Wagner EH (1997) Preventing decline in funetion - Evidence from randomized trials around the world. West J Med 167: 295–298PubMedGoogle Scholar
  177. Weijenberg MP, Feskens EJM, Souverijn JHM, Kromhout D (1997) Serum albumin, coronary heart disease risk, and mortality in an elderly cohort. Epidemiol 8:87–92CrossRefGoogle Scholar
  178. Wiener JM,Hanley RJ, Clark R, Van Nostrand JF (1990) Measuring the activities of daily living: Comparisons across national surveys. J Gerontol 45: S229–S37PubMedGoogle Scholar
  179. 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–S104CrossRefGoogle Scholar
  180. Williamson JD, Fried LP (1996) Characterization of older adults who attribute functional decrements to „old age“. J Am Geriatr Soc 44:1429PubMedGoogle Scholar
  181. Winblad I (1993) Comparison of the prevalence of disability in two birth cohorts at the age of 75 years and over. J Clin Epidemiol 46:303–308PubMedCrossRefGoogle Scholar
  182. 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: 604–609PubMedGoogle Scholar
  183. Wolinsky FD, Stump TE, Callahan CM, Johnson RJ (1996) Consistency and change in functional status among older adults over time. J Aging Health 8:155–182PubMedCrossRefGoogle Scholar
  184. World Health Organization/WHO (1989) Health of the elderly. Report of a WHO Expert Committee. WHO Tech Rep Ser 779:1–98Google Scholar
  185. 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, GenevaGoogle Scholar
  186. Wright JC, Weinstein MC (1998) Gains in life expectancy from medical interventions - Standardizing data on outcomes. N Engl J Med 339:380–386PubMedCrossRefGoogle Scholar
  187. Wyller TB (1997) Disability models in geriatrics: Comprehensive rather than competing models should be promoted. Disabil Rehabil 19: 480–483PubMedCrossRefGoogle Scholar
  188. 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: 516–523PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2000

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  • L. Plentka

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