Defining arthritis and measuring functional status in elders
Methodological issues in the study of disease and physical disability
Bibliographic Data
| ID | 11023441 |
|---|---|
| Authors | Andrew A Guccione (0000-0002-1238-3585, Boston University), David T Felson (0000-0002-2668-2447), Jennifer J Anderson |
| Year | 1990 |
| Volume | 80 |
| Issue | 8 |
| Pages | 945-949 |
| Publication date | 1990-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.80.8.945 |
| PMID | 2368855 |
| OpenAlex | W2111671965 |
| Language | EN |
| Citations received | 5 |
| References cited | 14 |
This study explores the degree to which the association of knee osteoarthritis with physical disability changes with different definitions of osteoarthritis in 1,416 Framingham Study elders. When all categories of radiographic osteoarthritis were aggregated into a single "arthritis" variable and dependence upon human assistance in one or more functional activities combined into a single variable, elders with osteoarthritis had only moderately increased odds for dependence after controlling for age or sex (OR = 1.25). A definition of osteoarthritis based only upon symptoms produced larger odds for dependency (OR = 1.85). Elders with mild osteoarthritis and infrequent knee pain had no significantly elevated risk for dependence in any of the seven functional activities. Elders with infrequently symptomatic, moderate to marked radiographic osteoarthritis were at increased risk for dependence in stair climbing, walking a mile, housekeeping, and carrying bundles. Elder with radiographic osteoarthritis accompanied by frequent pain had an increased odds of dependence in stair climbing, walking a mile, and housekeeping. Using a generic definition of "arthritis" and aggregating functional activities may underestimate the impact of osteoarthritis on physical disability in the elderly and obscure the task-specific nature of that relationship
Alternative medicine · Arthritis · Arthropathy · Disease · Framingham Heart Study · Framingham Risk Score · Knee pain · Logistic regression · Odds · Odds ratio · Osteoarthritis · Pathology · Physical medicine and rehabilitation · Physical therapy · Stair climbing · Hip disorders and treatments · Internal Medicine · Lower Extremity Biomechanics and Pathologies · Medicine · Osteoarthritis Treatment and Mechanisms · Gerontology
The effects of specific medical conditions on the functional limitations of elders in the Framingham Study
Validation of Chinese Western Ontario and McMaster Universities Osteoarthritis Index (Womac) in patients scheduled for total knee replacement
Disability as a Public Health Outcome in the Aging Population
Disability in Older Adults
Reliability and validity of the EQ-5D-5L compared to the EQ-5D-3L in patients with osteoarthritis referred for hip and knee replacement
An Epidemiology of Disability among Adults in the United States
A Guttman Health Scale for the Aged
Epidemiology of musculoskeletal impairments and associated disability
The Framingham Disability Study
The Framingham Disability Study
Predictors of healthy aging
Longitudinal study of physical ability in the oldest-old
| Citations per year | 0.16 |
|---|---|
| Citation span | 1994 - 2015 (22) |
| Highly cited | No |