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Biomedical subjects

J A Papsidero

Publications and source records attributed to J A Papsidero.

7 recordsLinked to original sources
PubMed1988

Hypertension, quality of life and functional status: the concept of active life expectancy.

Mortality rates and measures of life expectancy are widely used to compare and monitor health within populations. However, there is a need to add dimensions of population health other than survival. An alternative measure, 'active life expectancy', is a way of quantifying the functional health of older adult populations and, in part, measuring quality of life. Life-table techniques are used to define the expected duration of well-being. Instead of death, the end-point of active life expectancy is loss of independence in activities of daily living. Initial studies showed that active life expectancy decreased with age, from 10 years to 4.7 years and 2.9 years, respectively, for people entering the age intervals 65-69, 80-84 and 85 years and over. Since cardiovascular disease is the major cause of disability in the older adult population, measures of active life expectancy can provide improved information about functional independence and dependence. Life tables with estimates of active life expectancy can be used as a basis for determining the needs of age cohorts of people with hypertension and other conditions.

Activities of Daily Living↗
PubMed1984

A prospective study of functional status among community elders.

A six-year prospective study provides estimates of functional status (independent, dependent, nursing home resident, or deceased) according to age, gender, and previous functional status for Caucasian elders initially living in the community. Half the cohort had sustained independence for the six years; of those dependent at the beginning, one-fourth to one-third regained independent function within 15 months, and one-fifth regained self-sufficiency within five years.

Activities of Daily Living↗
PubMed1983

Active life expectancy.

This study was designed to demonstrate the feasibility of forecasting functional health for the elderly. Using life-table techniques, we analyzed the expected remaining years of functional well-being, in terms of the activities of daily living, for noninstitutionalized elderly people living in Massachusetts in 1974. The expected years, or active life expectancy, showed a decrease, from 10 years for those aged 65 to 70 years to 2.9 for those 85 or older. Active life expectancy was shorter for the poor than for others, and women had a longer average duration of expected dependence than men. The measure of active life expectancy provides important information about health at a given population level, in terms other than death. This information can be used for actuarial purposes in planning and policy making. It is also useful in identifying high-risk populations for which preventive health care and medical care can compress morbidity during the last years of life.

Activities of Daily Living↗