Trends in disability and related chronic conditions among people ages fifty to sixty-four.

Although still below 2 percent, the proportion of people ages 50-64 who reported needing help with personal care activities increased significantly from 1997 to 2007. The proportions needing help with routine household chores and indicating difficulty with physical functions were stable. These patterns contrast with reported declines in disability among the population age sixty-five and older. Particularly concerning among those ages 50-64 are significant increases in limitations in specific mobility-related activities, such as getting into and out of bed. Musculoskeletal conditions remained the most commonly cited causes of disability at these ages. There were also substantial increases in the attribution of disability to depression, diabetes, and nervous system conditions for this age group.

[1]  J. Fries,et al.  Trends in antirheumatic medication use among patients with rheumatoid arthritis, 1981-1996. , 1998, The Journal of rheumatology.

[2]  Christianna S. Williams,et al.  Back pain and decline in lower extremity physical function among community-dwelling older persons. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[3]  Robert F Schoeni,et al.  Recent trends in disability and functioning among older adults in the United States: a systematic review. , 2002, JAMA.

[4]  C. Stein,et al.  Changing patterns of medication use in patients with rheumatoid arthritis in a Medicaid population. , 2008, Rheumatology.

[5]  Wenke Hwang,et al.  Rising out-of-pocket spending for chronic conditions: a ten-year trend. , 2009, Health affairs.

[6]  D. Weir.  Are Baby Boomers Living Well Longer , 2006 .

[7]  D. Lakdawalla,et al.  Chronic Disease and Severe Disability Among Working-Age Populations , 2008, Medical care.

[8]  K. Flegal,et al.  Secular trends in cardiovascular disease risk factors according to body mass index in US adults. , 2005, JAMA.

[9]  K. Manton,et al.  Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population , 2006, Proceedings of the National Academy of Sciences.

[10]  Jeanne S. Ringel,et al.  Increasing obesity rates and disability trends. , 2004, Health affairs.

[11]  Olga V. Demler,et al.  The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). , 2003, JAMA.

[12]  Fritz Schick,et al.  Identification and characterization of metabolically benign obesity in humans. , 2008, Archives of internal medicine.

[13]  K. Reynolds,et al.  The obese without cardiometabolic risk factor clustering and the normal weight with cardiometabolic risk factor clustering: prevalence and correlates of 2 phenotypes among the US population (NHANES 1999-2004). , 2008, Archives of internal medicine.

[14]  M. Field,et al.  The Future of Disability in America , 2007 .

[15]  Betsy L Cadwell,et al.  Trends in the prevalence and ratio of diagnosed to undiagnosed diabetes according to obesity levels in the U.S. , 2004, Diabetes care.

[16]  Lee Bowman,et al.  Refining the categorization of physical functional status: the added value of combining self-reported and performance-based measures. , 2004, The journals of gerontology. Series A, Biological sciences and medical sciences.

[17]  Jay Bhattacharya,et al.  Are the young becoming more disabled? , 2004, Health affairs.

[18]  Timothy Waidmann,et al.  Resolving inconsistencies in trends in old-age disability: Report from a technical working group , 2004, Demography.

[19]  V. Freedman,et al.  Health and functioning among baby boomers approaching 60. , 2009, The journals of gerontology. Series B, Psychological sciences and social sciences.

[20]  Steven Kurtz,et al.  Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. , 2005, The Journal of bone and joint surgery. American volume.

[21]  Paul G Shekelle,et al.  Consequences of health trends and medical innovation for the future elderly. , 2005, Health affairs.

[22]  Jennifer C Cornman,et al.  Chronic conditions and the decline in late-life disability , 2007, Demography.

[23]  Robert F Schoeni,et al.  Why is late-life disability declining? , 2008, The Milbank quarterly.

[24]  K. Ferraro,et al.  Physician-evaluated and self-reported morbidity for predicting disability. , 2000, American journal of public health.

[25]  E. Crimmins,et al.  Change in the prevalence of diseases among older Americans: 1984-1994. , 2000 .