Abstract:
BACKGROUND:Adults with long-term disability are living longer and may experience accelerated aging. More information is needed to understand the incidence of chronic comorbid medical conditions in this population. OBJECTIVE:To examine the incidence, prevalence, age of onset and predictors of five chronic conditions in a sample of adults with long-term physical disability. METHODS:Longitudinal self-report surveys were mailed to 1594 adults with multiple sclerosis, muscular dystrophy, post-polio syndrome or spinal cord injury twice, 3.5 years apart. Survey questions assessed demographics (date of birth, sex, income, disability type, height/weight), self-reported diagnosis of coronary heart disease, hypertension, arthritis, diabetes and cancer, and health behaviors (alcohol use, smoking, physical activity). RESULTS:Over the course of the study, the most commonly reported new onset chronic comorbid medical condition was arthritis (percent incidence = 14%), followed by hypertension (9%) and cancer (7%). Report of a new condition was greatest in adults aged between 56 and 65 years, and risk factors included greater BMI, waist circumference, and the presence of another chronic comorbid medical condition at baseline. CONCLUSIONS:Chronic comorbid medical conditions are prevalent in persons with long-term physical disability. Midlife appears to be the period of greatest risk for onset of a new condition, and risk for incidence increases in the presence of other chronic comorbid medical conditions. Modifiable risk factors include BMI and waist circumference. Future research should explore whether changes in modifiable factors at midlife or earlier (e.g., diet, exercise) would help prevent or delay onset of comorbid conditions in this population.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Smith AE,Molton IR,Jensen MPdoi
10.1016/j.dhjo.2016.02.002subject
Has Abstractpub_date
2016-07-01 00:00:00pages
533-8issue
3eissn
1936-6574issn
1876-7583pii
S1936-6574(16)30006-1journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Medicaid is one of the most important health care safety nets for people with disabilities in the United States. Yet, from the beginning Medicaid only covered long-term services and supports (LTSS) through institutional care. In 1981 changes to Medicaid allowed states to provide home and community-based serv...
journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Individuals with spinal cord injury (SCI) consume more dietary supplements than the general population. However, there is limited information regarding the clinical effectiveness of dietary supplements in SCI population. OBJECTIVE:To systematically review the effectiveness of dietary supplements for the pre...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2012.05.007
更新日期:2012-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2012.11.001
更新日期:2013-04-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.07.005
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.09.007
更新日期:2019-04-01 00:00:00
abstract::The World Health Organization in collaboration with the World Bank developed the World Report on Disability to inform governments of countries about the importance of disability, analyze scientific information, and provide recommendations for action at the national and international levels. The report is remarkably re...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
doi:10.1016/j.dhjo.2011.05.001
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Between 250,000 and 400,000 individuals in the United States are diagnosed with Down syndrome (DS). Nearly all adults with DS will develop Alzheimer's disease pathology starting in their thirties. Recent studies suggest that increased physical activity (PA) may be important for maintaining components of cogn...
journal_title:Disability and health journal
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.dhjo.2018.02.003
更新日期:2018-07-01 00:00:00
abstract::The concept of disability has medical, functional, and social components. We review the frameworks for the definition of disability and endorse a multidimensional approach that is parsimonious and has utility for epidemiology. We need to be able to count people with disabilities to quantify service and support needs, ...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2015.08.007
更新日期:2016-01-01 00:00:00
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更新日期:2019-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2020.100910
更新日期:2020-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2013.10.007
更新日期:2014-04-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2018.05.004
更新日期:2018-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2013.08.003
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Negative attitudes toward disability cause difficulties in integrating persons with disabilities (PWDs) into society and limit their access to health care, education, employment, and leisure. Being aware of societal attitudes toward disability may help explain discrimination against PWDs and draw attention t...
journal_title:Disability and health journal
pub_type: 杂志文章,评审
doi:10.1016/j.dhjo.2016.01.008
更新日期:2016-07-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2016.09.004
更新日期:2017-01-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2007.11.006
更新日期:2008-01-01 00:00:00