Predictors of good function: The framingham study

This paper asks the question: among 1474 Framingham Study participants aged 35–68 years who were healthy at their fourth examination (1954–1958), what are the physiologic, behavioral, and demographic characteristics that distinguish those who survive and report good function from those who do not af...

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Bibliographic Details
Published inJournal of chronic diseases Vol. 40; pp. 159S - 167S
Main Authors Pinsky, Joan L., Leaverton, Paul E., Stokes, Joseph
Format Journal Article
LanguageEnglish
Published England Elsevier Inc 1987
Subjects
Adult
Aged
Cardiovascular Diseases - mortality
Cardiovascular Diseases - physiopathology
Disability
Disabled Persons
Epidemiology
Female
Health Status Indicators
Health Surveys
Humans
Longitudinal
Longitudinal Studies
Male
Massachusetts
Middle Aged
Physical function
Risk
Risk factors
Massachusetts
Disability
Longitudinal
Epidemiology
Physical function
Risk factors
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Summary:This paper asks the question: among 1474 Framingham Study participants aged 35–68 years who were healthy at their fourth examination (1954–1958), what are the physiologic, behavioral, and demographic characteristics that distinguish those who survive and report good function from those who do not after 21 years of biennial observations? Although a larger proportion of women than men survived, their functional status was not as good. Multiple logistic regression analysis revealed that age, alcohol intake, cigarette smoking, ventricular rate, and education were all significantly related to functional status for men, with all but the last of these factors inversely related to good function. For women, the only significant predictor other than age was education, which, as with men, was directly associated with good function. The effect of education is probably mediated by numerous factors such as availability and use of health care services, quality of health care, occupation, and lifestyle.
ISSN:0021-9681
DOI:10.1016/S0021-9681(87)80045-0