Restricted Activity: Key Indicator of Decline or “Just Having a Bad Day”?
Authors: Edward R. Marcantonio
Journal: Annals of Internal Medicine (2001)

Editorials4 September 2001Restricted Activity: Key Indicator of Decline or “Just Having a Bad Day”?Edward R. Marcantonio, MD, SMEdward R. Marcantonio, MD, SMDr. Marcantonio: Hebrew Rehabilitation Center for Aged; Boston, MA 02131Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-5-200109040-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail As most older persons age, quality of life becomes increasingly important relative to quantity of life. The good news is that the average 65-year-old person will be functionally independent for the next 15 to 20 years of life (1). Disability is much more of a problem for persons 85 years of age or older; in this group, which is expanding most rapidly, almost 50% of people require assistance in basic activities of daily living (bathing, dressing, using the toilet, ambulation, and eating) (2, 3). However, the transition from independence to dependence is highly heterogeneous. No age or set of medical ...References1. Rice DP. Beneficiary profile: yesterday, today, and tomorrow. Health Care Financ Rev. 1996;18:23-46. [PMID: 10167858] MedlineGoogle Scholar2. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of activities of daily living: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9. CrossrefMedlineGoogle Scholar3. Gornick ME, Warren JL, Eggers PW, Lubitz JD, De Lew N, Davis MH, et al . Thirty years of Medicare: impact on the covered population. Health Care Financ Rev. 1996;18:179-237. [PMID: 10173021] MedlineGoogle Scholar4. Gill TM, Desai MM, Gahbauer EA, Holford TR, Williams CS. Restricted activity among community-living older persons: incidence, precipitants, and health care utilization. Ann Intern Med. 2001;135:313-21. LinkGoogle Scholar5. 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Gill , Mayur M. Desai , Evelyne A. Gahbauer , Theodore R. Holford , and Christianna S. Williams Metrics Cited ByBurden of Restricted Activity and Associated Symptoms and Problems in Late Life and at the End of LifeEstablishing a Hierarchy for the Two Components of Restricted ActivityOptimizing Reserve in Hospitalized ElderlyLow Use of Durable Medical Equipment By Chronically Disabled ElderlyEducation, Prevention, and the Translation of Research into PracticeA 3 Week Geriatric Education Program for 4 th Year Medical Students at Dalhousie University 4 September 2001Volume 135, Issue 5Page: 374-376KeywordsDisabilitiesElderlyGeriatricsHealth care utilizationRelative riskResearch designRisk managementSigns and symptomsUrinary incontinenceWalking ePublished: 4 September 2001 Issue Published: 4 September 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...