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Strategies for reduction of morbidity
Author(s)James F Fries
Journal titleAmerican Journal of Clinical Nutrition, vol 55, 1992
Pagespp 1257S-1262S
KeywordsIll health ; Chronic illness ; Preventative medicine ; Longevity ; United States of America.
AnnotationThe future health of an increasingly ageing population in the US depends on the interrelationship between two critical points: the onset time of the first major disease, infirmity or disability, and the time of death. Reduction of morbidity requires the average period between these points to be compressed and the average level of morbidity to be reduced during this period. The goal of compression of morbidity is being achieved in some areas. Life expectancy increases in the US over age 65 have reached a plateau, with further increases becoming more difficult to achieve. Some major chronic diseases, such as atherosclerosis and lung cancer, now occur later in life. Work disability prevalence has begun to decline. Intergenerational comparisons demonstrate improved health at specific ages. Randomised controlled trials of primary prevention have failed to decrease total mortality in risk subjects, while markedly decreasing the morbidity experienced by the same subjects. Compression has been documented for higher socio-economic class sub-populations. These observations have major implications for health policy and initiatives directed at prevention of disability and infirmity. (RH).
Accession NumberCPA-991223002 A
ClassmarkCH: CI: LK2: BGA: 7T *

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