Changes in the prevalence of chronic disease and the association with disability in the older Dutch population between 1987 and 2001

M.T.E. Puts, D.J.H. Deeg, N. Hoeymans, W.J. Nusselder, F.G. Schellevis

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Background: Most studies of older populations in developed countries show a decrease in the prevalence of disabilities, and an increase in chronic diseases over the past decades. Data in the Netherlands, however, mostly show an increase in the prevalence of chronic diseases and mixed results with regard to the prevalence of disability. This study aims at comparing changes in the prevalence, as well as the association between chronic diseases and disability between 1987 and 2001 in the older Dutch population using data representative of the general population. Most studies, so far, have only dealt with self-reported diseases, but in this study, we will use both self-reported and GP-registered diseases. Study Design: Data from the first (1987) and second (2001) Dutch National Survey of General Practice were used. In 1987, 103 general practices, compared to 104 in 2001, participated. Approximately 5% of the listed persons aged 18 years and over was asked to participate in an extensive health interview survey. An all-age random sample was drawn by the researchers from the patients listed in the participating practices (in 1987 n = 2,708; in 2001 n = 3,474). Both surveys are community based, with an age range between 55 and 97 years. Data on chronic diseases were based on GP registries and self-report. Results: The prevalence of disability and of asthma/COPD, cardiac disease, stroke, and osteoarthritis decreased between 1987 and 2001, while the prevalence of diabetes increased. Changes were largely similar for GP-registered and self-reported diseases. Cardiac disease, asthma/ COPD, and depression led to less disability, whereas low back pain and osteoarthritis led to more disability. Conclusions: In general, there were reductions in GP-registered chronic diseases as well as in self-reported diseases and disability. Results suggest that the disabling impact of fatal diseases decreased, while the impact of non-fatal diseases increased. © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.
    Original languageEnglish
    Pages (from-to)187-193
    JournalAge and Ageing
    Volume37
    Issue number2
    DOIs
    Publication statusPublished - 2008

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    Chronic Disease
    Population
    Osteoarthritis
    General Practice
    Chronic Obstructive Pulmonary Disease
    Heart Diseases
    Paroxysmal Dyspnea
    Low Back Pain
    Health Surveys
    Developed Countries
    Netherlands
    Self Report
    Registries
    Asthma
    Stroke
    Research Personnel
    Interviews
    Surveys and Questionnaires

    Cite this

    Puts, M.T.E. ; Deeg, D.J.H. ; Hoeymans, N. ; Nusselder, W.J. ; Schellevis, F.G. / Changes in the prevalence of chronic disease and the association with disability in the older Dutch population between 1987 and 2001. In: Age and Ageing. 2008 ; Vol. 37, No. 2. pp. 187-193.
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    title = "Changes in the prevalence of chronic disease and the association with disability in the older Dutch population between 1987 and 2001",
    abstract = "Background: Most studies of older populations in developed countries show a decrease in the prevalence of disabilities, and an increase in chronic diseases over the past decades. Data in the Netherlands, however, mostly show an increase in the prevalence of chronic diseases and mixed results with regard to the prevalence of disability. This study aims at comparing changes in the prevalence, as well as the association between chronic diseases and disability between 1987 and 2001 in the older Dutch population using data representative of the general population. Most studies, so far, have only dealt with self-reported diseases, but in this study, we will use both self-reported and GP-registered diseases. Study Design: Data from the first (1987) and second (2001) Dutch National Survey of General Practice were used. In 1987, 103 general practices, compared to 104 in 2001, participated. Approximately 5{\%} of the listed persons aged 18 years and over was asked to participate in an extensive health interview survey. An all-age random sample was drawn by the researchers from the patients listed in the participating practices (in 1987 n = 2,708; in 2001 n = 3,474). Both surveys are community based, with an age range between 55 and 97 years. Data on chronic diseases were based on GP registries and self-report. Results: The prevalence of disability and of asthma/COPD, cardiac disease, stroke, and osteoarthritis decreased between 1987 and 2001, while the prevalence of diabetes increased. Changes were largely similar for GP-registered and self-reported diseases. Cardiac disease, asthma/ COPD, and depression led to less disability, whereas low back pain and osteoarthritis led to more disability. Conclusions: In general, there were reductions in GP-registered chronic diseases as well as in self-reported diseases and disability. Results suggest that the disabling impact of fatal diseases decreased, while the impact of non-fatal diseases increased. {\circledC} The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.",
    author = "M.T.E. Puts and D.J.H. Deeg and N. Hoeymans and W.J. Nusselder and F.G. Schellevis",
    year = "2008",
    doi = "10.1093/ageing/afm185",
    language = "English",
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    pages = "187--193",
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    Changes in the prevalence of chronic disease and the association with disability in the older Dutch population between 1987 and 2001. / Puts, M.T.E.; Deeg, D.J.H.; Hoeymans, N.; Nusselder, W.J.; Schellevis, F.G.

    In: Age and Ageing, Vol. 37, No. 2, 2008, p. 187-193.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

    T1 - Changes in the prevalence of chronic disease and the association with disability in the older Dutch population between 1987 and 2001

    AU - Puts, M.T.E.

    AU - Deeg, D.J.H.

    AU - Hoeymans, N.

    AU - Nusselder, W.J.

    AU - Schellevis, F.G.

    PY - 2008

    Y1 - 2008

    N2 - Background: Most studies of older populations in developed countries show a decrease in the prevalence of disabilities, and an increase in chronic diseases over the past decades. Data in the Netherlands, however, mostly show an increase in the prevalence of chronic diseases and mixed results with regard to the prevalence of disability. This study aims at comparing changes in the prevalence, as well as the association between chronic diseases and disability between 1987 and 2001 in the older Dutch population using data representative of the general population. Most studies, so far, have only dealt with self-reported diseases, but in this study, we will use both self-reported and GP-registered diseases. Study Design: Data from the first (1987) and second (2001) Dutch National Survey of General Practice were used. In 1987, 103 general practices, compared to 104 in 2001, participated. Approximately 5% of the listed persons aged 18 years and over was asked to participate in an extensive health interview survey. An all-age random sample was drawn by the researchers from the patients listed in the participating practices (in 1987 n = 2,708; in 2001 n = 3,474). Both surveys are community based, with an age range between 55 and 97 years. Data on chronic diseases were based on GP registries and self-report. Results: The prevalence of disability and of asthma/COPD, cardiac disease, stroke, and osteoarthritis decreased between 1987 and 2001, while the prevalence of diabetes increased. Changes were largely similar for GP-registered and self-reported diseases. Cardiac disease, asthma/ COPD, and depression led to less disability, whereas low back pain and osteoarthritis led to more disability. Conclusions: In general, there were reductions in GP-registered chronic diseases as well as in self-reported diseases and disability. Results suggest that the disabling impact of fatal diseases decreased, while the impact of non-fatal diseases increased. © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.

    AB - Background: Most studies of older populations in developed countries show a decrease in the prevalence of disabilities, and an increase in chronic diseases over the past decades. Data in the Netherlands, however, mostly show an increase in the prevalence of chronic diseases and mixed results with regard to the prevalence of disability. This study aims at comparing changes in the prevalence, as well as the association between chronic diseases and disability between 1987 and 2001 in the older Dutch population using data representative of the general population. Most studies, so far, have only dealt with self-reported diseases, but in this study, we will use both self-reported and GP-registered diseases. Study Design: Data from the first (1987) and second (2001) Dutch National Survey of General Practice were used. In 1987, 103 general practices, compared to 104 in 2001, participated. Approximately 5% of the listed persons aged 18 years and over was asked to participate in an extensive health interview survey. An all-age random sample was drawn by the researchers from the patients listed in the participating practices (in 1987 n = 2,708; in 2001 n = 3,474). Both surveys are community based, with an age range between 55 and 97 years. Data on chronic diseases were based on GP registries and self-report. Results: The prevalence of disability and of asthma/COPD, cardiac disease, stroke, and osteoarthritis decreased between 1987 and 2001, while the prevalence of diabetes increased. Changes were largely similar for GP-registered and self-reported diseases. Cardiac disease, asthma/ COPD, and depression led to less disability, whereas low back pain and osteoarthritis led to more disability. Conclusions: In general, there were reductions in GP-registered chronic diseases as well as in self-reported diseases and disability. Results suggest that the disabling impact of fatal diseases decreased, while the impact of non-fatal diseases increased. © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.

    U2 - 10.1093/ageing/afm185

    DO - 10.1093/ageing/afm185

    M3 - Article

    VL - 37

    SP - 187

    EP - 193

    JO - Age and Ageing

    JF - Age and Ageing

    SN - 0002-0729

    IS - 2

    ER -