Impact of cardiovascular diseases on activity limitations and need for help among older persons.
OBJECTIVE
The aim of this study was to estimate the importance of specific chronic cardiovascular diseases (CVDs) as determinants of disability.


METHODS
One thousand two hundred eighty-eight (86%) participants from a random population sample of 1,500 individuals (from two geographical regions of Finland) aged 65-74 years were interviewed and clinically examined in 1997.


RESULTS
CVDs were strongly associated with disability. However, mental disorders were the strongest determinant of disability. Of specific CVDs, cerebrovascular diseases in men, and myocardial infarction, heart failure, and cerebrovascular diseases in women were significantly associated with disability after adjustment for age and comorbidity. In men 33% and in women 24% of disability was attributable to CVD, excluding lone hypertension.


CONCLUSIONS
CVDs are important determinants of disability among Finns aged 65-74 years. Due to the growing number of elderly people with CVDs, disability associated with these diseases is likely to become a growing social and health burden to the community.
Kattainen
Anna
A
Department of Health and Functional Capacity, National Public Health Institute, Mannerheimintie 166, 00300 Helsinki, Finland. anna.kattainen@ktl.fi
Koskinen
Seppo
S
Reunanen
Antti
A
Martelin
Tuija
T
Knekt
Paul
P
Aromaa
Arpo
A
D000203:Activities of Daily Living; D000368:Aged; D002318:Cardiovascular Diseases / Q000503:physiopathology* / Q000523:psychology; D006233:Persons with Disabilities; D005260:Female; D005387:Finland; D005783:Gender Identity; D006333:Heart Failure / Q000503:physiopathology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000503:physiopathology; D009203:Myocardial Infarction / Q000503:physiopathology; D020521:Stroke / Q000503:physiopathology