Back to Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 9 » Issue 1

The association of chronic obstructive pulmonary disease, disability, engagement in social activities, and mortality among US adults aged 70 years or older, 1994–2006

Authors Liu Y, Croft JB, Anderson LA, Wheaton AG, Presley-Cantrell LR, Ford ES

Received 28 August 2013

Accepted for publication 7 October 2013

Published 15 January 2014 Volume 2014:9(1) Pages 75—83

DOI https://doi.org/10.2147/COPD.S53676

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Yong Liu,1 Janet B Croft,1 Lynda A Anderson,2 Anne G Wheaton,1 Letitia R Presley-Cantrell,3 Earl S Ford1

1Epidemiology and Surveillance Branch, 2Healthy Aging Program, Division of Population Health, CDC and Rollins School of Public Health, Emory University, 3Program Development and Services Management, Division of Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA

Purpose: To assess associations among chronic obstructive pulmonary disease (COPD), disability as measured by activities of daily living (ADL) and instrumental ADL (IADL), engagement in social activities, and death among elderly noninstitutionalized US residents.
Materials and methods: A nationally representative sample of 9,415 adults who were aged ≥70 years and responded to the Second Supplement on Aging survey in 1994–1996 and mortality follow-up study through 2006 were assessed. Multiple logistic regression analyses were performed to assess the risk of all-cause mortality in participants with COPD after accounting for age, sex, race/ethnicity, and smoking status.
Results: At baseline, approximately 9.6% of study participants reported having COPD. Compared with participants without COPD, those with COPD were significantly more likely (P<0.05) to have difficulty with at least one ADL (44.3% versus [vs] 27.5%) and with at least one IADL (59.9% vs 40.2%), significantly less likely to be engaged in social activities (32.6% vs 26.3%), and significantly more likely to die by 2006 (70.7% vs 60.4%; adjusted risk ratio 1.15, P<0.05). The association between COPD and risk for death was moderately attenuated by disability status.
Conclusion: COPD is positively associated with disability and mortality risk among US adults aged ≥70 years. The significant relationship between COPD and mortality risk was moderately attenuated, but was not completely explained by stages of ADL and IADL limitations and social activities.

Keywords: chronic obstructive pulmonary disease, mortality, activities of daily living, instrumental activities of daily living, disability

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other article by this author:

Smoking duration, respiratory symptoms, and COPD in adults aged ≥45 years with a smoking history

Liu Y, Pleasants RA, Croft JB, Wheaton AG, Heidari K, Malarcher AM, Ohar JA, Kraft M, Mannino DM, Strange C

International Journal of Chronic Obstructive Pulmonary Disease 2015, 10:1409-1416

Published Date: 21 July 2015

Readers of this article also read:

Today's diverse nano-theranostic applications and tomorrow's promises

Webster TJ, Lee S, An SSA

International Journal of Nanomedicine 2015, 10:1-2

Published Date: 25 August 2015

The prevalence of obstructive sleep apnea-hypopnea syndrome-related symptoms and their relation to airflow limitation in an elderly population receiving home care

Kleisiaris CF, Kritsotakis EI, Daniil Z, Tzanakis N, Papaioannou A, Gourgoulianis KI

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1111-1117

Published Date: 10 October 2014

The mediating role of cytokine IL-6 on the relationship of FEV1 upon 6-minute walk distance in chronic obstructive pulmonary disease

Baldi S, Jose PE, Bruschi C, Pinna GD, Maestri R, Rezzani A, Bellinzona E, Fracchia C, Dacosto E, Crotti P, Montemartini S

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1091-1099

Published Date: 7 October 2014

Sex-specific relationships between adverse childhood experiences and chronic obstructive pulmonary disease in five states

Cunningham TJ, Ford ES, Croft JB, Merrick MT, Rolle IV, Giles WH

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1033-1043

Published Date: 26 September 2014

Ventilatory requirements of quadriceps resistance training in people with COPD and healthy controls

Houchen-Wolloff L, Sandland CJ, Harrison SL, Menon MK, Morgan MD, Steiner MC, Singh SJ

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:589-595

Published Date: 5 June 2014

Sleep hypoventilation and daytime hypercapnia in stable chronic obstructive pulmonary disease

Holmedahl NH, Øverland B, Fondenes O, Ellingsen I, Hardie JA

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:265-275

Published Date: 27 February 2014