Knowledge (XXG)

Compression of morbidity

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evidence is at best mixed. Vincent Mor's "The Compression of Morbidity Hypothesis: A Review of Research and Prospects for the Future" argues that "Cross-national evidence for the validity of the compression of morbidity hypothesis originally proposed by Fries is generally accepted. Generational improvements in education and the increased availability of adaptive technologies and even medical treatments that enhance quality of life have facilitated continued independence of older persons in the industrialized world. Whether this trend continues may depend upon the effect of the obesity epidemic on the next generation of older people." See also "Mortality and Morbidity Trends: Is There Compression of Morbidity?" for recent evidence against the hypothesis. There may also be age versus cohort effects.
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Fries posited that if the hypothesis is confirmed, healthcare costs and patient health overall will be improved. In order to confirm this hypothesis, the evidence must show that it is possible to delay the onset of infirmity, and that corresponding increases in longevity will at least be modest. The
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Fries' hypothesis is that the burden of lifetime illness may be compressed into a shorter period before the time of death, if the age of onset of the first chronic infirmity can be postponed. This hypothesis contrasts to the view that as the age of countries' populations tends to increase over time,
227:"The compression of morbidity was prophetic in the sense that Jim looked at the reduction of morbidity and disability at a time when most gerontologists and epidemiologists thought we would see a pandemic of disability." —Richard Suzman, quoted in 25: 70: 413: 444: 36:
they will become increasingly infirm and consume an ever-larger proportion of the national budget in healthcare costs.
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Mor, Vincent (2005). "The Compression of Morbidity Hypothesis: A Review of Research and Prospects for the Future".
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Gretchen Reynolds (8 February 2017) "Lessons on Aging Well from a 105-Year-Old Cyclist"
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Vita, Anthony J.; Terry, Richard B.; Hubert, Helen B.; Fries, James F. (1998).
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is a hypothesis put forth by James Fries, professor of medicine at
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Crimmins, Eileen M.; Beltrán-Sánchez, Hiram (2011-01-01).
71:"Aging, Natural Death, and the Compression of Morbidity" 28:. The hypothesis was supported by a 1998 study of 1700 137:"Aging, Health Risks, and Cumulative Disability" 8: 403:"Living Longer, in Good Health to the End" 242:Journal of the American Geriatrics Society 383: 316: 204: 152: 97: 174: 172: 61: 228: 26:Stanford University School of Medicine 289:The Journals of Gerontology: Series B 7: 181:"James Fries: Healthy Aging Pioneer" 401:Brody, Jane E. (August 25, 2008). 32:alumni over a period of 20 years. 14: 185:American Journal of Public Health 376:10.1111/j.1468-0009.2005.00401.x 254:10.1111/j.1532-5415.2005.53496.x 141:New England Journal of Medicine 78:New England Journal of Medicine 360:"The Compression of Morbidity" 1: 154:10.1056/NEJM199804093381506 90:10.1056/NEJM198007173030304 466: 30:University of Pennsylvania 445:Medical aspects of death 358:Fries, James F. (2005). 197:10.2105/AJPH.2008.135731 69:Fries, James F. (1980). 18:compression of morbidity 179:Swartz, Aimee (2008). 421:accessdate=2017-02-14 364:The Milbank Quarterly 301:10.1093/geronb/gbq088 418:The New York Times 407:The New York Times 248:(9s): S308–S309. 457: 410: 397: 387: 345: 344: 337: 331: 330: 320: 280: 274: 273: 237: 231: 225: 219: 218: 208: 176: 167: 166: 156: 132: 126: 125: 123: 122: 116: 110:. Archived from 101: 75: 66: 50:Successful aging 465: 464: 460: 459: 458: 456: 455: 454: 425: 424: 400: 357: 354: 352:Further reading 349: 348: 339: 338: 334: 282: 281: 277: 239: 238: 234: 226: 222: 178: 177: 170: 147:(15): 1035–41. 134: 133: 129: 120: 118: 114: 73: 68: 67: 63: 58: 46: 12: 11: 5: 463: 461: 453: 452: 447: 442: 437: 427: 426: 423: 422: 411: 398: 353: 350: 347: 346: 332: 275: 232: 220: 168: 127: 60: 59: 57: 54: 53: 52: 45: 42: 13: 10: 9: 6: 4: 3: 2: 462: 451: 448: 446: 443: 441: 438: 436: 435:Public health 433: 432: 430: 420: 419: 415: 412: 409:. p. D7. 408: 404: 399: 395: 391: 386: 381: 377: 373: 370:(4): 801–23. 369: 365: 361: 356: 355: 351: 342: 341:"APA PsycNet" 336: 333: 328: 324: 319: 314: 310: 306: 302: 298: 294: 290: 286: 279: 276: 271: 267: 263: 259: 255: 251: 247: 243: 236: 233: 230: 224: 221: 216: 212: 207: 202: 198: 194: 191:(7): 1163–6. 190: 186: 182: 175: 173: 169: 164: 160: 155: 150: 146: 142: 138: 131: 128: 117:on 2011-08-11 113: 109: 105: 100: 95: 91: 87: 83: 79: 72: 65: 62: 55: 51: 48: 47: 43: 41: 37: 33: 31: 27: 23: 22:public health 19: 416: 406: 367: 363: 335: 295:(1): 75–86. 292: 288: 278: 245: 241: 235: 223: 188: 184: 144: 140: 130: 119:. Retrieved 112:the original 84:(3): 130–5. 81: 77: 64: 38: 34: 17: 15: 229:Swartz 2008 450:Senescence 440:Hypotheses 429:Categories 121:2011-03-31 56:References 309:1079-5014 394:16279968 327:21135070 270:24003528 262:16131359 215:18511711 44:See also 385:2690269 318:3001754 206:2424092 163:9535669 108:7383070 99:2567746 392:  382:  325:  315:  307:  268:  260:  213:  203:  161:  106:  96:  266:S2CID 115:(PDF) 74:(PDF) 390:PMID 323:PMID 305:ISSN 258:PMID 211:PMID 159:PMID 104:PMID 16:The 380:PMC 372:doi 313:PMC 297:doi 293:66B 250:doi 201:PMC 193:doi 149:doi 145:338 94:PMC 86:doi 82:303 20:in 431:: 405:. 388:. 378:. 368:83 366:. 362:. 321:. 311:. 303:. 291:. 287:. 264:. 256:. 246:53 244:. 209:. 199:. 189:98 187:. 183:. 171:^ 157:. 143:. 139:. 102:. 92:. 80:. 76:. 396:. 374:: 343:. 329:. 299:: 272:. 252:: 217:. 195:: 165:. 151:: 124:. 88::

Index

public health
Stanford University School of Medicine
University of Pennsylvania
Successful aging
"Aging, Natural Death, and the Compression of Morbidity"
doi
10.1056/NEJM198007173030304
PMC
2567746
PMID
7383070
the original
"Aging, Health Risks, and Cumulative Disability"
doi
10.1056/NEJM199804093381506
PMID
9535669


"James Fries: Healthy Aging Pioneer"
doi
10.2105/AJPH.2008.135731
PMC
2424092
PMID
18511711
Swartz 2008
doi
10.1111/j.1532-5415.2005.53496.x
PMID

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