We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Reducing Disability in Older Age

James F. Fries, MD
JAMA. 2002;288(24):3164-3166. doi:10.1001/jama.288.24.3164.
Text Size: A A A
Published online


In this issue of THE JOURNAL, Freedman and colleagues1 present encouraging evidence from a number of sources that disability in seniors is decreasing. The authors identified and reviewed 16 articles based on 8 surveys that assessed US trends in the prevalence of self-rated older adult disability and physical, cognitive, and sensory limitations among older adults beginning in 1982 through 1999. Of the studies assessed as having at least fair quality, surveys showed consistent declines in instrumental activities of daily living (IADLs) and in functional limitations. These findings are conservatively presented and all are consistent with the single best study, the report by Manton and Gu,2 which presents the most recent data, has the most detailed end points, surveys the most representative sample of the US population, and shows the most striking findings. Manton and Gu studied trends in disability in the National Long Term Care Surveys (NLTCS) of 1982, 1989, 1994, and 1999 of the Medicare-eligible population aged 65 years and older, which include both institutionalized and noninstitutionalized individuals.



Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

44 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Will This Patient Develop Persistent Disabling Low Back Pain?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Supplemental Content