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. 1984 Dec;141(6):832–845.

Preventive Health Care for the Elderly

Barry M Stults
PMCID: PMC1011218  PMID: 6395498

Abstract

Demographic, economic and humanitarian considerations dictate that effective preventive health care be provided to the elderly. A disease-specific approach to geriatric preventive health care will not suffice; measures to enhance or maintain physical, mental and social function must also be emphasized. Unfortunately, the effectiveness of many preventive care procedures has not been adequately investigated in the elderly. Research is urgently needed to determine the efficacy of and appropriate target population for various geriatric preventive health care measures.

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Selected References

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  1. Albert S. F., Jahnigen D. W. Treating common foot disorders in older patients. Geriatrics. 1983 Jun;38(6):42–55. [PubMed] [Google Scholar]
  2. Andres R. Aging, diabetes, and obesity: standards of normality. Mt Sinai J Med. 1981 Nov-Dec;48(6):489–495. [PubMed] [Google Scholar]
  3. Applegate W. B., Dismuke S. E., Runyan J. W., Jr Treatment of hypertension in the elderly: a time for caution? J Am Geriatr Soc. 1984 Jan;32(1):21–23. doi: 10.1111/j.1532-5415.1984.tb05146.x. [DOI] [PubMed] [Google Scholar]
  4. Arie T. Prevention of mental disorders of old age. J Am Geriatr Soc. 1984 Jun;32(6):460–465. doi: 10.1111/j.1532-5415.1984.tb02225.x. [DOI] [PubMed] [Google Scholar]
  5. Austrian R. A reassessment of pneumococcal vaccine. N Engl J Med. 1984 Mar 8;310(10):651–653. doi: 10.1056/NEJM198403083101010. [DOI] [PubMed] [Google Scholar]
  6. Barber J. H. Screening and surveillance of the elderly at risk. Practitioner. 1984 Mar;228(1389):269–273. [PubMed] [Google Scholar]
  7. Barber J. H., Wallis J. B. The effects of a system of geriatric screening and assessment on general practice workload. Health Bull (Edinb) 1982 May;40(3):125–132. [PubMed] [Google Scholar]
  8. Barker W. H., Mullooly J. P. Impact of epidemic type A influenza in a defined adult population. Am J Epidemiol. 1980 Dec;112(6):798–811. doi: 10.1093/oxfordjournals.aje.a113052. [DOI] [PubMed] [Google Scholar]
  9. Barker W. H., Mullooly J. P. Influenza vaccination of elderly persons. Reduction in pneumonia and influenza hospitalizations and deaths. JAMA. 1980 Dec 5;244(22):2547–2549. [PubMed] [Google Scholar]
  10. Berkman L. F. The assessment of social networks and social support in the elderly. J Am Geriatr Soc. 1983 Dec;31(12):743–749. doi: 10.1111/j.1532-5415.1983.tb03393.x. [DOI] [PubMed] [Google Scholar]
  11. Bortz W. M., 2nd Disuse and aging. JAMA. 1982 Sep 10;248(10):1203–1208. [PubMed] [Google Scholar]
  12. Branch L. G., Jette A. M. The Framingham Disability Study: I. Social disability among the aging. Am J Public Health. 1981 Nov;71(11):1202–1210. doi: 10.2105/ajph.71.11.1202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Breslow L., Somers A. R. The lifetime health-monitoring program. A practical approach to preventive medicine. N Engl J Med. 1977 Mar 17;296(11):601–608. doi: 10.1056/NEJM197703172961104. [DOI] [PubMed] [Google Scholar]
  14. Broome C. V., Facklam R. R., Fraser D. W. Pneumococcal disease after pneumococcal vaccination: an alternative method to estimate the efficacy of pneumococcal vaccine. N Engl J Med. 1980 Sep 4;303(10):549–552. doi: 10.1056/NEJM198009043031003. [DOI] [PubMed] [Google Scholar]
  15. Campbell A. J., Reinken J., Allan B. C. Thyroid disease in the elderly in the community. Age Ageing. 1981 Feb;10(1):47–52. doi: 10.1093/ageing/10.1.47. [DOI] [PubMed] [Google Scholar]
  16. Cardiac fitness and rehabilitation in the elderly. J Am Geriatr Soc. 1982 Sep;30(9):607–611. doi: 10.1111/j.1532-5415.1982.tb05673.x. [DOI] [PubMed] [Google Scholar]
  17. Carnes M. Preventive health care for the elderly. Wis Med J. 1983 Aug;82(8):15–18. [PubMed] [Google Scholar]
  18. Cassel C. K., Jameton A. L. Dementia in the elderly: an analysis of medical responsibility. Ann Intern Med. 1981 Jun;94(6):802–807. doi: 10.7326/0003-4819-94-6-802. [DOI] [PubMed] [Google Scholar]
  19. Celentano D. D., Shapiro S., Weisman C. S. Cancer preventive screening behavior among elderly women. Prev Med. 1982 Jul;11(4):454–463. doi: 10.1016/0091-7435(82)90048-2. [DOI] [PubMed] [Google Scholar]
  20. Chobanian A. V. Pathophysiologic considerations in the treatment of the elderly hypertensive patient. Am J Cardiol. 1983 Nov 10;52(9):49D–53D. doi: 10.1016/0002-9149(83)90642-2. [DOI] [PubMed] [Google Scholar]
  21. Cooper D. S., Halpern R., Wood L. C., Levin A. A., Ridgway E. C. L-Thyroxine therapy in subclinical hypothyroidism. A double-blind, placebo-controlled trial. Ann Intern Med. 1984 Jul;101(1):18–24. doi: 10.7326/0003-4819-101-1-18. [DOI] [PubMed] [Google Scholar]
  22. Corbin S., Reed M., Nobbs H., Eastwood K., Eastwood M. R. Hearing assessment in homes for the aged: a comparison of audiometric and self-report methods. J Am Geriatr Soc. 1984 May;32(5):396–400. doi: 10.1111/j.1532-5415.1984.tb02047.x. [DOI] [PubMed] [Google Scholar]
  23. Couch R. B., Cate T. R. Managing influenza in older patients. Geriatrics. 1983 Sep;38(9):61-3, 67, 71-4. [PubMed] [Google Scholar]
  24. Crossley K., Irvine P., Warren J. B., Lee B. K., Mead K. Tetanus and diphtheria immunity in urban Minnesota adults. JAMA. 1979 Nov 23;242(21):2298–2300. [PubMed] [Google Scholar]
  25. Eastwood R., Corbin S., Reed M. Hearing impairment and paraphrenia. J Otolaryngol. 1981 Aug;10(4):306–308. [PubMed] [Google Scholar]
  26. Franklin S. S. Geriatric hypertension. Med Clin North Am. 1983 Mar;67(2):395–417. doi: 10.1016/s0025-7125(16)31211-1. [DOI] [PubMed] [Google Scholar]
  27. Gambert S. R., Duthie E. H., Wiltzius F. The value of the yearly medical evaluation in a nursing home. J Chronic Dis. 1982;35(1):65–68. doi: 10.1016/0021-9681(82)90031-5. [DOI] [PubMed] [Google Scholar]
  28. Gifford R. W., Jr Isolated systolic hypertension in the elderly. Some controversial issues. JAMA. 1982 Feb 12;247(6):781–785. [PubMed] [Google Scholar]
  29. Gordin A., Lamberg B. A. Spontaneous hypothyroidism in symptomless autoimmune thyroiditis. A long-term follow-up study. Clin Endocrinol (Oxf) 1981 Dec;15(6):537–543. doi: 10.1111/j.1365-2265.1981.tb00699.x. [DOI] [PubMed] [Google Scholar]
  30. Gray D. R., Weber M. A., Drayer J. I. Effects of low-dose antihypertensive therapy in elderly patients with predominant systolic hypertension. J Gerontol. 1983 May;38(3):302–306. doi: 10.1093/geronj/38.3.302. [DOI] [PubMed] [Google Scholar]
  31. Grimley Evans J. Prevention of age-associated loss of autonomy: epidemiological approaches. J Chronic Dis. 1984;37(5):353–363. doi: 10.1016/0021-9681(84)90101-2. [DOI] [PubMed] [Google Scholar]
  32. Gruer L. D., McKendrick M. W., Geddes A. M. Pneumococcal bacteraemia--a continuing challenge. Q J Med. 1984 Spring;53(210):259–270. [PubMed] [Google Scholar]
  33. Gurland B. J., Cross P. S. Epidemiology of Psychopathology in old age. Some implications for clinical services. Psychiatr Clin North Am. 1982 Apr;5(1):11–26. [PubMed] [Google Scholar]
  34. Heikoff L. E., Luxenberg J., Feigenbaum L. Z. Low yield of screening for hypothyroidism in healthy elderly. J Am Geriatr Soc. 1984 Aug;32(8):616–617. doi: 10.1111/j.1532-5415.1984.tb06144.x. [DOI] [PubMed] [Google Scholar]
  35. Herbsman H., Feldman J., Seldera J., Gardner B., Alfonso A. E. Survival following breast cancer surgery in the elderly. Cancer. 1981 May 15;47(10):2358–2363. doi: 10.1002/1097-0142(19810515)47:10<2358::aid-cncr2820471006>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
  36. Herbst K. G., Humphrey C. Hearing impairment and mental state in the elderly living at home. Br Med J. 1980 Oct 4;281(6245):903–905. doi: 10.1136/bmj.281.6245.903. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Hogue C. C. Injury in late life: Part I. Epidemiology. J Am Geriatr Soc. 1982 Mar;30(3):183–190. doi: 10.1111/j.1532-5415.1982.tb01302.x. [DOI] [PubMed] [Google Scholar]
  38. Hubert H. B., Feinleib M., McNamara P. M., Castelli W. P. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983 May;67(5):968–977. doi: 10.1161/01.cir.67.5.968. [DOI] [PubMed] [Google Scholar]
  39. Hurley J. R. Thyroid disease in the elderly. Med Clin North Am. 1983 Mar;67(2):497–516. doi: 10.1016/s0025-7125(16)31217-2. [DOI] [PubMed] [Google Scholar]
  40. Irvine P. W., Carlson K., Adcock M., Slag M. The value of annual medical examinations in the nursing home. J Am Geriatr Soc. 1984 Jul;32(7):540–545. doi: 10.1111/j.1532-5415.1984.tb02243.x. [DOI] [PubMed] [Google Scholar]
  41. Jarvik L. F., Mintz J., Steuer J., Gerner R. Treating geriatric depression: a 26-week interim analysis. J Am Geriatr Soc. 1982 Nov;30(11):713–717. doi: 10.1111/j.1532-5415.1982.tb01987.x. [DOI] [PubMed] [Google Scholar]
  42. Jette A. M., Branch L. G. The Framingham Disability Study: II. Physical disability among the aging. Am J Public Health. 1981 Nov;71(11):1211–1216. doi: 10.2105/ajph.71.11.1211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Kane-Williams E., White J. E. Community-based cancer education for the elderly. Prog Clin Biol Res. 1983;130:113–122. [PubMed] [Google Scholar]
  44. Kannel W. B., Dawber T. R., McGee D. L. Perspectives on systolic hypertension. The Framingham study. Circulation. 1980 Jun;61(6):1179–1182. doi: 10.1161/01.cir.61.6.1179. [DOI] [PubMed] [Google Scholar]
  45. Katz S., Branch L. G., Branson M. H., Papsidero J. A., Beck J. C., Greer D. S. Active life expectancy. N Engl J Med. 1983 Nov 17;309(20):1218–1224. doi: 10.1056/NEJM198311173092005. [DOI] [PubMed] [Google Scholar]
  46. Keeler E. B., Solomon D. H., Beck J. C., Mendenhall R. C., Kane R. L. Effect of patient age on duration of medical encounters with physicians. Med Care. 1982 Nov;20(11):1101–1108. doi: 10.1097/00005650-198211000-00005. [DOI] [PubMed] [Google Scholar]
  47. Kendrick R., Bayne J. R. Compliance with prescribed medication by elderly patients. Can Med Assoc J. 1982 Nov 15;127(10):961–962. [PMC free article] [PubMed] [Google Scholar]
  48. Kennie D. C. Good health care for the aged. JAMA. 1983 Feb 11;249(6):770–773. [PubMed] [Google Scholar]
  49. Kennie D. C. Health maintenance of the elderly. J Am Geriatr Soc. 1984 Apr;32(4):316–323. doi: 10.1111/j.1532-5415.1984.tb02028.x. [DOI] [PubMed] [Google Scholar]
  50. Klein L. E., German P. S., Levine D. M. Adverse drug reactions among the elderly: a reassessment. J Am Geriatr Soc. 1981 Nov;29(11):525–530. doi: 10.1111/j.1532-5415.1981.tb03356.x. [DOI] [PubMed] [Google Scholar]
  51. Klein L. E., German P. S., Levine D. M., Feroli E. R., Jr, Ardery J. Medication problems among outpatients. A study with emphasis on the elderly. Arch Intern Med. 1984 Jun;144(6):1185–1188. [PubMed] [Google Scholar]
  52. Kleinstein R. N. Vision disorders in public health. Annu Rev Public Health. 1984;5:369–384. doi: 10.1146/annurev.pu.05.050184.002101. [DOI] [PubMed] [Google Scholar]
  53. Knapp D. A., Knapp D. A., Wiser T. H., Michocki R. J., Nuessle S. J., Knapp W. K. Drug prescribing for ambulatory patients 85 years of age and older. J Am Geriatr Soc. 1984 Feb;32(2):138–143. doi: 10.1111/j.1532-5415.1984.tb05855.x. [DOI] [PubMed] [Google Scholar]
  54. Lairson P. D. Why informed consumers are choosing HMOs. Patient Care. 1982 Oct 30;16(18):67-9, 72-3, 78-80. [PubMed] [Google Scholar]
  55. Larson E. B., Reifler B. V., Featherstone H. J., English D. R. Dementia in elderly outpatients: a prospective study. Ann Intern Med. 1984 Mar;100(3):417–423. doi: 10.7326/0003-4819-100-3-417. [DOI] [PubMed] [Google Scholar]
  56. Lefton E., Bonstelle S., Frengley J. D. Success with an inpatient geriatric unit: a controlled study of outcome and follow-up. J Am Geriatr Soc. 1983 Mar;31(3):149–155. doi: 10.1111/j.1532-5415.1983.tb04854.x. [DOI] [PubMed] [Google Scholar]
  57. Lew E. A., Garfinkel L. Variations in mortality by weight among 750,000 men and women. J Chronic Dis. 1979;32(8):563–576. doi: 10.1016/0021-9681(79)90119-x. [DOI] [PubMed] [Google Scholar]
  58. Mader S. Hearing impairment in elderly persons. J Am Geriatr Soc. 1984 Jul;32(7):548–553. doi: 10.1111/j.1532-5415.1984.tb02245.x. [DOI] [PubMed] [Google Scholar]
  59. Mangla J. C., Pereira M., Murphy J. Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. J Am Geriatr Soc. 1981 Oct;29(10):473–475. doi: 10.1111/j.1532-5415.1981.tb01752.x. [DOI] [PubMed] [Google Scholar]
  60. Mullooly J. P. Tetanus immunization of adult members of an HMO. Am J Public Health. 1984 Aug;74(8):841–842. doi: 10.2105/ajph.74.8.841. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Ouslander J. G., Beck J. C. Defining the health problems of the elderly. Annu Rev Public Health. 1982;3:55–83. doi: 10.1146/annurev.pu.03.050182.000415. [DOI] [PubMed] [Google Scholar]
  62. Ouslander J. G. Physical illness and depression in the elderly. J Am Geriatr Soc. 1982 Sep;30(9):593–599. doi: 10.1111/j.1532-5415.1982.tb05670.x. [DOI] [PubMed] [Google Scholar]
  63. Parkin D. M., Henney C. R., Quirk J., Crooks J. Deviation from prescribed drug treatment after discharge from hospital. Br Med J. 1976 Sep 18;2(6037):686–688. doi: 10.1136/bmj.2.6037.686. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Patriarca P. A., Schlech W. F., 3rd, Hinman A. R., Conn J. M., Gunn W. J. Pneumococcal vaccination practices among private physicians. Public Health Rep. 1982 Sep-Oct;97(5):406–408. [PMC free article] [PubMed] [Google Scholar]
  65. Perry B. C. Falls among the elderly: a review of the methods and conclusions of epidemiologic studies. J Am Geriatr Soc. 1982 Jun;30(6):367–371. doi: 10.1111/j.1532-5415.1982.tb02833.x. [DOI] [PubMed] [Google Scholar]
  66. Rice D. P., Feldman J. J. Living longer in the United States: demographic changes and health needs of the elderly. Milbank Mem Fund Q Health Soc. 1983 Summer;61(3):362–396. [PubMed] [Google Scholar]
  67. Riddiough M. A., Sisk J. E., Bell J. C. Influenza vaccination. JAMA. 1983 Jun 17;249(23):3189–3195. [PubMed] [Google Scholar]
  68. Ridgway E. C., Cooper D. S., Walker H., Rodbard D., Maloof F. Peripheral responses to thyroid hormone before and after L-thyroxine therapy in patients with subclinical hypothyroidism. J Clin Endocrinol Metab. 1981 Dec;53(6):1238–1242. doi: 10.1210/jcem-53-6-1238. [DOI] [PubMed] [Google Scholar]
  69. Rimer B., Jones W. L., Wilson C., Bennett D., Engstrom P. F. Cancer and the elderly: a cancer control challenge. Prog Clin Biol Res. 1983;130:123–133. [PubMed] [Google Scholar]
  70. Robbins L. J., Jahnigen D. W. Child-resistant packaging and the geriatric patient. J Am Geriatr Soc. 1984 Jun;32(6):450–452. doi: 10.1111/j.1532-5415.1984.tb02222.x. [DOI] [PubMed] [Google Scholar]
  71. Robertson D. Tonometry screening on the medical service. Arch Intern Med. 1977 Apr;137(4):443–445. [PubMed] [Google Scholar]
  72. Rothstein R. J., Baker F. J. Tetanus. Prevention and treatment. JAMA. 1978 Aug 18;240(7):675–676. doi: 10.1001/jama.240.7.675. [DOI] [PubMed] [Google Scholar]
  73. Rowe J. W. Systolic hypertension in the elderly. N Engl J Med. 1983 Nov 17;309(20):1246–1247. doi: 10.1056/NEJM198311173092011. [DOI] [PubMed] [Google Scholar]
  74. Ruben F. L., Nagel J., Fireman P. Antitoxin responses in the elderly to tetanus-diphtheria (TD) immunization. Am J Epidemiol. 1978 Aug;108(2):145–149. doi: 10.1093/oxfordjournals.aje.a112598. [DOI] [PubMed] [Google Scholar]
  75. Rubenstein L. Z. Falls in the elderly: a clinical approach. West J Med. 1983 Feb;138(2):273–275. [PMC free article] [PubMed] [Google Scholar]
  76. Rubenstein L. Z., Rhee L., Kane R. L. The role of geriatric assessment units in caring for the elderly: an analytic review. J Gerontol. 1982 Sep;37(5):513–521. doi: 10.1093/geronj/37.5.513. [DOI] [PubMed] [Google Scholar]
  77. Rubenstein L. Z., Wieland D., English P., Josephson K., Sayre J. A., Abrass I. B. The Sepulveda VA Geriatric Evaluation Unit: data on four-year outcomes and predictors of improved patient outcomes. J Am Geriatr Soc. 1984 Jul;32(7):503–512. doi: 10.1111/j.1532-5415.1984.tb02235.x. [DOI] [PubMed] [Google Scholar]
  78. Rubenstein L. The clinical effectiveness of multidimensional geriatric assessment. J Am Geriatr Soc. 1983 Dec;31(12):758–762. doi: 10.1111/j.1532-5415.1983.tb03395.x. [DOI] [PubMed] [Google Scholar]
  79. Rundall T. G., Wheeler J. R. Factors associated with utilization of the swine flu vaccination program among senior citizens in Tompkins County. Med Care. 1979 Feb;17(2):191–200. doi: 10.1097/00005650-197902000-00009. [DOI] [PubMed] [Google Scholar]
  80. Sackett D. L. Preventive geriatric medicine. Prim Care. 1982 Mar;9(1):3–6. [PubMed] [Google Scholar]
  81. Salzman C. Electroconvulsive therapy in the elderly patient. Psychiatr Clin North Am. 1982 Apr;5(1):191–197. [PubMed] [Google Scholar]
  82. Sawin C. T., Chopra D., Azizi F., Mannix J. E., Bacharach P. The aging thyroid. Increased prevalence of elevated serum thyrotropin levels in the elderly. JAMA. 1979 Jul 20;242(3):247–250. doi: 10.1001/jama.242.3.247. [DOI] [PubMed] [Google Scholar]
  83. Schneider E. L. Infectious diseases in the elderly. Ann Intern Med. 1983 Mar;98(3):395–400. doi: 10.7326/0003-4819-98-3-395. [DOI] [PubMed] [Google Scholar]
  84. Schoenbaum S. Influenza vaccine: delivering the goods. Am J Public Health. 1983 Apr;73(4):365–366. doi: 10.2105/ajph.73.4.365. [DOI] [PMC free article] [PubMed] [Google Scholar]
  85. Schuman J. E., Beattie E. J., Steed D. A., Merry G. M., Kraus A. S. Geriatric patients with and without intellectual dysfunction: effectiveness of a standard rehabilitation program. Arch Phys Med Rehabil. 1981 Dec;62(12):612–618. [PubMed] [Google Scholar]
  86. Schwartz J. S. Pneumococcal vaccine: clinical efficacy and effectiveness. Ann Intern Med. 1982 Feb;96(2):208–220. doi: 10.7326/0003-4819-96-2-208. [DOI] [PubMed] [Google Scholar]
  87. Shapiro E. D., Clemens J. D. A controlled evaluation of the protective efficacy of pneumococcal vaccine for patients at high risk of serious pneumococcal infections. Ann Intern Med. 1984 Sep;101(3):325–330. doi: 10.7326/0003-4819-101-3-325. [DOI] [PubMed] [Google Scholar]
  88. Stamler J., Stamler R., Riedlinger W. F., Algera G., Roberts R. H. Hypertension screening of 1 million Americans. Community Hypertension Evaluation Clinic (CHEC) program, 1973 through 1975. JAMA. 1976 May 24;235(21):2299–2306. doi: 10.1001/jama.235.21.2299. [DOI] [PubMed] [Google Scholar]
  89. Stettner M. Medigap: are we cheating the nation's elderly? West J Med. 1983 Nov;139(5):742–745. [PMC free article] [PubMed] [Google Scholar]
  90. Sussman E. J., Tsiaras W. G., Soper K. A. Diagnosis of diabetic eye disease. JAMA. 1982 Jun 18;247(23):3231–3234. [PubMed] [Google Scholar]
  91. Teasdale T. A., Shuman L., Snow E., Luchi R. J. A comparison of placement outcomes of geriatric cohorts receiving care in a geriatric assessment unit and on general medicine floors. J Am Geriatr Soc. 1983 Sep;31(9):529–534. doi: 10.1111/j.1532-5415.1983.tb02196.x. [DOI] [PubMed] [Google Scholar]
  92. The periodic health examination. Canadian Task Force on the Periodic Health Examination. Can Med Assoc J. 1979 Nov 3;121(9):1193–1254. [PMC free article] [PubMed] [Google Scholar]
  93. Tulloch A. J., Moore V. A randomized controlled trial of geriatric screening and surveillance in general practice. J R Coll Gen Pract. 1979 Dec;29(209):733–740. [PMC free article] [PubMed] [Google Scholar]
  94. Tunbridge W. M., Brewis M., French J. M., Appleton D., Bird T., Clark F., Evered D. C., Evans J. G., Hall R., Smith P. Natural history of autoimmune thyroiditis. Br Med J (Clin Res Ed) 1981 Jan 24;282(6260):258–262. doi: 10.1136/bmj.282.6260.258. [DOI] [PMC free article] [PubMed] [Google Scholar]
  95. Vallbona C., Baker S. B. Physical fitness prospects in the elderly. Arch Phys Med Rehabil. 1984 Apr;65(4):194–200. [PubMed] [Google Scholar]
  96. Vestal R. F. Pharmacology and aging. J Am Geriatr Soc. 1982 Mar;30(3):191–200. doi: 10.1111/j.1532-5415.1982.tb01303.x. [DOI] [PubMed] [Google Scholar]
  97. WILLIAMSON J., STOKOE I. H., GRAY S., FISHER M., SMITH A., MCGHEE A., STEPHENSON E. OLD PEOPLE AT HOME. THEIR UNREPORTED NEEDS. Lancet. 1964 May 23;1(7343):1117–1120. doi: 10.1016/s0140-6736(64)91803-3. [DOI] [PubMed] [Google Scholar]
  98. Weiss B. P., Strassburg M. A., Feeley J. C. Tetanus and diphtheria immunity in an elderly population in Los Angeles County. Am J Public Health. 1983 Jul;73(7):802–804. doi: 10.2105/ajph.73.7.802. [DOI] [PMC free article] [PubMed] [Google Scholar]
  99. West L. J., Maxwell D. S., Noble E. P., Solomon D. H. Alcoholism. Ann Intern Med. 1984 Mar;100(3):405–416. doi: 10.7326/0003-4819-100-3-405. [DOI] [PubMed] [Google Scholar]
  100. Williams M. E. A critical evaluation of the assessment technology for urinary continence in older persons. J Am Geriatr Soc. 1983 Nov;31(11):657–664. doi: 10.1111/j.1532-5415.1983.tb04151.x. [DOI] [PubMed] [Google Scholar]
  101. Williams M. E. Clinical implications of aging physiology. Am J Med. 1984 Jun;76(6):1049–1054. doi: 10.1016/0002-9343(84)90856-8. [DOI] [PubMed] [Google Scholar]
  102. Williams M. E., Hadler N. M. Sounding Board. The illness as the focus of geriatric medicine. N Engl J Med. 1983 Jun 2;308(22):1357–1360. doi: 10.1056/NEJM198306023082211. [DOI] [PubMed] [Google Scholar]
  103. Williams M. E., Pannill F. C., 3rd Urinary incontinence in the elderly: physiology, pathophysiology, diagnosis, and treatment. Ann Intern Med. 1982 Dec;97(6):895–907. doi: 10.7326/0003-4819-97-6-895. [DOI] [PubMed] [Google Scholar]
  104. Williams T. F. Comprehensive functional assessment: an overview. J Am Geriatr Soc. 1983 Nov;31(11):637–641. doi: 10.1111/j.1532-5415.1983.tb04148.x. [DOI] [PubMed] [Google Scholar]
  105. Yarnell J. W., St Leger A. S. The prevalence, severity and factors associated with urinary incontinence in a random sample of the elderly. Age Ageing. 1979 May;8(2):81–85. doi: 10.1093/ageing/8.2.81. [DOI] [PubMed] [Google Scholar]

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