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. 2010 Mar;47(Suppl 1):S17–S40. doi: 10.1353/dem.2010.0003

Trends in health of older adults in the United States: Past, present, future

Linda G Martin 1,✉, Robert F Schoeni 2, Patricia M Andreski 2
PMCID: PMC3342521  NIHMSID: NIHMS368679  PMID: 21302428

Abstract

The decline in late-life disability prevalence in the United States was one of the most important developments in the well-being of older Americans in the 1980s and 1990s, but there is no guarantee that it will continue into the future. We review the past literature on trends in disability and other health indicators and then estimate the most recent trends in biomarkers and limitations for both the population aged 65 and older and those aged 40 to 64, the future elderly. We then investigate the extent to which trends in education, smoking, and obesity can account for recent trends in limitations and discuss how these three factors might influence future prospects for late-life health. We find that improvements in the health of the older population generally have continued into the first decade of the twenty-first century. The recent increase in the proportion of the younger population needing help with activities of daily living is concerning, as is the doubling of obesity in the last few decades. However, the increase in obesity has recently paused, and favorable trends in education and smoking are encouraging.

Keywords: Current Population Survey, National Health Interview Survey, Older Adult, High Total Cholesterol, National Health Interview Survey Data

References

  1. Alcohol and Tobacco Tax and Trade Bureau. 2009. “Federal Excise Tax Increase and Related Provisions.” Available online at http://www.ttb.gov/main_pages/schip-summary.shtml.
  2. Alley D.E., Chang V.W. The Changing Relationship of Obesity and Disability, 1988–2004. Journal of the American Medical Association. 2007;298:2020–27. doi: 10.1001/jama.298.17.2020. [DOI] [PubMed] [Google Scholar]
  3. Alley D.E., Chang V.W. Metabolic Syndrome and Weight Gain in Adulthood. Journal of Gerontology: Medical Sciences. 2010;65A:111–17. doi: 10.1093/gerona/glp177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Alley D.E., Seeman T.E., Kim J.K., Karlamangla A., Hu P., Crimmins E.M. Socio-economic Status and C-reactive Protein Levels in the U.S. Population: NHANES IV. Brain, Behavior, and Immunity. 2006;20:498–504. doi: 10.1016/j.bbi.2005.10.003. [DOI] [PubMed] [Google Scholar]
  5. Barker D.J.P., Osmond C., Forsén T.J., Kajantie E., Eriksson J.G. Trajectories of Growth Among Children Who Have Coronary Events as Adults. New England Journal of Medicine. 2005;353:1802–809. doi: 10.1056/NEJMoa044160. [DOI] [PubMed] [Google Scholar]
  6. Barry C.L., Brescoll V.L., Brownell K.D., Schlesinger M. Obesity Metaphors: How Beliefs About the Causes of Obesity Affect Support for Public Policy. Milbank Quarterly. 2009;87(1):7–47. doi: 10.1111/j.1468-0009.2009.00546.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Benyamini Y., Idler E.L. Community Studies Reporting Association Between Self-rated Health and Mortality: Additional Studies, 1995–1998. Research on Aging. 1999;21:392–401. doi: 10.1177/0164027599213002. [DOI] [Google Scholar]
  8. Bhattacharya J., Choudhry K., Lakdawalla D. Chronic Disease and Severe Disability Among Working-Age Populations. Medical Care. 2008;46:92–100. doi: 10.1097/MLR.0b013e3181484335. [DOI] [PubMed] [Google Scholar]
  9. Buchwald H., Avidor Y., Braunwald E., Jensen M.D., Pories W., Fahrbach K., Schoelles K. Bariatric Surgery: A Systematic Review and Meta-analysis. Journal of the American Medical Association. 2004;292:1724–37. doi: 10.1001/jama.292.14.1724. [DOI] [PubMed] [Google Scholar]
  10. Buist D.S.M., Newton K.M., Miglioretti D.L., Beverly K., Connelly M.T., Andrade S., Hartsfield C.L., Wei F., Chan K.A., Kessler L. Hormone Therapy Prescribing Patterns in the United States. Obstetrics and Gynecology. 2004;104:1042–50. doi: 10.1097/01.AOG.0000143826.38439.af. [DOI] [PubMed] [Google Scholar]
  11. Carandang R., Seshadri S., Beiser A., Kelly-Hayes M., Kase C.S., Kannel W.B., Wolf P.A. Trends in Incidence, Lifetime Risk, Severity, and 30-Day Mortality of Stroke Over the Past 50 Years. Journal of the American Medical Association. 2006;296:2939–46. doi: 10.1001/jama.296.24.2939. [DOI] [PubMed] [Google Scholar]
  12. Centers for Medicare and Medicaid Services. 2009. “Decision Memo for Surgery for Diabetes (CAG-00397N).” Available online at http://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp&id=219&.
  13. Chobanian A.V. The Hypertension Paradox—More Uncontrolled Disease Despite Improved Therapy. New England Journal of Medicine. 2009;361:878–87. doi: 10.1056/NEJMsa0903829. [DOI] [PubMed] [Google Scholar]
  14. Colvez A., Blanchet M. Disability Trends in the United States Population 1966–1976: Analysis of Reported Causes. American Journal of Public Health. 1981;71:464–71. doi: 10.2105/AJPH.71.5.464. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Congressional Budget Office . Cost Estimate: S. 982, Family Smoking Prevention and Tobacco Control Act. Washington, DC: Congressional Budget Office; 2009. [Google Scholar]
  16. Costa D.L. Changing Chronic Disease Rates and Long-term Declines in Functional Limitation Among Older Men. Demography. 2002;39:119–37. doi: 10.1353/dem.2002.0003. [DOI] [PubMed] [Google Scholar]
  17. Crimmins E.M. Mixed Trends in Population Health Among Older Adults. Journal of Gerontology: Social Sciences. 1996;51B:S223–S225. doi: 10.1093/geronb/51b.5.s223. [DOI] [PubMed] [Google Scholar]
  18. Crimmins E.M. Trends in the Health of the Elderly. Annual Review of Public Health. 2004;25(1):79–98. doi: 10.1146/annurev.publhealth.25.102802.124401. [DOI] [PubMed] [Google Scholar]
  19. Crimmins E.M., Alley D., Reynolds S.L., Johnston M., Karlamangla A., Seeman T. Changes in Biological Markers of Health: Older Americans in the 1990s. Journal of Gerontology: Medical Sciences. 2005;60A:1409–13. doi: 10.1093/gerona/60.11.1409. [DOI] [PubMed] [Google Scholar]
  20. Crimmins, E., and Y. Saito. 2000. “Change in the Prevalence of Diseases Among Older Americans: 1984–1994.”Demographic Research 3(9). Available online at http://www.demographic-research.org/Volumes/Vol3/9/3-9.pdf.
  21. Crimmins E.M., Saito Y., Reynolds S.L. Further Evidence on Recent Trends in the Prevalence and Incidence of Disability Among Older Americans From Two Sources: the LSOA and the NHIS. Journals of Gerontology. 1997;52:S59–S71. doi: 10.1093/geronb/52b.2.s59. [DOI] [PubMed] [Google Scholar]
  22. Crimmins E., Vasunilashorn S., Kim J.K., Alley D. Biomarkers Related to Aging in Human Population. Advances in Clinical Chemistry. 2008;46:161–216. doi: 10.1016/S0065-2423(08)00405-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Cutler D.M. Declining Disability Among the Elderly. Health Affairs. 2001;20(6):11–27. doi: 10.1377/hlthaff.20.6.11. [DOI] [PubMed] [Google Scholar]
  24. Cutler D.M., Landrum M.B., Stewart K. Intensive Medical Care and Cardiovascular Disease Disability Reductions. In: Cutler D.M., Wise D.A., editors. Health at Older Ages: The Causes and Consequences of Declining Disability Among the Elderly. Chicago: National Bureau of Economic Research; 2008. pp. 191–222. [Google Scholar]
  25. Desai M., Pratt L.A., Lentzner H., Robinson K.N. Trends in Vision and Hearing Among Older Americans. Aging Trends. 2001;2:1–8. doi: 10.1037/e620682007-001. [DOI] [PubMed] [Google Scholar]
  26. Ferraro K.F., Thorpe R.J., Wilkinson J.A. The Life Course of Severe Obesity: Does Childhood Overweight Matter? Journal of Gerontology: Social Science. 2003;58B:S110–S119. doi: 10.1093/geronb/58.2.s110. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Field M.J., Jette A.M., editors. The Future of Disability in America. Washington, DC: National Academies Press; 2007. [PubMed] [Google Scholar]
  28. Finch C.E., Vaupel J.W., Kinsella K., editors. Cells and Surveys: Should Biological Measures Be Included in Social Science Research? Washington, DC: National Academies Press; 2001. [PubMed] [Google Scholar]
  29. Ford E.S., Ajani U.A., Croft J.B., Critchley J.A., Labarthe D.R., Kottke T.E., Giles W.H., Capewell S. Explaining the Decrease in U.S. Deaths From Coronary Disease, 1980–2000. New England Journal of Medicine. 2007;356:2388–98. doi: 10.1056/NEJMsa053935. [DOI] [PubMed] [Google Scholar]
  30. Freedman V.A., Agree E.M., Martin L.G., Cornman J. Trends in the Use of Assistive Technology and Personal Care for Late-Life Disability, 1992–2001. The Gerontologist. 2006;46:124–27. doi: 10.1093/geront/46.1.124. [DOI] [PubMed] [Google Scholar]
  31. Freedman V.A., Aykan H., Martin L.G. Aggregate Changes in Severe Cognitive Impairment Among Older Americans: 1993 and 1998. Journal of Gerontology. 2001;56B:S100–S111. doi: 10.1093/geronb/56.2.s100. [DOI] [PubMed] [Google Scholar]
  32. Freedman V.A., Aykan H., Martin L.G. Another Look at Aggregate Changes in Severe Cognitive Impairment: Further Investigation Into the Cumulative Effects of Three Survey Design Issues. Journal of Gerontology. 2002;57B:S126–S131. doi: 10.1093/geronb/57.2.s126. [DOI] [PubMed] [Google Scholar]
  33. Freedman V.A., Crimmins E.M., Schoeni R.F., Spillman B., Aykan H., Kramarow E., Land K., Lubitz J., Manton K., Martin L.G., Shinberg D., Waidmann T. Resolving Inconsistencies in Old-Age Disability Trends: Report From a Technical Working Group. Demography. 2004;41:417–41. doi: 10.1353/dem.2004.0022. [DOI] [PubMed] [Google Scholar]
  34. Freedman V.A., Martin L.G. Understanding Trends in Functional Limitations Among Older Americans. American Journal of Public Health. 1998;88(10):1457–62. doi: 10.2105/AJPH.88.10.1457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Freedman V.A., Martin L.G. The Role of Education in Explaining and Forecasting Trends in Functional Limitations Among Older Americans. Demography. 1999;36:461–73. doi: 10.2307/2648084. [DOI] [PubMed] [Google Scholar]
  36. Freedman V.A., Martin L.G. Contribution of Chronic Conditions to Aggregate Changes in Old-age Functioning. American Journal of Public Health. 2000;90:1755–60. doi: 10.2105/AJPH.90.11.1755. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Freedman V.A., Martin L.G., Schoeni R.F. Recent Trends in Disability and Functioning Among Older U.S. Adults. Journal of the American Medical Association. 2002;288:3137–46. doi: 10.1001/jama.288.24.3137. [DOI] [PubMed] [Google Scholar]
  38. Freedman V.A., Martin L.G., Schoeni R.F., Cornman J. Declines in Late-Life Disability: The Role of Early- and Mid-life Factors. Social Science and Medicine. 2008;66:1588–602. doi: 10.1016/j.socscimed.2007.11.037. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Freedman V.A., Schoeni R.F., Martin L.G., Cornman J. Chronic Conditions and the Decline in Late-life Disability. Demography. 2007;44:459–77. doi: 10.1353/dem.2007.0026. [DOI] [PubMed] [Google Scholar]
  40. Fries J.F., Williams C.A., Morfeld D., Singh G., Sibley J. Reduction in Long-term Disability in Patients With Rheumatoid Arthritis by Disease-Modifying Antirheumatic Drug-Based Treatment Strategies. Arthritis and Rheumatism. 1996;39:616–22. doi: 10.1002/art.1780390412. [DOI] [PubMed] [Google Scholar]
  41. Glei D.A., Meslé F., Vallin J. Diverging Trends in Life Expectancy at Age 50: A Look at Causes of Death. In: Crimmins E.M., Preston S.H., Cohen B., editors. International Differences in Mortality at Older Ages: Dimensions and Sources. Washington: National Academies Press; 2010. pp. 11–63. [PubMed] [Google Scholar]
  42. Gregg E.W., Cadwell B.L., Cheng Y.J., Cowie C.C., Williams D.E., Geiss L., Engelgau M.M., Vinicor F. Trends in the Prevalence and Ratio of Diagnosed to Undiagnosed Diabetes According to Obesity Levels in the U.S. Diabetes Care. 2004;27:2806–12. doi: 10.2337/diacare.27.12.2806. [DOI] [PubMed] [Google Scholar]
  43. Gregg E.W., Cheng Y.J., Cadwell B.L., Imperatore G., Williams D.E., Flegal K.M., Narayan K.M.V., Williamson D.F. Secular Trends in Cardiovascular Disease Risk Factors According to Body Mass Index in US Adults. Journal of the American Medical Association. 2005;293:1868–74. doi: 10.1001/jama.293.15.1868. [DOI] [PubMed] [Google Scholar]
  44. Himes C.L., Reynolds S.L. The Changing Relationship Between Obesity and Educational Status. Gender Issues. 2005;22:45–57. doi: 10.1007/s12147-005-0014-2. [DOI] [Google Scholar]
  45. Human Mortality Database. 2009. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany). Available online at http://www.mortality.org.
  46. Idler E.L., Benyamini Y. Self-rated Health and Mortality: A Review of Twenty-seven Community Studies. Journal of Health and Social Behavior. 1997;38:21–37. doi: 10.2307/2955359. [DOI] [PubMed] [Google Scholar]
  47. Jemal A., Ward E., Hao Y., Thun M. Trends in the Leading Causes of Death in the United States, 1970–2002. Journal of the American Medical Association. 2005;294:1255–59. doi: 10.1001/jama.294.10.1255. [DOI] [PubMed] [Google Scholar]
  48. Jylhä M. What Is Self-rated Health and Why Does It Predict Mortality? Towards a Unified Conceptual Model. Social Science and Medicine. 2009;69:307–16. doi: 10.1016/j.socscimed.2009.05.013. [DOI] [PubMed] [Google Scholar]
  49. Kim J.K., Alley D., Seeman T., Karlamangla A., Crimmins E. Recent Changes in Cardiovascular Risk Factors Among Women and Men. Journal of Women’s Health. 2006;15:734–46. doi: 10.1089/jwh.2006.15.734. [DOI] [PubMed] [Google Scholar]
  50. Kramarow E., Lubitz J., Lentzner H., Gorina Y. Trends in the Health of Older Americans, 1970–2005. Health Affairs. 2007;26:1417–25. doi: 10.1377/hlthaff.26.5.1417. [DOI] [PubMed] [Google Scholar]
  51. Kurtz S., Mowat F., Ong K., Chan N., Lau E., Halpern M. Prevalence of Primary and Revision Total Hip and Knee Arthroplasty in the United States From 1990 Through 2002. The Journal of Bone and Joint Surgery. 2005;87A:1487–97. doi: 10.2106/JBJS.D.02441. [DOI] [PubMed] [Google Scholar]
  52. Lakdawalla D.N., Bhattacharya J., Goldman D.P. Are the Young Becoming More Disabled? Health Affairs. 2004;23(1):168–76. doi: 10.1377/hlthaff.23.1.168. [DOI] [PubMed] [Google Scholar]
  53. Langa K., Larson E.B., Karlawish J.H., Cutler D.M., Kabeto M.U., Kim S.Y., Rosen A. Trends in the Prevalence and Mortality of Cognitive Impairment in the United States: Is There Evidence of a Compression of Cognitive Morbidity? Alzheimer’s and Dementia. 2008;4:134–44. doi: 10.1016/j.jalz.2008.01.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  54. Leunissen R.W.J., Kerkhof G.F., Stijnen T., Hokken-Koelega A. Timing and Tempo of First-Year Rapid Growth in Relation to Cardiovascular and Metabolic Risk Profile in Early Adulthood. Journal of the American Medical Association. 2009;301:2234–42. doi: 10.1001/jama.2009.761. [DOI] [PubMed] [Google Scholar]
  55. Manton K.G., Corder L.S., Stallard E. Estimates of Change in Chronic Disability and Institutional Incidence and Prevalence Rates in the U.S. Elderly Population From the 1982, 1984, and 1989 National Long Term Care Survey. Journal of Gerontology: Social Sciences. 1993;48:S153–S166. doi: 10.1093/geronj/48.4.s153. [DOI] [PubMed] [Google Scholar]
  56. Manton K.G., Corder L.S., Stallard E. Chronic Disability Trends in Elderly United States Populations: 1982–1994. Proceedings of the National Academy of Sciences. 1997;94:2593–98. doi: 10.1073/pnas.94.6.2593. [DOI] [PMC free article] [PubMed] [Google Scholar]
  57. Manton K.G., Gu X., Lamb V.L. Change in Chronic Disability From 1982 to 2004/2005 as Measured by Long-term Changes in Function and Health in the U.S. Elderly Population. Proceedings of the National Academy of Sciences. 2006;103:18374–79. doi: 10.1073/pnas.0608483103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  58. Manton K.G., Stallard E., Corder L. Changes in Morbidity and Chronic Disability in the U.S. Elderly Population: Evidence From the 1982, 1984, and 1989 National Long Term Care Surveys. Journals of Gerontology: Social Sciences. 1995;50B:S194–S204. doi: 10.1093/geronb/50b.4.s194. [DOI] [PubMed] [Google Scholar]
  59. Manton K.G., Stallard E., Corder L. The Dynamics of Dimensions of Age-related Disability 1982 to 1994 in the U.S. Elderly Population. Journal of Gerontology: Biological Sciences. 1998;53A:B59–B70. doi: 10.1093/gerona/53a.1.b59. [DOI] [PubMed] [Google Scholar]
  60. Martin L.G., Freedman V.A., Schoeni R.F., Andreski P.M. Health and Functioning of the Baby Boom Approaching 60. Journal of Gerontology: Social Sciences. 2009;64:369–77. doi: 10.1093/geronb/gbn040. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Martin L.G., Schoeni R.F., Freedman V.A., Andreski P. Feeling Better? Trends in General Health Status. Journal of Gerontology: Social Sciences. 2007;62B:S11–S21. doi: 10.1093/geronb/62.1.s11. [DOI] [PubMed] [Google Scholar]
  62. Mutran E., Ferraro K.F. Medical Need and Use of Services Among Older Men and Women. Journal of Gerontology. 1988;43:S167–S171. doi: 10.1093/geronj/43.5.s162. [DOI] [PubMed] [Google Scholar]
  63. Nagi S.Z. Some Conceptual Issues in Disability and Rehabilitation. In: Sussman M.B., editor. Sociology and Rehabilitation. Washington, DC: American Sociological Association, National Academies; 1965. pp. 100–13. [Google Scholar]
  64. National Center for Health Statistics (NCHS). 2006.Analytic and Reporting Guidelines: The National Health and Nutrition Examination Survey (NHANES). Hyattsville, MD. Available online at http:// www.cdc.gov/nchs/data/nhanes/nhanes_03_04/nhanes_analytic_guidelines_dec_2005.pdf.
  65. -. 2009. “Health Data Interactive.” Available online at http://205.207.175.93/HDI/ ReportFolders/reportFolders.aspx.
  66. Ogden C.L., Carroll M.D., Curtin L.R., McDowell M.A., Tabak C.J., Flegal K.M. Prevalence of Overweight and Obesity in the United States, 1999–2004. Journal of the American Medical Association. 2006;295:1549–52. doi: 10.1001/jama.295.13.1549. [DOI] [PubMed] [Google Scholar]
  67. Ogden C.L., Carroll M.D., Flegal K.M. High Body Mass Index for Age Among U.S. Children and Adolescents, 2003–2006. Journal of the American Medical Association. 2008;299:2401–405. doi: 10.1001/jama.299.20.2401. [DOI] [PubMed] [Google Scholar]
  68. Ogden, C.L., M.D. Carroll, M.A. McDowell, and K.M. Flegal. 2007. “Obesity Among Adults in the United States—No Change Since 2003–04.” NCHS Data Brief No. 1. [PubMed]
  69. Ogden C.L., Yanovski S.Z., Carroll M.D., Flegal K.M. The Epidemiology of Obesity. Gastroenterology. 2007;132:2087–102. doi: 10.1053/j.gastro.2007.03.052. [DOI] [PubMed] [Google Scholar]
  70. Pope A.M., Tarlov A.R., editors. Disability in America: Toward a National Agenda for Prevention. Washington, DC: National Academy Press; 1991. [Google Scholar]
  71. Preston S.H., Glei D.A., Wilmoth J.R. Contribution of Smoking to International Differences in Life Expectancy. In: Crimmins E.M., Preston S.H., Cohen B., editors. International Differences in Mortality at Older Ages: Dimensions and Sources. Washington: National Academies Press; 2010. pp. 105–131. [PubMed] [Google Scholar]
  72. Preston S.H., Wang H. Sex Mortality Differences in the United States: The Role of Cohort Smoking Patterns. Demography. 2006;43:631–46. doi: 10.1353/dem.2006.0037. [DOI] [PubMed] [Google Scholar]
  73. Ridker P.M. C-reactive Protein: A Simple Test to Help Predict Risk of Heart Attack and Stroke. Circulation. 2003;108:e81–e85. doi: 10.1161/01.CIR.0000093381.57779.67. [DOI] [PubMed] [Google Scholar]
  74. Ridker P.M., Hennekens C.H., Rifai N., Buring J.E., Manson J.E. Hormone Replacement Therapy and Increased Plasma Concentration of C-reactive Protein. Circulation. 1999;100:713–16. doi: 10.1161/01.cir.100.7.713. [DOI] [PubMed] [Google Scholar]
  75. Rodgers W.L., Ofstedal M.B., Herzog A.R. Trends in Scores on Tests of Cognitive Ability in the Elderly U.S. Population, 1993–2000. Journal of Gerontology: Social Sciences. 2003;58:S338–S346. doi: 10.1093/geronb/58.6.s338. [DOI] [PubMed] [Google Scholar]
  76. Schoeni R.F., Freedman V.A., Martin L.G. Socioeconomic and Demographic Disparities in Trends in Old-Age Disability. In: Cutler D.M., Wise D.A., editors. Health at Older Ages: the Causes and Consequences of Declining Disability Among the Elderly. Chicago: University of Chicago Press; 2008. pp. 75–102. [Google Scholar]
  77. Schoeni R.F., Freedman V.A., Martin L.G. Why Is Late-Life Disability Declining? Milbank Quarterly. 2008;86:47–87. doi: 10.1111/j.1468-0009.2007.00513.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  78. Schoeni R.F., Freedman V.A., Wallace R.B. Persistent, Consistent, Widespread, and Robust? Another Look at Recent Trends in Old-Age Disability. Journal of Gerontology: Social Sciences. 2001;56B:S206–S218. doi: 10.1093/geronb/56.4.s206. [DOI] [PubMed] [Google Scholar]
  79. Stagnitti, M.N. 2008. “Trends in Statins Utilization and Expenditures for the U.S. Civilian Non-institutionalized Population, 2000 and 2005.” Medical Expenditure Panel Survey Statistical Brief 205. Agency for Healthcare Research and Quality, Rockville, MD. Available online at http://www.meps.ahrq.gov/mepsweb/data_files/publications/st205/stat205.pdf.
  80. Stefan N., Kantartzis K., Machann J., Schick F., Thamer C., Rittig K., Balletshofer B., Machicao F., Fritsche A., Häring H.S. Identification and Characterization of Metabolically Benign Obesity in Humans. Archives of Internal Medicine. 2008;168:1609–16. doi: 10.1001/archinte.168.15.1609. [DOI] [PubMed] [Google Scholar]
  81. U.S. Census Bureau. 1985.Current Population Survey. Available online at http://www.census.gov/ population/socdemo/education/p20-415/tab-01.pdf.
  82. -. 1990.Current Population Survey. Available online at http://www.census.gov/population/ socdemo/education/p20-462/tab01.pdf.
  83. -. 1995.Current Population Survey. Available online at http://www.census.gov/prod/2/pop/ p20/p20489ta.pdf.
  84. -. 2000.Current Population Survey. Available online at http://www.census.gov/population/ socdemo/education/p20-536/tab01.txt.
  85. -. 2005.Current Population Survey. Available online at http://www.census.gov/population/ socdemo/education/cps2005/tab01-01.xls.
  86. Vaupel J.W. Lively Questions for Demographers About Death at Older Ages. Population and Development Review. 2009;35:347–56. doi: 10.1111/j.1728-4457.2009.00281.x. [DOI] [Google Scholar]
  87. Verbrugge L. Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons. Milbank Memorial Fund Health and Society. 1984;62:475–519. doi: 10.2307/3349861. [DOI] [PubMed] [Google Scholar]
  88. Verbrugge L.M., Jette A.M. The Disablement Process. Social Science and Medicine. 1994;38:1–14. doi: 10.1016/0277-9536(94)90294-1. [DOI] [PubMed] [Google Scholar]
  89. Waidmann T., Bound J., Schoenbaum M. The Illusion of Failure: Trends in the Self-reported Health of the U.S. Elderly. Milbank Quarterly. 1995;73:253–87. doi: 10.2307/3350259. [DOI] [PubMed] [Google Scholar]
  90. Waidmann T., Liu K. Disability Trends Among Elderly Persons and Implications for the Future. Journal of Gerontology: Social Sciences. 2000;55B:S298–S307. doi: 10.1093/geronb/55.5.s298. [DOI] [PubMed] [Google Scholar]
  91. Wang H., Preston S.H. Forecasting United States Mortality Using Cohort Smoking Histories. Proceedings of the National Academy of Sciences. 2009;106:393–98. doi: 10.1073/pnas.0811809106. [DOI] [PMC free article] [PubMed] [Google Scholar]
  92. Ward M.M., Fries J.F. Trends in Antirheumatic Medication Use Among Patients With Rheumatoid Arthritis, 1981–1996. Journal of Rheumatology. 1998;25:408–16. [PubMed] [Google Scholar]
  93. Weir D. Are Baby Boomers Living Well Longer? In: Madrian B., Mitchell O.S., Soldo B.J., editors. Redefining Retirement: How Will Boomers Fare? New York: Oxford University Press; 2007. pp. 95–111. [Google Scholar]
  94. Wildman R.P., Muntner P., Reynolds K., McGinn A.P., Rajpathak S., Wylie-Rosett J., Sowers M.R. The Obese Without Cardiometabolic Risk Factor Clustering and the Normal Weight With Cardiometabolic Risk Factor Clustering. Archives of Internal Medicine. 2008;168:1617–24. doi: 10.1001/archinte.168.15.1617. [DOI] [PubMed] [Google Scholar]
  95. World Health Organization. 2002.Towards a Common Language for Functioning, Disability and Health: ICF. Available online at http://www.who.int/classifications/icf/training/ icfbeginnersguide.pdf.
  96. Wright C.M., Parker L., Lamont D., Craft A.W. Implications of Childhood Obesity for Adult Health: Findings From Thousand Families Cohort Study. British Medical Journal. 2001;323:1280–84. doi: 10.1136/bmj.323.7324.1280. [DOI] [PMC free article] [PubMed] [Google Scholar]
  97. Zhang Q., Wang Y. Trends in the Association Between Obesity and Socioeconomic Status in U.S. Adults: 1971 to 2000. Obesity Research. 2004;12:1622–32. doi: 10.1038/oby.2004.202. [DOI] [PubMed] [Google Scholar]

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