TABLE 4—
Trends in Relations Between Diseases and Activity Limitations Among Persons Aged 55 to 84 Years: The Netherlands, 1990–2008
| OECD Activity Limitations, OR (95% CI) |
SF-36 Activity Limitations, OR (95% CI) |
|||||||||||||
| At Least Moderate (AVO) | Severe (AVO) | At Least Moderate (POLS) | Severe (POLS) | At Least Moderate (LASA) | Severe (LASA) | At Least Moderate (Overall) | Severe (Overall) | At Least Moderate (MAAS) | Severe (MAAS) | At Least Moderate (DCS) | Severe (DCS) | At Least Moderate (Overall) | Severe (Overall) | |
| Disease-specific | ||||||||||||||
| Diabetes | 0.94 (0.88, 1.00) | 0.98 (0.89, 1.09) | 0.97* (0.96, 0.99) | 0.98 (0.95, 1.01) | 1.06* (1.01, 1.11) | 1.01 (0.95, 1.09) | 0.99 (0.93, 1.05) | 0.98 (0.96, 1.01) | 0.97 (0.90, 1.04) | 0.98 (0.90, 1.08) | 0.99 (0.90, 1.09) | 1.07 (0.93, 1.23) | 0.98 (0.92, 1.03) | 1.01 (0.93, 1.09) |
| Heart disease | 1.11* (1.03, 1.19) | 1.08 (0.97, 1.21) | 0.96* (0.94, 0.98) | 0.95* (0.92, 0.97) | 1.03 (0.99, 1.06) | 0.99 (0.94, 1.04) | 1.02 (0.95, 1.10) | 0.99 (0.93, 1.04) | 0.98 (0.93, 1.04) | 0.97 (0.89, 1.04) | 0.96 (0.87, 1.06) | 1.07 (0.94, 1.21) | 0.98 (0.93, 1.03) | 1.00 (0.91, 1.10) |
| Peripheral arterial disease | 1.03 (0.95, 1.11) | 1.09 (0.96, 1.24) | 0.99 (0.96, 1.02) | 0.99 (0.96, 1.02) | 1.08* (1.02, 1.13) | 1.01 (0.96, 1.08) | 1.03 (0.97, 1.09) | 1.00 (0.97, 1.04) | 0.92 (0.84, 1.01) | 0.91 (0.82, 1.02) | 0.96 (0.92, 1.01) | 1.04 (0.97, 1.11) | 0.95* (0.91, 1.00) | 0.98 (0.86, 1.11) |
| Stroke | 1.01 (0.91, 1.12) | 0.95 (0.84, 1.07) | 0.92* (0.90, 0.95) | 0.93* (0.90, 0.97) | 0.98 (0.93, 1.05) | 0.96 (0.90, 1.03) | 0.96 (0.91, 1.02) | 0.94* (0.91, 0.97) | NA | NA | 0.97 (0.85, 1.11) | 0.98 (0.82, 1.16) | NA | NA |
| Lung disease | 1.09* (1.03, 1.16) | 1.21* (1.10, 1.33) | 0.99 (0.97, 1.01) | 0.98 (0.96, 1.01) | 1.03 (0.99, 1.08) | 1.02 (0.97, 1.08) | 1.03 (0.98, 1.09) | 1.05 (0.96, 1.15) | 0.93 (0.87, 1.00) | 0.95 (0.88, 1.03) | 1.03 (0.94, 1.13) | 1.04 (0.91, 1.19) | 0.98 (0.89, 1.08) | 0.98 (0.90, 1.07) |
| Joint disease | 1.03 (0.99, 1.08) | 1.01 (0.94, 1.08) | 0.97* (0.96, 0.98) | 0.96* (0.94, 0.97) | 1.05* (1.03, 1.08) | 1.02 (0.98, 1.06) | 1.02 (0.96, 1.08) | 0.99 (0.94, 1.04) | 0.98 (0.93, 1.03) | 1.00 (0.93, 1.06) | NA | NA | NA | NA |
| Back problems | 1.11* (1.06, 1.16) | 1.07 (0.99, 1.15) | 0.98* (0.96, 0.99) | 0.99 (0.97, 1.02) | NA | NA | 1.04 (0.92, 1.17) | 1.02 (0.95, 1.09) | NA | NA | 0.95* (0.92, 0.97) | 0.97 (0.92, 1.03) | NA | NA |
| Cancer | 0.93 (0.84, 1.03) | 0.98 (0.83, 1.15) | 0.96* (0.94, 0.99) | 0.96* (0.93, 1.00) | 1.03 (0.98, 1.08) | 0.99 (0.94, 1.06) | 0.98 (0.93, 1.03) | 0.97 (0.94, 1.00) | 0.97 (0.87, 1.07) | 0.97 (0.86, 1.08) | 1.02 (0.94, 1.10) | 1.10 (0.96, 1.25) | 1.00 (0.94, 1.06) | 1.03 (0.90, 1.16) |
| Morbidity Summary 1: ≥ 1 disease | 1.02* (1.00, 1.04) | 1.03 (1.00, 1.06) | 0.98* (0.97, 0.98) | 0.97* (0.97, 0.98) | 1.05* (1.03, 1.06) | 1.02 (0.99, 1.04) | 1.02 (0.97, 1.07) | 1.00 (0.97, 1.04) | 0.97 (0.94, 1.00) | 0.99 (0.95, 1.02) | 0.92* (0.90, 0.94) | 0.94* (0.91, 0.96) | 0.94* (0.89, 1.00) | 0.96 (0.91, 1.01) |
| Morbidity summary 2 | ||||||||||||||
| Exactly 1 disease | 1.03 (1.00, 1.06) | 1.07* (1.01, 1.15) | 0.97* (0.97, 0.98) | 0.96* (0.95, 0.98) | 1.04* (1.01, 1.06) | 1.01 (0.98, 1.05) | 1.01 (0.96, 1.06) | 1.01 (0.95, 1.07) | 0.95* (0.91, 1.00) | 0.97 (0.92, 1.02) | 0.94* (0.92, 0.97) | 0.94* (0.90, 0.99) | 0.94* (0.92, 0.97) | 0.95* (0.92, 0.99) |
| Multimorbidity (≥ 2 diseases) | 0.99 (0.96, 1.02) | 0.99 (0.95, 1.03) | 0.96* (0.95, 0.97) | 0.96* (0.95, 0.97) | 1.05* (1.03, 1.07) | 1.01 (0.98, 1.04) | 1.00 (0.94, 1.06) | 0.99 (0.95, 1.02) | 0.99 (0.95, 1.04) | 0.99 (0.94, 1.04) | 0.90* (0.87, 0.93) | 0.95* (0.91, 0.99) | 0.94 (0.85, 1.04) | 0.97 (0.93, 1.01) |
Note. AVO = Amenities and Services Utilization Survey; CI = confidence interval; DCS = Doetinchem Cohort Study; LASA = Longitudinal Aging Study Amsterdam; MAAS = Maastricht Aging Study; NA = not available; OECD = Organisation for Economic Co-operation and Development long-term disability questionnaire; OR = odds ratio; POLS = Permanent Life Situation Survey; SF-36 = 36-item Short Form Health Survey.
*
P ≤ .05.