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Am J Public Health. 1990 November; 80(11): 1363–1367.
PMCID: PMC1404890

The Framingham Disability Study: relationship of various coronary heart disease manifestations to disability in older persons living in the community.


The relation between coronary heart disease and disability was examined in 2,576 community-dwelling women and men ages 55-88 years. These Framingham Study participants were originally recruited in 1948-51 for an examination of cardiovascular disease. Twenty-seven years later, remaining members of the cohort were interviewed to ascertain physical abilities, and a score on a disability scale was assigned. Multivariate logistic analyses examined disability in relation to uncomplicated angina pectoris (AP), complicated AP, and coronary heart disease other than AP, controlling for possible confounders. In younger and older women and men, uncomplicated and complicated AP were associated with disability. Coronary heart disease other than AP was associated with disability only in the younger men. Congestive heart failure predicted disability only in the women. These results suggest that onset of AP should be recognized as a critical point in the development of disability and that AP is a better predictor of disability than is myocardial infarction or coronary insufficiency.

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Selected References

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  • Soldo BJ, Manton KG. Health status and service needs of the oldest old: current patterns and future trends. Milbank Mem Fund Q Health Soc. 1985 Spring;63(2):286–319. [PubMed]
  • Fried LP, Bush TL. Morbidity as a focus of preventive health care in the elderly. Epidemiol Rev. 1988;10:48–64. [PubMed]
  • Hlatky MA, Haney T, Barefoot JC, Califf RM, Mark DB, Pryor DB, Williams RB. Medical, psychological and social correlates of work disability among men with coronary artery disease. Am J Cardiol. 1986 Nov 1;58(10):911–915. [PubMed]
  • Neill WA, Branch LG, De Jong G, Smith NE, Hogan CA, Corcoran PJ, Jette AM, Balasco EM, Osberg S. Cardiac disability. The impact of coronary heart disease on patients' daily activities. Arch Intern Med. 1985 Sep;145(9):1642–1647. [PubMed]
  • Chirikos TN, Nickel JT. Socioeconomic determinants of continuing functional disablement from chronic disease episodes. Soc Sci Med. 1986;22(12):1329–1335. [PubMed]
  • DAWBER TR, MEADORS GF, MOORE FE., Jr Epidemiological approaches to heart disease: the Framingham Study. Am J Public Health Nations Health. 1951 Mar;41(3):279–281. [PMC free article] [PubMed]
  • Jette AM, Branch LG. The Framingham Disability Study: II. Physical disability among the aging. Am J Public Health. 1981 Nov;71(11):1211–1216. [PMC free article] [PubMed]
  • Rosow I, Breslau N. A Guttman health scale for the aged. J Gerontol. 1966 Oct;21(4):556–559. [PubMed]
  • Pinsky JL, Branch LG, Jette AM, Haynes SG, Feinleib M, Cornoni-Huntley JC, Bailey KR. Framingham Disability Study: relationship of disability to cardiovascular risk factors among persons free of diagnosed cardiovascular disease. Am J Epidemiol. 1985 Oct;122(4):644–656. [PubMed]
  • Jette AM, Pinsky JL, Branch LG, Wolf PA, Feinleib M. The Framingham Disability Study: physical disability among community-dwelling survivors of stroke. J Clin Epidemiol. 1988;41(8):719–726. [PubMed]
  • Stewart AL, Greenfield S, Hays RD, Wells K, Rogers WH, Berry SD, McGlynn EA, Ware JE., Jr Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study. JAMA. 1989 Aug 18;262(7):907–913. [PubMed]

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