Abstract
Data concerning a random cohort of 1 119 70-year-old subjects were analyzed to evaluate the association between Upper Dyspepsia and Irritable Bowel Syndrome and functional ability. Seven hundred and thirty-four subjects were interviewed about abdominal symptoms and were visited at home by an occupational therapist who evaluated their functional ability. Among the survivors, 94% participated in a follow-up study five years later. Functional ability was registered on validated scales constructed for its measurement in a normal elderly population. It was found that both syndromes occurred more often among subjects with reduced functional ability. A significant association was found between the occurrence of Upper Dyspepsia and a reduction of mobility and lower limb function, and between reduced functional ability and Irritable Bowel Syndrome at the five-year follow-up. It is concluded that abdominal syndromes are associated to functional ability, suggesting that there is a diffuse disorder affecting both smooth and striated muscles. (Aging Clin. Exp. Res. 6: 420-426, 1994)
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References
Almind G.: Risk factors in the eighty-plus year-old living at home: an investigation of a Danish community. Int. J. Ageing Hum. Dev. 21: 227–234, 1985.
Stewart A., Greenfeild S., Hays R.D., Wells K., Rogers W.H., Berry S.D., McGlynn E.A., Ware J.E.: Functional status and well-being of patients with chronic conditions. JAMA 262: 907–913, 1989.
Jones R., Lydeard S.: Prevalence of symptoms of dyspepsia in the community. Br. Med. J. 298: 30–32, 1989.
Kay L., Jørgensen T., Jensen K.H.: Epidemiology of upper dyspepsia in a random population. Prevalence, incidence, natural history and risk factors. Scand. J. Gastroenterol. 29: 1–6, 1994.
Talley N.J., Zinsmeister A.R., Van Dyke C., Melton L.J.: Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 101: 927–934, 1991.
Jones R., Lydeard S.: Irritable bowel syndrome in the general population. Br. Med. J. 304: 87–90, 1992.
Kay L., Jørgensen T.: Epidemiology of irritable bowel syndrome in a random population. Prevalence, incidence, natural history and risk factors. J. Int. Med. 236: 23–30, 1994.
Talley N.J., O’Keefe E.A., Zinsmeister A.R., Melton L.J.: Prevalence of gastrointestinal symptoms in the elderly: A population-based study. Gastroenterologe 102: 895–901, 1992.
Kay L.: Prevalence, incidence and natural history of gastrointestinal symptoms in a random elderly population. Age Ageing 23: 146–149, 1994.
Waldron B., Cullen P.T., Kumar R.: Evidence for hypomotility in non-ulcer dyspepsia: a prospective multifactorial study. Gut 31: 246–251, 1991.
Rogers J., Henry M.M., Missiewicz.: Increased segmentai activity and intraluminal pressures in the sigmoid colon of patients with the irritable bowel syndrome. Gut 30: 634–641, 1989.
Whithead W.E., Engel B.T., Schuster M.M.: Irritable bowel syndrome. Physiological differences between diarrhea-predominant and constipation predominant patients. Dig. Dis. Sci. 6: 404–413, 1980.
Rasmussen B.K., Jensen R., Schroll M., Olesen J.: Epidemiology of headache in a general population — a prevalence study. J. Clin. Epidemiol. 44: 1147–1157, 1991.
Avlund K., Kreiner S., Schultz-Larsen K.: Construct validation and the Rasch model: Functional ability of healthy elderly people. Scand. J. Soc. Med. 4: 233–245, 1994.
Schultz-Larsen K., Avlund K., Kreiner S.: Functional ability of community dwelling elderly. A criterion validity of a new measure of functional ability. J. Clin. Epidemiol. 45: 1315–1326, 1992.
Pinsky J.L., Branch L.G., Jette A.M.: Framingham disability study: Relationship of disability to cardiovascular risk factors among persons free of diagnosed cardiovascular disease. Arn. J. Epidemiol. 122: 644–656, 1985.
Jette A.M., Pinsky J.L., Branch L., Wolf P.A., Feinleib M.: The Framingham disability study: Physical disability among community-dwelling survivers of stroke. J. Clin. Epidemiol. 41: 719–726, 1988.
Lammi U.K., Kivelä S.L., Nissinen A., Pekkanen J., Punsar S.: Predictors of disability in elderly Finnish men — a longitudinal study. J. Clin. Epidemiol. 17: 67–75, 1989.
Brocklehurts J.C., Khan M.Y.: A study of faecal stasis in old age and the use of “Dorbanex” in its prevention. Geront. Clin. 11: 293: 300, 1969.
Stewart A., Ware J.E., Brook R.H.: The meaning of health: understanding functional limitations. Med. Care 15: 939–952, 1977.
Avlund K., Schroll M., Davidsen M., Løvborg B., Rantanen T.: Manual isometric muscle strength and functional ability in daily activities among 75-year-old men and women. Scand. J. Med. Sci. Sports 4: 32–40, 1994.
White A.M., Stevens W.H., Upton A.R., O’Byrne P.M., Collins S.M.: Airway responsiveness to inhaled metacholine in patients with irritable bowel syndrome. Gastroenterol. 100: 68–74, 1991.
Whorwell P.J., Lupton E.W., Erduran D., Wilson K.: Bladder smooth muscle dysfunction in patients with irritable bowel syndrome. Gut 27: 1014–1017, 1986.
Whorwell P.J., McCallum M., Creed F.H., Roberts C.T.: Non-colonic features of the irritable bowel syndrome. Gut 27: 37–40, 1986.
Veale D., Kavanagh G., Feilding J.F., Fitzgerald O.: Primary fibromyalgia and the irritable bowel syndrome: different expressions of a common pathological process. Br. J. Rheumatol. 30: 220–222, 1991.
Johannesen T., Petersen H., Kleveland P.M., Dybdahl J.H., Sandvik A.K., Brenna E., Waldum H.: The predictive value of history in dyspepsia. Scand. J. Gastroenterol. 25: 689–697, 1990.
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Kay, L., Avlund, K. Abdominal syndromes and functional ability in the elderly. Aging Clin Exp Res 6, 420–426 (1994). https://doi.org/10.1007/BF03324273
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DOI: https://doi.org/10.1007/BF03324273