The DOI matches its Crossref record; 108 of the 108 references it cites were found in a registry or an index; none of the 53 sources its claims cite is checked for support yet.
Mortality and Morbidity Trends: Is There Compression of Morbidity?
Open accessAbstract
OBJECTIVE: This paper reviews trends in mortality and morbidity to evaluate whether there has been a compression of morbidity. METHODS: Review of recent research and analysis of recent data for the United States relating mortality change to the length of life without 1 of 4 major diseases or loss of mobility functioning. RESULTS: Mortality declines have slowed down in the United States in recent years, especially for women. The prevalence of disease has increased. Age-specific prevalence of a number of risk factors representing physiological status has stayed relatively constant; where risks decline, increased usage of effective drugs is responsible. Mobility functioning has deteriorated. Length of life with disease and mobility functioning loss has increased between 1998 and 2008. DISCUSSION: Empirical findings do not support recent compression of morbidity when morbidity is defined as major disease and mobility functioning loss.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
This review and empirical analysis finds that recent U.S. mortality declines have slowed, disease prevalence has increased, and mobility functioning has deteriorated, so life with disease and functioning loss has expanded. The authors conclude that empirical findings do not support compression of morbidity when morbidity is defined as major disease and mobility functioning loss.
Key findings
- Mortality declines slowed in the United States, especially for women; U.S. life expectancy in 2006 was 78 years at birth and 18 years at age 65, compared with Japan’s 83 and 21 years.
- Disease prevalence increased: older men and women showed increased cancer prevalence, diabetes increased across much of the adult age range, and CVD conditions increased among older males.
- Mobility functioning loss increased across ages; for example, among those aged 80+, mobility disability rose from 27.68% to 41.74% for men and from 42.84% to 51.26% for women between 1998 and 2006.
- Life expectancy with disease and with mobility functioning loss increased between 1998 and 2006: at age 20, years with at least one disease rose from 10.0 to 12.3 for men and 11.1 to 13.0 for women; years unable to function rose from 3.8 to 5.8 for men and 7.3 to 9.8 for women.
Methods
- The paper reviews recent research on mortality and morbidity trends and analyzes recent U.S. data linking mortality change to length of life without one of four major diseases or loss of mobility functioning.
- Empirical analysis uses National Health Interview Survey data for the noninstitutionalized U.S. population aged 20 and older in 1998 and 2006, with self-reported coronary heart disease, myocardial infarction, stroke, cancer, and diabetes, plus an indicator of mobility functioning loss based on inability to perform at least one of four tasks.
- Official U.S. life tables for 1998 and 2006 are combined with prevalence data using the Sullivan approach to healthy life expectancy.
Limitations
- The authors state that empirical results could overstate recent increases in disease because it is impossible to hold constant greater awareness of health problems and improved diagnosis and screening.
- The authors note they did not consider depression and mental illness, which cause much disability and functioning loss, and they examined high-level functioning rather than severe disability.
- The text makes evident that the empirical analysis relies on cross-sectional prevalence and life-table methods, so it cannot directly distinguish incidence from longer survival with disease; the abstract refers to 1998–2008 while the empirical tables use 1998 and 2006.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Verification
Claims the paper makes
0 of 53 cited sources checked · 0 supported · 0 flagged
- Findingown data§ Abstract
The percentage of people with mobility difficulty increased markedly across the age range in this eight-year period.
“Table 3 shows the percentage of people with mobility difficulty increased markedly across the age range in this eight-year period.”
Quote in the paperSubstantial claim - Findingown data§ Abstract
The prevalence of disease has increased.
“The prevalence of disease has increased.”
- Also stated in: § Abstract · plain
“There is no hint of a declining prevalence of disease over these eight years.”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingown data§ Abstract
Men also gained more life expectancy at age 65 than women (1.0 vs. 0.5 years).
“Men also gained more life expectancy at age 65 than women (1.0 vs. 0.5 years).”
Quote in the paperNot a substantial claim - Findingown data§ Abstract
Mortality declines have slowed down in the United States in recent years, especially for women.
“Mortality declines have slowed down in the United States in recent years, especially for women.”
- Also stated in: § Abstract · plain
“Mortality decline in the United States over the 1998–2006 period has been relatively slow, particularly for women.”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingown data§ Abstract
Diabetes increases are seen through much of the adult age range.
“Diabetes increases are seen through much of the adult age range.”
Quote in the paperNot a substantial claim
- Findingown data§ Abstract
Length of life with disease and mobility functioning loss has increased between 1998 and 2008.
“Length of life with disease and mobility functioning loss has increased between 1998 and 2008.”
Quote in the paperSubstantial claim - Findingown data§ Abstract
Older men and women show an increased prevalence of cancer.
“Older men and women show an increased prevalence of cancer.”
Quote in the paperNot a substantial claim - Findingown data§ Abstract
There is no hint of a declining prevalence of disease over these eight years.
“There is no hint of a declining prevalence of disease over these eight years.”
Quote in the paperSubstantial claim - Findingown data§ Abstract
Mobility functioning has deteriorated.
“Mobility functioning has deteriorated.”
- Also stated in: § Abstract · plain
“Table 3 shows the percentage of people with mobility difficulty increased markedly across the age range in this eight-year period.”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingown data§ DISCUSSION
Our empirical example showed that in recent years there has been an expansion of life with disease and mobility functioning loss.
“Our empirical example showed that in recent years, there has been an expansion of life with disease and mobility functioning loss.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Abstract
There is little evidence from trends in physiological measures that we are improving our physiological state as we approach old age.
“So there is little evidence from trends in these measures that we are improving our physiological state as we approach old age.”
Quote in the paperSubstantial claim - Premisecitation§ Abstract
Survivorship after a myocardial infarction has been increasing over the last 50 years.
“Data are fairly consistent in providing evidence that survivorship after an MI event has been increasing over the last 50 years.”
Quote in the paperSubstantial claim - Premisecitation§ Abstract
A number of researchers have reported increasing disability and reduced functioning ability in newer cohorts of people approaching old age.
“A number of researchers have reported increasing disability and reduced functioning ability in newer cohorts of people approaching old age (Bhattacharya, Choudhry, & Lakdawalla, 2008; Fuller-Thomson, Yu, Nuru-Jeter, Guralnik, & Minkler, 2009; Lakdawalla, Bhattacharya, & Goldman, 2004; Martin, Freedman, Schoeni, & Andreski, 2010; Martin et al., 2009; Seeman, Merkin, Crimmins, & Karlamangla, 2010).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Interpretationcitation§ Abstract
The decline in disabled life found by Cai and Lubitz is evidence of some compression of morbidity.
“The decline in disabled life is evidence of some compression of morbidity; however, they also found no change in age of disability onset, an inconsistency with compression of morbidity (but consistent with dynamic equilibrium).”
Quote in the paperSubstantial claim - Interpretationreasoning§ Abstract
This reduction in disability associated with disease supports the dynamic equilibrium model of Manton.
“This reduction in disability associated with disease supports the dynamic equilibrium model of Manton.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Abstract
Trends in diabetes mortality, incidence, and prevalence all point to growing population health problems from this condition.
“Trends in diabetes mortality, incidence, and prevalence all point to growing population health problems from this condition.”
Quote in the paperNot a substantial claim - Premisecitation§ Abstract
Other analyses of changes in healthy life for the United States have generally shown increases in disability-free life expectancy, at least in recent decades.
“These analyses have generally shown increases in disability-free life expectancy, at least in recent decades.”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation§ Abstract
The prevalence of heart disease and stroke survivors increased in the population from the 1980s through the 1990s and for some age groups even more recently.
“As indicated previously, CVD incidence appears to be declining somewhat, at least recently, but many researchers have noted that the prevalence of heart disease and stroke survivors has increased in the population from the 1980s through the 1990s (Crimmins, 2004; Crimmins & Saito, 2000; Freedman & Martin, 2000) and for some age groups even more recently (Martin, Freedman, Schoeni, & Andreski, 2009”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation§ Abstract
There have been fairly consistent reports of decreases in recent disability prevalence both in the United States and in some other countries.
“There have also been fairly consistent reports of decreases in recent disability prevalence both in the United States and in some other countries (Manton, Gu, & Lamb, 2006; Manton, Stallard, & Corder, 1995; Schoeni et al., 2001; Spiers, Jagger, & Clarke, 1996).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation§ Abstract
The most consistent findings of improving health in the older population have been in decreases in indicators of functioning problems and reductions in disability.
“The most consistent findings of improving health in the older population have been in decreases in indicators of functioning problems and reductions in disability.”
Quote in the paperSubstantial claim - Premisecitation§ Abstract
Age-adjusted incidence rates of diabetes doubled between 1980 and 2008 for both men and women between the ages of 18 and 79.
“Age-adjusted incidence rates of diabetes doubled between 1980 and 2008 for both men and women between the ages of 18 and 79 (Center for Disease Control and Prevention, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Center for Disease Control and Prevention, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning§ Abstract
The steady rise of life expectancy even at the oldest ages indicates that humans are not yet pushing up against a fixed limit, one that cannot be exceeded.
“This steady rise of life expectancy even at the oldest ages indicates that humans are not yet pushing up against a fixed limit, one that cannot be exceeded, which is a central tenet underpinning the compression of morbidity hypothesis.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Abstract
Empirical findings do not support recent compression of morbidity when morbidity is defined as major disease and mobility functioning loss.
“Empirical findings do not support recent compression of morbidity when morbidity is defined as major disease and mobility functioning loss.”
Quote in the paperSubstantial claim - Premisecitation§ Abstract
Two analyses of changes over time in disability-free life expectancy based on multistate models and limited to the older population have arrived at the same conclusion.
“Two analyses of changes over time in disability -free life expectancy based on multistate models and limited to the older population have arrived at the same conclusion.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ Abstract
Diseases occur at younger ages in the population than mobility functioning loss.
“The fact that the curves indicating survival without disease are below those indicating survival without functioning loss indicates that these diseases occur at younger ages in the population than this type of functioning loss.”
Quote in the paperSubstantial claim - Premisecitation§ Abstract
Recent reports on trends in prevalence of functioning problems and disability for the population less than 65 years in the United States have been less positive.
“We should note that recent reports on trends in prevalence of functioning problems and disability for the population less than 65 years in the United States have been less positive.”
Quote in the paperNot a substantial claim - Premisenone given§ Abstract
Age-specific prevalence of a number of risk factors representing physiological status has stayed relatively constant.
“Age-specific prevalence of a number of risk factors representing physiological status has stayed relatively constant; where risks decline, increased usage of effective drugs is responsible.”
Quote in the paperNot a substantial claim - Premisecitation§ Abstract
Incidence rates for a first myocardial infarction remained relatively stable between 1960-1969 and 1990-1999 when methods of diagnosis are taken into account.
“The Framingham Heart Study also shows that when methods of diagnosis are taken into account incidence rates for a first MI remained relatively stable between 1960–1969 and 1990–1999 (Parikh et al., 2009); however, trends differ by gender.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Parikh et al., 2009 source
- Interpretationreasoning§ Abstract
Where risks decline, increased usage of effective drugs is responsible.
“Age-specific prevalence of a number of risk factors representing physiological status has stayed relatively constant; where risks decline, increased usage of effective drugs is responsible.”
- Also stated in: § Abstract · plain
“Both of these changes are due primarily to increased use and efficacy of prescription drugs not to reduction in the proportion of persons ever diagnosed with the condition.”
Quote in the paperNot a substantial claim - Also stated in: § Abstract · plain
- Premisecitation§ Abstract
Overall mortality rates from cancer declined little until recent years.
“Overall mortality rates from cancer declined little until recent years (Kung et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kung et al., 2008
- Premisecitation§ Abstract
For older persons, there have been fairly regular reports of improved functioning from reports of the prevalence of problems from the 1980s through the present.
“For older persons, there have been fairly regular reports of improved functioning from reports of the prevalence of problems from the 1980s through the present (Crimmins & Saito, 2000; Cutler, 2001; Freedman & Martin, 1998, 2000; Martin, Freedman, et al., 2010; Schoeni, Freedman, & Wallace, 2001).”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation§ Abstract
Stroke mortality experienced one of the largest declines in absolute and age-standardized death rates between 1970 and 2002.
“Nevertheless, mortality from strokes experienced one of the largest declines in both absolute death rates and age-standardized death rates between 1970 and 2002 (Jemal, Ward, Hao, & Thun, 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Jemal, Ward, Hao, & Thun, 2005 source
- Premisecitation§ Abstract
There are a number of countries where disability has increased.
“However, there are a number of countries where disability has increased (Cambois, Clavel, Romieu, & Robine, 2008; Lafortune, Balestat, and the Disability Study Expert Group Members, 2007).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Cambois, Clavel, Romieu, & Robine, 2008 source
- cites Lafortune, Balestat, and the Disability Study Expert Group Members, 2007
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Study design and conductreasoning§ DISCUSSION
Our empirical results could be overstating the recent increase in disease because it is impossible to hold constant factors such as awareness and diagnosis.
“Our empirical results could be overstating the recent increase in disease as it is impossible to hold constant these factors.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ DISCUSSION
There is substantial evidence that we have done little to date to eliminate or delay disease or the physiological changes linked to age.
“There is substantial evidence that we have done little to date to eliminate or delay disease or the physiological changes that are linked to age.”
Quote in the paperNot a substantial claim - Interpretationnone given§ DISCUSSION
When mortality declines because people survive longer with a disease rather than because people were less likely to get a disease, there will be an expansion of disease morbidity.
“When mortality declines because people survive longer with a disease rather than because people were less likely to get a disease, there will be an expansion of disease morbidity.”
Quote in the paperNot a substantial claim - Premisereasoning§ DISCUSSION
Cancer mortality decline has resulted from a combination of the same factors as CVD mortality decline.
“Cancer mortality decline also has resulted from a combination of the same factors.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ DISCUSSION
Where reduction in mortality occurs because of longer survival with disease, the length of life with disease is increased.
“Where reduction in mortality occurs because of longer survival with disease, the length of life with disease is increased.”
Quote in the paperSubstantial claim - Interpretationreasoning§ DISCUSSION
The growing problem of lifelong obesity and increases in hypertension and high cholesterol among cohorts reaching old age are a sign that health may not be improving with each generation.
“The growing problem of lifelong obesity and increases in hypertension and high cholesterol among cohorts reaching old age are a sign that health may not be improving with each generation.”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Each generation will be healthier and longer lived than the prior one.
- Premisecitation§ DISCUSSION
Recent increases in Medicare spending in the United States appear to be highly related to the increase in treatment of diseases.
“Recent increases in Medicare spending in the United States appear to be highly related to this increase in treatment of diseases (Thorpe, Ogden, & Galactionova, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Thorpe, Ogden, & Galactionova, 2010 source
- Premisecitation§ DISCUSSION
Between 1980 and 2000 acute disease management and medical treatments accounted for about half of the decline in CVD mortality.
“Between 1950 and 1970 most of the decline in mortality rates from CVD was due to prevention (Goldman & Cook, 1984), whereas acute disease management and medical treatments accounted for about half of the decline between 1980 and 2000 (Ford et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ford et al., 2007 source
- Interpretationreasoning§ DISCUSSION
It is only the decrease in disease onset due to primary prevention that is clearly going to be related to longer disease-free life.
“It is only the decrease in disease onset due to primary prevention that is clearly going to be related to longer disease-free life.”
Quote in the paperSubstantial claim - Interpretationreasoning§ DISCUSSION
There is little indication of less disease.
“The increasing prevalence of disease may to some extent reflect better diagnostics, but there is little indication of less disease.”
Quote in the paperSubstantial claim - Interpretationreasoning§ DISCUSSION
Many studies reporting reductions in disability prevalence and rates of disability onset and increases in rates of recovery may reflect changes in measures with a strong environmental component.
“Many studies that have reported reductions in the prevalence of disability and rates of disability onset and increases in rates of recovery for the older population may reflect changes in measures with a strong environmental component.”
Quote in the paperSubstantial claim - Premisecitation§ DISCUSSION
Between 1950 and 1970 most of the decline in mortality rates from CVD was due to prevention.
“Between 1950 and 1970 most of the decline in mortality rates from CVD was due to prevention (Goldman & Cook, 1984), whereas acute disease management and medical treatments accounted for about half of the decline between 1980 and 2000 (Ford et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Goldman & Cook, 1984 source
- Interpretationcitation§ Abstract
There is some suggestion of compression of morbidity with the increase in the proportion of disability-free life and decrease in rates of onset of disability.
“Again, there is some suggestion of compression of morbidity with the increase in the proportion of disability-free life and decrease in rates of onset of disability.”
Quote in the paperSubstantial claim - Interpretationreasoning§ DISCUSSION
We do not appear to be moving to a world where we die without experiencing disease, functioning loss, and disability.
“We do not appear to be moving to a world where we die without experiencing disease, functioning loss, and disability.”
Quote in the paperNot a substantial claim
- It may state two separate claims as one. 34
- Probably not a substantial claim. 9
It may state two separate claims as one.
Findingown data§ AbstractAt ages 20 and 65 over the eight years from 1998 to 2006, life expectancy with disease increased and years without disease decreased.
“At each age over the eight years, there is an increase in the life expectancy with disease and a decrease in the years without disease.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingown data§ AbstractAt ages 20 and 65 over the eight years from 1998 to 2006, expected years unable to function increased and years able to function decreased.
“The same is true for functioning loss, an increase in expected years unable to function and a decrease in years able to function.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingown data§ AbstractBetween 1998 and 2006, survival curves for both survivors without functioning problems and survivors without disease shifted inward or leftward, indicating less survival without diseases and functioning loss.
“For the curves representing both survivors without functioning problems and survivors without disease, later curves have shifted inward or leftward, indicating less survival without diseases and functioning loss.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingown data§ AbstractThe most striking change over the ten-year period is the increase in all the CVD conditions among older males; for females, the increase among the oldest group only occurs in the prevalence of stroke.
“The most striking change over the ten-year period is the increase in all the CVD conditions among older males; for females, the increase among the oldest group only occurs in the prevalence of stroke.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Findingown data§ AbstractOverall survival increased from 1998 to 2006, shown by an outward shift of the survival curve.
“Figure 1 shows the increase in overall survival from 1998 to 2006 as a move outward of the survival curve, indicating more survival time.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Findingcitation§ AbstractThese large increases in functioning loss have not been previously reported across the age range, although Martin and colleagues (2009) reported recent increases in difficulty performing these functions for 50- to 64-year-olds.
“These large increases in functioning loss have not been previously reported across the age range, although Martin and colleagues (2009) reported recent increases in difficulty performing these functions for 50- to 64-year-olds.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Martin and colleagues (2009)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
It may state two separate claims as one.
Findingown data§ AbstractAt age 20, life expectancy for men increased by 1.1 years from 55.0 to 56.1 years; for women, the increase was only 0.7 years from 60.3 to 61.0 years.
“At age 20, life expectancy for men increased by 1.1 years from 55.0 to 56.1 years; for women, the increase was only 0.7 years from 60.3 to 61.0 years (Table 4).”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisecitation§ AbstractDecrease in cancer mortality after 1990 resulted from both decrease in incidence and increase in survival.
“Decrease in mortality after 1990 resulted from both decrease in incidence and increase in survival (Coleman et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Coleman et al., 2008 source
It may state two separate claims as one.
Premisecitation§ AbstractSeveral studies have reported significant decreases after the 1980s in the onset of disability or reductions in the transition from less severe to more severe disability.
“Several studies have reported significant decreases after the 1980s in the onset of disability or reductions in the transition from less severe to more severe disability (Cai & Lubitz, 2007; Crimmins, Hayward, Hagedorn, Saito, & Brouard, 2009; Crimmins, Saito, & Reynolds, 1997; Manton, Corder, & Stallard, 1993; Wolf, Mendes de Leon, & Glass, 2007).”
Quote in the paperSubstantial claim0 of 3 sources checkedIt may state two separate claims as one.
Interpretationcitation§ AbstractCancer survival has increased, but this has not resulted from major changes in cancer incidence, with the exception of lung cancer.
“It is clear that cancer survival has increased, but this has not resulted from major changes in cancer incidence, with the exception of lung cancer (Garcia, 2010; Preston & Ho, 2010).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Garcia, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Preston & Ho, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
Premisecitation§ AbstractCrimmins, Hayward, and Saito (1994) report fairly similar results comparing the 1984 and 1994 cohorts of the Longitudinal Studies of Aging.
“Crimmins Hayward, and Saito (1994) report fairly similar results comparing the 1984 and 1994 cohorts of the Longitudinal Studies of Aging.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crimmins Hayward, and Saito (1994)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
It may state two separate claims as one.
Premisecitation§ AbstractThe most promising trends for older persons have been in the reduction of high cholesterol and, more recently, a reduction in hypertension.
“The most promising trends for older persons have been in the reduction of high cholesterol and, more recently, a reduction in hypertension (Crimmins et al., 2005; Crimmins et al., 2010b).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Crimmins et al., 2005 source
- cites Crimmins et al., 2010b
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
Premisenone given§ AbstractMost other analyses of changes in healthy life for the United States have examined change in life expectancy with and without disability rather than disease or functioning loss.
“Most other analyses of changes in healthy life for the United States have examined change in life expectancy with and without disability rather than disease or functioning loss.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisecitation§ AbstractThe most adverse change in physiological status in recent years is the marked increase in obesity, which has occurred across the adult age range.
“The most adverse change in physiological status in recent years is the marked increase in obesity, which has occurred across the adult age range (Ogden et al., 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ogden et al., 2006 source
It may state two separate claims as one.
Premisecitation§ AbstractStroke incidence does not appear to have changed consistently over the period, whereas mortality was declining.
“Stroke incidence does not appear to have changed consistently over the period, whereas mortality was declining.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Premisecitation§ AbstractIn the 1980s, increased life expectancy in the United States was concentrated in years without disability, although this followed a decade when this was not true.
“For instance, in the 1980s, increased life expectancy in the United States was concentrated in years without disability, although this followed a decade when this was not true (Crimmins, Saito, & Ingegneri, 1997).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crimmins, Saito, & Ingegneri, 1997 source
It may state two separate claims as one.
Premisecitation§ AbstractAge-adjusted death rates from diabetes declined from 1970 to the mid-1980s but increased substantially (about 47%) from 1987 to 2002.
“Age-adjusted death rates from diabetes declined from 1970 to the mid-1980s but increased substantially (about 47%) from 1987 to 2002 (Jemal, Ward, et al., 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Jemal, Ward, et al., 2005 source
It may state two separate claims as one.
Premisenone given§ AbstractData on changes in incidence of disability and functioning problems are scarce and generally limited to the older population.
“As indicated previously, data on changes in incidence of disability and functioning problems are scarce and generally limited to the older population.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Interpretationreasoning§ AbstractEvidence indicates increased survival among men who have a stroke with some decrease in the likelihood of having a stroke for both men and women.
“Thus, the evidence indicates increased survival among men who have a stroke with some decrease in the likelihood of having a stroke for both men and women.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Premisecitation§ AbstractCai and Lubitz (2007) found increases in the length of nondisabled or active life and decreases in the length of life with disability between 1992 and 2002.
“Cai and Lubitz (2007) using data from the Medicare Beneficiary Survey found increases in the length of nondisabled or active life and decreases in the length of life with disability between 1992 and 2002.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Cai and Lubitz (2007) source
It may state two separate claims as one.
Premisecitation§ AbstractEvidence on trends in recovery rates from disability is conflicting, although both Cai and Lubitz (2007) and Crimmins and colleagues (2009) report increased recovery in recent years in national samples of older Americans.
“The evidence from the same studies on trends in recovery rates from disability is conflicting, although both Cai and Lubitz (2007) and Crimmins and colleagues (2009) report increased recovery in recent years in national samples of older Americans.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Cai & Lubitz, 2007 source
- cites Crimmins and colleagues (2009)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Premisecitation§ AbstractCrimmins, Hayward, and Saito (1994) find increases in the length of disability-free life and no change in the length of disabled life resulting from decreases in rates of disability onset and increases in rates of disability recovery.
“They find increases in the length of disability-free life and no change in the length of disabled life resulting from the decreases in the rates of disability onset and increases in rates of disability recovery.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crimmins Hayward, and Saito (1994)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
It may state two separate claims as one.
Premisecitation§ AbstractOne marker of inflammation (C-reactive protein) and one marker of glucose regulation (glycosylated hemoglobin) have stayed roughly the same over the entire period from the late 1980s to about 2005 for persons aged 65 years and older.
“On the other hand, the evidence is that one marker of inflammation, C-reactive protein (CRP), and one marker of glucose regulation, glycosylated hemoglobin, have stayed roughly the same over the entire period from the late 1980s to about 2005 for persons aged 65 years and older (Crimmins et al., 2010b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crimmins et al., 2010b
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
It may state two separate claims as one.
Premisecitation§ AbstractCVD mortality rates declined remarkably between 1970 and 2000, accounting for about 60% of the increase in life expectancy at birth during this period.
“Mortality rates from CVD experienced a remarkable decline between 1970 and 2000 accounting for about 60% of the increase in life expectancy at birth during this period (Beltrán-Sánchez, Preston, & Canudas-Romo, 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Beltrán-Sánchez, Preston, & Canudas-Romo, 2008 source
It may state two separate claims as one.
Interpretationreasoning§ AbstractEvidence indicates increased survival among those who have heart attacks; however, it is not until recently that there has been a decrease in the likelihood of actually having a heart attack by a given age.
“Thus, the evidence indicates increased survival among those who have heart attacks; however, it is not until recently that there has been a decrease in the likelihood of actually having a heart attack by a given age.”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Interpretationcitation§ AbstractNo change in age of disability onset is inconsistent with compression of morbidity and consistent with dynamic equilibrium.
“The decline in disabled life is evidence of some compression of morbidity; however, they also found no change in age of disability onset, an inconsistency with compression of morbidity (but consistent with dynamic equilibrium).”
Quote in the paperSubstantial claimIt may state two separate claims as one.
Premisecitation§ AbstractOne explanation for the decrease in disability has been that diseases have become less disabling as their progression has been halted before disability; this is true of both heart disease and arthritis.
“One of the explanations for the decrease in disability has been that diseases have become less disabling as their progression has been halted before disability. This is true of both heart disease and arthritis, two of the most common causes of disability (Crimmins & Saito, 2000; Freedman et al., 2007).”
Quote in the paperNot a substantial claim0 of 2 sources checkedIt may state two separate claims as one.
Interpretationnone given§ AbstractBoth reductions in high cholesterol and hypertension are due primarily to increased use and efficacy of prescription drugs, not to reduction in the proportion of persons ever diagnosed with the condition.
“Both of these changes are due primarily to increased use and efficacy of prescription drugs not to reduction in the proportion of persons ever diagnosed with the condition.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
Study design and conductnone given§ AbstractWe have purposefully examined an indicator of functioning ability that represents fairly robust functioning and that is not likely to be significantly affected by environmental or social changes.
“We have purposefully examined an indicator of functioning ability that represents fairly robust functioning and that is not likely to be significantly affected by environmental or social changes.”
Quote in the paperNot a substantial claimProbably not a substantial claim. It may be too vague to check against evidence.
Interpretationreasoning§ DISCUSSIONOur results are quite different from other analyses of changes in healthy life because our definition of healthy life differs.
“Our results are quite different from other analyses of changes in healthy life because our definition of healthy life differs.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisecitation§ DISCUSSIONThe proportion of the population with multiple diseases and the number of diseases comorbid in an older individual has increased.
“Although we have examined the increased prevalence in a number of individual diseases, we should note that the proportion of the population with multiple diseases and the number of diseases comorbid in an older individual has also increased (Crimmins & Saito, 2000).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crimmins & Saito, 2000 source
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
Interpretationnone given§ DISCUSSIONThe increasing prevalence of disease may to some extent reflect better diagnostics.
“The increasing prevalence of disease may to some extent reflect better diagnostics, but there is little indication of less disease.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisecitation§ DISCUSSIONMuch disability and functioning loss is caused by depression and mental illness, which the study did not consider.
“Heart disease, stroke, diabetes, arthritis and musculoskeletal problems, cognitive loss, and obesity are major causes of functioning problems and disability; however, much disability and functioning loss is caused by depression and mental illness, which we have not considered here (Crimmins & Saito, 2000; Ettinger et al., 1994; Jagger et al., 2007; Martin et al., 2009).”
Quote in the paperNot a substantial claim0 of 3 sources checkedProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Premisecitation§ DISCUSSIONHeart disease, stroke, diabetes, arthritis and musculoskeletal problems, cognitive loss, and obesity are major causes of functioning problems and disability.
“Heart disease, stroke, diabetes, arthritis and musculoskeletal problems, cognitive loss, and obesity are major causes of functioning problems and disability; however, much disability and functioning loss is caused by depression and mental illness, which we have not considered here (Crimmins & Saito, 2000; Ettinger et al., 1994; Jagger et al., 2007; Martin et al., 2009).”
Quote in the paperNot a substantial claim0 of 3 sources checkedIt may state two separate claims as one.
Interpretationnone given§ DISCUSSIONSome increases in the prevalence of conditions like heart disease and the incidence of conditions like cancer may result from greater awareness of health problems and improved methods of diagnosis and screening.
“Some of the increases in both the prevalence of conditions, like heart disease, and the incidence of conditions, like cancer, may result from greater awareness among people of health problems and improved methods of diagnosis and screening.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper may give no reason why it holds.
Study design and conductnone given§ DISCUSSIONThe change in mobility functioning loss examined should reflect changes within individuals rather than in the environment.
“The change in mobility functioning loss that we examined should reflect changes within individuals rather than in the environment.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisecitation§ DISCUSSIONDeclines in instrumental activities of daily living disability, which may be more affected by the environment, have been more pervasive and occurred earlier than declines in activities of daily living disability, which are less environmentally affected.
“For instance, the declines in disability characterized as instrumental activities of daily living disability, which may be more affected by the environment in which people live have been more pervasive and have occurred earlier than disability termed activities of daily living disability, which would be less environmentally affected (Freedman et al., 2004).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Freedman et al., 2004 source
It may state two separate claims as one.
Interpretationreasoning§ DISCUSSIONEven if the length of disabled life stays roughly the same but the length of life needing treatment for disease increases, lifetime health costs will increase unless the cost of health care is reduced.
“Even if the length of disabled life stays roughly the same but the length of life needing treatment for disease increases, lifetime health costs will increase unless the cost of health care is reduced.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
Premisereasoning§ DISCUSSIONBreast, prostate, and colon cancer mortality is reduced because of increased screening, early diagnosis, and new treatments regimens.
“For instance, lung cancer is primarily declining because people have reduced smoking, whereas breast, prostate, and colon cancer mortality is reduced because of increased screening, early diagnosis, and new treatments regimens.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Premisenone given§ DISCUSSIONLung cancer is primarily declining because people have reduced smoking.
“For instance, lung cancer is primarily declining because people have reduced smoking, whereas breast, prostate, and colon cancer mortality is reduced because of increased screening, early diagnosis, and new treatments regimens.”
Quote in the paperNot a substantial claim
The authors state this as an assumption.
Increasing prevalence and incidence of diabetes is related to the growing problem of obesity.
“Increasing prevalence and incidence of diabetes is assumed to be related to the growing problem of obesity, and it is projected to continue to increase (Honeycutt et al., 2003).”
The paper relies on this without support.
Self-reports of diagnosed disease in the National Health Interview Survey validly measure trends in disease prevalence.
“Self-reports of whether a person has been diagnosed with coronary heart disease, myocardial infarction, stroke, cancer, and diabetes are contained in the National Health Interview Survey.”
The authors state this as an assumption.
Each generation will be healthier and longer lived than the prior one.
“We have always assumed that each generation will be healthier and longer lived than the prior one.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Eight-year comparison is called a ten-year period
MinorThe stated comparison years, 1998 and 2006, are eight years apart, as the paper itself says elsewhere.
“The most striking change over the ten-year period is the increase in all the CVD conditions among older males”
“There is no hint of a declining prevalence of disease over these eight years.”
Abstract gives the wrong end year for the analysis
MinorThe abstract says the increase in life with disease and mobility functioning loss occurred between 1998 and 2008, but the analysis and Table 4 compare 1998 with 2006.
“Length of life with disease and mobility functioning loss has increased between 1998 and 2008.”
“Life Expectancy, Life Expectancy With and Without Cardiovascular Disease, Cancer, or Diabetes, Life Expectancy With and Without Mobility Functioning Ability, 1998–2006 (years)”
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Metadata
- Authors
- Crimmins, E. M., & Beltran-Sanchez, H.
- Affiliations
- University of Southern California (US)
- Venue
- The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-12-06
- Volume
- 66B
- Issue
- 1
- Pages
- 75-86
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC3001754
- OpenAlex
- W2125858619
- Semantic Scholar
- a980ec583ae85b6582ff40d214ee5b64b91497a2
- Cited by
- 694
- References
- 107
- Citations by year
- 2026: 28 · 2025: 43 · 2024: 39 · 2023: 35 · 2022: 55 · 2021: 51 · 2020: 42 · 2019: 63 · 2018: 53 · 2017: 50 · 2016: 62 · 2015: 54 · 2014: 37 · 2013: 31 · 2012: 24
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journals of Gerontology Series B (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Agence Nationale pour le Développement de la Recherche Universitaire
- National Institute on Aging (P30AG017265, T32AG000037)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD007242)
- Topics
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- compression of morbidity, mortality trends, morbidity trends, disease prevalence, mortality decline, female mortality, physiological risk factors, drug use, aging
- MeSH terms
- Cardiovascular Diseases, Female, Persons with Disabilities, Humans, Life Expectancy, Male, Morbidity, Mortality, Neoplasms, United States, Incidence, Prevalence, Survival Rate, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-11-10, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-11-10 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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