Cited by 312Aging, Health, and DisabilityChronic Disease Management StrategiesAging and Gerontology Research

Compression of morbidity 1980–2011: a focused review of paradigms and progress

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Fries, James F., Bruce, Bonnie, Chakravarty, Eliza·2011·Journal of Aging Research

Abstract

The Compression of Morbidity hypothesis—positing that the age of onset of chronic illness may be postponed more than the age at death and squeezing most of the morbidity in life into a shorter period with less lifetime disability—was introduced by our group in 1980. This paper is focused upon the evolution of the concept, the controversies and responses, the supportive multidisciplinary science, and the evolving lines of evidence that establish proof of concept. We summarize data from 20-year prospective longitudinal studies of lifestyle progression of disability, national population studies of trends in disability, and randomized controlled trials of risk factor reduction with life-style-based “healthy aging” interventions. From the perspective of this influential and broadly cited paradigm, we review its current history, the development of a theoretical structure for healthy aging, and the challenges to develop coherent health policies directed at reduction in morbidity.

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  • Rowe and Kahn's model of Successful Aging 2.0 strongly hinges on the idea of compression of morbidity.

    “Rowe and Kahn’s model of Successful Aging 2.0 as outlined above strongly hinges on the idea of compression of morbidity.”

    From Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs: Table 1. (2016) · cites this paper as Fries, Bruce, & Chakravarty, 2011

    The Closing Comments describe compression of morbidity as a necessary precedent for healthier aging, supporting a general connection between the concepts. The Introduction cites Rowe and Kahn’s work, but no passage establishes that their Successful Aging 2.0 model specifically hinges on compression of morbidity. (LLM, conf=0.78)

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  1. [1]Fries JF Aging, natural death, and the compression of morbidity New England Journal of Medicine 1980 303 3 130 135 7383070
  2. [2]Gruenberg EM The failures of success Milbank Memorial Fund Quarterly, Health and Society 1977 55 1 3 24 141009
  3. [3]Fries JF Measuring and monitoring success in compressing morbidity Annals of Internal Medicine 2003 139 5 455 459 12965976
  4. [4]Fries JF The compression of morbidity: near or far? Milbank Quarterly 1989 67 2 208 232 2698444
  5. [5]Fries JF Reducing disability in older age Journal of the American Medical Association 2002 288 24 3164 3166 12495399
  6. [8]Guralnik JM LaCroix AZ Branch LG Kasl SV Wallace RB Morbidity and disability in older persons in the years prior to death American Journal of Public Health 1991 81 4 443 447 2003621 PMC1405038
  7. [9]Rowe JW Kahn RL Human aging: usual and successful Science 1987 237 4811 143 149 3299702
  8. [10]Schneider EL Brody JA Aging, natural death, and the compression of morbidity: another view New England Journal of Medicine 1983 309 14 854 856 6888471
  9. [11]Myers GC Manton KG Compression of mortality: myth or reality? Gerontologist 1984 24 4 346 353 6479647
  10. [13]Vaupel JW Biodemography of human ageing Nature 2010 464 7288 536 542 20336136 PMC4010874
  11. [14]Fried LP Ferrucci L Darer J Williamson JD Anderson G Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care Journals of Gerontology Series A 2004 59 3 255 263 15031310
  12. [15]Crimmins EM Beltrán-Sánchez H Mortality and morbidity trends: is there compression of morbidity? Journal of Gerontology Series B 2011 66 B 1 75 86 PMC3001754 21135070
  13. [16]Health, United States, 2009 with Special Feature on Medical Technology U.S. Department of Health and Human Services, 2010 20698070
  14. [17]Myers GC Manton KG Compression of mortality: myth or reality? Gerontologist 1984 24 4 346 353 6479647
  15. [18]Vaupel JW Biodemography of human ageing Nature 2010 464 7288 536 542 20336136 PMC4010874
  16. [19]Bruce B Fries JF The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation Journal of Rheumatology 2003 30 1 167 178 12508408
  17. [20]Crimmins EM Beltrán-Sánchez H Mortality and morbidity trends: is there compression of morbidity? Journal of Gerontology Series B 2011 66 1 75 86 PMC3001754 21135070
  18. [21]Fries JF Spitz P Kraines RG Holman HR Measurement of patient outcome in arthritis Arthritis and Rheumatism 1980 23 2 137 145 7362664
  19. [22]Dubuc N Haley SM Ni P Kooyoomjian JT Jette AM Function and disability in late life: comparison of the late-life function and disability instrument to the short-form-36 and the London handicap scale Disability and Rehabilitation 2004 26 6 362 370 15204488
  20. [23]Rose M Bjorner JB Becker J Fries JF Ware JE Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS) Journal of Clinical Epidemiology 2008 61 1 17 33 18083459
  21. [24]Haley SM Jette AM Coster WJ Late life function and disability instrument—II. Development and evaluation of the function component Journals of Gerontology Series A 2002 57 4 M217 M222 11909886
  22. [25]Hamerman D Toward an understanding of frailty Annals of Internal Medicine 1999 130 11 945 950 10375351
  23. [26]Spector WD Fleishman JA Combining activities of daily living with instrumental activities of daily living to measure functional disability Journal of Gerontology 1998 53 1 S46 S57 9469179
  24. [27]Terry DF Sebastiani P Andersen SL Perls TT Disentangling the roles of disability and morbidity in survival to exceptional old age Archives of Internal Medicine 2008 168 3 277 283 18268168 PMC2895331
  25. [29]Christensen K Doblhammer G Rau R Vaupel JW Ageing populations: the challenges ahead The Lancet 2009 374 9696 1196 1208 PMC2810516 19801098
  26. [30]Hubert HB Fries JF Predictors of physical disability after age 50. Six-year longitudinal study in a runners club and a university population Annals of Epidemiology 1994 4 4 285 294 7921318
  27. [31]Vita AJ Terry RB Hubert HB Fries JF Aging, health risks, and cumulative disability New England Journal of Medicine 1998 338 15 1035 1041 9535669
  28. [33]Chakravarty EF Hubert HB Lingala VB Zatarain E Fries JF Long distance running and knee osteoarthritis. A prospective study American Journal of Preventive Medicine 2008 35 2 133 138 18550323 PMC2556152
  29. [34]Wang BWE Ramey DR Schettler JD Hubert HB Fries JF Postponed development of disability in elderly runners: a 13-year longitudinal study Archives of Internal Medicine 2002 162 20 2285 2294 12418943
  30. [35]Chakravarty EF Hubert HB Krishnan E Lifestyl risk factors predict disability and death in healthy aging adults American Journal of Medicine. In press PMC3266548 22269623
  31. [36]Manton KG Gu X Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999 Proceedings of the National Academy of Sciences of the United States of America 2001 98 11 6354 6359 11344275 PMC33472
  32. [37]Manton KG Gu X Lamb VL 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 of the United States of America 2006 103 48 18374 18379 17101963 PMC1635981
  33. [38]Freedman VA Martin LG Schoeni RF Recent trends in disability and functioning among older adults in the United States: a systematic review Journal of the American Medical Association 2002 288 24 3137 3146 12495394
  34. [39]Cutler DM Disability and the future of Medicare New England Journal of Medicine 2003 349 11 1084 1085 12968093
  35. [40]Freedman VA Crimmins E Schoeni RF Resolving inconsistencies in trends in old-age disability: report from a technical working group Demography 2004 41 3 417 441 15461008
  36. [42]Singer BH Manton KG The effects of health changes on projections of health service needs for the elderly population of the United States Proceedings of the National Academy of Sciences of the United States of America 1998 95 26 15618 15622 9861019 PMC28093
  37. [45]Anderson DR Staufacker MJ The impact of worksite-based health risk appraisal on health-related outcomes: a review of the literature American Journal of Health Promotion 1996 10 6 499 508 10163313
  38. [48]Haskell WL Lee IM Pate RR Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association Medicine and Science in Sports and Exercise 2007 39 8 1423 1434 17762377
  39. [49]Jette AM Lachman M Giorgetti MM Exercise–it’s never too late: the strong-for-life program American Journal of Public Health 1999 89 1 66 72 9987467 PMC1508501
  40. [50]Nelson ME Rejeski WJ Blair SN Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association Circulation 2007 116 9 1094 1105 17671236
  41. [51]Fries JF Bloch DA Harrington H Richardson N Beck R Two-year results of a randomized controlled trial of a health promotion program in a retiree population: the Bank of America study American Journal of Medicine 1993 94 5 455 462 8498389
  42. [52]Fries JF Harrington H Edwards R Kent LA Richardson N Randomized controlled trial of cost reductions from a health education program: the California Public Employees’ Retirement System (PERS) study American Journal of Health Promotion 1994 8 3 216 223 10146667
  43. [53]Goetzel RZ Reynolds K Breslow L Health promotion in later life: it’s never too late American Journal of Health Promotion 2007 21 4 1 5 17375496
  44. [54]Montgomery Jr. EB Lieberman A Singh G Patient education and health promotion can be effective in Parkinson's disease: a randomized controlled trial American Journal of Medicine 1994 97 5 429 435 7977431
  45. [55]Vickery DM Golaszewski TJ Wright EC Kalmer H The effect of self-care interventions on the use of medical service within a Medicare population Medical Care 1988 26 6 580 588 3288818
  46. [56]Vickery DM Kalmer H Lowry D Effect of a self-care education program on medical visits Journal of the American Medical Association 1983 250 21 2952 2956 6358552
  47. [57]Fries JF Koop CE Sokolov J Beadle CE Wright D Beyond health promotion: reducing need and demand for medical care Health Affairs 1998 17 2 70 84 9558786

Cited by

Sorted by citations

Authors
Fries, J. F., Bruce, B., & Chakravarty, E.
Affiliations
Stanford Medicine (US)
Corresponding author
Fries, James F.
Venue
Journal of Aging Research
Publisher
Wiley
Published
2011
Volume
2011
Pages
1-10
ISSN
  • 2090-2204 (ISSN-L)
  • 2090-2212
OpenAlex
W2045451100
Cited by
312
References
6
Citations by year
2026: 11 · 2025: 16 · 2024: 13 · 2023: 25 · 2022: 19 · 2021: 27 · 2020: 23 · 2019: 26 · 2018: 14 · 2017: 24 · 2016: 27 · 2015: 40 · 2014: 16 · 2013: 21 · 2012: 10
FWCI
14.78
Type
journal article
Language
en
Open access
Locations
  • Journal of Aging Research (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
Keywords
compression of morbidity, healthy aging, chronic disease onset, disability progression, lifestyle intervention, risk factor reduction, health policy, disability trends

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