The Impact of Risk Factors for Coronary Heart Disease on Related Disability in Older Irish Adults

Sharon Cruise; John Hughes; Kathleen Bennett; Anne Maria Kouvonen; Frank Kee

doi:10.1177/0898264317726242

The Impact of Risk Factors for Coronary Heart Disease on Related Disability in Older Irish Adults

Sharon Cruise, John Hughes, Kathleen Bennett, Anne Maria Kouvonen, Frank Kee

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

Objective: The aim of this study is to examine the prevalence of coronary heart disease (CHD)–related disability (hereafter also “disability”) and the impact of CHD risk factors on disability in older adults in the Republic of Ireland (ROI) and Northern Ireland (NI). Method: Population attributable fractions were calculated using risk factor relative risks and disability prevalence derived from The Irish Longitudinal Study on Ageing and the Northern Ireland Health Survey. Results: Disability was significantly lower in ROI (4.1% vs. 8.8%). Smoking and diabetes prevalence rates, and the fraction of disability that could be attributed to smoking (ROI: 6.6%; NI: 6.1%), obesity (ROI: 13.8%; NI: 11.3%), and diabetes (ROI: 6.2%; NI: 7.2%), were comparable in both countries. Physical inactivity (31.3% vs. 54.8%) and depression (10.2% vs. 17.6%) were lower in ROI. Disability attributable to depression (ROI: 16.3%; NI: 25.2%) and physical inactivity (ROI: 27.5%; NI: 39.9%) was lower in ROI. Discussion: Country-specific similarities and differences in the prevalence of disability and associated risk factors will inform public health and social care policy in both countries.

Original language	English
Journal	Journal of Aging and Health
Volume	31
Issue number	1
Pages (from-to)	165-184
Number of pages	20
ISSN	0898-2643
DOIs	https://doi.org/10.1177/0898264317726242
Publication status	Published - 1 Jan 2019
MoE publication type	A1 Journal article-refereed

Fields of Science

3142 Public health care science, environmental and occupational health
coronary heart disease
disability
risk factors
relative risk
population attributable fractions (PAFs)

Access to Document

10.1177/0898264317726242

Cruise_et_al_JAH_author_accepted_version_13072017Accepted author manuscript, 114 KB

CoE: The Centre of Excellence for Public Health (NI) - Phase II
Kee, F. (Principal Investigator), Bunting, B. (Participant), Cantwell, M. (Participant), Clarke, M. (Participant), Coleman, H. (Participant), Connelly, P. (Participant), Cupples, M. (Participant), Donnelly, M. (Participant), French, D. (Participant), Hutchinson, G. (Participant), Kouvonen, A. (Participant), Longo, A. (Participant), Marshall, A. (Participant), McCann, J. (Participant), McDonough, S. (Participant), McKinley, M. (Participant), Moore, M. (Participant), Murray, L. (Participant), O'Reilly, D. (Participant), Patterson, C. (Participant), Tully, M. (Participant) & Woodside, J. (Participant)
01/08/2013 → 31/07/2018
Project: Research project

Cite this

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title = "The Impact of Risk Factors for Coronary Heart Disease on Related Disability in Older Irish Adults",

abstract = "Objective: The aim of this study is to examine the prevalence of coronary heart disease (CHD)–related disability (hereafter also “disability”) and the impact of CHD risk factors on disability in older adults in the Republic of Ireland (ROI) and Northern Ireland (NI). Method: Population attributable fractions were calculated using risk factor relative risks and disability prevalence derived from The Irish Longitudinal Study on Ageing and the Northern Ireland Health Survey. Results: Disability was significantly lower in ROI (4.1% vs. 8.8%). Smoking and diabetes prevalence rates, and the fraction of disability that could be attributed to smoking (ROI: 6.6%; NI: 6.1%), obesity (ROI: 13.8%; NI: 11.3%), and diabetes (ROI: 6.2%; NI: 7.2%), were comparable in both countries. Physical inactivity (31.3% vs. 54.8%) and depression (10.2% vs. 17.6%) were lower in ROI. Disability attributable to depression (ROI: 16.3%; NI: 25.2%) and physical inactivity (ROI: 27.5%; NI: 39.9%) was lower in ROI. Discussion: Country-specific similarities and differences in the prevalence of disability and associated risk factors will inform public health and social care policy in both countries.",

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author = "Sharon Cruise and John Hughes and Kathleen Bennett and Kouvonen, {Anne Maria} and Frank Kee",

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AB - Objective: The aim of this study is to examine the prevalence of coronary heart disease (CHD)–related disability (hereafter also “disability”) and the impact of CHD risk factors on disability in older adults in the Republic of Ireland (ROI) and Northern Ireland (NI). Method: Population attributable fractions were calculated using risk factor relative risks and disability prevalence derived from The Irish Longitudinal Study on Ageing and the Northern Ireland Health Survey. Results: Disability was significantly lower in ROI (4.1% vs. 8.8%). Smoking and diabetes prevalence rates, and the fraction of disability that could be attributed to smoking (ROI: 6.6%; NI: 6.1%), obesity (ROI: 13.8%; NI: 11.3%), and diabetes (ROI: 6.2%; NI: 7.2%), were comparable in both countries. Physical inactivity (31.3% vs. 54.8%) and depression (10.2% vs. 17.6%) were lower in ROI. Disability attributable to depression (ROI: 16.3%; NI: 25.2%) and physical inactivity (ROI: 27.5%; NI: 39.9%) was lower in ROI. Discussion: Country-specific similarities and differences in the prevalence of disability and associated risk factors will inform public health and social care policy in both countries.

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KW - relative risk

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The Impact of Risk Factors for Coronary Heart Disease on Related Disability in Older Irish Adults

Abstract

Fields of Science

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Projects

CoE: The Centre of Excellence for Public Health (NI) - Phase II

Cite this