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Age and Ageing 2004; 33: 293-298
Age and Ageing Vol. 33 No. 3 © British Geriatrics Society 2004; all rights reserved

Research Paper

Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women’s Heart and Health Study

Joy Adamson1, Debbie A. Lawlor2 and Shah Ebrahim2

1 Department of Health Sciences, 1st Floor Seebohm Rowntree Building, University of York, Heslington, York YO10 5DD, UK
2 Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK

Address correspondence to: J. Adamson. Fax: (+44) 1904 321382. Email: ja14{at}york.ac.uk

Abstract

Objectives: to examine the association of chronic degenerative diseases with locomotor activity limitation and social participation among older British women.

Methods: cross-sectional survey of 4,286 women aged 60–79 years from 23 towns in England, Scotland and Wales.

Results: the prevalence of locomotor activity limitation was 37.2% and 33.5% of women had difficulty with some aspect of social participation. This prevalence of locomotor activity limitation and difficulties with social participation increased with increasing age and with increasing number of chronic diseases. All chronic diseases assessed were independently (of each other and confounding factors) associated with locomotor activity limitation. Associations were particularly strong for stroke (OR 5.44, 95% CI 3.38–8.75), arthritis (OR 3.95, 95% CI 3.25–4.81) and coronary heart disease (OR 2.26, 95% CI 1.77–2.88). The population attributable fraction for locomotor activity limitation was greatest for arthritis: 37.8% (95% CI 32.0–43.1) and coronary heart disease: 6.7% (95% CI 4.8–8.8). Locomotor activity limitation was strongly associated with social participation. Most chronic diseases of ageing were independently (of locomotor activity limitation, other chronic diseases and confounding factors) associated with reduced social participation.

Conclusions: locomotor activity limitation and difficulties in social participation are common. Arthritis and coronary heart disease contribute importantly to locomotor activity limitation and difficulties with social participation. Effective strategies to prevent or limit the disabling impact of these conditions are essential to improving the quality of life of older women.

Keywords: locomotor activity, women, morbidity, chronic disease

Received March 21, 2003; Revision received December 15, 2003. accepted in revised form December 15, 2003.


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