Aging with a disability: A systematic review of cardiovascular disease and osteoporosis among women aging with a physical disability

Andrea L. Rosso, Jennifer Pelt Wisdom, Willi Horner-Johnson, Marjorie G. McGee, Yvonne L. Michael

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Compared to men, women live longer but experience greater morbidity as they age. However, little is known about the rapidly growing population of women aging with disability. Women aging with disabilities may encounter barriers that increase risk of morbidity, including lack of access to medical care or inadequate assistance, equipment, or services. To evaluate risks of morbidity in this group, we conducted a systematic review focused on two important and prevalent conditions: cardiovascular disease (CVD) and osteoporosis. MEDLINE was searched for reports published between January 1, 1990 and August 6, 2010 and additional studies were identified through searches of bibliographies. 9156 abstracts and 93 articles were reviewed to identify empirical studies of women with physical disability who were 45 years or older and that reported CVD or osteoporosis as an outcome and not a cause of the disability. Articles meeting inclusion criteria were then critically appraised to exclude poor quality studies. In seven articles that evaluated CVD outcomes, we found limited evidence to support an increased risk of prevalence of CVD or risk factors for CVD in women aging with physical disabilities compared to non-disabled control populations. The literature is limited by small sample sizes that reduced statistical power to detect true differences. No articles meeting inclusion criteria were identified to evaluate osteoporosis risk in this group. This review is limited by the narrow focus on physical disabilities and two health outcomes. Additional high quality empirical research is necessary to understand the risks to health of women aging with disabilities.

Original languageEnglish (US)
Pages (from-to)65-72
Number of pages8
JournalMaturitas
Volume68
Issue number1
DOIs
StatePublished - Jan 2011

Keywords

  • Aging
  • Cardiovascular disease
  • Osteoporosis
  • Physical disability
  • Women

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Obstetrics and Gynecology

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