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Gender differences associated with physical functioning in older persons with angina.

Julie Richardson1

  • 1Faculty of Health Sciences, McMaster University, hamilton, Ontario, Canada. jrichard@mcmaster.ca

Disability and Rehabilitation
|July 10, 2003
PubMed
Summary

Older women with angina experience greater lower extremity disability than men. This suggests angina may lead to reduced activity and increased disablement in older women.

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Area of Science:

  • Gerontology
  • Epidemiology
  • Cardiology

Background:

  • Angina, a symptom of coronary heart disease, affects physical functioning.
  • Understanding gender-specific impacts of angina on physical function in older adults is crucial.

Purpose of the Study:

  • To investigate gender differences in physical functioning among older adults with angina.
  • To compare functional limitation/mobility and activities of daily living between men and women with angina.

Main Methods:

  • Historical population-based cohort design using data from Established Populations for the Epidemiologic Studies of the Elderly.
  • Rose Questionnaire identified angina; Nagi framework defined physical functioning (functional limitation/mobility, activities of daily living).
  • Logistic regression analyzed gender differences in physical function, with disability defined as requiring assistance.

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Main Results:

  • 249 men and 375 women had angina.
  • Both genders showed greater disability in functional mobility than activities of daily living.
  • Women with angina experienced more disability than men, with self-rated health influencing functioning.

Conclusions:

  • Older women with angina report greater lower extremity disability compared to men.
  • Angina may prompt older women to reduce strenuous activities, potentially increasing disablement.
  • Gender-specific interventions may be needed to mitigate angina's impact on physical function in older adults.