Established populations for epidemiologic studies of the elderly: Study design and methodology

  title={Established populations for epidemiologic studies of the elderly: Study design and methodology},
  author={Joan Huntley and Adrian M. Ostfeld and J. O. Taylor and Robert B. Wallace and Dan G. Blazer and Lisa F. Berkman and Denis A. Evans and Jan Kohout and Jon H. Lemke and Paul A. Scherr and Samuel P. Korper},
  journal={Aging Clinical and Experimental Research},
A project initiated by the intramural Epidemiology, Demography and Biometry Program of the National Institute on Aging, entitled “Established Populations for Epidemiologic Studies of the Elderly” (EPESE), has developed information on death, chronic conditions, disabilities, and institutionalization for representative samples of elderly people living in communities. The EPESE consists of prospective epidemiologic studies of approximately 14 000 persons 65 years of age and older in four different… 

Socioeconomic Status and Stroke Incidence in the US Elderly: The Role of Risk Factors in the EPESE Study

Policies to improve social and economic resources at early old age, and interventions to improve diabetes management, depression, social networks and functioning in the disadvantaged elderly can contribute to reduce stroke disparities.

Gender differences associated with physical functioning in older persons with angina

Older women who experience angina symptoms also have a greater lower extremity disability compared to men with angina, which may force older women to curtail more strenuous activities which could lead to further disablement.

Population based study of social and productive activities as predictors of survival among elderly Americans

Social and productive activities that involve little or no enhancement of fitness lower the risk of all cause mortality as much as fitness activities do, suggesting that in addition to increased cardiopulmonary fitness, activity may confer survival benefits through psychosocial pathways.

Comorbidity of five chronic health conditions in elderly community residents: determinants and impact on mortality.

Significant comorbidity in older persons who have hypertension, CAD, CVD, or diabetes is found; particular risk of developing comorebidity, particularly CAD, among those with hypertension,CVD, and diabetes; and risk of CVD in those with diabetes.

Chronically Depressed Mood and Cancer Risk in Older Persons

Depression was associated with a generally increased risk of cancer when present for at least 6 years and was consistent for most types of cancer and was not specific to cigarette smokers.

Chronically depressed mood and cancer risk in older persons.

Depression was associated with a generally increased risk of cancer when present for at least 6 years and was consistent for most types of cancer and was not specific to cigarette smokers.

Depression and risk of coronary heart disease in elderly men and women: New Haven EPESE, 1982-1991. Established Populations for the Epidemiologic Studies of the Elderly.

Depressive symptoms may not be independent risk factors for CHD outcomes in elderly populations in general but may increase risk among relatively healthy older women.



The Normative Aging Study: An Interdisciplinary and Longitudinal Study of Health and Aging

Functional ages pertaining to various aspects of aging are being developed as a tool for assessing relative aging rates and the relationship among such differences in aging.

An epidemiology of disability among adults in the United States.

  • S. Z. Nagi
  • Medicine
    The Milbank Memorial Fund quarterly. Health and society
  • 1976
An epidemiological analysis of disability among adults in the noninstitutionalized continental United States population found that through pathology, impairment, performance at the individual level, and the socio-demographic characteristics, it was possible to account for 38 percent of the variance in work disability and 74 percent of dependence-independence in community living.

A profile of functionally impaired elderly persons living in the community

  • C. Macken
  • Medicine
    Health care financing review
  • 1986
The data show that functionally impaired persons in the community are older, are more often female, have lower incomes, and have a larger proportion of black people than the general elderly population.


Community health agencies are especially fitted for the conduct of epidemiologic studies which require access to large populations and resources for handling large numbers of subjects, and a large proportion of community health research projects are of this type.

Risk factors for falls among elderly persons living in the community.

It is concluded that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.

Estimated prevalence of dementia among elderly black and white community residents.

A stratified random sample of 83 black and 81 white community residents aged 65 years and older in the Piedmont region of North Carolina was evaluated for dementia, and Blacks were more likely than whites to have a history of stroke, hypertension, and other chronic disorders that might have contributed to the development of dementia.

Depressive symptoms in relation to physical health and functioning in the elderly.

The authors conclude that physical disabilities among the elderly do not appear to be a major threat to the validity of the CES-D scale and that the strong associations between physical and mental health should be rigorously investigated.

Prevalence of Alzheimer's disease in a community population of older persons. Higher than previously reported.

The data suggest that clinically diagnosed Alzheimer's disease is a common condition and that its public health impact will continue to increase with increasing longevity of the population.

A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients †

  • E. Pfeiffer
  • Medicine, Psychology
    Journal of the American Geriatrics Society
  • 1975
A 10‐item Short Portable Mental Status Questionnaire (SPMSQ), easily administered by any clinician in the office or in a hospital, has been designed, tested, standardized and validated.

Peak expiratory flow rate in an elderly population.

The correlations of peak expiratory flow rate with pulmonary symptoms and other indices of chronic disease raise the possibility that peak expiral flow rate will predict mortality in an elderly population.