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Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 6/2009

01-12-2009 | Artikel

Compressie van morbiditeit: een veelbelovende benadering om de maatschappelijke consequenties van vergrijzing te verlichten?

Auteurs: B. Klijs, W. J. Nusselder, J. P. Mackenbach

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 6/2009

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Samenvatting

Er is een dringende behoefte aan strategieën die de maatschappelijke consequenties van vergrijzing kunnen verlichten. Een mogelijke strategie is het streven naar compressie van morbiditeit. De afgelopen decennia is een aantal van de oorspronkelijke aannamen voor compressie van morbiditeit ontkracht. De levensverwachting is namelijk veel sterker gestegen dan verwacht en de modale stervensleeftijd is de 85 jaar overschreden. Ook hebben trendstudies geen consistent bewijs gevonden voor een compressie van morbiditeit. Op de afdeling Maatschappelijke Gezondheidszorg wordt gezocht naar aanknopingspunten voor het bereiken van een compressie. Zo zijn op basis van gegevens van de Framingham Heart Study analyses gedaan met meerdimensionale overlevingstafels naar mogelijke bijdragen van veranderingen in blootstelling aan leefstijlfactoren (roken, hypertensie, lichamelijke inactiviteit en overgewicht/obesitas) aan compressie van hart- en vaatziekten. Hieruit bleek dat roken en lichamelijke inactiviteit de incidentie van hart- en vaatziekten verhoogt, maar ook de sterfte met en zonder hart- en vaatziekten. Hypertensie en overgewicht laten voornamelijk de incidentie van hart- en vaatziekten stijgen en zijn geassocieerd met een korter leven maar meer jaren met hart- en vaarziekten. Interventies op deze laatste risicofactoren zullen daarom resulteren in zowel een toename van de levensverwachting als een compressie van morbiditeit. Voor beleid en onderzoek in de gezondheidszorg is het van belang een mix van interventies te vinden waarmee een vergelijkbaar overall effect bereikt wordt.
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Metagegevens
Titel
Compressie van morbiditeit: een veelbelovende benadering om de maatschappelijke consequenties van vergrijzing te verlichten?
Auteurs
B. Klijs
W. J. Nusselder
J. P. Mackenbach
Publicatiedatum
01-12-2009
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 6/2009
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/BF03088516

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