ReviewDeutsches Arzteblatt international2022
Compression and Expansion of Morbidity—Secular Trends Among Cohorts of the Same Age
Review in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed.
- Hospitalisation Burden of Human Metapneumovirus and Respiratory Syncytial Virus in Adults by Age and Comorbidity Status in Scotland: A Retrospective Analysis.Infectious diseases and therapy · 2026Article
- Functional reserve mitigates cognitive-motor dual-task costs in older adults: insights from age, cohort, and behavioural strategies.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026Article
- Comparison of Human Metapneumovirus- and Respiratory Syncytial Virus-Associated Health Burden in Adults With Chronic Underlying Health Conditions: A Global Systematic Review and Meta-analysis.Open forum infectious diseases · 2026Article
- Temporal trends in cardiovascular disease and diabetes prevalence in the United States: assessing compression versus expansion.Scientific reports · 2026Article
- Age-related and gender-related differences on hand dexterity in healthy and sports inactive older adults: a cross-sectional study.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Effects of a multicomponent exercise program on the gross and fine motor skills of healthy, sporting inactive older adults aged 60.Frontiers in aging · 2026Article
- Influence of a sport-oriented exercise concept on motor performance and sustainability in healthy but sporting inactive older adults aged 60.Frontiers in sports and active living · 2026Article
- Analysis of multimorbidity compression using a latent variable in a mixed mixture model.Population health metrics · 2025Article
- Assessment of oral morbidity and self rated health in the Indian geriatric population with a propensity score matched approach.Scientific reports · 2025Article
- Specific contribution of cognitive and motor impairments with functional capacity and dependence in Huntington's disease.Journal of neurology · 2025Article
- Effects of population aging on quality of life and disease burden: a population-based study.Global health research and policy · 2025Article
- [How has life expectancy without functional limitations developed in Germany? An analysis with data from the German Ageing Survey (DEAS)].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Trends in severe functional limitations among working and non-working adults in Germany: Towards an (un)-healthy working life?European journal of ageing · 2024Article
- The Trend of Healthcare Needs among Elders and Its Association with Healthcare Access and Quality in Low-Income Countries: An Exploration of the Global Burden of Disease Study 2019.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMorbidity is said to be compressed when the interval from the onset of a disease or disability to death becomes shorter over time, or when the incidence of the disease or disability declines over time. In the reverse situation, morbidity is said to be expanded.
methodsThis review is based on national and international studies retrieved by a selective literature search on secular trends in morbidity and mortality. The findings were derived from data from surveys and registries, and from the routine data of health insurance carriers.
resultsThree different types of secular trends in morbidity were seen. For some diseases (e.g., lung cancer, stroke, and dementia), morbidity among the elderly was compressed over time. On the other hand, for multimorbidity and type 2 diabetes including comorbidities, morbidity expanded over time. Unexpectedly, a double development was seen in certain other conditions, with both compression among the elderly and expansion among the middle-aged: this was particularly so for myo - cardial infarction, grip strength, and indicators of general health.
conclusionThe notion of morbidity being reduced by compression seems less tenable in view of the double development just mentioned. The findings suggest that the observed secular trend toward better health among the elderly has not persisted among the more recently born cohorts. This can have negative effects on social security systems, particularly with respect to retirement ages being deferred or made more flexible, as well as the cost of health care.
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