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Published in: European Journal of Epidemiology 8/2012

01-08-2012 | LOCOMOTOR DISEASES

Inflammation, coagulation and risk of locomotor disability in elderly women: findings from the British Women’s Heart and Health Study

Authors: Eveline Nüesch, Caroline E. Dale, Antoinette Amuzu, Hannah Kuper, Ann Bowling, George B. Ploubidis, Gordon Lowe, Ann Rumley, Shah Ebrahim, Juan P. Casas

Published in: European Journal of Epidemiology | Issue 8/2012

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Abstract

This study investigated associations between chronic inflammation and coagulation and incident locomotor disability using prospective data from the British Women’s Heart and Health Study. Locomotor disability was assessed using self-reported questionnaires in 1999/2000, and 3 and 7 years later. Scores for inflammation and coagulation were obtained from summation of quartile categories of all available biomarkers from blood samples taken at baseline. 534 women developed locomotor disability after 3 years, 260 women after 7 years, while 871 women remained free of locomotor disability over the whole study period. After adjustment for demographic characteristics, lifestyle factors and health conditions, we found associations between inflammation and incident locomotor disability after three (OR per unit increase in score = 1.08, 95 % confidence interval (CI): 1.03, 1.13) and 7 years (OR = 1.10, 95 % CI: 1.03, 1.18) and between coagulation and incident locomotor disability after 3 (OR = 1.06, 95 % CI: 0.98, 1.14) and 7 years (OR = 1.09, 95 % CI: 1.00, 1.18). This corresponds to ORs between 1.8 and 2.4 comparing women with highest to lowest inflammation or coagulation scores. These results support the role of inflammation and coagulation in the development of locomotor disability in elderly women irrespective of their lifestyle factors and underlying age-related chronic diseases.
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Literature
1.
go back to reference Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med. 1999;48(4):445–69.PubMedCrossRef Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med. 1999;48(4):445–69.PubMedCrossRef
2.
go back to reference Ebrahim S, Wannamethee SG, Whincup P, Walker M, Shaper AG. Locomotor disability in a cohort of British men: the impact of lifestyle and disease. Int J Epidemiol. 2000;29(3):478–86.PubMedCrossRef Ebrahim S, Wannamethee SG, Whincup P, Walker M, Shaper AG. Locomotor disability in a cohort of British men: the impact of lifestyle and disease. Int J Epidemiol. 2000;29(3):478–86.PubMedCrossRef
3.
go back to reference Rautio N, Adamson J, Heikkinen E, Ebrahim S. Associations of socio-economic position and disability among older women in Britain and Jyvaskyla, Finland. Arch Gerontol Geriatr. 2006;42(2):141–55.PubMedCrossRef Rautio N, Adamson J, Heikkinen E, Ebrahim S. Associations of socio-economic position and disability among older women in Britain and Jyvaskyla, Finland. Arch Gerontol Geriatr. 2006;42(2):141–55.PubMedCrossRef
4.
go back to reference Chung HY, Cesari M, Anton S, Marzetti E, Giovannini S, Seo AY, et al. Molecular inflammation: underpinnings of aging and age-related diseases. Ageing Res Rev. 2009;8(1):18–30.PubMedCrossRef Chung HY, Cesari M, Anton S, Marzetti E, Giovannini S, Seo AY, et al. Molecular inflammation: underpinnings of aging and age-related diseases. Ageing Res Rev. 2009;8(1):18–30.PubMedCrossRef
5.
go back to reference Singh T, Newman AB. Inflammatory markers in population studies of aging. Ageing Res Rev. 2011;10(3):319–29.PubMedCrossRef Singh T, Newman AB. Inflammatory markers in population studies of aging. Ageing Res Rev. 2011;10(3):319–29.PubMedCrossRef
6.
go back to reference Cohen HJ, Harris T, Pieper CF. Coagulation and activation of inflammatory pathways in the development of functional decline and mortality in the elderly. Am J Med. 2003;114(3):180–7.PubMedCrossRef Cohen HJ, Harris T, Pieper CF. Coagulation and activation of inflammatory pathways in the development of functional decline and mortality in the elderly. Am J Med. 2003;114(3):180–7.PubMedCrossRef
7.
go back to reference Ferrucci L, Harris TB, Guralnik JM, Tracy RP, Corti MC, Cohen HJ, et al. Serum IL-6 level and the development of disability in older persons. J Am Geriatr Soc. 1999;47(6):639–46.PubMed Ferrucci L, Harris TB, Guralnik JM, Tracy RP, Corti MC, Cohen HJ, et al. Serum IL-6 level and the development of disability in older persons. J Am Geriatr Soc. 1999;47(6):639–46.PubMed
8.
go back to reference Penninx BW, Kritchevsky SB, Newman AB, Nicklas BJ, Simonsick EM, Rubin S, et al. Inflammatory markers and incident mobility limitation in the elderly. J Am Geriatr Soc. 2004;52(7):1105–13.PubMedCrossRef Penninx BW, Kritchevsky SB, Newman AB, Nicklas BJ, Simonsick EM, Rubin S, et al. Inflammatory markers and incident mobility limitation in the elderly. J Am Geriatr Soc. 2004;52(7):1105–13.PubMedCrossRef
9.
go back to reference Kuo HK, Bean JF, Yen CJ, Leveille SG. Linking C-reactive protein to late-life disability in the National Health and Nutrition Examination Survey (NHANES) 1999–2002. J Gerontol A Biol Sci Med Sci. 2006;61(4):380–7.PubMedCrossRef Kuo HK, Bean JF, Yen CJ, Leveille SG. Linking C-reactive protein to late-life disability in the National Health and Nutrition Examination Survey (NHANES) 1999–2002. J Gerontol A Biol Sci Med Sci. 2006;61(4):380–7.PubMedCrossRef
10.
go back to reference Brinkley TE, Leng X, Miller ME, Kitzman DW, Pahor M, Berry MJ, et al. Chronic inflammation is associated with low physical function in older adults across multiple comorbidities. J Gerontol A Biol Sci Med Sci. 2009;64(4):455–61.PubMedCrossRef Brinkley TE, Leng X, Miller ME, Kitzman DW, Pahor M, Berry MJ, et al. Chronic inflammation is associated with low physical function in older adults across multiple comorbidities. J Gerontol A Biol Sci Med Sci. 2009;64(4):455–61.PubMedCrossRef
11.
go back to reference Cesari M, Penninx BW, Pahor M, Lauretani F, Corsi AM, Rhys Williams g, et al. Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol A Biol Sci Med Sci. 2004;59(3):242–8.PubMedCrossRef Cesari M, Penninx BW, Pahor M, Lauretani F, Corsi AM, Rhys Williams g, et al. Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol A Biol Sci Med Sci. 2004;59(3):242–8.PubMedCrossRef
12.
go back to reference McDermott MM, Guralnik JM, Greenland P, Green D, Liu K, Ridker PM, et al. Inflammatory and thrombotic blood markers and walking-related disability in men and women with and without peripheral arterial disease. J Am Geriatr Soc. 2004;52(11):1888–94.PubMedCrossRef McDermott MM, Guralnik JM, Greenland P, Green D, Liu K, Ridker PM, et al. Inflammatory and thrombotic blood markers and walking-related disability in men and women with and without peripheral arterial disease. J Am Geriatr Soc. 2004;52(11):1888–94.PubMedCrossRef
13.
go back to reference Visser M, Pahor M, Taaffe DR, Goodpaster BH, Simonsick EM, Newman AB, et al. Relationship of interleukin-6 and tumor necrosis factor-alpha with muscle mass and muscle strength in elderly men and women: the Health ABC Study. J Gerontol A Biol Sci Med Sci. 2002;57(5):M326–32.PubMedCrossRef Visser M, Pahor M, Taaffe DR, Goodpaster BH, Simonsick EM, Newman AB, et al. Relationship of interleukin-6 and tumor necrosis factor-alpha with muscle mass and muscle strength in elderly men and women: the Health ABC Study. J Gerontol A Biol Sci Med Sci. 2002;57(5):M326–32.PubMedCrossRef
14.
go back to reference Walston J, McBurnie MA, Newman A, Tracy RP, Kop WJ, Hirsch CH, et al. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002;162(20):2333–41.PubMedCrossRef Walston J, McBurnie MA, Newman A, Tracy RP, Kop WJ, Hirsch CH, et al. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002;162(20):2333–41.PubMedCrossRef
15.
go back to reference Barzilay JI, Blaum C, Moore T, Xue QL, Hirsch CH, Walston JD, et al. Insulin resistance and inflammation as precursors of frailty: the Cardiovascular Health Study. Arch Intern Med. 2007;167(7):635–41.PubMedCrossRef Barzilay JI, Blaum C, Moore T, Xue QL, Hirsch CH, Walston JD, et al. Insulin resistance and inflammation as precursors of frailty: the Cardiovascular Health Study. Arch Intern Med. 2007;167(7):635–41.PubMedCrossRef
16.
go back to reference Reiner AP, Aragaki AK, Gray SL, Wactawski-Wende J, Cauley JA, Cochrane BB, et al. Inflammation and thrombosis biomarkers and incident frailty in postmenopausal women. Am J Med. 2009;122(10):947–54.PubMedCrossRef Reiner AP, Aragaki AK, Gray SL, Wactawski-Wende J, Cauley JA, Cochrane BB, et al. Inflammation and thrombosis biomarkers and incident frailty in postmenopausal women. Am J Med. 2009;122(10):947–54.PubMedCrossRef
17.
go back to reference Lawlor DA, Bedford C, Taylor M, Ebrahim S. Geographical variation in cardiovascular disease, risk factors, and their control in older women: British Women’s Heart and Health Study. J Epidemiol Community Health. 2003;57(2):134–40.PubMedCrossRef Lawlor DA, Bedford C, Taylor M, Ebrahim S. Geographical variation in cardiovascular disease, risk factors, and their control in older women: British Women’s Heart and Health Study. J Epidemiol Community Health. 2003;57(2):134–40.PubMedCrossRef
18.
go back to reference Adamson J, Lawlor DA, Ebrahim S. Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women’s Heart and Health Study. Age Ageing. 2004;33(3):293–8.PubMedCrossRef Adamson J, Lawlor DA, Ebrahim S. Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women’s Heart and Health Study. Age Ageing. 2004;33(3):293–8.PubMedCrossRef
19.
go back to reference Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334.CrossRef
20.
go back to reference Gaunt TR, Lowe GDO, Lawlor DA, Casas JP, Day INM. A gene-centric analysis of activated partial thromboplastin time and activated protein C resistance using the Human CVD focused genotyping array (submitted). Gaunt TR, Lowe GDO, Lawlor DA, Casas JP, Day INM. A gene-centric analysis of activated partial thromboplastin time and activated protein C resistance using the Human CVD focused genotyping array (submitted).
21.
go back to reference Jefferis BJ, Lowe GD, Welsh P, Rumley A, Lawlor DA, Ebrahim S, et al. Secondhand smoke (SHS) exposure is associated with circulating markers of inflammation and endothelial function in adult men and women. Atherosclerosis. 2010;208(2):550–6.PubMedCrossRef Jefferis BJ, Lowe GD, Welsh P, Rumley A, Lawlor DA, Ebrahim S, et al. Secondhand smoke (SHS) exposure is associated with circulating markers of inflammation and endothelial function in adult men and women. Atherosclerosis. 2010;208(2):550–6.PubMedCrossRef
22.
go back to reference Lawlor DA, Davey Smith G, Patel R, Ebrahim S. Life-course socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women’s Heart and Health Study. Am J Public Health. 2005;95(1):91–7.PubMedCrossRef Lawlor DA, Davey Smith G, Patel R, Ebrahim S. Life-course socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women’s Heart and Health Study. Am J Public Health. 2005;95(1):91–7.PubMedCrossRef
23.
go back to reference Khaw KT, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined impact of health behaviours and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2008;5(1):e12.PubMedCrossRef Khaw KT, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined impact of health behaviours and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2008;5(1):e12.PubMedCrossRef
24.
go back to reference Leng GC, Fowkes FG. The Edinburgh Claudication Questionnaire: an improved version of the WHO/Rose Questionnaire for use in epidemiological surveys. J Clin Epidemiol. 1992;45(10):1101–9.PubMedCrossRef Leng GC, Fowkes FG. The Edinburgh Claudication Questionnaire: an improved version of the WHO/Rose Questionnaire for use in epidemiological surveys. J Clin Epidemiol. 1992;45(10):1101–9.PubMedCrossRef
26.
go back to reference Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5):337–43.PubMedCrossRef Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5):337–43.PubMedCrossRef
27.
go back to reference Tas U, Verhagen AP, Bierma-Zeinstra SM, Hofman A, Odding E, Pols HA, et al. Incidence and risk factors of disability in the elderly: the Rotterdam Study. Prev Med. 2007;44(3):272–8.PubMedCrossRef Tas U, Verhagen AP, Bierma-Zeinstra SM, Hofman A, Odding E, Pols HA, et al. Incidence and risk factors of disability in the elderly: the Rotterdam Study. Prev Med. 2007;44(3):272–8.PubMedCrossRef
28.
go back to reference Royston P. Multiple imputation of missing values. Stata J. 2004;4:227–41. Royston P. Multiple imputation of missing values. Stata J. 2004;4:227–41.
29.
go back to reference Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.PubMedCrossRef Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.PubMedCrossRef
31.
go back to reference Ebrahim S, Davey Smith G. Mendelian randomization: can genetic epidemiology help redress the failures of observational epidemiology? Hum Genet. 2008;123(1):15–33.PubMedCrossRef Ebrahim S, Davey Smith G. Mendelian randomization: can genetic epidemiology help redress the failures of observational epidemiology? Hum Genet. 2008;123(1):15–33.PubMedCrossRef
32.
go back to reference Smith GD, Ebrahim S. Mendelian randomization: prospects, potentials, and limitations. Int J Epidemiol. 2004;33(1):30–42.PubMedCrossRef Smith GD, Ebrahim S. Mendelian randomization: prospects, potentials, and limitations. Int J Epidemiol. 2004;33(1):30–42.PubMedCrossRef
33.
go back to reference Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability? J Stroke Cerebrovasc Dis. 2004;13(4):171–7.PubMedCrossRef Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability? J Stroke Cerebrovasc Dis. 2004;13(4):171–7.PubMedCrossRef
34.
go back to reference Martin J, Meltzer H, Elliot D. The prevalence of disability among adults: OPCS surveys of disability in Great Britain. London: HMSO; 1988 Martin J, Meltzer H, Elliot D. The prevalence of disability among adults: OPCS surveys of disability in Great Britain. London: HMSO; 1988
35.
go back to reference International Classification of Functioning, Disability and Health. 2001. International Classification of Functioning, Disability and Health. 2001.
36.
go back to reference Penninx BW, Abbas H, Ambrosius W, Nicklas BJ, Davis C, Messier SP, et al. Inflammatory markers and physical function among older adults with knee osteoarthritis. J Rheumatol. 2004;31(10):2027–31.PubMed Penninx BW, Abbas H, Ambrosius W, Nicklas BJ, Davis C, Messier SP, et al. Inflammatory markers and physical function among older adults with knee osteoarthritis. J Rheumatol. 2004;31(10):2027–31.PubMed
37.
go back to reference Jefferis BJ, Whincup PH, Welsh P, Wannamethee SG, Rumley A, Lennon LT, et al. Circulating TNFalpha levels in older men and women do not show independent prospective relations with MI or stroke. Atherosclerosis. 2009;205(1):302–8.PubMedCrossRef Jefferis BJ, Whincup PH, Welsh P, Wannamethee SG, Rumley A, Lennon LT, et al. Circulating TNFalpha levels in older men and women do not show independent prospective relations with MI or stroke. Atherosclerosis. 2009;205(1):302–8.PubMedCrossRef
38.
go back to reference Colbert LH, Visser M, Simonsick EM, Tracy RP, Newman AB, Kritchevsky SB, et al. Physical activity, exercise, and inflammatory markers in older adults: findings from the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2004;52(7):1098–104.PubMedCrossRef Colbert LH, Visser M, Simonsick EM, Tracy RP, Newman AB, Kritchevsky SB, et al. Physical activity, exercise, and inflammatory markers in older adults: findings from the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2004;52(7):1098–104.PubMedCrossRef
39.
go back to reference Wannamethee SG, Lowe GD, Whincup PH, Rumley A, Walker M, Lennon L. Physical activity and hemostatic and inflammatory variables in elderly men. Circulation. 2002;105(15):1785–90.PubMedCrossRef Wannamethee SG, Lowe GD, Whincup PH, Rumley A, Walker M, Lennon L. Physical activity and hemostatic and inflammatory variables in elderly men. Circulation. 2002;105(15):1785–90.PubMedCrossRef
40.
go back to reference Jankord R, Jemiolo B. Influence of physical activity on serum IL-6 and IL-10 levels in healthy older men. Med Sci Sports Exerc. 2004;36(6):960–4.PubMedCrossRef Jankord R, Jemiolo B. Influence of physical activity on serum IL-6 and IL-10 levels in healthy older men. Med Sci Sports Exerc. 2004;36(6):960–4.PubMedCrossRef
41.
go back to reference Miller GD, Nicklas BJ, Loeser RF. Inflammatory biomarkers and physical function in older, obese adults with knee pain and self-reported osteoarthritis after intensive weight-loss therapy. J Am Geriatr Soc. 2008;56(4):644–51.PubMedCrossRef Miller GD, Nicklas BJ, Loeser RF. Inflammatory biomarkers and physical function in older, obese adults with knee pain and self-reported osteoarthritis after intensive weight-loss therapy. J Am Geriatr Soc. 2008;56(4):644–51.PubMedCrossRef
Metadata
Title
Inflammation, coagulation and risk of locomotor disability in elderly women: findings from the British Women’s Heart and Health Study
Authors
Eveline Nüesch
Caroline E. Dale
Antoinette Amuzu
Hannah Kuper
Ann Bowling
George B. Ploubidis
Gordon Lowe
Ann Rumley
Shah Ebrahim
Juan P. Casas
Publication date
01-08-2012
Publisher
Springer Netherlands
Published in
European Journal of Epidemiology / Issue 8/2012
Print ISSN: 0393-2990
Electronic ISSN: 1573-7284
DOI
https://doi.org/10.1007/s10654-012-9706-6

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