The Core Concept: Compression of Morbidity
Proposed by physician James F. Fries in 1980, the compression of morbidity hypothesis suggests that delaying chronic diseases and disabilities through preventive measures can shorten the period of poor health at life's end. The aim is to extend healthy, functional years.
The Rectangularization of the Survival Curve
The concept uses the survival curve; medical progress has 'rectangularized' it, meaning more people live longer. Compression of morbidity seeks to minimize the illness period before the end of this curve.
Compression vs. Expansion of Morbidity: A Critical Comparison
Comparing compression with expansion of morbidity is key.
| Aspect | Compression of Morbidity | Expansion of Morbidity | 
|---|---|---|
| Core Idea | Postpone disability onset faster than life expectancy increases, reducing poor health duration. | Life expectancy rises, but so do the years lived with disease and disability. | 
| Underlying Premise | Preventive measures delay chronic illness. | Medical advances prolong life with existing chronic conditions. | 
| Outcome for Individuals | Longer vitality, short final decline. | Longer lifespan with more years of chronic illness. | 
| Impact on Society | Potential for lower long-term healthcare costs. | Higher healthcare costs and greater need for long-term care. | 
Research shows varied trends; some diseases show compression, others expansion. The obesity epidemic may contribute to expanding morbidity.
Strategies for Compressing Morbidity
Adopting healthy behaviors and preventive healthcare helps achieve compression.
Key Pillars for Extending Healthy Years
- Balanced Nutrition: Reduces chronic illness risk.
 - Regular Exercise: Maintains organ function, delays decline. A Stanford study showed delayed disability in runners.
 - Stress Management: Supports well-being.
 - Quality Sleep: Vital for cell repair; poor sleep links to faster decline.
 - Strong Social Connections: Combats isolation impacting health.
 - Cognitive Stimulation: Helps preserve function.
 - Regular Health Check-ups and Screenings: Early detection prevents severity.
 
The Scientific Underpinnings and Real-World Evidence
Fries's hypothesis spurred research. Longitudinal studies support that lower health risks mean less disability.
The reality is complex; severe disability may be compressed in some groups, but chronic disease prevalence might expand in others. Compression requires sustained effort. Medical innovations also help mitigate disease alongside lifestyle changes.
Conclusion
For the Quizlet question, compression of morbidity is the concept of postponing illness and disability for a longer, healthier life with a shorter period of poor health at the end. It frames healthy aging strategies. Evidence highlights the importance of lifestyle and preventive care in influencing healthspan.
For a detailed scientific perspective, Fries's article provides a review: Compression of Morbidity 1980–2011: A Focused Review of the Controversies, the Later Evidence, and the Future.