Sensitivity and Specificity of Three Measures of Intrinsic Capacity in Older People Aged 80 and Over in Nursing Homes DOI Creative Commons
Linlin Ma, Enjie Zheng,

Yi Fang

et al.

Clinical Interventions in Aging, Journal Year: 2024, Volume and Issue: Volume 19, P. 2179 - 2194

Published: Dec. 1, 2024

Intrinsic capacity (IC), a crucial indicator for the United Nations Decade of Healthy Ageing 2021-2030, is defined by WHO as foundation functional ability, representing composite all physical and mental capacities an individual. IC spans five function domains: Locomotor, psychological, cognitive, vitality, sensory (including vision hearing). Accurate assessment vital effective interventions, yet comparative analyses these tools are scarce. Consequently, we evaluated diagnostic accuracy three in individuals aged 80 above-Integrated care older people (ICOPE) Step 1, ICOPE 2, Lopez-Ortiz's scoring system. This cross-sectional analysis included total 475 participants ≥80 years between July 2023 January 2024 11 nursing homes Ningbo, Zhejiang Province, China. To assess that sociodemographic health-related information alongside tools. Diagnostic efficacy was gauged using sensitivity, specificity, negative predictive value (NPV), positive (PPV), accuracy, Youden index, area under curve (AUC). The detection decline exceeded 85% across methods. Using 2 benchmark, 1 showed robust performance four domains locomotion, whereas system generally ineffective. All methods have limitations. save resources, can be considered direct non-sensory domains. Conversely, systems exhibited overly stringent lenient thresholds, respectively. At this stage, cannot balance subjectivity objectivity; thus, it recommended appropriate tool selected according to actual application scenarios. Continuous improvement remains requirement future studies.

Language: Английский

Global Trends in the Incidence and Primary Causes of Femoral Fractures, Excluding Femoral Neck Fractures: A Global Epidemiological Study DOI Creative Commons

Fanyu Fu,

Bo Liu,

Haifang Pu

et al.

Risk Management and Healthcare Policy, Journal Year: 2025, Volume and Issue: Volume 18, P. 117 - 129

Published: Jan. 1, 2025

Purpose: Fractures pose a significant global health challenge, with varying incidence trends and causes across demographics regions. This study aims to analyze patterns in the primary of femoral shaft fractures. Methods: Data from Global Burden Disease database were analyzed for fractures (excluding neck fractures) by age, gender, socio-demographic index The estimated annual percentage change (EAPC) was calculated assess Results: fracture cases increased 8,559,886 1990 11,566,429 2021, rise 35.12%. However, rate dropped 160.49 146.57 per 100,000 (EAPC: − 0.35). Males consistently had higher rates, reaching 155.53 2021. 15– 49 age group recorded most cases, while individuals aged 75 older saw largest incidence, 445.91 603.32 100,000. In Slovenia (616.1 100,000), Croatia (568.51 Czechia (434.77 100,000) reported highest Malawi, Kiribati, Liberia lowest (< 63 100,000). Leading mechanical forces, motor vehicle injuries, pedestrian notable regional disparities. Conclusion: Although has declined, it risen significantly among adults, increasing their burden. Understanding variations is crucial developing targeted public interventions address this growing issue. Keywords: fractures, epidemiology, injury

Language: Английский

Citations

0
Relationship between intrinsic capacity domains and the evolution of quality of life in older adults in Europe: a differential approach between men and women based on the SHARE study. DOI Creative Commons
Rafael Llorens-Ortega

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 19, 2025

Abstract Introduction This study explores the relationship between domains of intrinsic capacity and quality life in older adults Europe, with particular focus on sex regional differences. It confirms that is a multidimensional construct involving interconnected components such as mobility, cognitive function, mental health, general health. Methods An exploratory factor analysis was conducted using data from SHARE (Waves 5-6), longitudinal multinational project. The focused 11,493 aged 50 above, residing 13 European countries. Sociodemographic, socio-economic factors were considered, including variables like mobility difficulties, performance, depressive symptoms, self-reported used harmonized surveys representative probabilistic sampling to ensure comparability across Results results show significant differences men women, women experiencing greater deterioration key cognition, Women exhibited higher levels decline, which linked longer expectancy exposure chronic diseases. Social determinants, education level economic status, found have impact QoL capacity, socially vulnerable situations showing rates health deterioration, diseases, decline. Regional also played role, notable variations outcomes european regions. Conclusion Mental cognition are determinants adults. highlights importance approaches interventions tailored promote healthy aging.

Language: Английский

Citations

0
Intrinsic Capacity and Its Dimensions in Relation to Functional Ability in Older Adults: A Systematic Review and Meta-Analysis DOI
Yilin Cheng, Weiyao Li,

Shuqin Xiao

et al.

Archives of Gerontology and Geriatrics, Journal Year: 2025, Volume and Issue: 135, P. 105860 - 105860

Published: April 18, 2025

Language: Английский

Citations

0
Intrinsic capacity trajectories and cardiovascular disease incidence among Chinese older adults: a population-based prospective cohort study DOI Creative Commons

Zhiting Guo,

Yuling Chen, Binu Koirala

et al.

BMC Geriatrics, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 23, 2025

Intrinsic capacity (IC), a composite of physical and mental capacities, is marker healthy aging. However, the association between changes in IC trajectories older adults onset cardiovascular diseases (CVD) remains unclear. To identify over time assess associations incidence CVD among adults. The prospective cohort study used data from China Health Retirement Longitudinal Study (CHARLS) 2011 2020. determine trajectory during 2011-2015, we included aged 60 years or without at baseline, who completed follow-up visits 2013 2015. We assessed through five domains (locomotion, sensory, vitality, cognition, psychology) using WHO framework. determined by self-reported diagnoses heart disease stroke. performed group-based model to trajectory, cox proportional hazard models estimate adjusted ratio (HR) for incident across different groups, adjusting sociodemographic factors, lifestyle health behaviors, metabolic factors. 3 336 with mean age 66.64 (SD:5.53) years, 49.4% were male. baseline score was 5.40 (SD:1.70). identified three trajectory: (1) moderate subsequent increase (61.3%), (2) low slow decline (27.61%), (3) high (11.09%). During average 6.78 1,351 cases CVD. After covariates, group 1.68 (95% CI: 1.38-2.04) times more likely develop CVD, compared group. Chinese heterogeneous. Low declining associated an increased risk incidence.

Language: Английский

Citations

0
Poor sleep quality is associated with probable sarcopenia in community-dwelling older adults: Results from the longevity check-up (lookup) 8+ DOI Creative Commons
Stefano Cacciatore, Riccardo Calvani, Julien Mancini

et al.

Experimental Gerontology, Journal Year: 2024, Volume and Issue: 200, P. 112666 - 112666

Published: Dec. 28, 2024

Poor sleep quality may contribute to sarcopenia, but evidence remains sparse. This retrospective cross-sectional study investigated the association between subjective and probable sarcopenia in a cohort of community-dwelling older adults enrolled Longevity Check-Up 8+ study.

Language: Английский

Citations

0
Sensitivity and Specificity of Three Measures of Intrinsic Capacity in Older People Aged 80 and Over in Nursing Homes DOI Creative Commons
Linlin Ma, Enjie Zheng,

Yi Fang

et al.

Clinical Interventions in Aging, Journal Year: 2024, Volume and Issue: Volume 19, P. 2179 - 2194

Published: Dec. 1, 2024

Intrinsic capacity (IC), a crucial indicator for the United Nations Decade of Healthy Ageing 2021-2030, is defined by WHO as foundation functional ability, representing composite all physical and mental capacities an individual. IC spans five function domains: Locomotor, psychological, cognitive, vitality, sensory (including vision hearing). Accurate assessment vital effective interventions, yet comparative analyses these tools are scarce. Consequently, we evaluated diagnostic accuracy three in individuals aged 80 above-Integrated care older people (ICOPE) Step 1, ICOPE 2, Lopez-Ortiz's scoring system. This cross-sectional analysis included total 475 participants ≥80 years between July 2023 January 2024 11 nursing homes Ningbo, Zhejiang Province, China. To assess that sociodemographic health-related information alongside tools. Diagnostic efficacy was gauged using sensitivity, specificity, negative predictive value (NPV), positive (PPV), accuracy, Youden index, area under curve (AUC). The detection decline exceeded 85% across methods. Using 2 benchmark, 1 showed robust performance four domains locomotion, whereas system generally ineffective. All methods have limitations. save resources, can be considered direct non-sensory domains. Conversely, systems exhibited overly stringent lenient thresholds, respectively. At this stage, cannot balance subjectivity objectivity; thus, it recommended appropriate tool selected according to actual application scenarios. Continuous improvement remains requirement future studies.

Language: Английский

Citations

0