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

Association of intrinsic capacity with functional decline and mortality in older adults: a systematic review and meta-analysis of longitudinal studies DOI Creative Commons
Juan Luis Sánchez‐Sánchez, Wan‐Hsuan Lu, Daniel Gallardo‐Gómez

et al.

The Lancet Healthy Longevity, Journal Year: 2024, Volume and Issue: 5(7), P. e480 - e492

Published: June 27, 2024

Language: Английский

Citations

16
Intrinsic capacity and recent falls in adults 80 years and older living in the community: results from the ilSIRENTE Study DOI Creative Commons
Stefano Cacciatore, Emanuele Marzetti, Riccardo Calvani

et al.

Aging Clinical and Experimental Research, Journal Year: 2024, Volume and Issue: 36(1)

Published: Aug. 10, 2024

Abstract Background Falls in older adults significantly impact overall health and healthcare costs. Intrinsic capacity (IC) reflects functional reserve is an indicator of healthy aging. Aims To explore the association between IC recent falls (≤ 90 days) community-dwelling octogenarians from Aging Longevity Sirente geographic area (IlSIRENTE) study. Methods The Minimum Data Set for Home Care (MDS−HC) supplementary questionnaires tests were used to assess five domains: locomotion, cognition, vitality, psychology, sensory. Scores each domain rescaled using percent maximum possible score method averaged obtain (range 0−100). Results study included 319 participants (mean age 85.5 ± 4.8 years, 67.1% women). Mean was 80.5 14.2. optimal cut-off predicting two-year risk incident loss at least one activity daily living (ADL) determined validated a subset 240 individuals without ADL disability baseline 84.7 4.4 Participants then stratified into low (< 77.6) high (≥ categories. Those with (63.9%) younger, more often males, had lower prevalence falls, disability, multimorbidity, polypharmacy. Logistic regression models including as continuous variable revealed significant higher odds falls. This unadjusted (odds ratio [OR] 0.96, 95% confidence interval [CI] 0.94–0.98, p < 0.001), age- sex-adjusted (OR CI fully adjusted 0.93–0.99, = 0.003). When considering categorical variable, logistic showed strong 0.31, 0.16–0.60, 0.001). remained both 0.30, 0.15–0.59, 0.001) 0.33, 0.16–0.82, 0.007). locomotion independently associated 0.98, 0.97–0.99, 0.97, 0.96–0.99, model Discussion first MDS−HC-derived instrument IC. Individuals less likely report being domain. Conclusions Lower linked increased Interventions maintain improve IC, especially domain, may reduce fall octogenarians.

Language: Английский

Citations

6
Umbrella Review of Nonpharmacological Interventions for Intrinsic Capacity in Older Adults DOI
Yu‐Tai Lo, Hui‐Chen Su,

Chanisara Chuenchomnoy

et al.

Ageing Research Reviews, Journal Year: 2025, Volume and Issue: unknown, P. 102742 - 102742

Published: April 1, 2025

Language: Английский

Citations

0
The Longitudinal Aging Study Amsterdam: design and cohort update 2025 DOI Creative Commons
Emiel O. Hoogendijk, Natasja M. van Schoor, Yuwei Qi

et al.

European Journal of Epidemiology, Journal Year: 2025, Volume and Issue: unknown

Published: May 14, 2025

Language: Английский

Citations

0
Fragilidad y capacidad intrínseca; del concepto teórico a la aplicabilidad clínica DOI

Juan Manuel Pérez-Castejón,

Francesç Formiga

Revista Española de Geriatría y Gerontología, Journal Year: 2024, Volume and Issue: 59(5), P. 101483 - 101483

Published: March 29, 2024

Citations

2
The development of intrinsic capacity measures for longitudinal research: The Longitudinal Aging Study Amsterdam DOI Creative Commons
Yuwei Qi, L. Schaap, Benjamin D. Schalet

et al.

Experimental Gerontology, Journal Year: 2024, Volume and Issue: 197, P. 112599 - 112599

Published: Oct. 9, 2024

The World Health Organization has introduced the construct of intrinsic capacity (IC) as an important component healthy ageing and overall well-being in older adults present study aimed to develop domain-specific composite IC scores validate these by examining their longitudinal relation with functioning.

Language: Английский

Citations

1
Intrinsic capacity loss rates and protective factors among individuals aged 80 years and older in Chinese nursing homes: A latent class analysis DOI Creative Commons
Linlin Ma, Enjie Zheng,

Yi Fang

et al.

Geriatric Nursing, Journal Year: 2024, Volume and Issue: 60, P. 42 - 51

Published: Aug. 31, 2024

Prior to this cross-sectional study, the intrinsic capacity (IC) loss rates and protective factors in nursing homes for individuals aged 80 older remained unexplored. Analysing 434 participants, study found 86.9 % of experienced at least one IC domain, with detailed losses locomotion, vision, vitality, hearing, psychological, cognitive capacities 83.2 %, 52.8 50.9 46.5 44.9 44.0 respectively. Following latent class analysis (LCA), five distinct impairment patterns were noted, locomotor emerging as a central component across most classes. persons years included financial stability, being male or younger within cohort, junior high school higher education, married, no smoking history, manageable comorbidity levels, minimal medication use, good sleep, not using assistive devices. Based on these classes, provides potential practical framework alongside recommendations care strategies oldest-old, emphasising importance function maintaining overall IC.

Language: Английский

Citations

1
Understanding individual differences in happiness sources using open datasets: Exploring implications for health technology design (Preprint) DOI Creative Commons
Edel Ennis, Raymond Bond, Maurice Mulvenna

et al.

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 9, P. e65658 - e65658

Published: Dec. 18, 2024

Background Psychologists have developed frameworks to understand many constructs, which subsequently informed the design of digital mental health interventions (DMHIs) aimed at improving outcomes. The science happiness is one such domain that holds significant applied importance due its links well-being and evidence can be cultivated through interventions. However, as with unique ways in individuals experience present major challenges for designing personalized DMHIs. Objective This paper aims (1) an analysis how sex may interact age, marital status, parental status predict individual differences sources happiness, (2) a preliminary discussion open datasets contribute process health-related technology innovations. Methods HappyDB database 100,535 statements what people consider made them happy, some asking past 24 hours (49,831 statements) considering last 3 months (50,704 statements). Demographic information also provided. Binary logistic regression analyses are used determine whether various groups differed their likelihood selecting or not category source happiness. Results Sex age interacted influence was selected patterns being less consistent among female comparison male individuals. For were predominantly between married those who divorced separated, but these same both sexes. Married, single, widowed all largely similar each categories there anomalies, appeared important anomalies. Conclusions interacts reporting affection, bonding, leisure, achievement, enjoying moment contribution dataset understanding discussed terms potential role addressing DMHIs ethical, responsible, based, acceptable, engaging, inclusive, effective users. considers content general benefit from exploring new methods by diverse data sources. It proposed examining extent insights nondigital settings inform requirements gathering warranted.

Language: Английский

Citations

1
Value shift in response to aging: A longitudinal study based on healthy aging DOI Creative Commons

Yiran Shen,

Xinjiao Cheng,

Xue Sang

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: March 27, 2024

Abstract Objective Healthy aging is considered an effective way to deal with the challenges of aging. Intrinsic capacity(IC) and functional ability (FA) are key elements this concept. However, relationship between two has not been explored in detail. Methods A theoretical model was constructed by analyzing concept “health quantification.” national database (China Health Retirement Longitudinal Study, CHARLS) used as data source for study. range physical mental measures were employed construct intrinsic abilities using factor analysis, a measure disability proxy FA. Descriptive regression analyses also conducted preliminarily assess distribution variables on IC). This study cross-lagged models examine structural effect differences IC FA longitudinal manner, along mediation analysis analyze mechanism two. Results showed normal increasing trend education income. In indicate significant effects direction. The greater than that IC; such tends intensify over time. Furthermore, multimorbidity mediates FA, but mediating very large. Finally, social participation did significantly mediate IC. Conclusion provides novel insights into evolution disability, which discovery disease only process outcome disability. suggests policymakers should focus identifying disease, assessing, maintaining, providing intervention before disease. authorities promote implementation people-centered rather disease-centered health delivery system achieve value transformation.

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