
The journal of nutrition health & aging, Journal Year: 2025, Volume and Issue: 29(7), P. 100559 - 100559
Published: April 29, 2025
Vitality is a key domain of intrinsic capacity (IC) in healthy aging, but its measurement and relationships with other domains IC psychosocial constructs well-being remain understudied. This study examined associations between different vitality attributes as well including resilience happiness middle aged older adults, these were fundamental for establishing evidence-based interventions to promote aging. cross-sectional analysis included 981 participants (75.0% female 49.2% 65-74 years) from the Gan-Dau Healthy Longevity Plan wave 2 cohort. We assessed four attributes: nutritional status (self-reported appetite loss, self-reported weight Mini Nutritional Assessment-Short Form (MNA-SF)), energy (self-perceived fatigue), neuromuscular function (low grip strength, defined by Asian Working Group Sarcopenia (AWGS) 2019 criteria), circulating biomarkers metabolism (elevated C-reactive protein (CRP)>0.5 mg/dL). Other based on WHO ICOPE concept existing literature. Psychosocial evaluated using Brief Resilience Scale Chinese Happiness Inventory. Comparisons demographics distribution performed chi-square or Fisher's tests categorical variables t-tests continuous when appropriate. Multivariate logistic regression models generalized linear (GLMs) used investigate association impairments constructs, respectively. Among attributes, low strength was most prevalent (38.2%), followed suboptimal measured MNA-SF (15.4%), self-perceived fatigue (6.7%). Low significantly associated locomotion impairment (adjusted OR 1.70 [95% CI 1.25-2.31], p = 0.001) psychological (1.85 [1.26-2.73], 0.002). Although relatively uncommon, also showed strong (2.47 [1.44-4.23], (8.34 [4.83-14.37], < 0.001). All except loss elevated CRP correlated constructs. Our findings demonstrate that link (mainly psychological) finding highlights heterogeneity which it might not be single attribute only combination. Importantly, social factors strongly impairments, emphasizing critical role determinants assessment.
Language: Английский