Emmanuel Gonzalez-Bautista, Université Fédérale Toulouse Midi-Pyrénées, France,
J Nutr Health Aging. 2020;24(9):959-965. doi: 10.1007/s12603-020-1394-4.
OBJECTIVES: Intrinsic capacity is a composite of five domains that summarizes the physical and mental capacities of an individual. Intrinsic capacity is increasing in relevance for adapting health systems to population ageing. Therefore, our objective was to analyse how intrinsic capacity has been assessed in older adults and if these measurements have been validated, as an initial step towards the construction of a standard intrinsic capacity index. DESIGN: Narrative review with electronic searches performed in PubMed and Cochrane databases, including the studies which used the term "intrinsic capacity" in the context of human ageing and health. The full text was then accessed to select studies with at least one operationalised domain of intrinsic capacity. We also looked for information on the validity and reliability of the reported measures of intrinsic capacity. RESULTS: We included ten articles reporting a quantitative measurement of intrinsic capacity. There were two intrinsic capacity scores which combined retrospective data on the intrinsic capacity domains sub-scores, with low concordance among tests chosen to measure each domain. Two studies reported on reliability and validity of the IC scores. The main gaps in the construction and validation process were a) analysis undertaken with each domain separately rather than for the construct of intrinsic capacity, b) lack of a clear conceptual and operational definition of the vitality domain, c) summary score that depends upon the distribution of the study sample. CONCLUSION: Further validation of the intrinsic capacity concept is needed, together with more robust approaches to measure it. A standard index of IC has not been validated for translation into clinical or research purposes.
目的:内在能力是五个领域的综合,概括了个体的身体和精神能力。内在能力对于使卫生系统适应人口老龄化变得越来越重要。因此,我们的目的是分析老年人的内在能力是如何评估的,以及这些测量方法是否经过验证,作为构建标准内在能力指数的初步步骤。
设计:在 PubMed 和 Cochrane 数据库中进行电子检索的叙述性综述,包括在人类衰老和健康背景下使用“内在能力”一词的研究。然后全文查阅以选择至少有一个内在能力领域操作性定义的研究。我们还寻找了报告的内在能力测量方法的有效性和可靠性的信息。
结果:我们纳入了十篇报告内在能力定量测量的文章。有两个内在能力评分,它们结合了内在能力领域子评分的回顾性数据,但用于测量每个领域的测试一致性较低。两项研究报告了 IC 评分的可靠性和有效性。在构建和验证过程中存在的主要差距是:a)分别对每个领域进行分析,而不是对内在能力的结构进行分析,b)活力领域缺乏明确的概念和操作性定义,c)取决于研究样本分布的综合评分。
结论:需要进一步验证内在能力概念,以及更可靠的测量方法。尚未对用于临床或研究目的的内在能力标准指数进行验证。
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