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Intrinsic Capacity vs. Multimorbidity: A Function-Centered Construct Predicts Disability Better Than a Disease-Based Approach in a Community-Dwelling Older Population Cohort.

作者信息

Zhao Jing, Chhetri Jagadish K, Chang Yi, Zheng Zheng, Ma Lina, Chan Piu

机构信息

Department of Geriatrics, Neurology and Neurobiology, National Clinical Research Center for Geriatric Disease, Xuanwu Hospital of Capital Medical University, Beijing, China.

Department of Respiration, Xuanwu Hospital of Capital Medical University, Beijing, China.

出版信息

Front Med (Lausanne). 2021 Sep 28;8:753295. doi: 10.3389/fmed.2021.753295. eCollection 2021.


DOI:10.3389/fmed.2021.753295
PMID:34651003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8505775/
Abstract

This study aimed to assess the status of intrinsic capacity (IC)-a novel function-centered construct proposed by the WHO and examine whether impairment in IC predicts subsequent 1-year activities of daily living (ADL) disability better than a disease-based approach, i. e., multimorbidity status. This study included data of community-dwelling older adults from the Beijing Longitudinal Study on Aging II aged 65 years or older who were followed up at 1 year. Multivariate logistic regressions were performed to estimate the odds of ADL disability at baseline and 1-year follow-up. A total of 7,298 older participants aged 65 years or older were included in the current study. About 4,742 older adults were followed up at 1 year. At baseline, subjects with a higher impairment in IC domains showed higher odds of ADL disability [adj. odds ratio (OR) = 9.51 for impairment in ≥3 domains, area under the curve (AUC) = 0.751] compared to much lower odds of ADL disability in subjects with a higher number (≥3) of chronic diseases (adj. OR 3.92, AUC = 0.712). At 1-year follow-up, the overall incidence of ADL disability increased with the impairment in IC domains higher than the increase in multimorbidity status. A higher impairment in IC domains showed higher odds of incidence ADL disability for impairment in 2 or ≥3 IC domains (adj. OR 2.32 for impairment in ≥3 domains, adj. OR 1.43 for impairment in two domains, AUC = 0.685). Only subjects who had ≥3 chronic diseases had higher odds of 1-year incident ADL disability (adj. OR 1.73, AUC = 0.681) that was statistically significant. Our results imply that a function-centered construct could have higher predictability of disability compared to the multimorbidity status in community older people. Our results need to be confirmed by studies with longer follow-up.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/59393e62d3c5/fmed-08-753295-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/5a6c0196a2b0/fmed-08-753295-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/5244f967d569/fmed-08-753295-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/59393e62d3c5/fmed-08-753295-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/5a6c0196a2b0/fmed-08-753295-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/5244f967d569/fmed-08-753295-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/8505775/59393e62d3c5/fmed-08-753295-g0003.jpg

相似文献

[1]
Intrinsic Capacity vs. Multimorbidity: A Function-Centered Construct Predicts Disability Better Than a Disease-Based Approach in a Community-Dwelling Older Population Cohort.

Front Med (Lausanne). 2021-9-28

[2]
Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings From ICOPE Pilot in China.

Front Med (Lausanne). 2020-11-30

[3]
The association of multimorbidity and disability in a community-based sample of elderly aged 80 or older in Shanghai, China.

BMC Geriatr. 2016-10-27

[4]
Screening for intrinsic capacity impairments as markers of increased risk of frailty and disability in the context of integrated care for older people: Secondary analysis of MAPT.

Maturitas. 2021-8

[5]
Intrinsic capacity and multimorbidity predicting incident disability-Insights from the I-Lan Longitudinal Aging Study.

Arch Gerontol Geriatr. 2024-6

[6]
Intrinsic capacity and recent falls in adults 80 years and older living in the community: results from the ilSIRENTE Study.

Aging Clin Exp Res. 2024-8-10

[7]
The effect of cognitive impairment on the predictive value of multimorbidity for the increase in disability in the oldest old: the Leiden 85-plus Study.

Age Ageing. 2011-3-17

[8]
Patterns of intrinsic capacity trajectory and onset of activities of daily living disability among community-dwelling older adults.

J Glob Health. 2024-10-11

[9]
Patterns of multimorbidity and risk of disability in community-dwelling older persons.

Aging Clin Exp Res. 2021-2

[10]
[Incidence of activities of daily living disability and related factors in community-dwelling older adults in China].

Zhonghua Liu Xing Bing Xue Za Zhi. 2019-3-10

引用本文的文献

[1]
Association between multimorbidity and capacity impairment in the adult population of Chile: findings of the National Health Survey 2016-2017.

BMJ Open. 2025-7-30

[2]
Intrinsic Capacity of Chinese Community-Dwelling Older Adults Using WHO Integrated Care for Older People (ICOPE) Framework: Structural Equation Model Analysis.

J Prim Care Community Health. 2025

[3]
Research on intrinsic capacity as a predictor of falls and disability in community-dwelling elderly.

Front Aging. 2025-5-30

[4]
Transitions and trajectories in intrinsic capacity states over time: a systematic review.

BMC Geriatr. 2025-6-4

[5]
Implications of intrinsic capacity subtypes for post-PCI patients older than 45.

Sci Rep. 2025-4-5

[6]
Intrinsic capacity in patients with dementia with Lewy bodies compared with those with Alzheimer's disease: A cross-sectional study.

J Nutr Health Aging. 2025-6

[7]
Developmental Trajectories of Intrinsic Capacity Among Older Adults: Results from the China Longitudinal Study of Aging.

Healthcare (Basel). 2025-2-27

[8]
A latent profile analysis of rest-activity behavior patterns among community-dwelling older adults and its relationship with intrinsic capacity.

Sci Rep. 2024-8-13

[9]
Prevalence of intrinsic capacity decline among community-dwelling older adults: a systematic review and meta-analysis.

Aging Clin Exp Res. 2024-8-1

[10]
Factors associated with intrinsic capacity impairment in hospitalized older adults: a latent class analysis.

BMC Geriatr. 2024-6-5

本文引用的文献

[1]
Intrinsic Capacity as a Determinant of Physical Resilience in Older Adults.

J Nutr Health Aging. 2021

[2]
Frailty in China: From Research to Practice.

J Nutr Health Aging. 2021

[3]
Intrinsic Capacity predicts adverse outcomes using Integrated Care for Older People screening tool in a senior community in Beijing.

Arch Gerontol Geriatr. 2021

[4]
Cross-sectional study examining the status of intrinsic capacity decline in community-dwelling older adults in China: prevalence, associated factors and implications for clinical care.

BMJ Open. 2021-1-5

[5]
Multimorbidity in Community-Dwelling Older Adults in Beijing: Prevalence and Trends, 2004-2017.

J Nutr Health Aging. 2021

[6]
Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings From ICOPE Pilot in China.

Front Med (Lausanne). 2020-11-30

[7]
In the quest of a Standard Index of Intrinsic Capacity. A Critical Literature Review.

J Nutr Health Aging. 2020

[8]
Geriatric medicine in China: an old but emerging subspecialty.

Age Ageing. 2021-1-8

[9]
A Multicenter Study of Multimorbidity in Older Adult Inpatients in China.

J Nutr Health Aging. 2020

[10]
The structure and predictive value of intrinsic capacity in a longitudinal study of ageing.

BMJ Open. 2019-11-2

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