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Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community.

作者信息

Liu Shuo, Kang Lin, Liu XiaoHong, Zhao SongQi, Wang XuePing, Li JiaoJiao, Jiang Shan

机构信息

Department of Geriatrics, Peking Union Medical College, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Taikang Yanyuan Continuing Care Retirement Community, Beijing, China.

出版信息

Front Med (Lausanne). 2021 Dec 9;8:751586. doi: 10.3389/fmed.2021.751586. eCollection 2021.


DOI:10.3389/fmed.2021.751586
PMID:34957141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8695757/
Abstract

The World Health Organization proposed intrinsic capacity (IC) model to guide the implementation of person-centered care plan aimed at preserving or reserving functional ability, especially in frail older adults. We aimed to show the trajectory of IC and the overlap between IC impairment and frailty and investigate the correlation between IC domains and frailty status transitions. Longitudinal observational study covering 230 community-dwelling older adults (mean age 84.0 ± 4.5 years) at baseline, and transition information at 2-year follow-up ( = 196). IC was measured by five domains: locomotion, cognition, vitality, psychological, and sensory. Frailty was defined by FRAIL Scale. IC and frailty status transitions were assessed. Logistic regression, odds ratios (OR) and 95% confidence interval (CI) were used for the analysis. The prevalence of frailty was 23.0% and increased up to 41.8% over two years. Regarding frailty transitions, 38.3% of older adults progressed to more frailty status, and 8.6% regressed to lesser frailty status. The prevalence of IC impairment was 67.9% and increased to 81.6% over two years. Regarding IC transitions, 49.2% of adults with no IC impairment at baseline kept stable, and 50.8% developed new IC impairment. Among individuals with IC impairment at baseline, 57.9% worsened, and 13.5% improved. Importantly, IC impairment at baseline existed in 42.4% robust adults, 83.3% pre-frail adults, and 93.3% frail adults. 47.1% individuals who kept non-frail status within two years experienced IC worsened transition. Univariable analysis illustrated that new impaired locomotion, vitality, cognition, and sensory domains increased the risk of non-frail progressed to frail status. After adjusting for covariables, new impaired locomotion (OR = 3.625, 95% CI: 1.348-9.747) and vitality domains (OR = 3.034, 95% CI: 1.229-7.487) were associated with a higher possibility of non-frail progressed to frail status. IC impairment and frailty overlap and co-exist in older adults. IC impairment, especially new impairment in locomotion and vitality are associated with the transitions from non-frail to frail status. It is important that geriatricians tightly monitor IC trajectory and find the new impaired domains to take early action to minimize the public health burden of frailty.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b056/8695757/09527551be53/fmed-08-751586-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b056/8695757/4a5d14580371/fmed-08-751586-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b056/8695757/09527551be53/fmed-08-751586-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b056/8695757/4a5d14580371/fmed-08-751586-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b056/8695757/09527551be53/fmed-08-751586-g0002.jpg

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[1]
Trajectory and Correlation of Intrinsic Capacity and Frailty in a Beijing Elderly Community.

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引用本文的文献

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[2]
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[4]
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[5]
Developmental Trajectories of Intrinsic Capacity Among Older Adults: Results from the China Longitudinal Study of Aging.

Healthcare (Basel). 2025-2-27

[6]
Factors influencing the self-management ability among older adults experiencing intrinsic capacity decline: a cross-sectional study.

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[7]
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[8]
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[9]
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[10]
Promote the integrated care in China.

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本文引用的文献

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

Arch Gerontol Geriatr. 2021

[3]
Plasma N-Terminal Pro-B-Type Natriuretic Peptide Is Associated with Intrinsic Capacity Decline in an Older Population.

J Nutr Health Aging. 2021

[4]
Validation of Two Intrinsic Capacity Scales and Its Relationship with Frailty and Other Outcomes in Mexican Community-Dwelling Older Adults.

J Nutr Health Aging. 2021

[5]
Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings From ICOPE Pilot in China.

Front Med (Lausanne). 2020-11-30

[6]
Hospital Complications and Frailty in Mexican Older Adults: An Emergency Care Cohort Analysis.

Front Med (Lausanne). 2020-9-29

[7]
Frailty among middle-aged and older Canadians: population norms for the frailty index using the Canadian Longitudinal Study on Aging.

Age Ageing. 2021-2-26

[8]
The structure and predictive value of intrinsic capacity in a longitudinal study of ageing.

BMJ Open. 2019-11-2

[9]
Management of frailty: opportunities, challenges, and future directions.

Lancet. 2019-10-12

[10]
Moving to a Continuing Care Retirement Community or Staying in the Community? A Comparison Between American and Israeli Older Adults.

J Appl Gerontol. 2020-11

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