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Validating intrinsic capacity to measure healthy aging in an upper middle-income country: Findings from the ELSI-Brazil.

作者信息

Aliberti Márlon J R, Bertola Laiss, Szlejf Claudia, Oliveira Déborah, Piovezan Ronaldo D, Cesari Matteo, de Andrade Fabíola Bof, Lima-Costa Maria Fernanda, Perracini Monica Rodrigues, Ferri Cleusa P, Suemoto Claudia K

机构信息

Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.

Research Institute, Hospital Sirio-Libanes, São Paulo, Brazil.

出版信息

Lancet Reg Health Am. 2022 May 27;12:100284. doi: 10.1016/j.lana.2022.100284. eCollection 2022 Aug.


DOI:10.1016/j.lana.2022.100284
PMID:36776430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9903598/
Abstract

BACKGROUND: While efforts have been made to validate intrinsic capacity (IC) as a multidimensional indicator of healthy aging in high-income countries, we still need evidence from lower-income countries. We examined associations of IC with wide ranges of activities of daily living in a nationally representative sample of Brazilians aged≥50 years. METHODS: This cross-sectional analysis included 7175 participants from the Brazilian Longitudinal Study of Aging. IC domains (cognitive, psychological, sensory, locomotor, and vitality) were determined using self-reported and physical performance measures. IC was operationalized through factorial analysis. We investigated associations of IC and its domains with functional ability in basic, instrumental, and advanced activities of daily living (ADL, IADL, and AADL) using logistic regressions adjusted for sociodemographic, clinical, and modifiable risk factors. FINDINGS: The IC bi-factorial model revealed satisfactory goodness-of-fit. Preserved ability in ADL and IADL, respectively, ranged from 69% and 29% to 89% and 74% across IC quartiles. In adjusted analyses, every standard deviation increment in IC composite score was associated with almost twice the odds of preserved ADL (OR=1·72; 95%CI=1·54-1·93), preserved IADL (OR=1·95; 95%CI=1·77-2·16), and high performance in AADL (OR=1·79; 95%CI=1·59-2·00). Similar results were reported using the IC domains as predictors. Although age, race/ethnicity, and education did not modify associations of IC with functional ability, we found sex differences with stronger relationships of IC with preserved ADL or IADL in females. INTERPRETATION: Our results support IC validity and reliability to measure healthy aging in diverse socioeconomic and cultural settings. Incorporating IC in routine practices can promote holistic and person-centered care approaches in aging societies. FUNDING: The Brazilian Ministry of Health and Ministry of Science, Technology, Innovation, and Communication.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/2517542ed98e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/a7da1c1c2cab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/4824734aa647/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/2517542ed98e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/a7da1c1c2cab/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/4824734aa647/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ad/9903598/2517542ed98e/gr3.jpg

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[1]
Validating intrinsic capacity to measure healthy aging in an upper middle-income country: Findings from the ELSI-Brazil.

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[6]
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[2]
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[3]
Association between multimorbidity and intrinsic capacity among older Chinese adults: evidence from the CHARLS 2011-2015.

Eur Geriatr Med. 2025-5-26

[4]
Reference centiles for intrinsic capacity to monitor clinical health outcomes in real-world primary care cohorts.

Nat Aging. 2025-5-13

[5]
Post-Discharge COVID-19 Symptoms Predict 1-Year Functional Decline, Falls, and Emergency Department Visits: A Cohort Study.

J Am Geriatr Soc. 2025-6

[6]
A functional approach to model intrinsic capacity in ageing trajectories.

Sci Rep. 2025-3-6

[7]
Incremental predictive value of intrinsic capacity and environmental characteristics in the risk prediction of incident disability.

JAR Life. 2025-1-31

[8]
CAREUP: An Integrated Care Platform with Intrinsic Capacity Monitoring and Prediction Capabilities.

Sensors (Basel). 2025-2-3

[9]
The role of socioeconomic factors in sex differences in intrinsic capacity among older adults: A cross-sectional study in Taiwan.

Prev Med Rep. 2024-10-9

[10]
Assessing intrinsic capacity for person-centred HIV care: a cross-sectional study in ageing populations in Malaysia and Hong Kong.

J Int AIDS Soc. 2025-1

本文引用的文献

[1]
WHO's report for the decade of healthy ageing 2021-30 sets the stage for globally comparable data on healthy ageing.

Lancet Healthy Longev. 2021-3

[2]
What Is Intrinsic Capacity and Why Should Nutrition Be Included in the Vitality Domain?

J Gerontol A Biol Sci Med Sci. 2022-1-7

[3]
Sex differences in functional limitations and the role of socioeconomic factors: a multi-cohort analysis.

Lancet Healthy Longev. 2021-12

[4]
Care for ageing populations globally.

Lancet Healthy Longev. 2021-4

[5]
The association of social frailty with intrinsic capacity in community-dwelling older adults: a prospective cohort study.

BMC Geriatr. 2021-9-27

[6]
Intrinsic Capacity Predicts Negative Health Outcomes in Older Adults.

J Gerontol A Biol Sci Med Sci. 2022-1-7

[7]
Intrinsic capacity and its associations with incident dependence and mortality in 10/66 Dementia Research Group studies in Latin America, India, and China: A population-based cohort study.

PLoS Med. 2021-9

[8]
Intrinsic Capacity: Validation of a New WHO Concept for Healthy Aging in a Longitudinal Chinese Study.

J Gerontol A Biol Sci Med Sci. 2022-1-7

[9]
Prevalence and factors associated with use of sleeping pills among older adults in Brazil.

Int J Pharm Pract. 2021-5-25

[10]
Frailty Modifies the Association of Hypertension With Cognition in Older Adults: Evidence From the ELSI-Brazil.

J Gerontol A Biol Sci Med Sci. 2021-5-22

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