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与墨西哥和哥伦比亚老年人内在能力下降相关的因素。

Factors Associated with the Deterioration of Intrinsic Capacity among Older Adults in Mexico and Colombia.

机构信息

Programa de Enfermería, Universidad Católica de Manizales, Manizales, Colombia.

Facultad de Enfermería de Tampico, Universidad Autónoma de Tamaulipas, Tamaulipas, Mexico.

出版信息

Ann Geriatr Med Res. 2024 Jun;28(2):156-163. doi: 10.4235/agmr.23.0182. Epub 2024 Mar 13.

Abstract

BACKGROUND

Intrinsic capacity (IC) is defined as "all the physical and mental attributes possessed by the older person." This concept has gained momentum in recent years because it provides insights into the changes in the functional capacity of individuals during their life. This study examined common factors associated with IC decline among older adults in Mexico and Colombia.

METHODS

This cross-sectional, correlational study included 348 community-dwelling older adults. Sociodemographic, clinical, and family conditions were assessed as possible associated factors, and IC was analyzed across five domains: cognitive, locomotor, psychological, vitality (malnutrition through deficiency and excess), and sensory (visual and auditory). Parametric and non-parametric statistical analyses were performed.

RESULTS

The common factors associated with impairment according to domain were family dysfunctionality (cognitive domain); myocardial infarction, family dysfunctionality, age >80 years, home occupation, and not having a partner (locomotor domain); dysfunctional family and risk of falls (psychological domain); age >80 years and not having a partner (malnutrition by deficiency domain); age 60-79 years, walking <7,500 steps/day, and peripheral vascular disease (malnutrition by excess domain); risk of falling and being female (visual sensory domain); risk of falling (auditory sensory domain); and dysfunctional family and risk of falling (total intrinsic capacity).

CONCLUSION

Both populations had common sociodemographic, clinical, and familial factors that directly affected total IC stocks and their domains.

摘要

背景

内在能力(IC)被定义为“老年人所拥有的所有身体和精神属性”。近年来,这一概念越来越受到关注,因为它深入了解了个体在其一生中功能能力的变化。本研究调查了墨西哥和哥伦比亚老年人内在能力下降的常见相关因素。

方法

这是一项横断面、相关性研究,纳入了 348 名居住在社区的老年人。评估了社会人口统计学、临床和家庭状况等可能的相关因素,并分析了内在能力在五个领域的表现:认知、运动、心理、活力(营养不足和过剩)和感官(视觉和听觉)。进行了参数和非参数统计分析。

结果

根据领域与功能障碍相关的常见因素包括:家庭功能障碍(认知领域);心肌梗死、家庭功能障碍、年龄>80 岁、家庭职业和没有伴侣(运动领域);功能失调的家庭和跌倒风险(心理领域);年龄>80 岁和没有伴侣(营养不足领域);年龄 60-79 岁、每天行走<7500 步和外周血管疾病(营养过剩领域);跌倒风险和女性(视觉感官领域);跌倒风险(听觉感官领域);以及家庭功能障碍和跌倒风险(总内在能力)。

结论

这两个群体都有共同的社会人口统计学、临床和家庭因素,这些因素直接影响了总内在能力储备及其各个领域。

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Intrinsic Capacity Predicts Negative Health Outcomes in Older Adults.内在能力预测老年人的负面健康结果。
J Gerontol A Biol Sci Med Sci. 2022 Jan 7;77(1):101-105. doi: 10.1093/gerona/glab279.

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