Department of Geriatrics, Xuanwu Hospital, Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, PR China.
Department of Geriatrics, Xuanwu Hospital, Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, PR China.
Arch Gerontol Geriatr. 2024 Sep;124:105452. doi: 10.1016/j.archger.2024.105452. Epub 2024 Apr 22.
BACKGROUNDS: Intrinsic capacity (IC), the sum of individual mental and physical capabilities, as well as living environment and behavior, jointly determine the functional ability of older adults, shifting the focus from disease to function. At the population level, IC in older adults is associated with adverse health outcomes, such as disability, falls, and death. At the individual level, IC changes dynamically. However, studies on the longitudinal IC trajectory and the factors influencing IC deterioration are limited. We aimed to analyze the IC trajectory and explore the risk factors for IC deterioration in Chinese older adults. METHODS: Data were obtained from the baseline (2011-2012) and 4-year follow-up (2015) CHARLS surveys, including 1906 people aged 60 years and older. IC comprises six dimensions: locomotion, vitality, hearing, vision, cognition, and psychology. IC trajectory was categorized into three groups: improved, maintained, and deteriorated. Logistic regression analysis was used to analyze factors influencing the trajectory of IC deterioration. RESULTS: After 4 years, 32.1 % had deteriorated, 38.5 % remained stable, and 29.4 % had improved. Age, low level of education, widowed were independently associated with IC deterioration. CONCLUSIONS: Dynamic IC monitoring supports the development of individualized intervention policies to delay or prevent IC deterioration.
背景:内在能力(IC)是个人的心理和生理能力、生活环境和行为的总和,共同决定了老年人的功能能力,将关注点从疾病转移到功能上。在人群水平上,老年人的 IC 与不良健康结果相关,如残疾、跌倒和死亡。在个体水平上,IC 会发生动态变化。然而,关于老年人 IC 轨迹的纵向研究以及影响 IC 恶化的因素的研究有限。我们旨在分析中国老年人的 IC 轨迹,并探讨影响 IC 恶化的风险因素。
方法:数据来自基线(2011-2012 年)和 4 年随访(2015 年)的 CHARLS 调查,共纳入 1906 名 60 岁及以上老年人。IC 包括六个维度:运动能力、活力、听力、视力、认知和心理。IC 轨迹分为三组:改善、维持和恶化。使用逻辑回归分析影响 IC 恶化轨迹的因素。
结果:4 年后,32.1%的人 IC 恶化,38.5%的人 IC 保持稳定,29.4%的人 IC 改善。年龄、低教育水平、丧偶与 IC 恶化独立相关。
结论:动态 IC 监测支持制定个性化干预政策,以延缓或预防 IC 恶化。
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