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中国社区老年人内在能力轨迹:中国健康与退休纵向研究。

Trajectory of intrinsic capacity among community-dwelling older adults in China: The China health and retirement longitudinal study.

机构信息

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.

出版信息

Arch Gerontol Geriatr. 2024 Sep;124:105452. doi: 10.1016/j.archger.2024.105452. Epub 2024 Apr 22.


DOI:10.1016/j.archger.2024.105452
PMID:38728820
Abstract

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.

摘要

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。

相似文献

[1]
Trajectory of intrinsic capacity among community-dwelling older adults in China: The China health and retirement longitudinal study.

Arch Gerontol Geriatr. 2024-9

[2]
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J Glob Health. 2024-10-11

[3]
Associations between transitions of intrinsic capacity and frailty status, and 3-year disability.

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[4]
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[5]
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

[6]
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[7]
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[8]
The Association between Physical Activity and Intrinsic Capacity in Chinese Older Adults and Its Connection to Primary Care: China Health and Retirement Longitudinal Study (CHARLS).

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[9]
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[10]
Nutritional risk and adverse health outcomes in Chinese community-dwelling older adults: A study based on the Elderly Nutritional Indicators for Geriatric Malnutrition Assessment (ENIGMA).

Nutrition. 2024-10

引用本文的文献

[1]
Impact of a nurse-led multidomain intervention on intrinsic capacity among community-dwelling older adults in China: a cluster randomized trial.

BMC Public Health. 2025-8-31

[2]
The association between sleep duration trajectories and intrinsic capacity in middle-aged and older adults in China: a longitudinal Chinese study assessing healthy aging.

Front Med (Lausanne). 2025-7-7

[3]
Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study.

Arch Public Health. 2025-6-23

[4]
The trajectory of intrinsic capacity and its related factors among elderly Chinese patients with cardiovascular disease: a prospective cohort study.

Front Endocrinol (Lausanne). 2025-5-27

[5]
The relationship between intrinsic capacity and sarcopenia in middle-aged and older Chinese populations: the mediating influence of a novel nutritional index.

Front Public Health. 2025-5-21

[6]
Transitions and trajectories in intrinsic capacity states over time: a systematic review.

BMC Geriatr. 2025-6-4

[7]
Effects of S-ketamine on recovery quality in elderly patients with impaired intrinsic capacity after total knee arthroplasty: a single-centre, randomised, double-blind, placebo-controlled study protocol.

BMJ Open. 2025-4-25

[8]
Intrinsic capacity trajectories and cardiovascular disease incidence among Chinese older adults: a population-based prospective cohort study.

BMC Geriatr. 2025-4-23

[9]
Dose-response relationship between nighttime sleep duration and intrinsic capacity declines among Chinese elderly: a cross-sectional study from CHARLS.

BMC Public Health. 2025-3-17

[10]
Decoding the phenotypic mosaic of aging.

Nat Aging. 2024-9

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