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Prevalence of intrinsic capacity decline among community-dwelling older adults: a systematic review and meta-analysis.

作者信息

Cao Xia, Yi Xuanzi, Chen Hui, Tian Yusheng, Li Sihong, Zhou Jiansong

机构信息

Health Management Center, The Third Xiangya Hospital of Central South University, No. 138, Tongzipo Road, Changsha, 410013, China.

Department of General Practice, The Third Xiangya Hospital of Central South University, No. 138, Tongzipo Road, Changsha, 410013, China.

出版信息

Aging Clin Exp Res. 2024 Aug 1;36(1):157. doi: 10.1007/s40520-024-02816-5.


DOI:10.1007/s40520-024-02816-5
PMID:39088112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11294388/
Abstract

BACKGROUND: The concept of intrinsic capacity (IC) was introduced to define healthy aging and active aging based on functional capacity, yet there is limited understanding of the risk of IC decline at a population level. AIMS: To consolidate existing evidence for rates of IC decline and risk factors among community-dwelling adults 60 years or older. METHODS: According to the PRISMA guidelines, the literature search was independently conducted by two researchers in 8 databases from inception to January 2024 without language restrictions using combinations of free words and subject words. Qualities of included studies were assessed using Joanna Briggs Institute's (JBI's) critical appraisal checklist for prevalence studies. To pool the data, a random-effect meta-analysis was performed, followed by subgroup analysis and sensitivity analysis. All analyses were performed by Stata14.0. RESULTS: From 1594 records, 15 studies were extracted with 33,070 participants for meta-analysis. The pooled prevalence of IC decline in community settings was 67.8% (95% CI: 57.0-78.5%; P < 0.001). The prevalence of IC decline in China (66.0%; 95% CI: 53.2-78.9%) was found to be slightly lower than in other countries/regions (73.0%; 95% CI: 59.8-86.3%); however, this difference was not statistically significant. Other subgroup analyses revealed no statistically significant differences in prevalence. Age, hypertension, diabetes, gender, education level, living status, smoking, regular exercise, marital status, and osteoarthritis are associated with IC decline. CONCLUSION: More than two-thirds of older adults in the community are affected by IC decline, and age, hypertension, diabetes, female sex, low education level, living alone, smoking, irregular exercise, unmarried, and osteoarthritis are all risk factors for IC decline.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/661f0f227c16/40520_2024_2816_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/d187df8b71ca/40520_2024_2816_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/11fbf1316a08/40520_2024_2816_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/be1510c608b9/40520_2024_2816_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/661f0f227c16/40520_2024_2816_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/d187df8b71ca/40520_2024_2816_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/11fbf1316a08/40520_2024_2816_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/be1510c608b9/40520_2024_2816_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0e/11294388/661f0f227c16/40520_2024_2816_Fig4_HTML.jpg

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Prevalence of intrinsic capacity decline among community-dwelling older adults: a systematic review and meta-analysis.

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引用本文的文献

[1]
How does intergenerational support from adult children shape the intrinsic capacity of older adults? Empirical evidence from the CHARLS.

Aging Clin Exp Res. 2025-8-31

[2]
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[3]
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Aging Clin Exp Res. 2025-8-20

[4]
Intrinsic Capacity of Chinese Community-Dwelling Older Adults Using WHO Integrated Care for Older People (ICOPE) Framework: Structural Equation Model Analysis.

J Prim Care Community Health. 2025

[5]
Transitions and trajectories in intrinsic capacity states over time: a systematic review.

BMC Geriatr. 2025-6-4

[6]
Development and evaluation of a Physiotherapy-led, WHO-ICOPE-Based, Person-Centered Integrated Care Program (PTICOPE) module to enhance intrinsic capacity in older adults: Protocol for a randomized controlled trial.

PLoS One. 2025-3-19

[7]
Prevalence of multiple long-term chronic conditions and associated disabilities among community-dwelling adults in Riyadh.

Front Public Health. 2024

本文引用的文献

[1]
Visit-to-visit blood pressure variability is associated with intrinsic capacity decline: Results from the MAPT Study.

Eur J Intern Med. 2024-7

[2]
Towards a core outcome set (COS) for intrinsic capacity (IC) intervention studies in adults in midlife and beyond: a scoping review to identify frequently used outcomes and measurement tools.

Aging Clin Exp Res. 2024-3-5

[3]
Comparative Analysis of Intrinsic Capacity Impairments, Determinants, and Clinical Consequences in Older Community-Dwellers in Japan and Taiwan: Longitudinal Studies Showing Shared Traits and Distinct Presentations.

J Nutr Health Aging. 2023

[4]
Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework.

BMC Geriatr. 2023-10-10

[5]
Diagnostic performance analysis of the Integrated Care for Older People (ICOPE) screening tool for identifying decline in intrinsic capacity.

BMC Geriatr. 2023-8-23

[6]
Association of intrinsic capacity with incidence and mortality of cardiovascular disease: Prospective study in UK Biobank.

J Cachexia Sarcopenia Muscle. 2023-10

[7]
Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India.

Curr Gerontol Geriatr Res. 2023-4-22

[8]
Dietary diversity and overweight are associated with high intrinsic capacity among Chinese urban older adults (2020-2021).

Exp Gerontol. 2023-6-15

[9]
Trajectories of Intrinsic Capacity: Determinants and Associations with Disability.

J Nutr Health Aging. 2023

[10]
Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study.

BMC Geriatr. 2023-2-21

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