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

BACKGROUND: Intrinsic capacity (IC) is conceptualized by World Health Organization (WHO) with a focus on healthy aging. Identifying impairment could help in making a person-centred plan for the care of older adults. OBJECTIVES: Establish the prevalence of IC among community-dwelling older adults age...

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Autores principales: Rarajam Rao, Abhijith, Waris, Mujtaba, Saini, Mamta, Thakral, Meenal, Hegde, Karan, Bhagwasia, Manjusha, Adikari, Prabha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148741/
https://www.ncbi.nlm.nih.gov/pubmed/37128497
http://dx.doi.org/10.1155/2023/4386415
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author Rarajam Rao, Abhijith
Waris, Mujtaba
Saini, Mamta
Thakral, Meenal
Hegde, Karan
Bhagwasia, Manjusha
Adikari, Prabha
author_facet Rarajam Rao, Abhijith
Waris, Mujtaba
Saini, Mamta
Thakral, Meenal
Hegde, Karan
Bhagwasia, Manjusha
Adikari, Prabha
author_sort Rarajam Rao, Abhijith
collection PubMed
description BACKGROUND: Intrinsic capacity (IC) is conceptualized by World Health Organization (WHO) with a focus on healthy aging. Identifying impairment could help in making a person-centred plan for the care of older adults. OBJECTIVES: Establish the prevalence of IC among community-dwelling older adults age >60, the prevalence of impairment in each domain, and identify factors associated with an impairment in IC. METHODS: This cross-sectional observational study in the community setting included 1000 older adults aged 60 years and above in two-year study period. The 6 domains of IC including cognition, locomotor capacity, psychological, vitality, hearing, and vision were derived from the comprehensive geriatric assessment. The IC composite score was calculated based on these domains, and a higher IC score indicated greater IC. RESULTS: During the study period, 1000 older adults, with the median age of 66.5 (IQR-63-73) were included, and 629 (62.9%) were women. Only in 157 (15.7%) community-dwelling older adults, all 6 domains were intact. Impairment in one, two, and three domains was seen in 442 (42.2%), 305 (30.5%), and 91 (9.1%), respectively. The most prevalent impaired domain was locomotor (593, 59.3%), followed by vision (441, 44.1%), hearing (193, 19.3%), cognition (106, 10.6%), mood (38, 3.8%), and vitality (37, 3.7%). The factors associated with lower IC included increasing age (β-coefficient −0.01, 95% CI: −0.02 to −0.01, p value = 0.002), impaired activities of daily living (β-coefficient −0.13, 95% CI: −0.49 to −0.18, p value <0.001), and chronic neurologic illness (β-coefficient −0.10, 95% CI: −0.77 to −0.18, p value = 0.001). CONCLUSIONS: In conclusion, we found that impairment in IC was frequent in community-dwelling older adults, and it is associated with age, presence of chronic neurologic illness, and declining functionality. The adoption of IC should be seen as an opportunity to disseminate geriatric care in our healthcare systems which lack the necessary attention to the needs of older persons.
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spelling pubmed-101487412023-04-30 Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India Rarajam Rao, Abhijith Waris, Mujtaba Saini, Mamta Thakral, Meenal Hegde, Karan Bhagwasia, Manjusha Adikari, Prabha Curr Gerontol Geriatr Res Research Article BACKGROUND: Intrinsic capacity (IC) is conceptualized by World Health Organization (WHO) with a focus on healthy aging. Identifying impairment could help in making a person-centred plan for the care of older adults. OBJECTIVES: Establish the prevalence of IC among community-dwelling older adults age >60, the prevalence of impairment in each domain, and identify factors associated with an impairment in IC. METHODS: This cross-sectional observational study in the community setting included 1000 older adults aged 60 years and above in two-year study period. The 6 domains of IC including cognition, locomotor capacity, psychological, vitality, hearing, and vision were derived from the comprehensive geriatric assessment. The IC composite score was calculated based on these domains, and a higher IC score indicated greater IC. RESULTS: During the study period, 1000 older adults, with the median age of 66.5 (IQR-63-73) were included, and 629 (62.9%) were women. Only in 157 (15.7%) community-dwelling older adults, all 6 domains were intact. Impairment in one, two, and three domains was seen in 442 (42.2%), 305 (30.5%), and 91 (9.1%), respectively. The most prevalent impaired domain was locomotor (593, 59.3%), followed by vision (441, 44.1%), hearing (193, 19.3%), cognition (106, 10.6%), mood (38, 3.8%), and vitality (37, 3.7%). The factors associated with lower IC included increasing age (β-coefficient −0.01, 95% CI: −0.02 to −0.01, p value = 0.002), impaired activities of daily living (β-coefficient −0.13, 95% CI: −0.49 to −0.18, p value <0.001), and chronic neurologic illness (β-coefficient −0.10, 95% CI: −0.77 to −0.18, p value = 0.001). CONCLUSIONS: In conclusion, we found that impairment in IC was frequent in community-dwelling older adults, and it is associated with age, presence of chronic neurologic illness, and declining functionality. The adoption of IC should be seen as an opportunity to disseminate geriatric care in our healthcare systems which lack the necessary attention to the needs of older persons. Hindawi 2023-04-22 /pmc/articles/PMC10148741/ /pubmed/37128497 http://dx.doi.org/10.1155/2023/4386415 Text en Copyright © 2023 Abhijith Rarajam Rao et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rarajam Rao, Abhijith
Waris, Mujtaba
Saini, Mamta
Thakral, Meenal
Hegde, Karan
Bhagwasia, Manjusha
Adikari, Prabha
Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title_full Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title_fullStr Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title_full_unstemmed Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title_short Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India
title_sort prevalence and factors associated with impairment in intrinsic capacity among community-dwelling older adults: an observational study from south india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148741/
https://www.ncbi.nlm.nih.gov/pubmed/37128497
http://dx.doi.org/10.1155/2023/4386415
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