PMID- 34189445
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240402
IS  - 2589-5370 (Electronic)
IS  - 2589-5370 (Linking)
VI  - 36
DP  - 2021 Jun
TI  - Neighbourhood physical environment, intrinsic capacity, and 4-year late-life 
      functional ability trajectories of low-income Chinese older population: A 
      longitudinal study with the parallel process of latent growth curve modelling.
PG  - 100927
LID - 10.1016/j.eclinm.2021.100927 [doi]
LID - 100927
AB  - BACKGROUND: Knowledge of how intrinsic capacity (IC) and neighbourhood physical 
      environment shape functional ability (FA) trajectories in later life remains 
      understudied. We investigated four-year trajectories of IC and their impact on FA 
      trajectories and the association between neighbourhood physical environment and 
      FA trajectories among community-dwelling older adults in Hong Kong, China. 
      METHODS: We conducted a four-wave longitudinal study from 2014 to 2017 in Hong 
      Kong with 2,081 adults aged 65 and above. FA was assessed by The Chinese Lawton 
      Instrumental Activities of Daily Living Scale. We used cognition, affect, 
      locomotion, sensory capacity, and vitality to capture the multiple domains of IC. 
      Neighbourhood physical environment attributes included green space, land use 
      diversity, and availability of facilities, assessed within 200- and 500-meter 
      buffers of respondents' homes. We used the parallel process of latent growth 
      curve model. FINDINGS: IC (Unstandardized coefficient, beta = -0.02, p<0.001) and FA 
      (beta = -0.20, p<0.001) each decreased significantly over time. Individuals with 
      declines in IC experienced a faster decline in FA over time. Green space within a 
      200-meter buffer (beta = 1.15, p = 0.023), the number of leisure (beta = 0.03, 
      p = .0.043) and public transport (beta = 0.08, p = .0.003) facilities within a 
      500-meter buffer slowed the rate of FA decline. INTERPRETATION: The level of FA 
      decreased over time in later life. Changes in IC shaped FA trajectories. 
      Increased residential green space and the number of leisure and public transport 
      facilities in the neighbourhood may help slow FA decline over time. FUNDING: The 
      Hong Kong Housing Society.
CI  - (c) 2021 The Author(s).
FAU - Lu, Shiyu
AU  - Lu S
AD  - Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, China.
FAU - Liu, Yuqi
AU  - Liu Y
AD  - Department of Social Work and Social Administration, The University of Hong Kong, 
      Hong Kong, China.
FAU - Guo, Yingqi
AU  - Guo Y
AD  - Department of Social Work and Social Administration, The University of Hong Kong, 
      Hong Kong, China.
FAU - Ho, Hung Chak
AU  - Ho HC
AD  - Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, 
      China.
FAU - Song, Yimeng
AU  - Song Y
AD  - Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic 
      University, Hung Hom, Hong Kong, China.
AD  - Smart Cities Research Institute, The Hong Kong Polytechnic University, Hung Hom, 
      Hong Kong, China.
FAU - Cheng, Wei
AU  - Cheng W
AD  - Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, 
      China.
FAU - Chui, Cheryl Hiu Kwan
AU  - Chui CHK
AD  - Department of Social Work and Social Administration, The University of Hong Kong, 
      Hong Kong, China.
FAU - Chan, On Fung
AU  - Chan OF
AD  - Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, China.
FAU - Webster, Chris
AU  - Webster C
AD  - Faculty of Architecture, The University of Hong Kong, Hong Kong, China.
FAU - Chiu, Rebecca Lai Har
AU  - Chiu RLH
AD  - Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, 
      China.
FAU - Lum, Terry Yat Sang
AU  - Lum TYS
AD  - Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, China.
AD  - Department of Social Work and Social Administration, The University of Hong Kong, 
      Hong Kong, China.
LA  - eng
PT  - Journal Article
DEP - 20210616
PL  - England
TA  - EClinicalMedicine
JT  - EClinicalMedicine
JID - 101733727
PMC - PMC8219998
COIS- The Authors were supported by the Hong Kong Housing Society to conduct the 
      longitudinal survey. They have no other conflicts to declare.
EDAT- 2021/07/01 06:00
MHDA- 2021/07/01 06:01
PMCR- 2021/06/16
CRDT- 2021/06/30 06:47
PHST- 2021/03/17 00:00 [received]
PHST- 2021/05/04 00:00 [revised]
PHST- 2021/05/10 00:00 [accepted]
PHST- 2021/06/30 06:47 [entrez]
PHST- 2021/07/01 06:00 [pubmed]
PHST- 2021/07/01 06:01 [medline]
PHST- 2021/06/16 00:00 [pmc-release]
AID - S2589-5370(21)00207-8 [pii]
AID - 100927 [pii]
AID - 10.1016/j.eclinm.2021.100927 [doi]
PST - epublish
SO  - EClinicalMedicine. 2021 Jun 16;36:100927. doi: 10.1016/j.eclinm.2021.100927. 
      eCollection 2021 Jun.