PMID- 35799437
OWN - NLM
STAT- MEDLINE
DCOM- 20220711
LR  - 20220711
IS  - 2260-1341 (Print)
IS  - 2260-1341 (Linking)
VI  - 11
IP  - 3
DP  - 2022
TI  - Prevalence and Distribution of Intrinsic Capacity and Its Associations with 
      Health Outcomes in Older People: The Jockey Club Community eHealth Care Project 
      in Hong Kong.
PG  - 302-308
LID - 10.14283/jfa.2022.19 [doi]
AB  - OBJECTIVE: To determine the prevalence and distribution of intrinsic capacity 
      (IC) impairments and examine their associations with health outcomes. METHODS: 
      Community-dwelling people aged 60 years and older were interviewed at baseline 
      and followed up for one to three years. IC domains including cognitive, 
      locomotor, vitality, sensory (vision, hearing), and psychological capacities were 
      assessed at baseline. Incident polypharmacy, incontinence, poor/fair self-rated 
      health, and instrumental activities of daily living (IADL) difficulty were 
      ascertained at each follow-up. FINDINGS: 10,007 participants were interviewed at 
      baseline. Overall mean age was 75.7+/-7.9 years. At baseline, 85.3% had impairments 
      in one or more IC domains, where cognitive capacity was the domain that was most 
      frequently affected (71.3%). The prevalence of impairments in one or more domains 
      increased with age (p<0.001) and was higher among women than men (p<0.001). Among 
      the 1,601 participants who were interviewed at each follow-up, those with 
      impairments in three or more domains had the greatest risk for the incidence of 
      polypharmacy (adjusted OR 2.2, 95%CI 1.1-4.2), incontinence (adjusted OR 3.0, 
      95%CI 1.8-5.0), poor/fair self-rated health (adjusted OR 3.7, 95%CI 1.9-7.2), and 
      IADL difficulty (adjusted OR 3.3, 95%CI 1.8-6.1) compared with those without IC 
      impairments. CONCLUSION: IC impairments are highly prevalent and those with IC 
      impairments had increased risks of polypharmacy, incontinence, poor/fair 
      self-rated health, and IADL difficulty. The findings could potentially lead to a 
      refinement and the adoption of IC as a screening measure which could be served as 
      a target of intervention in the care for older people.
FAU - Yu, R
AU  - Yu R
AD  - Ruby Yu, The Chinese University of Hong Kong, Hong Kong, rubyyu@cuhk.edu.hk.
FAU - Leung, G
AU  - Leung G
FAU - Leung, J
AU  - Leung J
FAU - Cheng, C
AU  - Cheng C
FAU - Kong, S
AU  - Kong S
FAU - Tam, L Y
AU  - Tam LY
FAU - Woo, J
AU  - Woo J
LA  - eng
PT  - Journal Article
PL  - France
TA  - J Frailty Aging
JT  - The Journal of frailty & aging
JID - 101604797
SB  - IM
MH  - *Activities of Daily Living/psychology
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hong Kong/epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Prevalence
MH  - *Telemedicine
OTO - NOTNLM
OT  - ICOPE
OT  - health outcomes
OT  - incidence
OT  - intrinsic capacity
OT  - prevalence
COIS- None.
EDAT- 2022/07/09 06:00
MHDA- 2022/07/12 06:00
CRDT- 2022/07/08 01:42
PHST- 2022/07/08 01:42 [entrez]
PHST- 2022/07/09 06:00 [pubmed]
PHST- 2022/07/12 06:00 [medline]
AID - 10.14283/jfa.2022.19 [doi]
PST - ppublish
SO  - J Frailty Aging. 2022;11(3):302-308. doi: 10.14283/jfa.2022.19.