PMID- 37128497
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230503
IS  - 1687-7063 (Print)
IS  - 1687-7071 (Electronic)
IS  - 1687-7063 (Linking)
VI  - 2023
DP  - 2023
TI  - Prevalence and Factors Associated with Impairment in Intrinsic Capacity among 
      Community-Dwelling Older Adults: An Observational Study from South India.
PG  - 4386415
LID - 10.1155/2023/4386415 [doi]
LID - 4386415
AB  - 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 
      (beta-coefficient -0.01, 95% CI: -0.02 to -0.01, p value = 0.002), impaired 
      activities of daily living (beta-coefficient -0.13, 95% CI: -0.49 to -0.18, p value 
      <0.001), and chronic neurologic illness (beta-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.
CI  - Copyright (c) 2023 Abhijith Rarajam Rao et al.
FAU - Rarajam Rao, Abhijith
AU  - Rarajam Rao A
AUID- ORCID: 0000-0002-3904-4372
AD  - Geriatric Oncology, Department of Medical Oncology, Tata Memorial Centre, Parel, 
      Mumbai, India.
FAU - Waris, Mujtaba
AU  - Waris M
AUID- ORCID: 0000-0003-3372-696X
AD  - Department of Geriatric Medicine, All India Institute of Medical Sciences, New 
      Delhi, India.
FAU - Saini, Mamta
AU  - Saini M
AD  - Department of Geriatric Medicine, All India Institute of Medical Sciences, New 
      Delhi, India.
FAU - Thakral, Meenal
AU  - Thakral M
AUID- ORCID: 0000-0003-2998-8609
AD  - Department of Geriatric Medicine, All India Institute of Medical Sciences, New 
      Delhi, India.
FAU - Hegde, Karan
AU  - Hegde K
AD  - Department of Geriatric Medicine, Yenepoya Medical College, Mangalore, Karnataka, 
      India.
FAU - Bhagwasia, Manjusha
AU  - Bhagwasia M
AD  - Department of Geriatric Medicine, All India Institute of Medical Sciences, New 
      Delhi, India.
FAU - Adikari, Prabha
AU  - Adikari P
AUID- ORCID: 0000-0002-1851-0530
AD  - Department of Geriatric Medicine, Yenepoya Medical College, Mangalore, Karnataka, 
      India.
LA  - eng
PT  - Journal Article
DEP - 20230422
PL  - United States
TA  - Curr Gerontol Geriatr Res
JT  - Current gerontology and geriatrics research
JID - 101484307
PMC - PMC10148741
COIS- The authors declare that they have no conflicts of interest.
EDAT- 2023/05/02 06:42
MHDA- 2023/05/02 06:43
PMCR- 2023/04/22
CRDT- 2023/05/02 01:58
PHST- 2022/07/30 00:00 [received]
PHST- 2023/04/04 00:00 [revised]
PHST- 2023/04/12 00:00 [accepted]
PHST- 2023/05/02 06:43 [medline]
PHST- 2023/05/02 06:42 [pubmed]
PHST- 2023/05/02 01:58 [entrez]
PHST- 2023/04/22 00:00 [pmc-release]
AID - 10.1155/2023/4386415 [doi]
PST - epublish
SO  - Curr Gerontol Geriatr Res. 2023 Apr 22;2023:4386415. doi: 10.1155/2023/4386415. 
      eCollection 2023.