PMID- 37328844 OWN - NLM STAT- MEDLINE DCOM- 20230619 LR - 20240322 IS - 1471-2318 (Electronic) IS - 1471-2318 (Linking) VI - 23 IP - 1 DP - 2023 Jun 17 TI - Impact of age-friendly living environment and intrinsic capacity on functional ability in older adults: a cross-sectional study. PG - 374 LID - 10.1186/s12877-023-04089-5 [doi] LID - 374 AB - BACKGROUND: The World Health Organization (WHO) has proposed healthy aging framework, supposing that intrinsic capacity (IC), environment and their interaction may have influence on functional ability (FA). It was still unclear how the IC level and age-friendly living environment impact on FA. This study aims to confirm the relationship between the IC level and age-friendly living environment with FA, especially in older adults with low IC. METHODS: Four hundred eighty-five community-dwelling residents aged >/= 60 years were enrolled. IC constructed by locomotion, cognition, psychological, vitality, and sensory domains was assessed using full assessment tools recommended by WHO. Age-friendly living environment was measured with 12 questions adapted from the spatial indicators framework of age-friendly cities. FA was assessed using activities of daily living (ADL) and one question about mobile payment ability. Multivariate logistic regression was used to explore the association between IC, environment and FA. The influence of the environment on electronic payment and ADL under the IC layer was assessed. RESULTS: Of 485 respondents, 89 (18.4%) had ADL impairment, and 166 (34.2%) had mobile payment function impairment. Limited IC (odds ratio [OR] = 0.783, 95% confidence interval [CI] = 0.621-0.988) and poor environment (OR = 0.839, 95% CI = 0.733-0.960) were associated with mobile payment ability impairment. Our results suggested that a supportive age-friendly living environment influenced FA was more prominent in older adults with poor IC (OR = 0.650, 95% CI = 0.491-0.861). CONCLUSIONS: Our results confirmed IC and the environment had an impact on mobile payment ability. The relationship between environment and FA showed differences according to IC level. These findings suggest that an age-friendly living environment is important to maintain and enhance elders' FA, especially in those with poor IC. CI - (c) 2023. The Author(s). FAU - Jiang, Yi-Shan AU - Jiang YS AD - School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Shi, Hong AU - Shi H AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 Da HuaRoad, DongDan, Beijing, 100730, P. R. China. FAU - Kang, Yu-Ting AU - Kang YT AD - Office of the National Clinical Research Center for Geriatric Diseases, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P. R. China. FAU - Shen, Ji AU - Shen J AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 Da HuaRoad, DongDan, Beijing, 100730, P. R. China. FAU - Li, Jing AU - Li J AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 Da HuaRoad, DongDan, Beijing, 100730, P. R. China. FAU - Cui, Ju AU - Cui J AD - The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, P. R. China. FAU - Pang, Jing AU - Pang J AD - The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, P. R. China. FAU - Zhang, Chi AU - Zhang C AD - The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, P. R. China. FAU - Zhang, Jie AU - Zhang J AUID- ORCID: 0000-0001-6890-8697 AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 Da HuaRoad, DongDan, Beijing, 100730, P. R. China. zhj_0724@163.com. LA - eng GR - BJ-2020-090/the Beijing Hospital Nova Project/ GR - 2021YFE0111800/National Key R&D Program of China/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230617 PL - England TA - BMC Geriatr JT - BMC geriatrics JID - 100968548 SB - IM MH - Humans MH - Aged MH - Independent Living MH - Cross-Sectional Studies MH - *Activities of Daily Living MH - *Healthy Aging MH - Middle Aged MH - Aged, 80 and over PMC - PMC10276510 OTO - NOTNLM OT - Environment OT - Functional ability OT - Healthy aging OT - Intrinsic capacity COIS- The authors have declared that they have no conflict of interests. EDAT- 2023/06/17 05:11 MHDA- 2023/06/19 13:09 PMCR- 2023/06/17 CRDT- 2023/06/16 23:39 PHST- 2022/09/04 00:00 [received] PHST- 2023/06/02 00:00 [accepted] PHST- 2023/06/19 13:09 [medline] PHST- 2023/06/17 05:11 [pubmed] PHST- 2023/06/16 23:39 [entrez] PHST- 2023/06/17 00:00 [pmc-release] AID - 10.1186/s12877-023-04089-5 [pii] AID - 4089 [pii] AID - 10.1186/s12877-023-04089-5 [doi] PST - epublish SO - BMC Geriatr. 2023 Jun 17;23(1):374. doi: 10.1186/s12877-023-04089-5.