PMID- 37817083 OWN - NLM STAT- MEDLINE DCOM- 20231012 LR - 20231118 IS - 1471-2318 (Electronic) IS - 1471-2318 (Linking) VI - 23 IP - 1 DP - 2023 Oct 10 TI - Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework. PG - 643 LID - 10.1186/s12877-023-04362-7 [doi] LID - 643 AB - BACKGROUND: Intrinsic capacity (IC) can better reflect the physical functioning of older adults. However, few studies have been able to systematically and thoroughly examine its influencing factors and provide limited evidence for the improvement of intrinsic capacity. The objective of this study was to provide a comprehensive description of the overall decline in intrinsic capacity among older persons in the community. Additionally, the study aimed to analyze the composition of the five domains of reduction, compare the rate of decline among older adults and investigate the factors that influence this decline. METHODS: This was a cross-sectional study conducted in the Chinese community. The self-designed general characteristics questionnaire was created based on the healthy aging framework and a systematic review. Intrinsic capacity was assessed with the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS-15), Community Health Record Management System (CHRMS), Mini Nutritional Assessment Brief Form (MNA-SF), and Short Physical Performance Battery (SPPB). The influencing factors of intrinsic capacity were investigated using stepwise logistic regression. RESULTS: A total of 968 older adults with a mean age of 71.00 (68.00, 76.75) were examined, and 704 older adults (72.7%) showed a decline in intrinsic capacity. There was a decline in at least one domain in 39.3% of older adults, with reductions in each domain ranging from 5.3% (psychological) to 52.4% (sensory). The study examined the composition of domains that experienced a decline in intrinsic capacity. It was found that a combination of sensory and locomotor domains showed the most significant decrease in 44.5% (n = 106) of individuals who experienced a decline in the two domains. Furthermore, a combination of sensory, cognitive, and locomotor domains exhibited a significant decrease in 51.3% (n = 44) of individuals who experienced a reduction in three domains. Lastly, a combination of sensory, vitality, cognitive, and locomotor domains showed the most significant decline in four domains, accounting for 60.0% (n = 15) of the population. Older adults had a higher risk of intrinsic capacity decline if they were older (95% CI:1.158-2.310), had lower education, lived alone (95% CI: 1.133-3.216), smoked (95% CI: 1.163-3.251), high Charlson Comorbidity Index (95% CI: 1.243-1.807) scores, did not regular exercise (95% CI:1.150-3.084), with lower handgrip strength (95% CI: 0.945-0.982). CONCLUSIONS: We found a relatively high prevalence of intrinsic capacity; more attention should be paid to older adults who are older, less educated, live alone, and have more comorbidities. It is imperative to prioritize a healthy lifestyle among older persons who exhibit smoking habits, lack regular exercise, and possess inadequate handgrip strength. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Jiang, Xin AU - Jiang X AD - Nursing College of Xinjiang Medical University, No.567, Shangde North Road, Shuimogou District, Urumqi, 830017, China. FAU - Chen, Fenghui AU - Chen F AD - Nursing College of Xinjiang Medical University, No.567, Shangde North Road, Shuimogou District, Urumqi, 830017, China. FAU - Yang, Xuanxuan AU - Yang X AD - Nursing College of Xinjiang Medical University, No.567, Shangde North Road, Shuimogou District, Urumqi, 830017, China. FAU - Yang, Mei AU - Yang M AD - Xingfu Road Branch of Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University (Xingfu Road Community Center), No.226, Xingfu Road, Tianshan District, Urumqi, 830002, China. FAU - Zhang, Xuehong AU - Zhang X AD - Xingfu Road Branch of Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University (Xingfu Road Community Center), No.226, Xingfu Road, Tianshan District, Urumqi, 830002, China. FAU - Ma, Xuan AU - Ma X AD - Nursing College of Xinjiang Medical University, No.567, Shangde North Road, Shuimogou District, Urumqi, 830017, China. FAU - Yan, Ping AU - Yan P AD - Nursing College of Xinjiang Medical University, No.567, Shangde North Road, Shuimogou District, Urumqi, 830017, China. yanping@xjmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231010 PL - England TA - BMC Geriatr JT - BMC geriatrics JID - 100968548 SB - IM MH - Aged MH - Aged, 80 and over MH - Humans MH - Comorbidity MH - Cross-Sectional Studies MH - Exercise MH - Geriatric Assessment MH - *Hand Strength MH - *Healthy Aging PMC - PMC10566030 OTO - NOTNLM OT - Community OT - Influencing factors OT - Intrinsic capacity OT - Older adults OT - Prevalence COIS- The authors declare no competing interests. EDAT- 2023/10/11 00:42 MHDA- 2023/10/12 06:43 PMCR- 2023/10/10 CRDT- 2023/10/10 23:49 PHST- 2022/10/22 00:00 [received] PHST- 2023/09/27 00:00 [accepted] PHST- 2023/10/12 06:43 [medline] PHST- 2023/10/11 00:42 [pubmed] PHST- 2023/10/10 23:49 [entrez] PHST- 2023/10/10 00:00 [pmc-release] AID - 10.1186/s12877-023-04362-7 [pii] AID - 4362 [pii] AID - 10.1186/s12877-023-04362-7 [doi] PST - epublish SO - BMC Geriatr. 2023 Oct 10;23(1):643. doi: 10.1186/s12877-023-04362-7.