PMID- 37997725
OWN - NLM
STAT- MEDLINE
DCOM- 20231127
LR  - 20240317
IS  - 1760-4788 (Electronic)
IS  - 1279-7707 (Linking)
VI  - 27
IP  - 11
DP  - 2023
TI  - Moving towards the ICOPE Approach: Evaluation of Community-Based Intervention 
      Activities on Improving Intrinsic Capacity.
PG  - 1028-1037
LID - 10.1007/s12603-023-2003-0 [doi]
AB  - OBJECTIVES: Different types of community-based intervention activities may have 
      differential effects in improving the intrinsic capacity (IC) of older people. 
      This study aims to (i) identify subgroups of older people based on their IC 
      impairments, (ii) examine the differential associations between different types 
      of activity participations and change in IC across subgroups, and (iii) assess 
      whether the activity participation patterns of older people align with the way 
      that would benefit them the most. METHODS: Participants were community-dwelling 
      older people aged 60 years or above. They were screened for IC impairments at 
      baseline, and their participation records of different types (cognitive, 
      physical, nutritional, mental, and social) of intervention activities were 
      collected for one year. An aggregated IC score was created based on four IC 
      domains including cognitive (self-rated memory), locomotor (self-rated 
      difficulties in walking), vitality (self-rated weight loss), and psychological 
      (subjective well-being). Cluster analysis was used to group homogenous 
      participants. Mixed-effects regression was used to examine the associations 
      between activity counts (i.e., number of sessions participated) and change in IC. 
      Activity participation patterns were also compared across subgroups. RESULTS: 
      Data were obtained from 7,357 participants (mean age = 74.72 years). Four 
      clusters were identified, including those who were relatively robust (cluster 1, 
      N = 4,380, 59.5%), those who had cognitive decline (cluster 2, N = 2,134, 29.0%), 
      those who had impaired mobility and vitality (cluster 3, N = 319, 4.3%), and 
      those with poor psychological well-being (cluster 4, N = 524, 7.1%). Overall, 
      activity count was associated with IC improvement (beta = 0.073, 95% CI [0.037, 
      0.108]). However, as regards the cluster-specific results, different types of 
      activities were associated with IC improvement for different specific clusters. 
      For instance, cognitive activity count was associated with IC improvement only 
      for cluster 2 (beta = 0.491, 95% CI [0.258, 0.732]). Notably, none of the activity 
      types were associated with IC improvement for cluster 1. Regarding the activity 
      participation patterns, there were no significant differences across the four 
      clusters (Wilk's Lambda = 0.997, F = 1.400, p = .138). CONCLUSIONS AND IMPLICATIONS: 
      IC improvement depended on the activity types and IC status of older people. In 
      view of this, a people-centred and targeted approach should be adopted to 
      maximize the overall benefits of intervention activities.
FAU - Yu, R
AU  - Yu R
AD  - Ruby Yu, Department of Medicine and Therapeutics, Faculty of Medicine, The 
      Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, E-mail: 
      rubyyu@cuhk.edu.hk.
FAU - Lai, D
AU  - Lai D
FAU - Leung, G
AU  - Leung G
FAU - Tam, L Y
AU  - Tam LY
FAU - Cheng, C
AU  - Cheng C
FAU - Kong, S
AU  - Kong S
FAU - Tong, C
AU  - Tong C
FAU - Cheung, B
AU  - Cheung B
FAU - Woo, J
AU  - Woo J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - France
TA  - J Nutr Health Aging
JT  - The journal of nutrition, health & aging
JID - 100893366
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Independent Living
MH  - *Cognitive Dysfunction/prevention & control
MH  - Walking
OTO - NOTNLM
OT  - Community-based
OT  - ICOPE
OT  - interventions
OT  - intrinsic capacity
OT  - people-centred
COIS- None declared.
EDAT- 2023/11/24 06:42
MHDA- 2023/11/27 12:44
CRDT- 2023/11/24 05:29
PHST- 2023/11/27 12:44 [medline]
PHST- 2023/11/24 06:42 [pubmed]
PHST- 2023/11/24 05:29 [entrez]
AID - S1279-7707(23)02614-3 [pii]
AID - 10.1007/s12603-023-2003-0 [doi]
PST - ppublish
SO  - J Nutr Health Aging. 2023;27(11):1028-1037. doi: 10.1007/s12603-023-2003-0.