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      Intrinsic Capacity in Older Adults: Recent Advances

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      Author(s): , * ,
      Publication date (Electronic):
      Journal: Aging and Disease
      Publisher: JKL International LLC
      Keywords: intrinsic capacity, healthy aging, integrated care, frailty, resilience, older adults

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          Abstract

          The global increase in the aging population is expected to result in a shift from disease-centered to function-centered approaches in response to intensive aging. Thus, the World Health Organization (WHO) has proposed a novel concept, intrinsic capacity (IC), which refers to the combination of one’s physical and mental abilities. The IC framework comprises cognition, mobility, psychological, vitality, and sensory functions. WHO also issued the Guidelines on Integrated Care for Older People (ICOPE) in 2017 and the Handbook: Guidance on person-centred assessment and pathways in primary carein 2019 to provide recommendations for community-level interventions and clinical practice, respectively. Recently, studies on the assessment of IC and verification of IC measurement have been proliferating. In this study, we reviewed the recent advances in IC research with older adults.

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          The World report on ageing and health: a policy framework for healthy ageing.

          John Beard, Alana Officer, Islene De Carvalho … (2016)
          Although populations around the world are rapidly ageing, evidence that increasing longevity is being accompanied by an extended period of good health is scarce. A coherent and focused public health response that spans multiple sectors and stakeholders is urgently needed. To guide this global response, WHO has released the first World report on ageing and health, reviewing current knowledge and gaps and providing a public health framework for action. The report is built around a redefinition of healthy ageing that centres on the notion of functional ability: the combination of the intrinsic capacity of the individual, relevant environmental characteristics, and the interactions between the individual and these characteristics. This Health Policy highlights key findings and recommendations from the report.
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            Evidence for The Domains Supporting The Construct of Intrinsic Capacity.

            Islene Araujo de Carvalho, Cyrus Cooper, Jotheeswaran Amuthavalli Thiyagarajan … (2018)
            Healthy ageing can be defined as "the process of developing and maintaining the functional ability that enables wellbeing in older age". Functional ability (i.e., the health-related attributes that enable people to be and to do what they have reason to value) is determined by intrinsic capacity (i.e., the composite of all the physical and mental capacities of an individual), the environment (i.e., all the factors in the extrinsic world that form the context of an individual's life), and the interactions between the two. This innovative model recently proposed by the World Health Organization has the potential to substantially modify the way in which clinical practice is currently conducted, shifting from disease-centered towards function-centered paradigms. By overcoming the multiple limitations affecting the construct of disease, this novel framework may allow the worldwide dissemination of a more proactive and function-based approach towards achieving optimal health status.In order to facilitate the translation of the current theoretical model into practice, it is important to identify the inner nature of its constituting constructs. In this paper, we consider intrinsic capacity. Using the International Classification of Functioning, Disability and Health (ICF) framework as background and taking into account available evidence, five domains (i.e., locomotion, vitality, cognition, psychological, sensory) are identified as pivotal for capturing the individual's intrinsic capacity (and therefore also reserves) and, through this, pave the way for its objective measurement.
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              Effectiveness of a 6-year multidomain vascular care intervention to prevent dementia (preDIVA): a cluster-randomised controlled trial

              Eric Moll van Charante, Edo Richard, Lisa S M Eurelings … (2016)
              Cardiovascular risk factors are associated with an increased risk of dementia. We assessed whether a multidomain intervention targeting these factors can prevent dementia in a population of community-dwelling older people.
              Article 0 comments Cited 147 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Aging Dis
                Journal ID (iso-abbrev): Aging Dis
                Title: Aging and Disease
                Publisher: JKL International LLC
                ISSN (Electronic): 2152-5250
                Publication date Collection: April 2022
                Publication date (Electronic): 1 April 2022
                Volume: 13
                Issue: 2
                Pages: 353-359
                Affiliations
                [1-ad-13-2-353] Department of Geriatrics, Xuanwu Hospital, Capital Medical University, National Clinical Research Center for Geriatric Disorders, Beijing, China.
                Author notes
                [* ]Correspondence should be addressed to: Dr. Lina Ma, Department of Geriatrics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China. E-mail: malina0883@ 123456126.com
                Article
                Publisher ID: ad-13-2-353
                DOI: 10.14336/AD.2021.0818
                PMC ID: 8947834
                PubMed ID: 35371613
                SO-VID: c36e3196-100d-482c-a54e-d3793994d688
                Copyright © Copyright: © 2022 Zhou et al.
                License:

                this is an open access article distributed under the terms of the creative commons attribution license, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.

                History
                Date received : 14 June 2021
                Date revision requested : 17 August 2021
                Date accepted : 18 August 2021
                Categories
                Subject: Opinion

                Keywords: intrinsic capacity,healthy aging,integrated care,frailty,resilience,older adults
                Data availability:
                Keywords: intrinsic capacity, healthy aging, integrated care, frailty, resilience, older adults

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