老年人内在能力及影响因素的研究进展
Research Progress of Intrinsic Capacity and Influencing Factors in the Elderly
DOI: 10.12677/ACM.2024.141201, PDF,    科研立项经费支持
作者: 李 蕊:新疆医科大学研究生院,新疆 乌鲁木齐 ;程新春*:新疆维吾尔自治区人民医院老年医学中心,新疆 乌鲁木齐
关键词: 老年人内在能力衰弱The Elderly Intrinsic Capacity Frailty
摘要: 内在能力指个体在任何时候都能够动用的全部体力和脑力的组合,主要包括5个维度,即认知、心理、感觉、活力、运动,其作为老年人功能能力发挥的基础,对维持老年人生活质量及推进健康老龄化具有重要的意义。但目前有关内在能力的研究仍处于起步阶段,本文通过对内在能力的概念、内容结构、评估方法、影响因素及对老年人健康的影响等方面进行综述,目的为进一步开展内在能力相关研究提供借鉴。
Abstract: Intrinsic capacity is the composite of physical and mental capacities that individuals can draw upon as they age, encompassing the domains of cognition, locomotion, psychological, vitality and sensory. As the basis of the function of the elderly, intrinsic capacity is of great significance to maintaining the quality of life of the elderly and promoting healthy aging. But the research on intrinsic capacity is still in the preliminary stage. Through the concept of internal capacity, content structure, screen-ing methods, influencing factors and the impact on the health of the elderly, we aim to provide ref-erence for the further research of intrinsic capacity.
文章引用:李蕊, 程新春. 老年人内在能力及影响因素的研究进展[J]. 临床医学进展, 2024, 14(1): 1399-1405. https://doi.org/10.12677/ACM.2024.141201

参考文献

[1] 国家统计局, 国务院第七次全国人口普查领导小组办公室. 第七次全国人口普查公报(第五号)——人口年龄构成情况[J]. 中国统计, 2021(5): 10-11.
[2] 丁贤彬, 杨弦弦, 高旸, 等. 重庆市65岁及以上老年人跌倒发生现状及影响因素[J]. 中国慢性病预防与控制, 2021, 29(12): 898-901.
[3] 杨影红, 沈珊珊, 曾幸坤, 等. 内在能力下降对老年患者跌倒和再入院的影响[J]. 中华老年医学杂志, 2023, 42(2): 165-168.
[4] Zhao, J., Chhetri, J.K., Chang, Y., et al. (2021) Intrinsic Capacity vs. Multimorbidity: A Function-Centered Construct Predicts Disability Better than a Disease-Based Approach in a Community-Dwelling Older Population Cohort. Frontiers in Medicine, 8, Article ID: 753295. [Google Scholar] [CrossRef] [PubMed]
[5] Ma, L.N., Chhetri, J.K., Zhang, L., et al. (2021) Cross-Sectional Study Examining the Status of Intrinsic Capacity Decline in Community-Dwelling Older Adults in China: Prevalence, Associated Factors and Implications for Clinical Care. BMJ Open, 11, e043062. [Google Scholar] [CrossRef] [PubMed]
[6] Beard, J.R., Jotheeswaran, A.T., Cesari, M., et al. (2019) The Structure and Predictive Value of Intrinsic Capacity in a Longitudinal Study of Ageing. BMJ Open, 9, e026119. [Google Scholar] [CrossRef] [PubMed]
[7] Charles, A., Buckinx, F., Locquet, M., et al. (2020) Prediction of Adverse Outcomes in Nursing Home Residents According to Intrinsic Capacity Proposed by the World Health Or-ganization. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 75, 1594-1599. [Google Scholar] [CrossRef] [PubMed]
[8] 王海妍, 张洁, 李晶, 等. 社区老年人内在能力现状及其影响因素分析[J]. 中华老年医学杂志, 2022, 41(5): 591-595.
[9] Ma, L., Chhetri, J.K., Zhang, Y., et al. (2020) Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings from ICOPE Pilot in China. Frontiers in Medicine (Lausanne), 7, Article ID: 576079. [Google Scholar] [CrossRef] [PubMed]
[10] Lehtisalo, J., Levälahti, E., Lindström, J., et al. (2019) Dietary Changes and Cognition over 2 Years within a Multidomain Intervention Trial—The Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Alzheimer’s & Dementia, 15, 410-417. [Google Scholar] [CrossRef] [PubMed]
[11] Blancafort Alias, S., Cuevas-Lara, C., Martínez-Velilla, N., et al. (2021) A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition, and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study. International Journal of Environmental Research and Public Health, 18, Article No. 5979. [Google Scholar] [CrossRef] [PubMed]
[12] 刘盼, 李耘, 马丽娜. 《初级保健机构中衰弱筛查和管理: 国际衰弱和肌肉减少症研究会议工作组指南》解读[J]. 中国全科医学, 2021, 24(25): 3141-3147.
[13] Ramírez-Vélez, R., Correa-Bautista, J.E., García-Hermoso, A., et al. (2019) Reference Values for Handgrip Strength and Their Association with Intrinsic Capacity Domains among Older Adults. Journal of Cachexia, Sarcopenia and Muscle, 10, 278-286. [Google Scholar] [CrossRef] [PubMed]
[14] Riera, C.E. and Dillin, A. (2015) Tipping the Metabolic Scales towards Increased Longevity in Mammals. Nature Cell Biology, 17, 196-203. [Google Scholar] [CrossRef] [PubMed]
[15] World Health Organization (2017) WHO Guidelines Approved by the Guidelines Review Committee. Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity. World Health Organization, Geneva.
[16] Ho, V.W.T., Chen, C. and Merchant, R.A. (2020) Cumulative Effect of Visual Impairment, Multimorbidity, and Frailty on Intrinsic Capacity in Communi-ty-Dwelling Older Adults. Journal of Aging and Health, 32, 670-676. [Google Scholar] [CrossRef] [PubMed]
[17] 张洁, 沈姞, 李晶. 老年人内在能力概念解读与研究进展[J]. 中华老年医学杂志, 2021, 40(4): 524-527.
[18] Gutiérrez-Robledo, L.M., García-Chanes, R.E. and Pérez-Zepeda, M.U. (2021) Screening Intrinsic Capacity and Its Epidemiological Characterization: A Secondary Analysis of the Mexican Health and Aging Study. Revista Panamericana de Salud Pública, 45, e121. [Google Scholar] [CrossRef
[19] Rudnicka, E., Napierała, P., Podfigurna, A., et al. (2020) The World Health Organization (WHO) Approach to Healthy Ageing. Maturitas, 139, 6-11. [Google Scholar] [CrossRef] [PubMed]
[20] Piau, A., Steinmeyer, Z., Cesari, M., et al. (2021) Intrinsic Capacity Monitoring by Digital Biomarkers in Integrated Care for Older People (ICOPE). The Journal of Frailty & Aging, 10, 132-138.
[21] 周春兰, 刘颖, 罗祥蓉. 病人健康问卷抑郁自评量表在住院糖尿病足溃疡患者中应用的信效度研究[J]. 中国全科医学, 2016, 19(28): 3461-3466.
[22] Yu, J., Si, H., Qiao, X., et al. (2021) Predictive Value of In-trinsic Capacity on Adverse Outcomes among Community-Dwelling Older Adults. Geriatric Nursing, 42, 1257-1263. [Google Scholar] [CrossRef] [PubMed]
[23] Stephens, C., Allen, J., Keating, N., et al. (2020) Neighbor-hood Environments and Intrinsic Capacity Interact to Affect the Health-Related Quality of Life of Older People in New Zealand. Maturitas, 139, 1-5. [Google Scholar] [CrossRef] [PubMed]
[24] Bohannon, R.W. (2019) Grip Strength: An Indispensable Bi-omarker for Older Adults. Clinical Interventions in Aging, 14, 1681-1691. [Google Scholar] [CrossRef
[25] Arokiasamy, P., Selvamani, Y., Jotheeswaran, A.T., et al. (2021) Soci-oeconomic Differences in Handgrip Strength and Its Association with Measures of Intrinsic Capacity among Older Adults in Six Middle-Income Countries. Scientific Reports, 11, Article No. 19494. [Google Scholar] [CrossRef] [PubMed]
[26] 朱云, 涂舒涵, 解秀娟, 等. 老年人内在能力的研究进展[J]. 中国实用护理杂志, 2022, 38(27): 2157-2161.
[27] Giudici, K.V., De Souto Barreto, P., Guerville, F., et al. (2019) Associations of C-Reactive Protein and Homocysteine Concentrations with the Impairment of Intrinsic Capacity Domains over a 5-Year Follow-Up among Community-Dwelling Older Adults at Risk of Cognitive Decline (MAPT Study). Ex-perimental Gerontology, 127, Article ID: 110716.
[28] Ma, L., Liu, P., Zhang, Y., et al. (2020) High Serum Tumor Ne-crosis Factor Receptor 1 Levels Are Related to Risk of Low Intrinsic Capacity in Elderly Adults. The Journal of Nutrition, Health & Aging, 25, 416-418.
[29] Meng, L.C., Huang, S.T., Peng, L.N., et al. (2022) Biological Features of the Out-come-Based Intrinsic Capacity Composite Scores from a Population-Based Cohort Study: Pas de Deux of Biological and Functional Aging. Frontiers in Medicine (Lausanne), 9, Article ID: 851882. [Google Scholar] [CrossRef] [PubMed]
[30] Aragoni, D.A., Silva, J., Rolland, Y., Martinez, L.O., et al. (2023) Mitochondrial Dysfunction and Intrinsic Capacity: Insights from a Narrative Review. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 78, 735-742. [Google Scholar] [CrossRef] [PubMed]
[31] Beard, J.R., Si, Y., Liu, Z., et al. (2022) Intrinsic Capacity: Validation of a New WHO Concept for Healthy Aging in a Longitudinal Chinese Study. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 77, 94-100. [Google Scholar] [CrossRef] [PubMed]
[32] Gutiérrez-Robledo, L.M., García-Chanes, R.E. and Pérez-Zepeda, M.U. (2019) Allostatic Load as a Biological Substrate to Intrinsic Capacity: A Secondary Analysis of CRELES. The Journal of Nutrition, Health and Aging, 23, 788-795. [Google Scholar] [CrossRef] [PubMed]
[33] Yu, R., Leung, J., Leung, G., et al. (2022) Towards Healthy Ageing: Using the Concept of Intrinsic Capacity in Frailty Prevention. The Journal of Nutrition, Health and Aging, 26, 30-36. [Google Scholar] [CrossRef] [PubMed]
[34] Yeung, S.S.Y., Sin, D., Yu, R., et al. (2022) Dietary Patterns and Intrinsic Capacity in Community-Dwelling Older Adults: A Cross-Sectional Study. The Journal of Nutrition, Health and Aging, 26, 174-182. [Google Scholar] [CrossRef] [PubMed]
[35] Yu, R., Leung, G., Leung, J., et al. (2022) Prevalence and Distri-bution of Intrinsic Capacity and Its Associations with Health Outcomes in Older People: The Jockey Club Community eHealth Care Project in Hong Kong. The Journal of Frailty & Aging, 11, 302-308. [Google Scholar] [CrossRef] [PubMed]
[36] 黄宝丰, 罗特丹, 姜昕. 老年高血压患者内在能力下降与血压变异性的相关性研究[J]. 中华老年心脑血管病杂志, 2022, 24(7): 709-712.
[37] Cesari, M., Araujo de Carvalho, I., Amuthavalli Thiyagarajan, J., et al. (2018) Evidence for the Domains Supporting the Construct of Intrinsic Capacity. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 73, 1653-1660. [Google Scholar] [CrossRef] [PubMed]