賽馬會e健樂電子健康管理計劃 - p1_morenews_sub1_c
賽馬會e健樂電子健康管理計劃
Better understand the concept of Healthy Ageing and Intrinsic Capacity (IC)
Our researchers found three distinct IC trajectories among community-dwelling older Chinese adults. The class with the highest level of baseline IC and the least declining trajectory was more likely to preserve functional ability. Monitoring IC trajectories is of relevance to clinical practice.
Abstract
Intrinsic capacity (IC) declines progressively with age, thereby increasing the risk of disability. However, it is less known whether IC trajectories are associated with disability. This study aims to identify the different patterns of IC trajectories in older people, and examine their determinants and associations with Instrumental Activities of Daily Living (IADL).
Design
Cohort study.
Setting
Community centres in different regions in Hong Kong.
Participants and Measurements
Longitudinal data from community-dwelling older people aged 60 years or above (n = 1371) collected between 2016 and 2021 was analysed. Their mean age was 74.5 years, and 78.7% of them were female. Repeated measurements of a set of 14 self-reported items were used to generate IC scores at four time points using a bi-factor model. Latent class growth analysis was performed to identify classes with distinct IC trajectories. The association between class membership and IADL disability was then examined using logistic regression.
Results
Three distinct IC trajectories were identified. The 1st class included those with the highest level of baseline IC and the least declining trajectory, whereas the 3rd class was composed by those with the lowest level of baseline IC and the most declining trajectory. Older age, female gender, lower perceived financial adequacy, living in public or subsidized housing, and chronic diseases were associated with the 3rd class. After adjusting for demographic factors, socioeconomic status, and the number of chronic diseases, the 1st class was more likely to preserve IADL when compared against the 2nd class, with OR being 3.179 (95% CI: 2.152–4.793), whereas for the 3rd class, the OR was 0.253 (95% CI: 0.178–0.359).
Conclusion
Monitoring IC trajectories is of relevance to clinical practice, as it helps shift the focus from treating acute episodes of illness to preserving the functional ability of older people.
The paper Trajectories of Intrinsic Capacity: Determinants and Associations with Disability can be read in full on the The Journal of Nutrition, Health and Aging journal website.
CUHK Jockey Club Institute of Ageing Symposium on "Application of Digital Health in Community Centres: The First Step in a Stepped Care Approach to Primary Care of Older People"
CUHK Jockey Club Institute of Ageing
Symposium on
"Application of Digital Health in Community Centres: The First Step in a Stepped Care Approach to Primary Care of Older People"
| Date: | 13 January 2020 (Monday) |
| Time: | 10:00am - 17:00pm |
| Venue: | Auditorium, 1/F, Main Clinical Block and Trauma Centre, Prince of Wales Hospital, Shatin ( Map) |
Programme Book
Event Recap
Photo List
Professional Accreditations
| Professional colleges / Associations | Point |
| Nursing Council of Hong Kong CNE for Nurse | 4.5 |
| HKMA CME for non-specialists | 4.5 |
| Hong Kong College of Community Medicine | 4 |
| Hong Kong College of Emergency Medicine | 4 |
| Hong Kong College of Family Physicians | 3 |
| Hong Kong College of Physicians | 2 |
| Hong Kong College of Psychiatrists | 4 |
| Hong Kong Dietitians’ Association | 5 |
| Hong Kong Occupational Therapists Board | 4.5 |
| Hong Kong Physiotherapy Association | 3 |
JC Community eHealth Care Project - p3_publications_sub04
JC Community eHealth Care Project
2021
Neighborhood social cohesion associates with loneliness differently among older people according to subjective social status.
Yu, R., Leung, G., Chan, J., Yip, B. H. K., Wong, S., Kwok, T., Woo, J. (2021).
The Journal of Nutritional, Health & Aging, 25(1), 41-47. https://doi.org/10.1007/s12603-020-1496-z
2010-2019
Associations between perceived neighborhood walkability and walking time, wellbeing, and loneliness in community-dwelling older Chinese people in Hong Kong.
Yu, R., Cheung, O., Lau, K., Woo, J. (2017).
International Journal of Environmental Research and Public Health, 14(10), 1199. https://doi.org/10.3390/ijerph14101199
Is neighborhood green space associated with less frailty? Evidence from the Mr. and Ms.Os (Hong Kong) study.
Yu, R., Wang, D., Leung, J., Lau, K., Kwok, T., Woo J. (2018).
Journal of the American Medical Directors Association, 19(6), 528-534. https://doi.org/10.1016/j.jamda.2017.12.015
Is neighbourhood social cohesion associated with subjective well-being for older Chinese people? The neighbourhood social cohesion study.
Yu, R., Cheung, O., Leung, J., Tong, C., Lau, K., Cheung, J., Woo, J. (2019).
BMJ Open, 9(5), e023332. https://doi.org/10.1136/bmjopen-2018-023332
Perceptions of neighborhood environment, sense of community and self-rated health: An age-friendly city project in Hong Kong.
Yu, R., Wong, M., Woo, J. (2018).
Journal of Urban Health - Bulletin of The New York Academy of Medicine, 96(2), 276-288. https://doi.org/10.1007/s11524-018-00331-3
JC Community eHealth Care Project - p4_resources
JC Community eHealth Care Project
JC Community eHealth Care Project - p3_publications_sub03
JC Community eHealth Care Project
2023
Assessing the Readiness for Implementing the World Health Organization's ICOPE Approach in Hong Kong: Perspectives from Social Care and Policy Stakeholders.
Yu, R., Leung, G., Lai, D., Tong, C., Tam, L. Y., Cheng, C., Kong, S., Woo, J. (2023).
The Journal of Frailty and Aging. https://doi.org/10.14283/jfa.2023.3
Trajectories of Intrinsic Capacity: Determinants and Associations with Disability.
Yu, R., Lai, D., Leung, G., Woo, J. (2023).
The Journal of Nutrition, Health & Aging, 1-8. https://doi.org/10.1007/s12603-023-1881-5
2022
Intrinsic capacity and 10-year mortality: findings from a cohort of older people.
Yu, R., Lai, E. T. C., Leung, G., Ho, S. C., Woo, J. (2022).
Experimental Gerontology, 167, 111926. https://doi.org/10.1016/j.exger.2022.111926
Prevalence and distribution of intrinsic capacity and its associations with health outcomes in older people: The Jockey Club Community eHealth Care Project in Hong Kong.
Yu, R., Leung, G., Cheng, C., Kong, S., Tam, L. Y., Leung, J., Woo, J. (2022).
Journal of Frailty and Aging, 11, 302-308. https://doi.org/10.14283/jfa.2022.19
2021
Towards healthy ageing: Using the concept of intrinsic capacity in frailty prevention.
Yu, R., Leung, J., Leung, G., Woo, J. (2021).
The Journal of Nutrition, Health & Aging, 26, 30-36. https://doi.org/10.1007/s12603-021-1715-2
Validation of the construct of intrinsic capacity in a longitudinal Chinese cohort.
Yu, R., Amuthavalli Thiyagarajan, J., Leung, J., Lu, Z., Kwok, T., Woo, J. (2021).
The Journal of Nutrition, Health & Aging, 25(6), 808-815. https://doi.org/10.1007/s12603-021-1637-z
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