Frequency of conditions associated with declines in intrinsic capacity according to a screening tool in the context of Integrated care for older people
| Autor: | P. de Souto Barreto, Yves Rolland, Bruno Vellas, Sandrine Andrieu, K. Virecoulon Giudici, Emmanuel González-Bautista |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Hearing loss Visual impairment Population Context (language use) Risk Factors Humans Mass Screening Medicine Cognitive Dysfunction Cognitive decline education Geriatric Assessment Aged Retrospective Studies Aged 80 and over education.field_of_study Delivery of Health Care Integrated business.industry Cognition General Medicine medicine.disease Integrated care Malnutrition Cross-Sectional Studies France medicine.symptom business |
| Zdroj: | The Journal of Frailty & Aging. :1-8 |
| ISSN: | 2273-4309 |
| DOI: | 10.14283/jfa.2020.42 |
| Popis: | Background: The screening tool of the Integrated Care for Older People (ICOPE Step 1), designed to detect declines in the domains of intrinsic capacity, has been incipiently investigated in older adult populations. Objectives: To retrospectively estimate the frequency of priority conditions associated with declines in intrinsic capacity according to an adaptation of the screening tool ICOPE Step 1 among participants of the Multidomain Alzheimer Preventive Trial (MAPT). Design: A cross-sectional retrospective analysis from the baseline assessment of the MAPT. Setting: The data was gathered during a preventive consultation for cardiovascular risk factors in memory clinics in France. Participants : Seven hundred fifty-nine older adults aged 70-89 years with memory complaints, allocated to the multidomain groups of the MAPT study. Measurements: Five domains of intrinsic capacity (cognition, locomotion, nutrition, sensorial, and psychological) were assessed using a screening tool similar to the ICOPE Step 1 (MAPT Step 1). The frequency of six conditions associated with declines in intrinsic capacity (cognitive decline, limited mobility, malnutrition, visual impairment, hearing loss, and depressive symptoms) was obtained for older adults with memory complaints participating in the MAPT study. Results: Overall, 89.3% of the participants had one or more conditions associated with declines in intrinsic capacity. The overall frequency of each condition was: 52.2% for cognitive decline, 20.2% for limited mobility, 6.6% for malnutrition, 18.1% for visual impairment, 56.2% for hearing loss, and 39% for depressive symptoms. Conclusion: After being screened with an adaptation of the ICOPE step 1 (MAPT step 1) tool, 9/10 older adults had one or more conditions associated with declines in intrinsic capacity. The relative frequency differs across conditions and could probably be lower in a population without memory complaints. The frequency of screened conditions associated with declines in IC highlights how relevant it is to develop function-centered care modalities to promote healthy aging. |
| Databáze: | OpenAIRE |
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