The Association between Physical Activity and Intrinsic Capacity in Chinese Older Adults and Its Connection to Primary Care: China Health and Retirement Longitudinal Study (CHARLS)
-
Published:2023-03-31
Issue:7
Volume:20
Page:5361
-
ISSN:1660-4601
-
Container-title:International Journal of Environmental Research and Public Health
-
language:en
-
Short-container-title:IJERPH
Author:
Zhou Mengping1, Kuang Li2, Hu Nan34
Affiliation:
1. Department of Medical Epidemiology and Biostatistics, Karolinska Institute, 17177 Stockholm, Sweden 2. Department of Health Administration, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China 3. Department of Biostatistics, FIU Robert Stempel College of Public Health and Social Work, Miami, FL 33199, USA 4. Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA
Abstract
Background: In 2015, intrinsic capacity (IC) was proposed by the WHO as a new measure for healthy aging. Evidence has shown that physical activity (PA) benefits the physical and mental health of older adults. However, the association between PA and IC among older adults was not well evaluated or reported. This study aims to investigate the association between PA and general and specific IC among Chinese older adults. Method: The study included individuals aged 60 and above from the China Health and Retirement Longitudinal Study in 2015. The IC scores were constructed based on the WHO concept of five domains: psychological capacity, cognition, locomotion, vitality, and sensory abilities. Total PA and leisure PA were measured based on different activity purposes. Linear mixed-effects models and generalized linear mixed-effects models were developed to assess the associations between PA and IC. Results: A total of 3359 participants were included in this study. Older adults who reported some PA were associated with a higher composite IC score, with a mean difference of 0.14 (95% CI: 0.09–0.18, p < 0.001) compared to those who reported no PA. In terms of leisure PA, physically active adults had a higher composite IC score with a mean difference of 0.06 (95% CI: 0.03–0.09, p < 0.001). Older adults with a high level of leisure PA also had a significantly higher composite IC score (diff. in mean = 0.07, 95% CI: 0.01–0.13, p < 0.05) compared to those with low-level leisure PA. In addition, PA was positively and significantly associated with three specific IC domains: locomotion, cognition, and vitality. Conclusions: Improving both general and leisure PA can be an effective way to prevent the decline in IC among older adults, thus reducing the personal and public load of primary healthcare for aging countries such as China.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference40 articles.
1. United Nations, Department of Economic and Social Affairs, Population Division (2020) (2020). World Population Ageing 2019 (ST/ESA/SER.A/444), United Nations. 2. National Bureau of Statistics of China (2022, October 11). Main Data of the Seventh National Census, Available online: http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html. 3. World Health Organization (2015). World Report on Ageing and Health, World Health Organization. 4. Evidence for the Domains Supporting the Construct of Intrinsic Capacity;Cesari;J. Gerontol. A Biol. Sci. Med. Sci.,2018 5. Prince, M.J., Acosta, D., Guerra, M., Huang, Y., Jacob, K.S., Jimenez-Velazquez, I.Z., Jotheeswaran, A.T., Llibre Rodriguez, J.J., Salas, A., and Sosa, A.L. (2021). Intrinsic capacity and its associations with incident dependence and mortality in 10/66 Dementia Research Group studies in Latin America, India, and China: A population-based cohort study. PLOS Med., 18.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|