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Evidence for the domains supporting the construct of intrinsic capacity

Evidence for the domains supporting the construct of intrinsic capacity
Evidence for the domains supporting the construct of intrinsic capacity
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 toward 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 toward 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 article, 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.
1079-5006
Cesari, M.
7e731742-9266-4ed3-a3d9-e5c51f468808
Araujo de Carvalho, I.
c9681fb4-1e72-42fb-99c9-40bebd48e74b
Thiyagarajan, A.
18c465c6-e1df-4488-81fa-64c00ab64054
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Martin, F.C.
150a65c4-e4aa-41b6-9622-538d7c656ffb
Reginster, J.-Y.
db56b103-184d-46e1-9600-f47f7a09a492
Vellas, B.
6f5001c4-d7c4-4828-8aff-625c3ffeb8b6
Beard, J.R.
31defb4b-a1a0-496f-90bc-926bab8aabc3
Cesari, M.
7e731742-9266-4ed3-a3d9-e5c51f468808
Araujo de Carvalho, I.
c9681fb4-1e72-42fb-99c9-40bebd48e74b
Thiyagarajan, A.
18c465c6-e1df-4488-81fa-64c00ab64054
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Martin, F.C.
150a65c4-e4aa-41b6-9622-538d7c656ffb
Reginster, J.-Y.
db56b103-184d-46e1-9600-f47f7a09a492
Vellas, B.
6f5001c4-d7c4-4828-8aff-625c3ffeb8b6
Beard, J.R.
31defb4b-a1a0-496f-90bc-926bab8aabc3

Cesari, M., Araujo de Carvalho, I., Thiyagarajan, A., Cooper, C., Martin, F.C., Reginster, J.-Y., Vellas, B. and Beard, J.R. (2018) Evidence for the domains supporting the construct of intrinsic capacity. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. (doi:10.1093/gerona/gly011).

Record type: Article

Abstract

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 toward 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 toward 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 article, 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.

Full text not available from this repository.

More information

Accepted/In Press date: 24 January 2018
e-pub ahead of print date: 2 February 2018

Identifiers

Local EPrints ID: 420417
URI: https://eprints.soton.ac.uk/id/eprint/420417
ISSN: 1079-5006
PURE UUID: f9b4400f-87f8-4b03-b22d-9b85a561c7b4
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 04 May 2018 16:31
Last modified: 10 Dec 2019 01:53

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