Sustained improvement of intrinsic capacity in community‐dwelling older adults: The +AGIL Barcelona multidomain program

Abstract

BackgroundDifferent programs promote healthy ageing through the optimisation of intrinsic capacity. However, a major challenge is to assess their sustained effects over time. +AGIL Barcelona, a consolidated multidomain program, aims to optimise older adults' intrinsic capacity through a coordinated approach among primary care, geriatrics and community resources, in agreement with the Integrated Care for Older People (ICOPE) guidelines. We aimed to evaluate the +AGIL Barcelona longitudinal effect on older adults' physical performance.MethodsAll +AGIL Barcelona consecutive participants since 2016 were enrolled. After a Comprehensive Geriatric Assessment (CGA), a tailored, multidisciplinary intervention aligned with the ICOPE guidelines is offered. It includes a 10‐week boost multicomponent exercise program, nutritional and sleep‐hygiene counselling, revision and optimisation of pharmacological treatments, and screening for cognitive impairment, depression and loneliness. Changes in physical performance after three and six months were assessed using mixed models including baseline frailty degree, time, and all potential significant confounders.ResultsWe included 194 participants in the analysis (mean age = 81.6 [SD = 5.8], 68% women). An independent, clinically and statistically significant improvement in physical performance (Short Performance Physical Battery test, combining gait speed, strength and balance) was found at three months (SPPB mean change: 1.4; 95%CI: 1.1‐1.6) and six months (SPPB mean change: 1.1; 95%CI 0.8‐1.5). Equivalent results were observed for all the SPPB sub‐tests.ConclusionsA coordinated, multidisciplinary, integrated program can benefit older adults' intrinsic capacity. The participants' empowerment and the connection with the available community resources are critical points for a successful intervention.This article is protected by copyright. All rights reserved

Healthy aging and cardiovascular health in Kyrgyzstan: current status and emerging challenges

“…The Integrated Care for Older People (ICOPE) offers a comprehensive strategy for managing health in older individuals emphasizing a personcentered and coordinated approach to healthcare, assessing and addressing various aspects such as mobility, nutrition, sensory functions, psychological health, and existing medical conditions (20). The ICOPE approach find its strength in its adaptability to different cultural and societal contexts (20), as empowering the population and establishing links with community resources is a key to obtain long-term benefits (21). By acknowledging and respecting cultural norms, interventions can be more effective in engaging and empowering aging individuals to adopt healthier lifestyles.…”