WHO working definition of vitality capacity for healthy longevity monitoring

Bautmans, Ivan; Knoop, Veerle; Thiyagarajan, Jotheeswaran Amuthavalli; Maier, Andrea B.; Beard, John; Freiberger, Ellen; Belsky, Daniel W.; Aubertin‐Leheudre, Mylène; Mikton, Christopher; Cesari, Matteo; Sumi, Yuka; Diaz, Theresa; Banerjee, Anshu

doi:10.1016/s2666-7568(22)00200-8

Cited by 64 publications

(41 citation statements)

References 51 publications

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“…Meanwhile, other efforts have been made to construct common measures for healthy ageing to better compare results across cohorts and over time (Sanchez-Niubo et al 2021 ). Although several scales measuring specific aspects of health and ageing have been developed, a comprehensive instrument for assessing IC and functional ability is still under debate (Bautmans et al 2022 ). Nevertheless, Sanchez-Niubo et al ( 2021 ) have used item-response theory to analyse relevant datasets from 16 international cohorts with the aim of developing a scale to assess healthy ageing that can be used globally, the Healthy Ageing Index (HAI) (Sanchez-Niubo et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Subjective age and the association with intrinsic capacity, functional ability, and health among older adults in Norway

2023

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This study investigates the relationships between subjective age, intrinsic capacity, functional ability and health among Norwegians aged 60 years and older. The Norwegian Survey of Health and Ageing (NORSE) is a population-based, cross-sectional study of home-dwelling individuals aged 60–96 years in the former county of Oppland. Age- and sex-adjusted regression models were used to investigate the gap between subjective and chronological age and this gap’s association with self-reported and objectively measured intrinsic capacity (covering all six sub domains defined by WHO), health, and functional ability among 817 NORSE participants. The results show most participants felt younger than their chronological age (86.5%), while relatively few felt the same as their chronological age (8.3%) or older (5.2%). The mean subjective age was 13.8 years lower than mean chronological age. Participants with urinal incontinence, poor vision, or poor hearing felt 3.1 [95% confidence interval (CI) (0.6, 5.5)], 2.9 [95% CI (0.2, 5.6)], and 2.9 [95% CI (0.3, 5.5)] years older, respectively, than participants without those conditions, whereas none of the following factors—anxiety, depression, chronic disease, Short Physical Performance Battery score, grip strength, cognition, or frailty—significantly had an impact on the gap. In line with prior research, this study finds that feeling considerably younger than one’s chronological age is common at older ages. However, those with poor hearing, poor vision, and urinal incontinence felt less young compared to those not having these conditions. These relationships may exert undesirable effects on vitality and autonomy, which are considered key factors of intrinsic capacity and healthy ageing.

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Section: Introductionmentioning

confidence: 99%

Subjective age and the association with intrinsic capacity, functional ability, and health among older adults in Norway

2023

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“…Neuromuscular function, energy and metabolism, and immune and stress-response functions have been proposed as constructs of vitality capacity [22]. Among Chinese older men, each tertile increase in DII score was associated with 0.37 kg loss in grip strength over 4 years [20].…”

Section: Diet and Vitalitymentioning

confidence: 99%

Composition of healthy diets for older persons

Yeung

Kwan

Woo

2023

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review This study aims to review recent evidence (2022–2023) on the role of diet in promoting healthy aging in older adults. Recent findings Current evidence of diet and healthy aging is limited to epidemiological studies. A healthy diet is beneficial for individual domains of intrinsic capacity, that is, cognition, locomotion, vitality, psychological, and/or sensory functions, with sex-specific differences reported. Only a few studies used the multidimensional concept of intrinsic capacity as an outcome. This review supports that a healthy diet for older adults consists of plenty of plant-based foods, adequate protein-rich foods, and healthy fats. Next to quantity, improving the quality and variety within food groups play a role in optimizing health. Data on the associations between adherence to national food-based dietary guidelines and intrinsic capacity are scarce. Summary A healthy diet, centered on plant-based foods, adequate protein-rich foods and healthy fats, potentially promotes healthy aging. Future studies may evaluate the association between adherence to healthy dietary patterns (particularly national food-based dietary guidelines) and the multidimensional concept of intrinsic capacity, with consideration of sex-specific differences. Clinical trials are warranted to inform the causal effects of diet and outcomes related to intrinsic capacity.

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“…“Vitality” has been recently defined as a physiological state (due to normal or accelerated biological aging processes) resulting from the interaction between multiple physiological systems, reflected in (the level of) energy and metabolism, neuromuscular function, and immune and stress response functions of the body [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, there is no consensus on how to operationalize vitality in clinical settings [ 7 , 8 , 9 , 10 ]. The WHO, in its description of the ICOPE program [ 11 ], suggests vitality be screened through appetite and weight loss, which are malnutrition hallmarks.…”

Section: Introductionmentioning

confidence: 99%

“…The WHO, in its description of the ICOPE program [ 11 ], suggests vitality be screened through appetite and weight loss, which are malnutrition hallmarks. Malnutrition is a major determinant of frailty and adverse health events [ 1 , 2 , 6 , 7 , 12 , 13 , 14 , 15 ], yet its link with the other IC domains in a real-life population of users of the healthcare system is unclear. Although several studies investigating the associations of weight loss and cognition [ 16 , 17 ], mobility [ 13 , 18 ], and mood [ 19 , 20 ] have already been shown previously, the associations between appetite loss in older people and those functions are not well-known.…”

Section: Introductionmentioning

confidence: 99%

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Associations between Vitality/Nutrition and the Other Domains of Intrinsic Capacity Based on Data from the INSPIRE ICOPE-Care Program

Gaussens¹,

González-Bautista²,

Bonnefoy

et al. 2023

Nutrients

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Background: The vitality domain of intrinsic capacity (IC) represents the synthesis of biological interactions and metabolism. As part of the Integrated Care for Older People (ICOPE) program developed by the World Health Organization (WHO), vitality focuses on the nutritional status of older adults. The objective of this work was to describe the vitality domain of IC in community-dwelling older people and to examine the associations of the vitality components (appetite loss and weight loss) with the other IC domains assessed within the framework of ICOPE. Methods: Cross-sectional data were obtained between January 2020 and February 2022 through the INSPIRE-ICOPE-Care program, a real-life ICOPE implementation initiative developed in the Occitania region of France. Participants were men and women aged 60 and older, looking for primary care services within the French healthcare system. Results: Appetite loss was reported by 14.0% (2013) of the participants, and weight loss by 12.4% (1788). A total of 863 participants (6.01%) declaring weight loss also suffered from appetite loss. In total, 2910 participants (20.27%) screened positive for the domain of vitality. Appetite loss was significantly associated with positive screenings for the domains of cognition (OR = 2.14 [1.84;2.48]), vision (OR = 1.51 [1.28;1.79]), hearing (OR = 1.18 [1.01;1.37]), psychology (OR = 3.95 [3.46;4.52]), and locomotion ‘OR = 2.19 [1.91;2.51]). We found significant associations of weight loss with the IC domains of cognition (OR = 1.65 [1.42;1.93]), psychology (OR = 1.80 [1.56;2.07]), locomotion (OR = 1.64 [1.41;1.91]), vision (OR = 1.24 [1.04;1.47]), and hearing (OR = 1.32 [1.12;1.55]). People reporting simultaneous appetite and weight loss showed higher odds of screening positive for psychological (OR = 5.33 [4.53;6.27]) and locomotion impairments (OR = 3.38 [2.88;3.98]). Conclusions: Appetite and weight loss are common among older people and are related to other potential IC impairments, especially psychological and locomotion. Further studies are needed to explore the longitudinal associations of vitality with the incidence of clinically meaningful declines in the other IC domains.

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WHO working definition of vitality capacity for healthy longevity monitoring

Cited by 64 publications

References 51 publications

Subjective age and the association with intrinsic capacity, functional ability, and health among older adults in Norway

Subjective age and the association with intrinsic capacity, functional ability, and health among older adults in Norway

Composition of healthy diets for older persons

Associations between Vitality/Nutrition and the Other Domains of Intrinsic Capacity Based on Data from the INSPIRE ICOPE-Care Program

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