ArticleThe journal of nutrition, health & aging2025
Multi-trajectories of intrinsic capacity and their effect on higher-level functional capacity, life satisfaction, and self-esteem in community-dwelling older adults: the NILS-LSA.
Article in The journal of nutrition, health & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Multiple chronic conditions and intrinsic capacity among middle-aged and older adults: Evidence from CHARLS.Medicine · 2026Article
- Intrinsic capacity trajectories and health outcomes in home care settings: a Canadian population-based cohort study.Age and ageing · 2026Article
- Associations between productive engagement and intrinsic capacity and their longitudinal effects on subjective well-being among older adults: a cross-lagged panel mediation analysis.The journal of nutrition, health & aging · 2026Article
- Self-esteem in patients post-percutaneous coronary intervention: a cross-sectional examination.BMC cardiovascular disorders · 2026Article
- Socioeconomic status and intrinsic capacity trajectories among middle-aged and older adults in China: mediating role of cognitive leisure activities.The journal of nutrition, health & aging · 2026Article
- Article
- mHealth as a Key Component of a New Model of Primary Care for Older Adults.JMIR formative research · 2025Article
- Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study.Archives of public health = Archives belges de sante publique · 2025Article
- A frailty-intrinsic capacity index to predict disability in community-dwelling older Japanese adults.JAR life · 2025Article
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7 authors.
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Abstract
objectivesVariability in intrinsic capacity (IC) changes among community-dwelling older adults and their effect on health outcomes remain understudied. We examined the variability in IC trajectories and their impact on higher-level functional capacity (HLFC), life satisfaction, and self-esteem.
designLongitudinal study.
settingData from the second to seventh waves (2000-2012) of the National Institute for Longevity Sciences-Longitudinal Study of Aging project.
participants934 community dwellers (aged ≥60). MEASUREMENTS: We used group-based multi-trajectory modeling to obtain IC trajectories across six domains: cognition, locomotion, vitality, vision, hearing, and psychological well-being. We employed multivariable regression to investigate the associations between IC trajectories and a decline in HLFC (assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence [TMIG-IC]; baseline TMIG-IC - follow-up TMIG-IC ≥ 2; logistic regression model), life satisfaction (assessed using the Life Satisfaction Index-K [LSI-K]; linear mixed model), and self-esteem (assessed using the Rosenberg Self-Esteem Scale [RSES]; linear mixed model).
resultsWe identified four IC trajectories: the "healthy aging group" (63.7%), the "hearing decline group" (15.1%), the "vision and cognitive decline group" (12.7%), and the "comprehensive deterioration group" (8.5%). Compared to the healthy aging group, the vision and cognitive decline group and the comprehensive deterioration group displayed a significantly greater risk of a decline in the TMIG-IC score (multivariable-adjusted odds ratio [aOR], 95% confidence interval [CI] = 2.05 [1.11, 3.79], 2.74 [1.41, 5.30], respectively), the LSI-K score (multivariable-adjusted β [standard error] = -0.46 [0.08], -0.52 [0.10], respectively), and the RSES score (multivariable-adjusted β [standard error] = -0.85 [0.16], -0.66 [0.20], respectively). The "hearing decline group" did not show a significantly increased risk for these outcomes.
conclusionOlder adults with different IC trajectories may differ in HLFC, life satisfaction, and self-esteem. Public health officials should be aware of this and provide targeted interventions.
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