Evidence map›Paper›PMID 42157111›Full record

ArticleBMC geriatrics2026

Intrinsic capacity and the risk of adverse health outcomes in older adults: a population-based study.

Xiaoyu Gou, Mengjie Li, Nan Lu, Teng Yang, Wen Li, Luyao Yan, Lijuan Yang, Yuanyuan Li, Minmin Leng

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xiaoyu GouDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Mengjie LiDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Nan LuDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Teng YangSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Wen LiSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Luyao YanSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Lijuan YangDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Yuanyuan LiDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China. yuanyuanquan7@126.com.
Minmin LengDepartment of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China. lengmm1992@126.com.

Funding

China Postdoctoral Science Foundation 2023TQ0203Natural Science Foundation of Shandong Province ZR2024QG032Postdoctoral Innovation Project of Shandong Province SDCX-ZG-202303057Shandong Provincial Hospital Research Incubation Fund 2023FY024
6 · The paper itself

Abstract

backgroundIntrinsic capacity (IC) is a comprehensive index composed of cognition, locomotion, vitality, and sensory and psychological domains. This study explores the use of IC as a predictor of fall incidence and functional decline over 5 years.

methodsData were obtained from 2476 participants aged 60 years and older from Wave 3 (2015) and Wave 5 (2020) of the China Health and Retirement Longitudinal Study. IC was assessed via the WHO's Integrated Care for Older People tool. Functional decline was defined as the inability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) independently. Falls were self-reported at follow-up. Multivariable logistic regression models were used to explore the association between IC and adverse outcomes.

resultsA total of 2476 participants were included in this study, including 1382 males (55.82%) and 1094 females (44.18%), with a mean age of 67.1 ± 5.6 years. The mean total IC score was 4.25 ± 1.78. More depressive symptoms were associated with increased fall risk (OR = 1.410; 95% CI: 1.138-1.747) and decreased ability to perform IADLs (OR = 1.772; 95% CI: 1.451-2.163). Visual impairment was associated with increased fall risk (OR = 1.371; 95% CI: 1.110-1.693) and decreased ability to perform ADLs (OR = 1.281; 95% CI: 1.050-1.563). Poor chair rise test results (OR = 1.351; 95% CI: 1.006-1.814) and hearing impairment (OR = 1.283; 95% CI: 1.020-1.614) were associated with decreased ability to perform IADLs. Furthermore, greater IC was associated with decreased risks of falls and functional decline.

conclusionsThe total IC score and components of each domain were associated with the risk of falls and functional decline after 5 years.

Indexed as

Accidental FallsActivities of Daily LivingGeriatric AssessmentPopulation SurveillanceAgedChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsDisabilityFallHealthy agingIntrinsic capacityOlder adults

Identifiers

PMID42157111
PMCPMC13352723

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.