Skip to main content
SpringerLink
Log in

Validation of Two Intrinsic Capacity Scales and Its Relationship with Frailty and Other Outcomes in Mexican Community-Dwelling Older Adults

  • Published:
The journal of nutrition, health & aging

Abstract

Objectives

The aim of this study was to compare a short and a long version of an intrinsic capacity index and test their cross-sectional association with relevant health outcomes in older adults.

Design

Cross-sectional analysis of the baseline data of the FraDySMex study.

Participants

543 community-dwelling adults aged 50 years and older living in 2 municipalities in Mexico City, from which 435 had complete data on the variables of interest.

Methods

The intrinsic capacity indices were obtained using principal components analysis. The performance of the indices was tested respective to frailty, IADL and ADL.

Results

The short and long versions of the IC index performed well for assessing functional status. Using biometrical variables like the phase angle, grip strength and gait speed measured by the GAIT rite improved the index performance vis a vis IADL disability (Lawton), but not to the other evaluated outcomes.

Conclusions

Both the long and short versions of the intrinsic capacity indices tested were able to classify older adults according to their functional status and were associated with relevant health outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. Cesari M, Araujo de Carvalho I, Thiyagarajan J, Cooper C, Martin F, Reginster J, Vellas B, Beard J. Evidence for the Domains Supporting the Construct of Intrinsic Capacity. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 2018, 73(12), 1653–1660. Doi: https://doi.org/10.1093/gerona/gly011.

    Article  Google Scholar 

  2. Araujo de Carvalho I, Martin C, Cesari M, Sumi Y, Thiyagarajan J, Beard J. Operationalising the concept of intrinsic capacity in clinical settings. 2017;(November):31. https://www.who.int/ageing/health-systems/clinical-consortium/CCHA2017-backgroundpaper-1.pdf

  3. Gonzalez-Bautista E, Andrieu S, Gutiérrez-Robledo LM et al. In the Quest of a Standard Index of Intrinsic Capacity. A Critical Literature Review. J Nutr Health Aging. 2020. https://doi.org/10.1007/s12603-020-1394-4

  4. Beard JR, Jotheeswaran AT, Cesari M, Araujo de Carvalho I. The structure and predictive value of intrinsic capacity in a longitudinal study of ageing. BMJ Open. 2019;9(11). doi:https://doi.org/10.1136/bmjopen-2018-026119.

  5. Gutiérrez-Robledo LM, García-Chanes RE, Pérez-Zepeda MU. Allostatic Load as a Biological Substrate to Intrinsic Capacity: A Secondary Analysis of CRELES. J Nutr Health Aging. 2019;23(9):788–795. doi:https://doi.org/10.1007/s12603-019-1251-5.

    Article  Google Scholar 

  6. Belloni G, Cesari M. Frailty and Intrinsic Capacity: Two Distinct but Related Constructs. Front Med. 2019;6. doi:https://doi.org/10.3389/fmed.2019.00133

  7. Rosas-Carrasco O, Cruz-Arenas E, Parra-Rodríguez L, et al. Cross-cultural adaptation and validation of the FRAIL scale to assess frailty in Mexican adults. J Am Med Dir Assoc, 2016; 17(12):1094–1098. https://doi.org/10.1016/j.jamda.2016.07.008

    Article  Google Scholar 

  8. Ostrosky-Solís F, López-Arango G, Ardila A. Sensitivity and specificity of the Mini-Mental State Examination in a Spanish-speaking population. Appl Neuropsychol 2000;7:25–31

    Article  Google Scholar 

  9. Salinas-Rodríguez A, Manrique-Espinoza B, Acosta-Castillo GI et al. Validation of a cutoff point for the short version of the Depression Scale of the Center for Epidemiologic Studies in older Mexican adults. Salud Publica Mex 2014; 56:279–285.

    Article  Google Scholar 

  10. Goldberg D, Bridges K, Duncan-Jones P et al. Detecting anxiety and depression in general medical settings, Br Med J, 1988, vol. 297:897–899

    Article  CAS  Google Scholar 

  11. Yamada M, Kimura Y, Ishiyama D, et al. Phase Angle Is a Useful indicator for Muscle Function in Older Adults. J Nutr Health Aging. 2019;23(3):251–255. doi:https://doi.org/10.1007/s12603-018-1151-0

    Article  CAS  Google Scholar 

  12. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56:146–156

    Article  Google Scholar 

  13. Szlejf C, Parra-Rodríguez L, Rosas-Carrasco O. Osteosarcopenic Obesity: Prevalence and Relation With Frailty and Physical Performance in Middle-Aged and Older Women. J Am Med Dir Assoc. 2017;18(8):733.e1–733.e5. doi:https://doi.org/10.1016/j.jamda.2017.02.023

    Article  Google Scholar 

  14. Cuyac-Lantigua M, Santana-Porbén S. The Mini Nutritional Assessment of the elderly in the practice of a hospital geriatrics service: Inception, validation, and operational characteristics. Archivos Latinoamericanos de Nutrición. 2007;57: 255–265

    PubMed  Google Scholar 

  15. Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85–M94.

    Article  CAS  Google Scholar 

  16. Vellas B, Balardy L, Gillette-Guyonnet S, et al. Looking for frailty in community-dwelling older persons: the Gérontopôle Frailty Screening Tool (GFST). J Nutr Health Aging. 2013;17(7):629–631. doi:https://doi.org/10.1007/s12603-013-0363-6

    Article  CAS  Google Scholar 

  17. Baztán JJ, Pérez del Molino J, Alarcón T, et al. Índice de Barthel: Instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular. Rev Esp Geriatr Gerontol 1993; 28: 32–40.

    Google Scholar 

  18. Lawton, MP, Brody EM. Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living. Gerontologist 1969; 9:179–186

    Article  CAS  Google Scholar 

  19. Parra-Rodríguez L, Szlejf C, García-González AI, Malmstrom TK, Cruz-Arenas E, Rosas-Carrasco O. Cross-Cultural Adaptation and Validation of the Spanish-Language Version of the SARC-F to Assess Sarcopenia in Mexican Community-Dwelling Older Adults. J Am Med Dir Assoc. 2016;17(12):1142–1146. doi:https://doi.org/10.1016/j.jamda.2016.09.008

    Article  Google Scholar 

  20. Rosas-Carrasco O, González-Flores E, Brito-Carrera AM et al. Assessment of comorbidity in the elderly. Rev Med Inst Mex Seguro Soc. 2011; 49:153–162.

    PubMed  Google Scholar 

  21. Giraldo-Rodríguez L, Rosas-Carrasco O. Development and psychometric properties of the Geriatric Mistreatment Scale. Geriatr Gerontol Int. 2013;13(2):466–474.

    Article  Google Scholar 

  22. Jiménez-Genchi A, Monteverde-Maldonado E, Nenclares-Portocarrero A et al. Confiabilidad y análisis factorial de la versión en español del índice de calidad de sueño de Pittsburgh en pacientes psiquiátricos. Gac Med Mex. 2008;144(6):491–496.

    PubMed  Google Scholar 

  23. Streiner D, Norman G (2008) Health Measurement Scales: A practical guide to their development and use. Oxford University Press.

  24. Härdle K, Simar L (2007) Applied Multivariate Statistical Analysis. Springer-Verlag, Berlin.

    Google Scholar 

  25. Gross AL, Carlson MC, Chu NM, et al. Derivation of a measure of physiological multisystem dysregulation: Results from WHAS and health ABC. Mech Ageing Dev. 2020; 188:111–258. https://doi.org/10.1016/j.mad.2020.111258

    Article  Google Scholar 

Download references

Funding

Funding sources: This project was supported by a grant from the Secretaría de Educación, Ciencia, Tecnología e Innovación de la Ciudad de México SECITI/041/2020 “Red colaborativa de Investigación Traslacional para el Envejecimiento Saludable de la Ciudad de México” (RECITES).

Author information

Authors and Affiliations

  1. National Institute of Geriatrics Mexico, Mexico, Mexico

    Luis Miguel Gutiérrez-Robledo & R. E. García-Chanes

  2. Gérontopôle, Institute on Ageing, Toulouse University Hospital (CHU Toulouse), Inspire Project, Toulouse, France

    E. González-Bautista

  3. Department of Health, Universidad Iberoamericana, Mexico City, Mexico

    O. Rosas-Carrasco

Authors
  1. Luis Miguel Gutiérrez-Robledo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. E. García-Chanes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. González-Bautista
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. O. Rosas-Carrasco
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luis Miguel Gutiérrez-Robledo.

Ethics declarations

Conflict of Interest: Authors declare no conflict of interest.

Ethical statement: The Study was approved by the Angeles Mocel General Hospital Ethics Committee and registered by the Instituto Nacional de Geriatría under the number DI-PI-P041/2020.

Electronic Supplementary Material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gutiérrez-Robledo, L.M., García-Chanes, R.E., González-Bautista, E. et al. Validation of Two Intrinsic Capacity Scales and Its Relationship with Frailty and Other Outcomes in Mexican Community-Dwelling Older Adults. J Nutr Health Aging 25, 33–40 (2021). https://doi.org/10.1007/s12603-020-1555-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-020-1555-5

Key words

Search

Navigation