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Development of a scoring system for vitality capacity assessment in older adults: a population-based study
Xue Cai1,2, Cuirong Xu2, Zhiju Gu3
1Department of Respiratory Medicine, School of Medicine, Zhongda Hospital, Southeast University, Nanjing, China.
Purpose:
To develop a scoring system for vitality capacity, which is considered a physiological determinant underlying intrinsic capacity, for the older adults.
Methods:
Nine parameters were used to construct the scoring system, with each parameter scored 1 to 4. Logistic regression analysis was used to evaluate its relationship with four types of chronic diseases and 2 types of impaired physical function.
Results:
A total of 3701 older Chinese adults were included (mean age: 67.6 years, men: 51.3%). The median score of vitality capacity was 25.9 points. Higher vitality capacity was related to a better cardiometabolic profile (all P ≤ 0.01). Vitality capacity but not its individual component was consistently and significantly associated with decreased odds of all the 4 types of chronic diseases, and all the 2 types of impaired physical function.
Conclusion:
The 36-point scoring system for vitality capacity assessment showed superiority over its components to reflect the health wellbeing.
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