Aging, Aging Disorder, Aging, Healthy
Conditions
Keywords
aging, physical activity, diet, environmental factors
Brief summary
In order to implement effective actions to prevent the loss of autonomy in older adults, which has become a major issue, a crucial first step is to identify the conditions that influence it. Current approaches to health increasingly rely on a comprehensive and multidisciplinary vision, in line with so-called "socio-ecological" approaches, which argue that health is influenced by a wide range of interacting factors. However, these interdependencies and interactions are still poorly understood. It therefore seems necessary to move beyond the isolated analyses of risk factors carried out to date and adopt a holistic/systemic vision by examining both individual and environmental factors, as well as their interactions, which together can contribute to functional decline or the development of pathologies in older adults and those aging. The aim of this study is to identify the relationships between intrapersonal and environmental factors, and their cumulative, moderating, and mediating effects on the health of older adults and those experiencing aging. To this end, participants will be asked to complete a series of questionnaires and perform tests on various health-related dimensions. The evaluation criteria are: health, autonomy and quality of life, individual factors (health practices (e.g., physical activity), psychological characteristics (e.g., personal beliefs), socioeconomic status, etc.) and environmental factors (accessibility, living environment).
Interventions
Questionnaires and tests on health behaviors and health
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 55 or older * Affiliation with, or beneficiary of, a social security system * No objection to the study
Exclusion criteria
* Individuals protected by law * unable to participate in a clinical trial * deprived of liberty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Autonomy | at baseline and at 6 months and at 12 months | Autonomy is assessed using the Instrumental Activities of Daily Living (IADL) Scale of Lawton. The scale comprises 8 items. The total score ranges from 0 to 8, with a higher score being better. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Care consumption, health behavior and psycho-socio-environmental characteristics | at baseline and at 6 and 12 months | The evaluation criteria will be, on the one hand, the same individual and environmental factors (e.g., personal beliefs, socio-economic status, accessibility, physical activity, diet) mentioned previously for the main objective, and on the other hand, the consumption of care (number and types of care). |
| Measure Quality of life | at baseline and at 6 months and at 12 months | Quality of life is assessed using the EuroQol at 5 dimensions (EQ-5D) questionnaire. The scale comprises 5 items. Each item is scored from 1 "no problem" to 3 "severe problem". The total score ranges from 5 to 15 with higher score indicating a worse outcome. |
| Physical functional force (physical measure) | at baseline and at 6 months and at 12 months | : Physical functional force is assessed using the 5 sit-to-stand test wich consists of asking the participant to stand up and sit down from a chair 5 times as quickly as possible. The outcome is the time taken to complete the test, and the unit of measurement is seconds. |
| Sarcopenia (physical measure) | at baseline and at 6 months and at 12 months | Sarcopenia is assessed using the SARC-F questionnaire comprising 5 items assessing force, walk difficulties, stand up capacities, climb stairs capacities and fall. Each item is scored from 0 to 2. The total score ranges from 0 to 10 with higher score indicating a worse outcome. |
| Daily Physical activity Practice (physical behavioral lifestyle measure | at baseline and at 6 months and at 12 months | Daily Physical activity Practice is assessed using the Marshall questionnaire comprising 2 items. The total score ranges from 0 to 8. A higher score means a higher level of physical activity. The cut of 4 correspond to "sufficiently active". |
| Subjective cognitive complaint (cognitive measure) | at baseline and at 6 and 12 months | Subjective cognitive complaint is assessed using items from the ICOPE cohort, regarding the presence and worsening (yes/no) of memory and orientation problems |
| Body Mass Index (nutritional measure) | at baseline, 6 months later and 12 months | Body Mass Index corresponds to corresponds to weight (kg) divided by height (m) squared. The unit is kg/m2. |
| Memory (cognitive measure) | at baseline, 6 months later and 12 months | Memory is assessed using a 3-word recall test. Recalling a word is worth 1 point. A higher score is better. |
| Cognitive attention (cognitive measure) | at baseline, 6 months later and 12 months | Cognitive attention is assessed consisting of asking to change the focus of attention. Fewer errors result in a better score |
Countries
France