Aging Disorder
Conditions
Keywords
healthy aging, autonomy, geriatric
Brief summary
A key challenge lies in preventing the loss of autonomy and promoting healthy aging-a concept now widely addressed through multidimensional and multidisciplinary approaches, as evidenced by frailty models, comprehensive geriatric assessment practices, and the WHO's "intrinsic capacity" model. That said, there is a need to assess in greater detail the extent to which individual factors contribute to health trajectories and to move further by adopting a systemic approach that examines not only the relationships between variables but also their complex interactions. The aim of this study is to identify the multidimensional determinants (medical, physical, nutritional, sensory, psycho-cognitive, psychosocial, and socioeconomic) associated with the autonomy and quality of life of older adults and those who are aging.
Interventions
Questionnaires and tests on health behaviors and health
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 55 years or older * Affiliation with or beneficiary of a social security scheme * No objection to the study
Exclusion criteria
* Persons protected by law, under guardianship or curatorship, * Persons deprived of liberty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of Autonomy | at baseline, 6 months later and 12 months later | 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 |
|---|---|---|
| Quality of life | at baseline, 6 months later and 12 months later | 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. |
| Daily Physical activity Practice (physical behavioral lifestyle measure | at baseline, 6 months later and 12 months later | 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". |
| Sarcopenia (physical measure) | at baseline, 6 months later and 12 months later | 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 |
| Physical functional force (physical measure) | at baseline, 6 months later and 12 months later | 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. |
| Eating habits (nutritional behavioral lifestyle measure | at baseline, 6 months later and 12 months later | Eating habits is assessed using items from the Senior in the Community: Risk Evaluation for Eating and Nutrition (SCREEN) questionnaire. Higher score indicated better eating habits. |
| Body Mass Index (nutritional measure) | at baseline, 6 months later and 12 months later | Body Mass Index corresponds to corresponds to weight (kg) divided by height (m) squared. The unit is kg/m2. |
| Subjective cognitive complaint (cognitive measure) | at baseline, 6 months later and 12 months later | Subjective cognitive complaint is assessed using items from the ICOPE cohort, regarding the presence and worsening (yes/no) of memory and orientation problems |
| Working memory (cognitive measure) | : at baseline, 6 months later and 12 months later | Working memory is assessed using a visual test consisting of remembering the order in which targets are illuminated. More recalls correspond to a better score. |
| Psychological quality (psychological measure) | at baseline, 6 months later and 12 months later | Psychological quality is assessed using items from the World Health Organization Quality of Life-Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB) questionnaire. Each item is scored from 1 to 5. Higher score is better. |
| Locus of Control (psycho-social measure) | at baseline, 6 months later and 12 months later | : Locus of Control is assessed using items from the Multidimensional Health Locus of Control Scale. It is a 5-point Likert scale. The questionnaire helps to see if the person thinks that their health depends mainly on their own behavior, that it is perceived as being linked to chance, or that it depends mainly on professionals. |