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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
500
Questionnaires and tests on health behaviors and health
assessment of Autonomy
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.
Time frame: at baseline, 6 months later and 12 months later
Quality of life
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.
Time frame: at baseline, 6 months later and 12 months later
Daily Physical activity Practice (physical behavioral lifestyle measure
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".
Time frame: at baseline, 6 months later and 12 months later
Sarcopenia (physical measure)
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
Time frame: at baseline, 6 months later and 12 months later
Physical functional force (physical measure)
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.
Time frame: at baseline, 6 months later and 12 months later
Eating habits (nutritional behavioral lifestyle measure
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.
Time frame: at baseline, 6 months later and 12 months later
Body Mass Index (nutritional measure)
Body Mass Index corresponds to corresponds to weight (kg) divided by height (m) squared. The unit is kg/m2.
Time frame: at baseline, 6 months later and 12 months later
Subjective cognitive complaint (cognitive measure)
Subjective cognitive complaint is assessed using items from the ICOPE cohort, regarding the presence and worsening (yes/no) of memory and orientation problems
Time frame: at baseline, 6 months later and 12 months later
Working memory (cognitive measure)
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.
Time frame: : at baseline, 6 months later and 12 months later
Psychological quality (psychological measure)
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.
Time frame: at baseline, 6 months later and 12 months later
Locus of Control (psycho-social measure)
: 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.
Time frame: at baseline, 6 months later and 12 months later
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