ArticleAnnals of geriatric medicine and research2026
The World Health Organization Integrated Care for Older People (ICOPE) Framework and the Association with Frailty in Older Adults.
Article in Annals of geriatric medicine and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- A multidomain early warning model for 12-month adverse outcomes in older adults with multimorbidity: a risk-stratified public health approach.Frontiers in public health · 2026Article
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5 authors.
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Abstract
backgroundThe World Health Organization published the 2019 Integrated Care for Older People (ICOPE) framework to guide, assess, and promote the intrinsic capacity (IC) of older adults, referring to their physical and mental health. This study aims to investigate the relationship between IC and frailty among older adults.
methodsThis cross-sectional study was conducted in a medical center in Taiwan in 2021. Two hundred ten patients over 65 admitted to the geriatric ward were invited to participate. The questionnaire included an IC measure, Fried Frailty Scale, and demographic items. The IC measure was ascertained using the six domains of ICOPE (cognition, mobility, nutrition, visual, hearing, and depressive symptoms). The Fried Frailty Scale was used to categorize participants as robust (Fried Frailty Scale=0), prefrail (Fried Frailty Scale=1-2), or frail (Fried Frailty Scale ≥3). Multinomial logistic regression was used to analyze the association between individual ICOPE domains and frailty stages, while adjusting for confounders.
resultsAmong the participants, 39.0% were prefrail, and 28.6% were frail. Limited mobility and depressive symptoms were significantly associated with prefrail (adjusted odds ratio [aOR]=4.44, 95% confidence interval [CI] 1.82-10.82; aOR=8.41, 95% CI 1.75-40.37) and frail (aOR=11.57, 95% CI 3.63-36.93; aOR=13.77, 95% CI 2.62-72.49) individuals, respectively. Malnutrition (aOR=4.01, 95% CI 1.18-13.62) and hearing loss (aOR=4.37, 95% CI 1.09-19.66) were significantly associated with frail older adults.
conclusionLimited mobility and depressive symptoms occurring at the prefrail stage could be used as assessment items for early detection of prefrail.
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