Healthy ageing in urban settings: neighbourhood environments modify the association between intrinsic capacity and social participation among older adults in Brazil.
Background Evidence on how intrinsic capacity and environment interact to sustain social participation remains limited. We examined how intrinsic capacity, neighbourhood environments and their interaction relate to social participation among urban adults aged ≥50 years in Brazil. Methods This cross-...
| Publicado en: | Age & Ageing Vol. 55; no. 4; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193500094&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193500094 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Apr2026 vid: 55 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 193500094 10.1093/ageing/afag099 ppf: 1 ppct: 10 formats: tig: atl: Healthy ageing in urban settings: neighbourhood environments modify the association between intrinsic capacity and social participation among older adults in Brazil. aug: au: Guarita, Maria Lucia Costacurta Bertola, Laiss Covinsky, Kenneth E Ferriolli, Eduardo Salerno, Judith A Cudjoe, Thomas Ferri, Cleusa Pinheiro Lima-Costa, Maria Fernanda Moreira, Bruno de Souza Torres, Juliana Lustosa affil: Department of Epidemiology, Hospital Sírio-Libanês, São Paulo, SP, Brazil Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, BrazilDepartamento de Psicologia, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil Division of Geriatrics, Department of Internal Medicine, University of California San Francisco, San Francisco, CA, USADivision of Geriatrics, Veterans Affairs Medical Center, San Francisco, CA, USA Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, BrazilNew York Academy of Medicine, New York, NY, USA Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, SP, BrazilDepartment of Health Technology Assessment, Hospital Alemao Oswaldo Cruz, São Paulo, SP, Brazil Department of Epidemiology, Fundacao Oswaldo Cruz Instituto Rene Rachou, Belo Horizonte, Minas Gerais, MG, Brazil Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, MG, Brazil su: Brazil Cross-sectional method Ecology Social determinants of health Anxiety Metropolitan areas Interpersonal relations Psychological tests Active aging Social participation Mental depression Activities of daily living Social isolation Middle age Old age Data analysis T-test (Statistics) Research funding Questionnaires Descriptive statistics Chi-squared test Mann Whitney U Test Longitudinal method Statistics Geriatric assessment Comparative studies Data analysis software Walking speed Neighborhood characteristics Grip strength Physical activity sug: subj: Cross-sectional method Ecology Social determinants of health Anxiety Metropolitan areas Interpersonal relations Psychological tests Active aging Social participation Mental depression Activities of daily living Social isolation Middle age Old age Brazil Data analysis T-test (Statistics) Research funding Questionnaires Descriptive statistics Chi-squared test Mann Whitney U Test Longitudinal method Statistics Geriatric assessment Comparative studies Data analysis software Walking speed Neighborhood characteristics Grip strength Physical activity keyword: age-friendly environments brazil copyrightHolder:British Geriatrics Society copyrightYear:2026 functional ability healthy aging https://dx.doi.org/10.1093/ageing/afag099 inLanguage:en intrinsic capacity neighborhood older adult older adults perception publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42003347/ social determinants of health social isolation social participation age-friendly environments brazil copyrightHolder:British Geriatrics Society copyrightYear:2026 functional ability healthy aging https://dx.doi.org/10.1093/ageing/afag099 inLanguage:en intrinsic capacity neighborhood older adult older adults perception publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42003347/ social determinants of health social isolation social participation ab: Background Evidence on how intrinsic capacity and environment interact to sustain social participation remains limited. We examined how intrinsic capacity, neighbourhood environments and their interaction relate to social participation among urban adults aged ≥50 years in Brazil. Methods This cross-sectional study comprised 5068 urban residents aged ≥50 years from the nationally representative 2015–16 Brazilian Longitudinal Study of Ageing. Intrinsic capacity was assessed as a five-domain composite (cognitive, psychological, sensory, locomotor, vitality). Environment was measured using a 15-item neighbourhood perception scale and a derived three-item neighbourhood environment indicator capturing mobility barriers and access to food outlets. Social participation, assessed with a 14-item scale covering relational, leisure and productive roles, was classified as high for participants in the highest quartile. Associations of intrinsic capacity, neighbourhood measures and their interaction with social participation were estimated using Poisson regression adjusted for sociodemographic, clinical and modifiable factors. Results Intrinsic capacity was associated with high social participation (adjusted prevalence ratio per 1-SD increase = 1.31; 95%CI = 1.22–1.40), but both neighbourhood measures modified this relationship (P -value for interactions≤.001). The modifying role of neighbourhood measures was most evident among adults with low intrinsic capacity, for whom more supportive neighbourhoods were associated with higher probabilities of high social participation. With the three-item neighbourhood indicator, predicted probabilities ranged from 12% in the least supportive settings to 30% in the most favourable ones, approaching levels observed in adults with higher intrinsic capacity. Conclusions Supportive neighbourhoods may help offset reduced intrinsic capacity and sustain high social participation in later life, offering scalable strategies to promote healthy ageing in under-resourced settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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