Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program

IntroductionIn 2015, the WHO introduced intrinsic capacity (IC) as a health indicator with five domains to promote healthy aging. Multicomponent exercise programs are recommended to enhance IC, but research in Brazil on their comprehensive impact is limited. This study aimed to evaluate the effects...

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Main Authors: Sarah Giulia Bandeira Felipe, Clarisse Bielh Printes, Fabiane de Oliveira Brauner, Douglas Katusohi Sato, Rafael Reimann Baptista
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Aging
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Online Access:https://www.frontiersin.org/articles/10.3389/fragi.2025.1562383/full
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author Sarah Giulia Bandeira Felipe
Clarisse Bielh Printes
Fabiane de Oliveira Brauner
Douglas Katusohi Sato
Rafael Reimann Baptista
Rafael Reimann Baptista
author_facet Sarah Giulia Bandeira Felipe
Clarisse Bielh Printes
Fabiane de Oliveira Brauner
Douglas Katusohi Sato
Rafael Reimann Baptista
Rafael Reimann Baptista
author_sort Sarah Giulia Bandeira Felipe
collection DOAJ
description IntroductionIn 2015, the WHO introduced intrinsic capacity (IC) as a health indicator with five domains to promote healthy aging. Multicomponent exercise programs are recommended to enhance IC, but research in Brazil on their comprehensive impact is limited. This study aimed to evaluate the effects of such a program on IC, functional, and psychosocial aspects in older adults.MethodsThis pre- and post-study assessed older adults in Brazil enrolled in a multicomponent training program, evaluating IC as the main outcome using specific tests for each domain. Inclusion criteria were: aged 60+, completing assessments in five domains, attending the program at least twice a week, and participating in two exercise modalities per session for 90 min. Exclusion criteria included: history of stroke, Parkinson’s or Alzheimer’s, recent hand, hip, or knee surgery, or absence for more than 15 consecutive days. A total of 43 older adults were evaluated, and the score was calculated by summing the results of the five domains, yielding a total score ranging from 0 to 10 points. Subsequently, participants underwent a 12-week intervention involving multicomponent exercises and were reassessed.ResultsAfter 12 weeks of intervention, there was a significant reduction in the proportion of participants with low IC, from 7.0% to 0.0%, and an increase in those with high IC, from 4.7% to 20.0% (p = 0.018). Improvements were seen in cognitive aspects, locomotor dimension (p < 0.001), vitality (p = 0.045) and functional classification (p < 0.001), with the greatest effect in the locomotor domain (es = 1.12). Significant gains were also observed in perceived health, quality of life, and physical activity (p < 0.002; p < 0.004; p < 0.001). Body composition showed improvements, including reduced body fat percentage, increased muscle mass, and better fat classification (p < 0.001), along with reductions in waist and abdominal circumferences (p < 0.001; p = 0.001).ConclusionThe multicomponent exercise program demonstrated a positive influence on composite IC, including functional and psychosocial aspects. These findings highlight the critical role of tailored and supervised exercise interventions in enhancing both physical and psychosocial dimensions of health, contributing to healthier aging trajectories.
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spelling doaj-art-a78ceced472849b4b44ece712b7426482025-08-20T03:47:19ZengFrontiers Media S.A.Frontiers in Aging2673-62172025-06-01610.3389/fragi.2025.15623831562383Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise programSarah Giulia Bandeira Felipe0Clarisse Bielh Printes1Fabiane de Oliveira Brauner2Douglas Katusohi Sato3Rafael Reimann Baptista4Rafael Reimann Baptista5Graduate Program in Biomedical Gerontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilGraduate Program in Biomedical Gerontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilGraduate Program in Biomedical Gerontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilInstitute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilInstitute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilBioHub Innovation Laboratory, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, BrazilIntroductionIn 2015, the WHO introduced intrinsic capacity (IC) as a health indicator with five domains to promote healthy aging. Multicomponent exercise programs are recommended to enhance IC, but research in Brazil on their comprehensive impact is limited. This study aimed to evaluate the effects of such a program on IC, functional, and psychosocial aspects in older adults.MethodsThis pre- and post-study assessed older adults in Brazil enrolled in a multicomponent training program, evaluating IC as the main outcome using specific tests for each domain. Inclusion criteria were: aged 60+, completing assessments in five domains, attending the program at least twice a week, and participating in two exercise modalities per session for 90 min. Exclusion criteria included: history of stroke, Parkinson’s or Alzheimer’s, recent hand, hip, or knee surgery, or absence for more than 15 consecutive days. A total of 43 older adults were evaluated, and the score was calculated by summing the results of the five domains, yielding a total score ranging from 0 to 10 points. Subsequently, participants underwent a 12-week intervention involving multicomponent exercises and were reassessed.ResultsAfter 12 weeks of intervention, there was a significant reduction in the proportion of participants with low IC, from 7.0% to 0.0%, and an increase in those with high IC, from 4.7% to 20.0% (p = 0.018). Improvements were seen in cognitive aspects, locomotor dimension (p < 0.001), vitality (p = 0.045) and functional classification (p < 0.001), with the greatest effect in the locomotor domain (es = 1.12). Significant gains were also observed in perceived health, quality of life, and physical activity (p < 0.002; p < 0.004; p < 0.001). Body composition showed improvements, including reduced body fat percentage, increased muscle mass, and better fat classification (p < 0.001), along with reductions in waist and abdominal circumferences (p < 0.001; p = 0.001).ConclusionThe multicomponent exercise program demonstrated a positive influence on composite IC, including functional and psychosocial aspects. These findings highlight the critical role of tailored and supervised exercise interventions in enhancing both physical and psychosocial dimensions of health, contributing to healthier aging trajectories.https://www.frontiersin.org/articles/10.3389/fragi.2025.1562383/fullintrinsic capacityolder adultsphysical exercisehealthy agingquality of life
spellingShingle Sarah Giulia Bandeira Felipe
Clarisse Bielh Printes
Fabiane de Oliveira Brauner
Douglas Katusohi Sato
Rafael Reimann Baptista
Rafael Reimann Baptista
Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
Frontiers in Aging
intrinsic capacity
older adults
physical exercise
healthy aging
quality of life
title Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
title_full Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
title_fullStr Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
title_full_unstemmed Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
title_short Intrinsic capacity, functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
title_sort intrinsic capacity functional and psychosocial aspects of older adults participating in a multicomponent physical exercise program
topic intrinsic capacity
older adults
physical exercise
healthy aging
quality of life
url https://www.frontiersin.org/articles/10.3389/fragi.2025.1562383/full
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