{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:32:58Z","timestamp":1792499578998,"version":"4.5.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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 \u226550\u00a0years in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study comprised 5068 urban residents aged \u226550\u00a0years from the nationally representative 2015\u201316 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Intrinsic capacity was associated with high social participation (adjusted prevalence ratio per 1-SD increase\u2009=\u20091.31; 95%CI\u2009=\u20091.22\u20131.40), but both neighbourhood measures modified this relationship (P-value for interactions\u2264.001). 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag099","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:40:03Z","timestamp":1775043603000},"source":"Crossref","is-referenced-by-count":2,"title":["Healthy ageing in urban settings: neighbourhood environments modify the association between intrinsic capacity and social participation among older adults in Brazil"],"prefix":"10.1093","volume":"55","author":[{"given":"Maria Lucia Costacurta","family":"Guarita","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Hospital S\u00edrio-Liban\u00eas , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5771-2576","authenticated-orcid":false,"given":"Laiss","family":"Bertola","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]},{"name":"Departamento de Psicologia, Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais, Belo Horizonte, MG ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth E","family":"Covinsky","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Internal Medicine, University of California San Francisco , San Francisco, CA ,","place":["USA"]},{"name":"Division of Geriatrics, Veterans Affairs Medical Center , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Ferriolli","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A","family":"Salerno","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]},{"name":"New York Academy of Medicine , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2590-209X","authenticated-orcid":false,"given":"Thomas","family":"Cudjoe","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins School of Medicine , Baltimore, MD ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cleusa Pinheiro","family":"Ferri","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Universidade Federal de S\u00e3o Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]},{"name":"Department of Health Technology Assessment, Hospital Alemao Oswaldo Cruz , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Fernanda","family":"Lima-Costa","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Fundacao Oswaldo Cruz Instituto Rene Rachou , Belo Horizonte, Minas Gerais, MG ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno de Souza","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Fundacao Oswaldo Cruz Instituto Rene Rachou , Belo Horizonte, Minas Gerais, MG ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana Lustosa","family":"Torres","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais , Belo Horizonte, Minas Gerais, MG ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9331-3820","authenticated-orcid":false,"given":"Monica Rodrigues","family":"Perracini","sequence":"additional","affiliation":[{"name":"Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de S\u00e3o Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]},{"name":"Master's and Doctoral Programs in Gerontology, Universidade Estadual de Campinas , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina May Moran","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Hospital S\u00edrio-Liban\u00eas , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5942-4778","authenticated-orcid":false,"given":"Claudia Kimie","family":"Suemoto","sequence":"additional","affiliation":[{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7467-1745","authenticated-orcid":false,"given":"M\u00e1rlon Juliano Romero","family":"Aliberti","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Hospital S\u00edrio-Liban\u00eas , S\u00e3o Paulo, SP ,","place":["Brazil"]},{"name":"Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo , S\u00e3o Paulo, SP ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"2026042002450846500_ref1","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1016\/S0140-6736(15)00516-4","article-title":"The world report on ageing and health: a policy framework for healthy ageing","volume":"387","author":"Beard","year":"2016","journal-title":"Lancet"},{"key":"2026042002450846500_ref2","doi-asserted-by":"publisher","first-page":"e180","DOI":"10.1016\/S2666-7568(21)00064-7","article-title":"The lancet healthy L. Care for ageing populations globally","volume":"2","year":"2021","journal-title":"Lancet Healthy Longev"},{"key":"2026042002450846500_ref3","volume-title":"World Report on Ageing and Health: World Health Organization","author":"Organisation WH","year":"2015"},{"key":"2026042002450846500_ref4","volume-title":"Decade of Healthy Ageing: Baseline Report","author":"Organisation WH","year":"2020"},{"key":"2026042002450846500_ref5","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1001\/jamainternmed.2018.6414","article-title":"Home modifications to reduce disability in older adults with functional disability","volume":"179","author":"Aliberti","year":"2019","journal-title":"JAMA Intern Med"},{"key":"2026042002450846500_ref6","doi-asserted-by":"publisher","first-page":"100284","DOI":"10.1016\/j.lana.2022.100284","article-title":"Validating intrinsic capacity to measure healthy aging in an upper middle-income country: findings from the ELSI-Brazil","volume":"12","author":"Aliberti","year":"2022","journal-title":"Lancet regional health Americas"},{"key":"2026042002450846500_ref7","doi-asserted-by":"publisher","first-page":"e026119","DOI":"10.1136\/bmjopen-2018-026119","article-title":"The structure and predictive value of intrinsic capacity in a longitudinal study of ageing","volume":"9","author":"Beard","year":"2019","journal-title":"BMJ Open"},{"key":"2026042002450846500_ref8","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1093\/gerona\/glab226","article-title":"Intrinsic capacity: validation of a new WHO concept for healthy aging in a longitudinal Chinese study","volume":"77","author":"Beard","year":"2022","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"2026042002450846500_ref9","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1007\/s11136-023-03520-z","article-title":"Relationship between intrinsic capacity and health-related quality of life among community-dwelling older adults: the moderating role of social support","volume":"33","author":"Yu","year":"2024","journal-title":"Qual Life Res Int J Qual Life Asp Treat Care Rehab"},{"key":"2026042002450846500_ref10","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1186\/s12939-024-02136-0","article-title":"Intrinsic capacity trajectories and socioeconomic inequalities in health: the contributions of wealth, education, gender, and ethnicity","volume":"23","author":"Salinas-Rodr\u00edguez","year":"2024","journal-title":"Int J Equity Health"},{"key":"2026042002450846500_ref11","doi-asserted-by":"publisher","first-page":"102239","DOI":"10.1016\/j.arr.2024.102239","article-title":"Social determinants of intrinsic capacity: a systematic review of observational studies","volume":"95","author":"Huang","year":"2024","journal-title":"Ageing Res Rev"},{"key":"2026042002450846500_ref12","doi-asserted-by":"publisher","first-page":"104703","DOI":"10.1016\/j.archger.2022.104703","article-title":"The longitudinal associations between proximity to local grocery shops and functional ability in the very old living with and without multimorbidity: results from the Newcastle 85+ study","volume":"101","author":"Wu","year":"2022","journal-title":"Arch Gerontol Geriatr"},{"key":"2026042002450846500_ref13","doi-asserted-by":"publisher","first-page":"105361","DOI":"10.1016\/j.archger.2024.105361","article-title":"Social participation and functional disability trajectories in the last three years of life: the Japan Gerontological evaluation study","volume":"121","author":"Ueno","year":"2024","journal-title":"Arch Gerontol Geriatr"},{"key":"2026042002450846500_ref14","doi-asserted-by":"publisher","first-page":"100927","DOI":"10.1016\/j.eclinm.2021.100927","article-title":"Neighbourhood physical environment, intrinsic capacity, and 4-year late-life functional ability trajectories of low-income Chinese older population: a longitudinal study with the parallel process of latent growth curve modelling","volume":"36","author":"Lu","year":"2021","journal-title":"EClinicalMedicine"},{"key":"2026042002450846500_ref15","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1186\/s12877-023-04089-5","article-title":"Impact of age-friendly living environment and intrinsic capacity on functional ability in older adults: a cross-sectional study","volume":"23","author":"Jiang","year":"2023","journal-title":"BMC Geriatr"},{"key":"2026042002450846500_ref16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.maturitas.2020.05.008","article-title":"Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand","volume":"139","author":"Stephens","year":"2020","journal-title":"Maturitas"},{"key":"2026042002450846500_ref17","doi-asserted-by":"publisher","first-page":"105999","DOI":"10.1016\/j.archger.2025.105999","article-title":"The association between intrinsic capacity and functional ability in older adults\u2014exploring the role of the physical environment","volume":"139","author":"Govaerts","year":"2025","journal-title":"Arch Gerontol Geriatr"},{"key":"2026042002450846500_ref18","doi-asserted-by":"publisher","first-page":"xv","DOI":"10.1016\/j.cger.2025.05.003","article-title":"Loneliness and social isolation in the care of the older adult","volume":"41","author":"Kotwal","year":"2025","journal-title":"Clin Geriatr Med"},{"key":"2026042002450846500_ref19","doi-asserted-by":"publisher","first-page":"100524","DOI":"10.1016\/j.jnha.2025.100524","article-title":"Exploring the relationship between intrinsic capacity and social participation in healthy ageing: evidence from Singapore","volume":"29","author":"Cheong","year":"2025","journal-title":"J Nutr Health Aging"},{"key":"2026042002450846500_ref20","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.puhe.2023.11.015","article-title":"Socioeconomic inequalities in health and healthcare utilisation among the elderly in Brazil: results from the 2019 National Health Survey","volume":"226","author":"Mrejen","year":"2024","journal-title":"Public Health"},{"key":"2026042002450846500_ref21","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1093\/aje\/kwx387","article-title":"The Brazilian longitudinal study of aging (ELSI-Brazil): objectives and design","volume":"187","author":"Lima-Costa","year":"2018","journal-title":"Am J Epidemiol"},{"key":"2026042002450846500_ref22","doi-asserted-by":"publisher","first-page":"e57","DOI":"10.1093\/ije\/dyac132","article-title":"Cohort profile: the Brazilian longitudinal study of ageing (ELSI-Brazil)","volume":"52","author":"Lima-Costa","year":"2022","journal-title":"Int J Epidemiol"},{"key":"2026042002450846500_ref23","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1123\/japa.2020-0227","article-title":"Perceived Neighborhood and walking among older Brazilian adults living in urban areas: a National Study (ELSI-Brazil)","volume":"29","author":"Moreira","year":"2021","journal-title":"J Aging Phys Act"},{"key":"2026042002450846500_ref24","doi-asserted-by":"publisher","first-page":"18s","DOI":"10.11606\/s1518-8787.2018052000647","article-title":"Aspects of social participation and neighborhood perception: ELSI-Brazil","volume":"52","author":"Ferreira","year":"2018","journal-title":"Rev Saude Publica"},{"key":"2026042002450846500_ref25","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbaf092","article-title":"Neighborhood social and physical environment and cognitive function among Brazilian adults aged 50","volume":"80","author":"Roma\u00f1ach, \u00c1lvarez","year":"2025","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"2026042002450846500_ref26","doi-asserted-by":"publisher","first-page":"1979","DOI":"10.1016\/j.apmr.2011.06.035","article-title":"Associations between perceived proximity to neighborhood resources, disability, and social participation among community-dwelling older adults: results from the VoisiNuAge study","volume":"92","author":"Levasseur","year":"2011","journal-title":"Arch Phys Med Rehabil"},{"key":"2026042002450846500_ref27","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1186\/s12877-025-06200-4","article-title":"Association between perceived neighborhood environment, sedentary behavior, walking, and moderate-to-vigorous physical activity and frailty: an isotemporal substitution model","volume":"25","author":"Nam","year":"2025","journal-title":"BMC Geriatr"},{"key":"2026042002450846500_ref28","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1590\/0102-311X00125014","article-title":"Advanced activities of daily living and incidence of cognitive decline in the elderly: the SABE study","volume":"31","author":"Dias","year":"2015","journal-title":"Cad Saude Publica"},{"key":"2026042002450846500_ref29","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1111\/j.1521-0391.2011.00156.x","article-title":"Defining \u201cbinge\u201d drinking as five drinks per occasion or drinking to a .08% BAC: which is more sensitive to risk?","volume":"20","author":"Fillmore","year":"2011","journal-title":"Am J Addict"},{"key":"2026042002450846500_ref30","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/1471-2288-3-21","article-title":"Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio","volume":"3","author":"Barros","year":"2003","journal-title":"BMC Med Res Methodol"},{"key":"2026042002450846500_ref31","doi-asserted-by":"publisher","first-page":"kwaf232","DOI":"10.1093\/aje\/kwaf232","article-title":"Choosing between modified Poisson and log-binomial regression: evidence for the superiority of modified Poisson regression under heterogeneous risk ratios","author":"Sawada","year":"2025","journal-title":"Am J Epidemiol"},{"key":"2026042002450846500_ref32","doi-asserted-by":"publisher","first-page":"8305","DOI":"10.3390\/ijerph17228305","article-title":"Environmental and psychosocial interventions in age-friendly communities and active ageing: a systematic review","volume":"17","author":"S\u00e1nchez-Gonz\u00e1lez","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2026042002450846500_ref33","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1177\/0898264315614008","article-title":"Which features of the environment impact community participation of older adults? A systematic review and meta-analysis","volume":"28","author":"Vaughan","year":"2016","journal-title":"J Aging Health"},{"key":"2026042002450846500_ref34","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.ypmed.2018.08.016","article-title":"Association between built environment and the incidence of disability in basic and instrumental activities of daily living in the older adults: results of a cohort study in southern Brazil","volume":"115","author":"Danielewicz","year":"2018","journal-title":"Prev Med"},{"key":"2026042002450846500_ref35","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1007\/s11524-023-00762-7","article-title":"Key age-friendly components of municipalities that Foster social participation of aging Canadians: results from the Canadian longitudinal study on aging","volume":"100","author":"Levasseur","year":"2023","journal-title":"J Urban Health"},{"key":"2026042002450846500_ref36","doi-asserted-by":"publisher","first-page":"1158","DOI":"10.1016\/j.jagp.2016.07.021","article-title":"Age-friendly communities initiative: public health approach to promoting successful aging","volume":"24","author":"Jeste","year":"2016","journal-title":"Am J Geriatr Psychiatry"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/4\/afag099\/68113518\/afag099.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/4\/afag099\/68113518\/afag099.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T06:45:13Z","timestamp":1776667513000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afag099\/8659068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afag099","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4]]},"article-number":"afag099"}}