{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:01:34Z","timestamp":1789974094755,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Intrinsic capacity (IC) is central to healthy aging, yet accessible and cost\u2010effective biomarkers for identifying individuals at risk of IC decline remain limited. We investigated whether elevated B\u2010type natriuretic peptide (BNP), including persistent BNP abnormalities, is associated with baseline IC and longitudinal IC decline.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a population\u2010based prospective cohort study using data from the Rugao Longevity and Aging Study, which included three waves of assessments over 4\u2009years. IC was quantified as a composite score across five domains\u2014mobility, vitality, cognition, psychological, and sensory\u2014and assessed at baseline and follow\u2010up visits. Longitudinal associations between BNP levels (quartiles, binary elevation, and cumulative abnormalities) and changes in IC were analyzed using generalized estimating equations.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 1494 participants (mean [SD] age 77.9 [4.5] years, 46.4% male), higher BNP levels were significantly associated with lower IC scores at baseline (adjusted\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.46, 95% CI: \u22120.70, \u22120.22). In a longitudinal analysis, compared with the lowest quartile, the highest BNP quartile was associated with greater IC decline (adjusted\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.43; 95% CI: \u22120.70, \u22120.19). Elevated BNP was similarly associated with IC decline (adjusted\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.37; 95% CI: \u22120.57, \u22120.18). Findings remained significant among participants without CVD. Persistent BNP elevation at baseline and 2\u2010year follow\u2010up was associated with subsequent IC decline (adjusted\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.36; 95% CI: \u22120.65, \u22120.06).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Elevated and persistent BNP abnormalities are consistently associated with IC decline, supporting BNP as a practical biomarker for early identification of older adults at risk of functional deterioration.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.70715","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:15:53Z","timestamp":1789971353000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of B\u2010Type Natriuretic Peptide With Intrinsic Capacity Trajectories Among Chinese Older Adults"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5172-6619","authenticated-orcid":false,"given":"Na","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Central Laboratory The First Affiliated Hospital of Lishui University, Lishui People's Hospital Zhejiang China"},{"name":"Department of Epidemiology and Biostatistics, School of Public Health Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xichenhui","family":"Qiu","sequence":"additional","affiliation":[{"name":"School of Public Health\/School of Nursing Shenzhen University Health Science Center Shenzhen People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7333-8676","authenticated-orcid":false,"given":"Xiaofeng","family":"Wang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Genetic Engineering, Human Phenome Institute, School of Life Sciences Fudan University Shanghai China"},{"name":"National Clinical Research Center for Aging and Medicine Huashan Hospital, Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Radiology Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory The First Affiliated Hospital of Lishui University, Lishui People's Hospital Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuanglin","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory The First Affiliated Hospital of Lishui University, Lishui People's Hospital Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunlai","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory The First Affiliated Hospital of Lishui University, Lishui People's Hospital Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Jiang","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Cardiovascular Diseases and Medical Innovation Center Shanghai East Hospital, School of Medicine, Tongji University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WHO \u201cWorld Report on Ageing and Health \u201d(2015)."},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1038\/s43587-024-00684-2","article-title":"Real\u2010Life Intrinsic Capacity Screening Data From the ICOPE\u2010Care Program","volume":"4","author":"Barreto P.","year":"2024","journal-title":"Nature Aging"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1093\/gerona\/glac250","article-title":"Operationalization of Intrinsic Capacity in Older People and Its Association With Subsequent Disability, Hospital Admission and Mortality: Results From the English Longitudinal Study of Ageing","volume":"78","author":"Campbell C. L.","year":"2023","journal-title":"Journals of Gerontology. Series A, Biological Sciences and Medical Sciences"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2024.105357","article-title":"Intrinsic Capacity and Multimorbidity Predicting Incident Disability\u2010Insights From the I\u2010Lan Longitudinal Aging Study","volume":"121","author":"Lee W. J.","year":"2024","journal-title":"Archives of Gerontology and Geriatrics"},{"key":"e_1_2_10_6_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2021.100927","article-title":"Neighbourhood Physical Environment, Intrinsic Capacity, and 4\u2010Year Late\u2010Life Functional Ability Trajectories of Low\u2010Income Chinese Older Population: A Longitudinal Study With the Parallel Process of Latent Growth Curve Modelling","volume":"36","author":"Lu S. Y.","year":"2021","journal-title":"EClinicalMedicine"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1038\/s43587-023-00522-x","article-title":"Reference Centiles for Intrinsic Capacity Throughout Adulthood and Their Association With Clinical Outcomes: A Cross\u2010Sectional Analysis From the INSPIRE\u2010T Cohort","volume":"3","author":"Lu W. H.","year":"2023","journal-title":"Nature Aging"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.maturitas.2022.02.005","article-title":"Longitudinal Trajectories of Intrinsic Capacity and Their Association With Quality of Life and Disability","volume":"161","author":"Salinas\u2010Rodr\u00edguez A.","year":"2022","journal-title":"Maturitas"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"E394","DOI":"10.1016\/S2666-7568(22)00097-6","article-title":"Implementation of the WHO Integrated Care for Older People (ICOPE) Programme in Clinical Practice: A Prospective Study","volume":"3","author":"Tavassoli N.","year":"2022","journal-title":"Lancet Healthy Longevity"},{"key":"e_1_2_10_10_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003097","article-title":"Intrinsic Capacity and Its Associations With Incident Dependence and Mortality in 10\/66 Dementia Research Group Studies in Latin America, India, and China: A Population\u2010Based Cohort Study","volume":"18","author":"Prince M. J.","year":"2021","journal-title":"PLoS Medicine"},{"key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"111926","DOI":"10.1016\/j.exger.2022.111926","article-title":"Intrinsic Capacity and 10\u2010Year Mortality: Findings From a Cohort of Older People","volume":"167","author":"Yu R.","year":"2022","journal-title":"Experimental Gerontology"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s40520-024-02822-7","article-title":"Intrinsic Capacity and Recent Falls in Adults 80\u2009Years and Older Living in the Community: Results From the ilSIRENTE Study","volume":"36","author":"Cacciatore S.","year":"2024","journal-title":"Aging Clinical and Experimental Research"},{"key":"e_1_2_10_13_1","doi-asserted-by":"crossref","first-page":"9829","DOI":"10.1038\/s41598-023-37097-x","article-title":"Associations Between Intrinsic Capacity, Functional Difficulty, and Fall Outcomes Among Older Adults in India","volume":"13","author":"Muneera K.","year":"2023","journal-title":"Scientific Reports"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"748","DOI":"10.18632\/aging.204508","article-title":"Intrinsic Capacity Differs From Functional Ability in Predicting 10\u2010Year Mortality and Biological Features in Healthy Aging: Results From the I\u2010Lan Longitudinal Aging Study","volume":"15","author":"Lee W. J.","year":"2023","journal-title":"Aging (Albany NY)"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"3303","DOI":"10.1007\/s00394-021-02505-3","article-title":"Dietary Patterns and Intrinsic Capacity Among Community\u2010Dwelling Older Adults: A 3\u2010Year Prospective Cohort Study","volume":"60","author":"Huang C. H.","year":"2021","journal-title":"European Journal of Nutrition"},{"key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1007\/s12603-022-1742-7","article-title":"Dietary Patterns and Intrinsic Capacity in Community\u2010Dwelling Older Adults: A Cross\u2010Sectional Study","volume":"26","author":"Yeung S. S. Y.","year":"2022","journal-title":"Journal of Nutrition, Health & Aging"},{"key":"e_1_2_10_17_1","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.sleep.2023.06.016","article-title":"Association Between Sleep Health and Intrinsic Capacity Among Older Adults in Taiwan","volume":"109","author":"Ya\u2010Hui Chang Y.\u2010C. C.","year":"2023","journal-title":"Sleep Medicine"},{"key":"e_1_2_10_18_1","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.jamda.2020.06.048","article-title":"Effect of Various Exercises on Intrinsic Capacity in Older Adults With Subjective Cognitive Concerns","volume":"22","author":"Huang C. 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H.","year":"2023","journal-title":"Journal of Cachexia, Sarcopenia and Muscle"},{"key":"e_1_2_10_24_1","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1161\/CIRCULATIONAHA.109.884866","article-title":"B\u2010Type Natriuretic Peptides and Cardiovascular Risk Systematic Review and Meta\u2010Analysis of 40 Prospective Studies","volume":"120","author":"Di Angelantonio E.","year":"2009","journal-title":"Circulation"},{"key":"e_1_2_10_25_1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1161\/01.HYP.0000179575.13739.72","article-title":"N\u2010Terminal Pro Brain Natriuretic Peptide Is Inversely Related to Metabolic Cardiovascular Risk Factors and the Metabolic Syndrome","volume":"46","author":"Olsen M. H.","year":"2005","journal-title":"Hypertension"},{"key":"e_1_2_10_26_1","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/S2213-8587(16)30196-6","article-title":"Natriuretic Peptides and Integrated Risk Assessment for Cardiovascular Disease: An Individual\u2010Participant\u2010Data Meta\u2010Analysis","volume":"4","author":"Willeit P.","year":"2016","journal-title":"Lancet Diabetes & Endocrinology"},{"key":"e_1_2_10_27_1","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1093\/ageing\/afab143","article-title":"Associations Between Inflammation, Cardiovascular Biomarkers and Incident Frailty: The British Regional Heart Study","volume":"50","author":"McKechnie D. G. J.","year":"2021","journal-title":"Age and Ageing"},{"key":"e_1_2_10_28_1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s12603-018-1112-7","article-title":"Association of BNP With Frailty in Elderly Population: Rugao Longevity and Ageing Study","volume":"23","author":"Yao S.","year":"2019","journal-title":"Journal of Nutrition, Health & Aging"},{"key":"e_1_2_10_29_1","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.1161\/STROKEAHA.120.032571","article-title":"Blood\u2010Based Cardiac Biomarkers and the Risk of Cognitive Decline, Cerebrovascular Disease, and Clinical Events","volume":"52","author":"Gyanwali B.","year":"2021","journal-title":"Stroke"},{"key":"e_1_2_10_30_1","doi-asserted-by":"crossref","first-page":"2230","DOI":"10.1111\/ene.15859","article-title":"NT\u2010proBNP and Changes in Cognition and Global Brain Structure: The Rotterdam Study","volume":"30","author":"Xiao T.","year":"2023","journal-title":"European Journal of Neurology"},{"key":"e_1_2_10_31_1","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s12603-020-1468-3","article-title":"Plasma N\u2010Terminal Pro\u2010B\u2010Type Natriuretic Peptide Is Associated With Intrinsic Capacity Decline in an Older Population","volume":"25","author":"Ma L. N.","year":"2021","journal-title":"Journal of Nutrition, Health & Aging"},{"key":"e_1_2_10_32_1","first-page":"1064","article-title":"Cohort Profile: The Rugao Longevity and Ageing Study (RuLAS)","volume":"45","author":"Liu Z. Y.","year":"2016","journal-title":"International Journal of Epidemiology"},{"key":"e_1_2_10_33_1","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1007\/s40520-023-02489-6","article-title":"Intrinsic Capacity and 5\u2010Year Late\u2010Life Functional Ability Trajectories of Chinese Older Population Using ICOPE Tool: The Rugao Longevity and Ageing Study","volume":"35","author":"Zhang N.","year":"2023","journal-title":"Aging Clinical and Experimental Research"},{"key":"e_1_2_10_34_1","doi-asserted-by":"crossref","first-page":"E789","DOI":"10.1016\/S2666-7568(22)00200-8","article-title":"WHO Working Definition of Vitality Capacity for Healthy Longevity Monitoring","volume":"3","author":"Bautmans I.","year":"2022","journal-title":"Lancet Healthy Longevity"},{"key":"e_1_2_10_35_1","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afad133","article-title":"Investigating Three Ways of Measuring the Intrinsic Capacity Domain of Vitality: Nutritional Status, Handgrip Strength and Ageing Biomarkers","volume":"52","author":"Lu W. H.","year":"2023","journal-title":"Age and Ageing"},{"key":"e_1_2_10_36_1","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.2307\/2531734","article-title":"Models for Longitudinal Data \u2010 a Generalized Estimating Equation Approach","volume":"44","author":"Zeger S. L.","year":"1988","journal-title":"Biometrics"},{"key":"e_1_2_10_37_1","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/S0002-9343(02)01525-5","article-title":"Prognostic Value of High Plasma Brain Natriuretic Peptide Concentration's in Very Elderly Persons","volume":"114","author":"Ueda R.","year":"2003","journal-title":"American Journal of Medicine"},{"key":"e_1_2_10_38_1","first-page":"1541","article-title":"Plasma NT\u2010proBNP as Predictor of Change in Functional Status, Cardiovascular Morbidity and Mortality in the Oldest Old: The Leiden 85\u2010Plus Study","volume":"36","author":"Peet P. G.","year":"2014","journal-title":"Age"},{"key":"e_1_2_10_39_1","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1186\/s12877-024-04969-4","article-title":"A Simple Scoring Algorithm Based on Intrinsic Capacity for Functional Ability in Community\u2010Dwelling Older Adults in Taiwan","volume":"24","author":"Chang Y. H.","year":"2024","journal-title":"BMC Geriatrics"},{"key":"e_1_2_10_40_1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1159\/000512794","article-title":"The Impact of Intrinsic Capacity on Adverse Outcomes in Older Hospitalized Patients: A One\u2010Year Follow\u2010Up Study","volume":"67","author":"Zeng X. K.","year":"2021","journal-title":"Gerontology"},{"key":"e_1_2_10_41_1","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/j.amjcard.2014.05.050","article-title":"Muscle Mass, Visceral Fat, and Plasma Levels of B\u2010Type Natriuretic Peptide in Healthy Individuals (From the J\u2010SHIPP Study)","volume":"114","author":"Yamashita T.","year":"2014","journal-title":"American Journal of Cardiology"},{"key":"e_1_2_10_42_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.3803\/EnM.2022.1588","article-title":"Association Between N\u2010Terminal Prohormone Brain Natriuretic Peptide and Decreased Skeletal Muscle Mass in a Healthy Adult Population: A Cross\u2010Sectional Study","volume":"38","author":"Yoo T. 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W.","year":"2013","journal-title":"Journal of Experimental Medicine"},{"key":"e_1_2_10_46_1","doi-asserted-by":"crossref","DOI":"10.1172\/JCI139617","article-title":"Mesenchymal Bmp3b Expression Maintains Skeletal Muscle Integrity and Decreases in Age\u2010Related Sarcopenia","volume":"131","author":"Uezumi A.","year":"2021","journal-title":"Journal of Clinical Investigation"},{"key":"e_1_2_10_47_1","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1212\/WNL.0000000000001885","article-title":"N\u2010Terminal Pro\u2010Brain Natriuretic Peptide and Abnormal Brain Aging: The AGES\u2010Reykjavik Study","volume":"85","author":"Sabayan B.","year":"2015","journal-title":"Neurology"},{"key":"e_1_2_10_48_1","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jalz.2016.09.004","article-title":"Hemodynamic and Serum Cardiac Markers and Risk of Cognitive Impairment and Dementia","volume":"13","author":"Velpen I. 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