{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:45:58Z","timestamp":1792154758653,"version":"4.4.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While WHO ICOPE screening is routine, the association between multi-domain intrinsic capacity (IC) decline and falls remains understudied in community-based gerontology practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study analysed 775 rural older adults (mean age 79.4) with \u22651 IC abnormality using multivariable logistic regression and dose\u2013response analysis to evaluate fall risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nutrition (aOR = 5.10), mobility (aOR = 2.60), depression (aOR = 2.34), and vision (aOR = 2.21) impairments were independently associated with falls. Fall rates rose monotonically from 4.6% (one domain) to 29.1% (\u22654 domains; p\n                      <jats:sub>trend<\/jats:sub>\n                      &lt;.001). Clusters involving depression with mobility or vision identified the highest-risk subgroups (34\u201336% fall rate).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An IC impairment count of \u22653, or specific clusters (nutrition, mobility, depression), provides practical triage criteria for community-based fall-prevention. These findings facilitate person-centred risk stratification and resource allocation within integrated care systems for super-aging societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261497792","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:34:36Z","timestamp":1791934476000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multi-Domain Intrinsic Capacity Decline and Fall History Among Community-Dwelling Older Adults in Rural Taiwan: Implications for ICOPE-Based Community Screening"],"prefix":"10.1177","author":[{"given":"Ching-Chu","family":"Liao","sequence":"first","affiliation":[{"name":"Puli Christian Hospital"},{"name":"National Chi Nan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heng-Shun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Puli Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-371X","authenticated-orcid":false,"given":"Mei-Yin","family":"Liu","sequence":"additional","affiliation":[{"name":"National Chi Nan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Chun","family":"Hung","sequence":"additional","affiliation":[{"name":"National Health Research Institutes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1804-7327","authenticated-orcid":false,"given":"Kai-Lin","family":"Liang","sequence":"additional","affiliation":[{"name":"National Chi Nan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-026-07488-6"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00516-4"},{"key":"e_1_3_7_4_1","doi-asserted-by":"crossref","unstructured":"Briggs A. M. Araujo de Carvalho I. (2018). Actions required to implement integrated care for older people in the community using the World Health Organization's ICOPE approach: A global Delphi consensus study. PLOS ONE 13(10) Article e0205533. https:\/\/doi.org\/10.1371\/journal.pone.0205533","DOI":"10.1371\/journal.pone.0205533"},{"key":"e_1_3_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gly011"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00914150251401568"},{"key":"e_1_3_7_7_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2024.66"},{"key":"e_1_3_7_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S305490"},{"key":"e_1_3_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy169"},{"key":"e_1_3_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-02980-1"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648251348702"},{"key":"e_1_3_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17317"},{"key":"e_1_3_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04180-x"},{"key":"e_1_3_7_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.576079"},{"key":"e_1_3_7_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijph.ijph_731_22"},{"key":"e_1_3_7_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-03799-0"},{"key":"e_1_3_7_17_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2021.22"},{"key":"e_1_3_7_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-026-07590-9"},{"key":"e_1_3_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-05071-5"},{"key":"e_1_3_7_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010154"},{"key":"e_1_3_7_21_1","doi-asserted-by":"publisher","DOI":"10.14283\/jpad.2020.8"},{"key":"e_1_3_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(22)00097-6"},{"key":"e_1_3_7_23_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2020.26"},{"key":"e_1_3_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_7_25_1","doi-asserted-by":"publisher","DOI":"10.4235\/agmr.21.0025"},{"key":"e_1_3_7_26_1","volume-title":"Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity","author":"World Health Organization","year":"2017","unstructured":"World Health Organization. (2017). Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. World Health Organization."},{"key":"e_1_3_7_27_1","volume-title":"Integrated care for older people (ICOPE): Guidance for person-centred assessment and pathways in primary care","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. (2019). Integrated care for older people (ICOPE): Guidance for person-centred assessment and pathways in primary care. 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