000162453 001__ 162453
000162453 005__ 20251017144645.0
000162453 0247_ $$2doi$$a10.3934/publichealth.2025040
000162453 0248_ $$2sideral$$a144955
000162453 037__ $$aART-2025-144955
000162453 041__ $$aeng
000162453 100__ $$0(orcid)0000-0003-4513-6801$$aRuiz-Garrós, María Cristina$$uUniversidad de Zaragoza
000162453 245__ $$aDisparity between capacity and performance in the International Classification of Functioning: implications for functionality in older adults
000162453 260__ $$c2025
000162453 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162453 5203_ $$aBackground
Functioning, recognized as the third health indicator and a key metric for rehabilitation, can be assessed by measuring capacity and performance.
Objective
To quantify the prevalence of disability and cognitive impairment in individuals aged 50+ and evaluate the reliability and clinical relevance of capacity and performance qualifiers in the activity and participation domains of the international classification of functioning checklist (ICF checklist).
Methods
A cross-sectional study was conducted in a population from rural and urban areas of Aragón (Spain), including 1707 participants. Disability and cognitive impairment were assessed using the WHO Disability Assessment Schedule 12-item version (WHODAS 12) and mini-mental state examination. A randomly selected subsample (n = 129) underwent a detailed functional evaluation. The ICF checklist was used to compare capacity and performance, analyzing their agreement and differences.
Results
Disability was present in 50.6% of participants. Severe or total disability was most prevalent in general tasks/demands (10.1%) and domestic life (7.1%), reflecting significant daily functioning limitations. The largest capacity-performance discrepancies were in domestic life, self-care, and learning, indicating key intervention areas. Notably, 40.5% of participants had lower performance in domestic life, followed by learning/knowledge (28%) and mobility (17%). Conversely, performance exceeded capacity in community living (13.3%) and personal relationships (5.5%), highlighting the influence of environmental factors.
Conclusions
Disability is highly prevalent in adults aged 50+, notably affecting daily functioning. Gaps between ability and performance indicate environmental barriers, especially at home and in learning contexts. Improved outcomes in social domains suggest enabling conditions. Findings support the ICF checklist's clinical value and advocate for integrating environmental factors into disability care.
000162453 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI06-1098$$9info:eu-repo/grantAgreement/ES/FIS/PI07-90206$$9info:eu-repo/grantAgreement/ES/ISCIII/EPI 1530-07$$9info:eu-repo/grantAgreement/ES/ISCIII/EPI 1637-06
000162453 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162453 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162453 700__ $$0(orcid)0000-0002-0137-3672$$aLaborda Soriano, Ana Alejandra$$uUniversidad de Zaragoza
000162453 700__ $$0(orcid)0000-0003-2587-6765$$aCambra-Aliaga, Alba$$uUniversidad de Zaragoza
000162453 700__ $$0(orcid)0000-0002-2891-5873$$aDominguez-Oliván, Pilar$$uUniversidad de Zaragoza
000162453 700__ $$aPerez-de-Heredia-Torres, Marta
000162453 700__ $$aGonzalo-Ciria, Laura
000162453 700__ $$0(orcid)0000-0003-0335-0404$$aGascón-Catalán, Ana$$uUniversidad de Zaragoza
000162453 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000162453 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000162453 773__ $$g12, 3 (2025), 796-811$$tAIMS public health$$x2327-8994
000162453 8564_ $$s493656$$uhttps://zaguan.unizar.es/record/162453/files/texto_completo.pdf$$yVersión publicada
000162453 8564_ $$s2241287$$uhttps://zaguan.unizar.es/record/162453/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162453 909CO $$ooai:zaguan.unizar.es:162453$$particulos$$pdriver
000162453 951__ $$a2025-10-17-14:33:32
000162453 980__ $$aARTICLE