Construction of Intrinsic Capacity Portrait and Influencing Factor Analysis of Rural Disabled Older Adults in China: A Cross-Sectional Study

Construction of Intrinsic Capacity Portrait and Influencing Factor Analysis of Rural Disabled Older Adults in China: A Cross-Sectional Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Construction of Intrinsic Capacity Portrait and Influencing Factor Analysis of Rural Disabled Older Adults in China: A Cross-Sectional Study Yutong Tian, Mengcan Zhu, Yan Zhang, Xinjie Zhang, Xin Wen This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7258039/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 03 Mar, 2026 Read the published version in BMC Geriatrics → Version 1 posted 10 You are reading this latest preprint version Abstract Background: The aging and disability of China's rural population have a huge impact on the long-term care system, and the intrinsic capacity and healthy aging of the disabled older adults in rural areas need to be improved urgently. Objective: To investigate the current status of intrinsic capacity of the disabled older adults in rural areas, analyze the decline level and influencing factors of their mobility, vitality, cognition, sensory and psychological ability, and further verify the quantitative accuracy and sensitivity of the intrinsic capacity assessment system in the Chinese elderly population. Methods: Using the Intrinsic Capacity Assessment System, a questionnaire survey was conducted among 343 disabled rural older adults from 32 conveniently selected villages under Henan Province, China. Results: The average score of intrinsic capacity among disabled rural older adults was (5.68±1.62), and the scores of each dimension were as follows: mobility (4.51±2.72), vitality (22.27±4.02), cognition (17.31±7.09), psychology (6.68±5.69), sensory ability (1.22±0.52), mobility (99.1%) and cognitive (91.0%) ability impairment rates were higher, and the disability level (Cramer's V 0.444) and frailty status (Cramer's V=0.408) were moderately correlated with the level of intrinsic capacity. The results of multiple linear regression analysis showed that age, education level, residence (children living with spouse), type of medication, economic source (pension), disability, grip strength level and BMI level were the influencing factors of intrinsic capacity of the disabled older adults in rural areas (P <0.05）. Conclusion: The intrinsic capacities such as mobility and cognition of disabled rural older adults are severely impaired, and these impairments are influenced by multiple factors including sociodemographic characteristics and personal health status. In the follow-up, a multi-domain integrated care plan can be formulated around multi-component exercises and diversified diets to improve their intrinsic capacity levels. Rural Disabled older adults Intrinsic capacity User portrait Healthy aging Frailty Full Text Additional Declarations No competing interests reported. Supplementary Files Sociodemographiccharacteristics.pdf Cite Share Download PDF Status: Published Journal Publication published 03 Mar, 2026 Read the published version in BMC Geriatrics → Version 1 posted Editorial decision: Revision requested 21 Oct, 2025 Reviews received at journal 08 Oct, 2025 Reviewers agreed at journal 01 Oct, 2025 Reviews received at journal 26 Sep, 2025 Reviewers agreed at journal 19 Sep, 2025 Reviewers invited by journal 18 Sep, 2025 Editor invited by journal 28 Aug, 2025 Editor assigned by journal 14 Aug, 2025 Submission checks completed at journal 14 Aug, 2025 First submitted to journal 14 Aug, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7258039","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":522167564,"identity":"620114ae-9b75-4d3c-bf47-5185002567a2","order_by":0,"name":"Yutong Tian","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA6ElEQVRIiWNgGAWjYBACA3YILcfG3nwAwjxASAszWJGBMT/PsQTStCTOnJFjQJwWc2YeM+mPbX+MDc6c+fzxZxuDHN+NBMbPBXi0WDazpUkcbDOQMzjeu8FAso3BWPJGArP0DHwOO8x8DKQFaMvZDQmGbQyJG24ksDHz4NXC2AbSAlSZ8+BAYhtDPRFaILaAvM/YcLCNIcGAsBa2ZIsz54xBgWzM2HBOwnDmmYfN0ni1HO8xvFFRJgeKyscff5TZyPMdTz74GZ8WIGCRYGSDcySAmLEBvwYGBuYPDH8IqRkFo2AUjIIRDQDu8VCBHV/BwwAAAABJRU5ErkJggg==","orcid":"","institution":"Zhengzhou University","correspondingAuthor":true,"prefix":"","firstName":"Yutong","middleName":"","lastName":"Tian","suffix":""},{"id":522167565,"identity":"156de644-4639-4cc7-9418-cc677d48f728","order_by":1,"name":"Mengcan Zhu","email":"","orcid":"","institution":"Zhengzhou University","correspondingAuthor":false,"prefix":"","firstName":"Mengcan","middleName":"","lastName":"Zhu","suffix":""},{"id":522167566,"identity":"1c1b10c5-3943-4d8b-8a43-6d104c287d91","order_by":2,"name":"Yan Zhang","email":"","orcid":"","institution":"Zhengzhou University","correspondingAuthor":false,"prefix":"","firstName":"Yan","middleName":"","lastName":"Zhang","suffix":""},{"id":522167567,"identity":"555fff23-a76c-43d8-bd17-2b49652270d3","order_by":3,"name":"Xinjie Zhang","email":"","orcid":"","institution":"Zhengzhou University","correspondingAuthor":false,"prefix":"","firstName":"Xinjie","middleName":"","lastName":"Zhang","suffix":""},{"id":522167569,"identity":"74546152-4052-4ab6-b2b4-b86bbf4a5508","order_by":4,"name":"Xin Wen","email":"","orcid":"","institution":"Zhengzhou University","correspondingAuthor":false,"prefix":"","firstName":"Xin","middleName":"","lastName":"Wen","suffix":""}],"badges":[],"createdAt":"2025-07-31 04:53:19","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-7258039/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7258039/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12877-026-07284-2","type":"published","date":"2026-03-03T15:59:16+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":92437497,"identity":"59fa843f-26c5-421a-8580-b8d4e2cb5d54","added_by":"auto","created_at":"2025-09-29 17:27:12","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":1005853,"visible":true,"origin":"","legend":"","description":"","filename":"Manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7258039/v1/7c650b5c87baecd1b954adf3.pdf"},{"id":92437495,"identity":"98303b89-5af4-4e3e-803b-ba2eb5095f6f","added_by":"auto","created_at":"2025-09-29 17:27:12","extension":"json","order_by":1,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":7147,"visible":true,"origin":"","legend":"","description":"","filename":"96a2713dbd4b4f79b54c0213824d43e5.json","url":"https://assets-eu.researchsquare.com/files/rs-7258039/v1/4fffa569676cc4416b352661.json"},{"id":92437498,"identity":"11d6b1d3-dac6-43bb-8237-3f7f92e88c6c","added_by":"auto","created_at":"2025-09-29 17:27:12","extension":"pdf","order_by":2,"title":"","display":"","copyAsset":false,"role":"acdc-reference","size":159048,"visible":true,"origin":"","legend":"","description":"","filename":"Sociodemographiccharacteristics.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7258039/v1/37de777a8b3ca114bb24d34a.pdf"},{"id":104250857,"identity":"f311fe23-88d6-4d6b-b801-c5e769d76615","added_by":"auto","created_at":"2026-03-09 16:10:35","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":939806,"visible":true,"origin":"","legend":"","description":"","filename":"Manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7258039/v1_covered_8de26f6d-d56a-4e46-92cc-3004263267be.pdf"},{"id":92437496,"identity":"ea85c421-5408-4cb4-ba12-78f0b0b85d9e","added_by":"auto","created_at":"2025-09-29 17:27:12","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"supplement","size":159048,"visible":true,"origin":"","legend":"","description":"","filename":"Sociodemographiccharacteristics.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7258039/v1/38ca37e58e59324bd44abbbc.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Construction of Intrinsic Capacity Portrait and Influencing Factor Analysis of Rural Disabled Older Adults in China: A Cross-Sectional Study","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-geriatrics","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bgtc","sideBox":"Learn more about [BMC Geriatrics](http://bmcgeriatr.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bgtc/default.aspx","title":"BMC Geriatrics","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Rural, Disabled older adults, Intrinsic capacity, User portrait, Healthy aging, Frailty","lastPublishedDoi":"10.21203/rs.3.rs-7258039/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7258039/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e The aging and disability of China's rural population have a huge impact on the long-term care system, and the intrinsic capacity and healthy aging of the disabled older adults in rural areas need to be improved urgently.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eObjective:\u003c/strong\u003e To investigate the current status of intrinsic capacity of the disabled older adults in rural areas, analyze the decline level and influencing factors of their mobility, vitality, cognition, sensory and psychological ability, and further verify the quantitative accuracy and sensitivity of the intrinsic capacity assessment system in the Chinese elderly population.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e Using the Intrinsic Capacity Assessment System, a questionnaire survey was conducted among 343 disabled rural older adults from 32 conveniently selected villages under Henan Province, China.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e The average score of intrinsic capacity among disabled rural older adults was (5.68±1.62), and the scores of each dimension were as follows: mobility (4.51±2.72), vitality (22.27±4.02), cognition (17.31±7.09), psychology (6.68±5.69), sensory ability (1.22±0.52), mobility (99.1%) and cognitive (91.0%) ability impairment rates were higher, and the disability level (Cramer's V 0.444) and frailty status (Cramer's V=0.408) were moderately correlated with the level of intrinsic capacity. The results of multiple linear regression analysis showed that age, education level, residence (children living with spouse), type of medication, economic source (pension), disability, grip strength level and BMI level were the influencing factors of intrinsic capacity of the disabled older adults in rural areas (P \u0026lt;0.05）.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e The intrinsic capacities such as mobility and cognition of disabled rural older adults are severely impaired, and these impairments are influenced by multiple factors including sociodemographic characteristics and personal health status. In the follow-up, a multi-domain integrated care plan can be formulated around multi-component exercises and diversified diets to improve their intrinsic capacity levels.\u003c/p\u003e","manuscriptTitle":"Construction of Intrinsic Capacity Portrait and Influencing Factor Analysis of Rural Disabled Older Adults in China: A Cross-Sectional Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-09-29 17:27:07","doi":"10.21203/rs.3.rs-7258039/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-10-21T10:53:32+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-10-08T15:40:35+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"282690341383125775705386719709487744994","date":"2025-10-01T15:51:39+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-09-26T13:50:31+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"219336185666780411281627838071488841161","date":"2025-09-19T10:56:34+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-09-19T03:53:46+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-08-28T05:49:54+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-08-14T12:02:45+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-08-14T10:03:11+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Geriatrics","date":"2025-08-14T10:01:57+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-geriatrics","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bgtc","sideBox":"Learn more about [BMC Geriatrics](http://bmcgeriatr.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bgtc/default.aspx","title":"BMC Geriatrics","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"f8b49287-5073-46c0-908f-8e4b6e11c0f0","owner":[],"postedDate":"September 29th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2026-03-09T16:06:33+00:00","versionOfRecord":{"articleIdentity":"rs-7258039","link":"https://doi.org/10.1186/s12877-026-07284-2","journal":{"identity":"bmc-geriatrics","isVorOnly":false,"title":"BMC Geriatrics"},"publishedOn":"2026-03-03 15:59:16","publishedOnDateReadable":"March 3rd, 2026"},"versionCreatedAt":"2025-09-29 17:27:07","video":"","vorDoi":"10.1186/s12877-026-07284-2","vorDoiUrl":"https://doi.org/10.1186/s12877-026-07284-2","workflowStages":[]},"version":"v1","identity":"rs-7258039","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7258039","identity":"rs-7258039","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}