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Assessment intrinsic capacity and functional ability for people 65 years of age and older in Yerevan 1Lamara Manukyan, 2Davit Manukyan 1National Institute of Health named after Academician Avdalbekyan, dept. of family medicine, Yerevan, Armenia 2State medical university named after M.Heratsi

Lamara MANUKYAN

GeriatricsWHO defines intrinsic capacity (IC) as the combination of the individual’s physical and mental, including psychological, capacities; and functional ability (FA) as the combination and interaction of IC with the environment a person inhabits. The basis of healthy aging is the maintenance of intrinsic capacity and functional ability throughout the life cycle.Consulting and screening testing of intrinsic (cognitive and physical) capacity using the WHO Integrated Care for Older People (ICOPE) screening tool was conducted 120 elderly residents aged 65 and older in 5 outpatient clinics in Yerevan, of which 55% were aged 65-74, 31.6% were aged 75-84, and 13.4% were aged 85 and older.As a result of screening, cardiovascular diseases prevail (ischemic heart disease, arterial hypertension 2-3 stages, chronic heart failure 2-3 functional class) – 87%. In second place is chronic ischemia of the brain – 67%. Metabolic disorders (metabolic syndrome, dyslipidemia) – 45%, type 2 diabetes – 20%; osteoarthritis – 35%; anemia (iron and B-12 deficiency) – 22%; hypothyroidism and hiperthyroidism – 22%; mioma, prostate adenoma and other tumor diseases – 18%; gastroduodenal, intestinal ulcer – 10%.                            Geriatric syndromes (GS) are: memory loss and cognitive impairment – 80%,  senile dementia – 73%, senile frailty – 70%, urinary incontinence – 68%, sarcopenia – 64%,             age-related constipation – 60%, pain syndrome – 55%, loss of mobility – 50%, problems with chewing food – 47%, unintentional weight loss – 42%, voice changes- 28%.Geriatric syndromes associated with chronic noncommunicable diseases (CND) worsen their course and lead to adverse outcomes. Higher education has 30%, 20% of whom has preserved memory, and 10% has partial loss of short-term memory. 21% workers have relatively preserved cognitive health. The frequency and severity of geriatric syndromes in single elderly people is 2-3 times more common than in adults living families.Prevention, early diagnosis and treatment of geriatric syndromes improve the prognosis, quality of life and prolong life expectancy of elderly people. Changing the environment, preventing social loneliness and combating ageism will lead to increase adherence to treatment of CND and correction of GS, improved social integration and maintenance of active, healthy and dignified longevity.