The journal of nutrition, health & aging

, Volume 23, Issue 4, pp 386–392 | Cite as

Defining Vitality: Associations of Three Operational Definitions of Vitality with Disability in Instrumental Activities of Daily Living and Frailty among Elderly Over a 3-Year Follow-Up (MAPT Study)

  • Kelly Virecoulon GiudiciEmail author
  • P. de Souto Barreto
  • G. Soriano
  • Y. Rolland
  • B. Vellas
  • MAPT/DSA Group



This study aimed to examine the associations of three operational definitions of vitality with variation in instrumental activities of daily living (IADL) and frailty over a 3-year follow-up among non-demented, community-dwelling elderly.


Observational study.

Setting and participants

1,679 elderly >70y (64.7% female) participants of the Multidomain Alzheimer Preventive Trial (MAPT).


Vitality was defined as a psychological concept using three items from the Geriatric Depression Scale; as a physical construct using the highest quartile for hand grip strength; and as global physiological reservoir using a combination of good physical and cognitive functions. Variables were assessed at baseline, 6, 12, 24 and 36 months of follow-up.


Prevalence of high vitality at baseline was 57.1%, 28.5% and 21.6% for psychological, physical, and physiological reservoir, respectively. People with high vitality presented higher IADL scores compared to people with low vitality for all definitions. Analysis from the mixed-effect model found no differences between vitality groups for IADL performance across all definitions. IADL scores improved among subjects with high vitality over time, independent on the definition; while no significant variation was observed among those with low vitality. Participants with low vitality presented 2.0 to 6.1 higher odds of having more frailty components over time (p<0.0001).


High vitality defined as a concept related to psychological, physical, or physiological reservoir constructs were positively associated with better IADL performance and with reduced likelihood of frailty worsening over time.

Key words

Vitality elderly activities of daily living frailty cognition 



Alzheimer’s Disease Cooperative Study Activities of Daily Living-Prevention Instrument


activities of daily living


analysis of variance


body mass index


Clinical Dementia Rating


Geriatric Depression Scale


Instrumental Activities of Daily Living


Multidomain Alzheimer Preventive Trial


Mini-Mental State Examination


Statistical Analysis Software


Short Physical Performance Battery


World Health Organization

Supplementary material

12603_2019_1175_MOESM1_ESM.docx (23 kb)
Supplementary Table 1. Baseline characterization of participants according to the concept of very high vitality.


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Copyright information

© Serdi and Springer-Verlag International SAS, part of Springer Nature 2019

Authors and Affiliations

  • Kelly Virecoulon Giudici
    • 1
    • 3
    Email author
  • P. de Souto Barreto
    • 1
    • 2
  • G. Soriano
    • 1
  • Y. Rolland
    • 1
    • 2
  • B. Vellas
    • 1
    • 2
  • MAPT/DSA Group
  1. 1.Gerontopole of Toulouse, Institute of AgeingToulouse University Hospital (CHU Toulouse)ToulouseFrance
  2. 2.UPS/Inserm UMR1027University of Toulouse IIIToulouseFrance
  3. 3.Gérontopôle de ToulouseInstitut du VieillissementToulouseFrance

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