Baggerseerup8261

Argentina and Laboratorio ELEA/Phoenix, Argentina.

Knowledge of how intrinsic capacity (IC) and neighbourhood physical environment shape functional ability (FA) trajectories in later life remains understudied. We investigated four-year trajectories of IC and their impact on FA trajectories and the association between neighbourhood physical environment and FA trajectories among community-dwelling older adults in Hong Kong, China.

We conducted a four-wave longitudinal study from 2014 to 2017 in Hong Kong with 2,081 adults aged 65 and above. FA was assessed by The Chinese Lawton Instrumental Activities of Daily Living Scale. We used cognition, affect, locomotion, sensory capacity, and vitality to capture the multiple domains of IC. Neighbourhood physical environment attributes included green space, land use diversity, and availability of facilities, assessed within 200- and 500-meter buffers of respondents' homes. We used the parallel process of latent growth curve model.

IC (Unstandardized coefficient, β=-0.02,

<0.001) and FA (β=-0.20,

<0.001) each decreased significantly over time. Individuals with declines in IC experienced a faster decline in FA over time. Green space within a 200-meter buffer (β=1.15,

=0.023), the number of leisure (β=0.03,

=.0.043) and public transport (β=0.08,

=.0.003) facilities within a 500-meter buffer slowed the rate of FA decline.

The level of FA decreased over time in later life. Changes in IC shaped FA trajectories. Increased residential green space and the number of leisure and public transport facilities in the neighbourhood may help slow FA decline over time.

The Hong Kong Housing Society.

The Hong Kong Housing Society.

Little is known about clinical outcomes other than transition to psychosis in people at Clinical High-Risk for psychosis (CHR-P). Our aim was to comprehensively meta-analytically evaluate for the first time a wide range of clinical and functional outcomes beyond transition to psychosis in CHR-P individuals.

PubMed and Web of Science were searched until November 2020 in this PRISMA compliant meta-analysis (PROSPEROCRD42020206271). Individual longitudinal studies conducted in individuals at CHR-P providing data on at least one of our outcomes of interest were included. We carried out random-effects pairwise meta-analyses, meta-regressions, and assessed publication bias and study quality. Analyses were two-tailed with α=0.05.

75 prospective studies were included (n=5,288, age=20.0 years, females=44.5%). Attenuated positive symptoms improved at 12 (Hedges' g=0.753, 95%CI=0.495-1.012) and 24 (Hedges' g=0.836, 95%CI=0.463-1.209), but not ≥36 months (Hedges' g=0.315. 95%CI=-0.176-0.806). Negative symptoms imprd for this patient population to optimize outcomes.

None.

None.The coronavirus disease (COVID-19), a variant of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) originated in Wuhan city of China and has now transmitted over the world. Till the April 24, 2020, nearly 144,367,284 confirmed positive cases with 3,066,270 deaths worldwide. The recent studies have reported that SARS-CoV-2 is transmitted through respiratory droplets. Several vaccines are available now. However, the vaccination process has not completed yet. Worldwide lockdown was initiated to restrict gathering, transport and industrial activities. Lockdown due to COVID-19 showed reduction in environmental pollution. The quality of air and water improved in metro cities and in rivers during COVID-19. 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