Relación de la capacidad funcional y la funcionalidad familiar con la fragilidad en adultos mayores con riesgo cardiovascular en el suroccidente colombiano.

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Bibliographic Details
Title:	Relación de la capacidad funcional y la funcionalidad familiar con la fragilidad en adultos mayores con riesgo cardiovascular en el suroccidente colombiano.
Alternate Title:	Association between functional capacity and family functionality with frailty in older adults with cardiovascular risk in southwestern Colombia.
Authors:	Inés Paz, Clara¹ cpaz@unicauca.edu.co, Mercedes Ledezma, Betsy¹, María Rivera, Diana¹, Lorena Salazar, Mabel¹, Verónica Torres, María¹, René Patiño, Franklin¹, Yasmid Mera-Mamián, Andry²
Source:	Biomédica: Revista del Instituto Nacional de Salud. dic2024, Vol. 44 Issue 4, p537-551. 15p.
Subjects:	OLDER people, ACTIVITIES of daily living, BIVARIATE analysis, FRAILTY, MARITAL status
Abstract (English):	Introduction. The changes associated with aging are multidimensional and multifactorial, with the geriatric syndrome of frailty being its most problematic and complex expression. This syndrome leads to vulnerability, disproportionate changes in health status, and functional decline, making its effective identification and comprehensive management necessary. Objective. To describe the sociodemographic, clinical, and functional characteristics of older adults with cardiovascular risk in Southwestern Colombia. Materials and methods. This study has an observational, cross-sectional, and analytical design. The selected population included older adults enrolled in a cardiovascular and metabolic risk program in Popayán (Cauca). A multivariate analysis explored the relationship between frailty and certain sociodemographic, clinical, and functional variables. Results. A total of 293 older adults participated, primarily women (69.6%), with an average age of 71.23 years. Among them, 77.1% were classified as independent in basic activities and 56.3% in instrumental activities of daily living, with autonomy being more prevalent among men. Additionally, 71.1% of women and 43.8% of men were classified as prefrail. The bivariate analysis identified a relationship between frailty and variables such as sex, age, marital status, educational level, occupation, calf circumference, functional capacity, instrumental capacity, and family functionality. The multivariate analysis showed a higher frailty/prefrailty prevalence (55%) in women. Conclusions. Most participants were classified as prefrail; dependency and frailty were more prevalent in women, suggesting the need for preventive strategies and interventions from a gender-differentiated approach. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. Los cambios del envejecimiento son multidimensionales y multifactoriales, y el síndrome geriátrico de fragilidad es su expresión más problemática y compleja. Este lleva a vulnerabilidad, cambio desproporcionado del estado de salud y declinación funcional, haciéndose necesaria su identificación efectiva y un abordaje integral. Objetivo. Describir las características sociodemográficas, clínicas, funcionales y relacionales de la fragilidad en adultos mayores con riesgo cardiovascular en el suroccidente colombiano. Materiales y métodos. Se desarrolló un estudio observacional, de tipo transversal, analítico. La población seleccionada fueron adultos mayores inscritos en un programa de riesgo cardiovascular y metabólico en Popayán, Cauca. Mediante un análisis multivariado, se exploró la relación entre fragilidad y algunas variables sociodemográficas, clínicas y funcionales. Resultados. Participaron 293 adultos mayores, principalmente mujeres (69,6 %), con edad promedio de 71,23 ± 7,38 años. El 77,1 % se clasificó como independientes en actividades básicas y, el 56,3 %, en actividades instrumentales de la vida diaria; predominó la autonomía en hombres. El 71,1 % de las mujeres y el 43,8 % de los hombres se clasificaron como prefrágiles. En el análisis bivariado, se encontró una relación entre la fragilidad, y las variables sexo, edad, estado civil, nivel educativo, ocupación, perímetro de pantorrilla, capacidad funcional, capacidad instrumental y funcionalidad familiar. El análisis multivariado demostró mayor prevalencia (55 %) de fragilidad o prefragilidad en las mujeres. Conclusiones. La mayoría de los participantes se clasificaron como prefrágiles; prevaleció la dependencia y fragilidad en las mujeres, lo que sugiere la necesidad de implementar estrategias de prevención y un abordaje diferencial según el sexo. [ABSTRACT FROM AUTHOR]
	Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	MedicLatina

Description
Abstract:	Introduction. The changes associated with aging are multidimensional and multifactorial, with the geriatric syndrome of frailty being its most problematic and complex expression. This syndrome leads to vulnerability, disproportionate changes in health status, and functional decline, making its effective identification and comprehensive management necessary. Objective. To describe the sociodemographic, clinical, and functional characteristics of older adults with cardiovascular risk in Southwestern Colombia. Materials and methods. This study has an observational, cross-sectional, and analytical design. The selected population included older adults enrolled in a cardiovascular and metabolic risk program in Popayán (Cauca). A multivariate analysis explored the relationship between frailty and certain sociodemographic, clinical, and functional variables. Results. A total of 293 older adults participated, primarily women (69.6%), with an average age of 71.23 years. Among them, 77.1% were classified as independent in basic activities and 56.3% in instrumental activities of daily living, with autonomy being more prevalent among men. Additionally, 71.1% of women and 43.8% of men were classified as prefrail. The bivariate analysis identified a relationship between frailty and variables such as sex, age, marital status, educational level, occupation, calf circumference, functional capacity, instrumental capacity, and family functionality. The multivariate analysis showed a higher frailty/prefrailty prevalence (55%) in women. Conclusions. Most participants were classified as prefrail; dependency and frailty were more prevalent in women, suggesting the need for preventive strategies and interventions from a gender-differentiated approach. [ABSTRACT FROM AUTHOR]
ISSN:	01204157
DOI:	10.7705/biomedica.7473