Factores asociados con el deterioro funcional en adultos mayores mexicanos

Introducción. El deterioro funcional está relacionado con muchos resultados adversos. Objetivo. Explorar la relación de los factores sociodemográficos, médicos y psicológicos con la incidencia del deterioro funcional en los adultos mayores mexicanos. Materiales y métodos. Se analizaron los datos de las cohortes de 2012 y 2015 de la encuesta del Estudio Mexicano de Salud y Envejecimiento. Se excluyeron los participantes con discapacidad funcional en el período de referencia (2012). Se evaluó de forma individual el deterioro funcional en las actividades básicas de la vida diaria (AVD) y en las instrumentales (AIVD). Resultados. Se encontró que el dolor, las comorbilidades, el nivel educativo, el estatus socioeconómico y la depresión se asociaban independientemente con el deterioro de las AVD. El deterioro de las AIVD se asoció con la edad, la educación deficiente, las comorbilidades, la depresión y el deterioro cognitivo. Conclusiones. La edad, el sexo, el estado financiero, el nivel educativo, el dolor y el número de comorbilidades se asociaron con la incidencia del deterioro funcional. El dolor tuvo una mayor asociación con la incidencia del deterioro funcional en las AVD a los tres años, en comparación con el deterioro cognitivo. El estudio del deterioro funcional por dominios permitió recabar información más detallada para determinar los factores que pueden intervenirse con el objetivo de reducir la incidencia del deterioro funcional y la dependencia.publishedVersio

Caregiver burden in caregivers of hospitalized older adults and its associated factors

AIM: Acute care has some complications in the older adult, a frequently overlooked complication is caregiver burden. Scarce information is available on this matter. Therefore, the objective is to describe the factors associated with caregiver burden at the moment of discharge of a hospitalized older adult, in the Mexican healthcare context. METHOD: This is a secondary analysis of a hospital. Bivariate and multivariate analyses were performed with caregiving burden (measured with the Zarit scale) as the dependent variable. Other variables were tested in order to assess their association with caregiver burden: sociodemographic, health-related, depression, functionality, social support and hospital length of stay, caregiver expenses, quality of life and satisfaction with received care. RESULTS: A total of 111 older adults with their respective caregivers were assessed. From this sample, the mean age for older adults was 73 years (± standard deviation 7.9 years) and 65.7% (n = 73) were women. Caregiver burden was present in 39.6% (n = 44) of the individuals. Regarding the multivariate analyses, the only variable independently associated with caregiver burden was depression in the older adult, odds ratio 1.12 (95% confidence interval 1–1.25, p = 0.045). CONCLUSIONS: In concordance with previous work on this matter, according to our results depression in the older adult was a trigger of caregiver burden at discharge of acute care.</p

Systematic review and meta-analysis of frailty prevalence in mexican older adults

Adultos mayoresIntroduction: Frailty is a common condition in older adults, which consists in an increased vulnerability to stressors and a higher frequency of adverse outcomes, after this exposure. Objective: The objective of this study was to conduct a systematic review and meta-analysis on the prevalence of frailty in Mexican older adults and explain the causes of heterogeneity. Methods: Systematic review of the literature on the prevalence of frailty in Mexican older adults including gray literature. Metaanalysis with random effects was performed for all studies and subsequently stratified by potentially explanatory characteristics (type of tool, sample, sex of the participants, type of publication, age of the participants, etc.). Period prevalence, confidence intervals (CI), and heterogeneity are reported. Results: Of a total of 16 studies included with 18,965 older adults, the prevalenceof frailty was 31.2% (95% CI: 24.9-37.4%), with a heterogeneity of 98.7%. When classifying frailty with subjective tools, the lowest heterogeneity was obtained (78.8%), with a prevalence of 38.6% (95% CI: 35.9-41.3). Conclusion: The significant variability of the prevalence between the studies is increased by some individual characteristics included resulting in a variety of definitions, diagnostic tools, and interpretations in relation to the frailty of research.Revista Internacional - Indexad