Prevalencia de dependencia funcional y su asociación con caídas en una muestra de adultos mayores pobres en México

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

OBJETIVO: Determinar la prevalencia de la dependencia funcional (DF) de los adultos mayores (AM) que viven en condiciones de pobreza en México, y estimar la asociación entre la DF y las caídas. MATERIAL Y MÉTODOS: Se realizó una encuesta con tres etapas de selección, con estratificación según tipo de localidad (rural o urbana) y con representatividad nacional del padrón de Oportunidades 2006. La población objetivo estuvo conformada por individuos de 70 años y más, beneficiarios del Programa Oportunidades. RESULTADOS: El 30.9% de los AM presentaron DF. Los resultados del modelo de regresión logística estratificado por sexo mostraron que, en el grupo de mujeres, la razón de momios RM para la asociación entre el incremento en el número de caídas y DF fue de 1.25 (IC:1.13-1.39), y en el grupo de hombres fue de 1.12 (IC:0.97-1.29). CONCLUSIONES: Debido a las condiciones de vulnerabilidad en que viven estos adultos mayores, se muestra la necesidad de realizar intervenciones específicas para la prevención de caídas de manera que se disminuya el riesgo de dependencia funcional.

Translated abstract

OBJECTIVE: To determine the prevalence of functional dependency (FD) on Mexican elderly living in extreme poverty conditions and to estimate the association between falls and FD. MATERIAL AND METHODS: A survey was conducted with three stages for selection, stratified by type of locality (rural or urban) and nationally representative of the 2006 Oportunidades Program. The target population was composed of individuals 70 years of age and older who were beneficiaries of the Oportunidades Program. RESULTS: A total of 30.9% of the elderly presented FD. The gender stratified logistic regression model resulted in an odds ratio (OR) for women of 1.25 (I.C:1.13-1.39) for the association between the increase in the number of falls and FD and OR=1.12 (I.C:0.97-1.29) for men. CONCLUSIONS: Given the vulnerable conditions in which these older adults live, specific interventions need to be implemented to prevent falls in order to reduce the risk of functional dependency.

Related collections

Most cited references 47

Record: found
Abstract: found
Article: not found

Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons.

Alice C. Scheffer, Marieke J. Schuurmans, Nynke van Dijk … (2008)

fear of falling (FOF) is a major health problem among the elderly living in communities, present in older people who have fallen but also in older people who have never experienced a fall. The aims of this study were 4-fold: first, to study methods to measure FOF; second, to study the prevalence of FOF among fallers and non-fallers; third, to identify factors related to FOF; and last, to investigate the relationship between FOF and possible consequences among community-dwelling older persons. several databases were systematically searched, and selected articles were cross-checked for other relevant publications. a systematic review identified 28 relevant studies among the community-dwelling elderly. Due to the many different kinds of measurements used, the reported prevalence of FOF varied between 3 and 85%. The main risk factors for developing FOF are at least one fall, being female and being older. The main consequences were identified as a decline in physical and mental performance, an increased risk of falling and progressive loss of health-related quality of life. this review shows that there is great variation in the reported prevalence of FOF in older people and that there are multiple associated factors. Knowledge of risk factors of FOF may be useful in developing multidimensional strategies to decrease FOF and improve quality of life. However, the only identified modifiable risk factor of FOF is a previous fall. In order to measure the impact of interventions, a uniform measurement strategy for FOF should be adopted, and follow-up studies should be conducted.

0 comments Cited 170 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Gender differences for non-fatal unintentional fall related injuries among older adults.

Victor Stevens, E Sogolow (2005)

To quantify gender differences for non-fatal unintentional fall related injuries among US adults age 65 years and older treated in hospital emergency departments (EDs). The authors analyzed data from a nationally representative sample of ED visits for January 2001 through December 2001, available through the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP). For each initial ED visit, coders record one principal diagnosis (usually the most severe) and one primary part of the body affected. Based on 22,560 cases, an estimated 1.64 million older adults were treated in EDs for unintentional fall injuries. Of these, approximately 1.16 million, or 70.5%, were women. Fractures, contusions/abrasions, and lacerations accounted for more than three quarters of all injuries. Rates for injury diagnoses were generally higher among women, most notably for fractures which were 2.2 times higher than for men. For all parts of the body, women's injury rates exceeded those of men. Rate ratios were greatest for injuries of the leg/foot (2.3), arm/hand (2.0), and lower trunk (2.0). The hospitalization rate for women was 1.8 times that for men. Among older adults, non-fatal fall related injuries disproportionately affected women. Much is known about effective fall prevention strategies. We need to refine, promote, and implement these interventions. Additional research is needed to tailor interventions for different populations and to determine gender differences in the underlying causes and/or circumstances of falls. This information is vital for developing and implementing targeted fall prevention strategies.