Dependencia funcional y su relación con la mortalidad general en adultos mayores. México: 2001-2015

Abstract

 ABSTRACT: Objective: The objective of this article is to estimate the probabilities of transition between different degrees of functional dependence, as well as the predictive capacity of this dependence for general mortality of women and men living in Mexico aged 65 and over. Methods: By means of probabilities, transitions between different degrees of functional dependence are calculated and, with proportional Cox risks models, the relative risks of mortality are estimated. Results: The results indicate that women are more likely to move from mild functional dependence to moderate or severe functional dependence than men. Likewise, women and men with severe functional dependence, assessed at the baseline, have higher relative risks of mortality than the mortality risks of individuals without functional dependence. Conclusion: There are differences in the probabilities of transition to functional dependence, noting that women are more likely to move to higher degrees of physical restraint than men. In this sense, having physical limitations in the development of basic activities of daily living increases mortality risks among Mexican elderly.

Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living

“…In the study by Leirós-Rodríguez et al [45], gender was a predictor of the functional limitations of the study sample, since men had a lower functional limitation than women for walking, climbing stairs, stooping and carrying a weight. On the other hand, in the study by Lozano et al [46], for the most severe state of functional dependency, men had more limitations than women. Despite this, the women in the sample were more likely to go from a low to a moderate or severe functional dependency, while men were more likely to go from a low or severe functional dependency to no dependency.…”

Dependencia del adulto mayor como factor de riesgo para desarrollar depresión en adultos mayores

“…A medida que los años avanzan, el deterioro también progresa, que permite que el AM se vuelva más frágil y presente incapacidad funcional. 27 Entonces, la literatura nos narra que la dependencia funcional, limita en el ser humano el desarrollo de múltiples actividades, afectando sus capacidades, al no tener una accesible relación con el entorno social. Todo esto se asocia con el aumento del riesgo de mortalidad, pues las limitaciones físicas guardan relación con el desarrollo de las comorbilidades, llevando a un deterioro de la calidad de vida en el AM.…”