Gutiérrez-Robledo Luis Miguel, García-Chanes Rosa Estela, Pérez-Zepeda Mario Ulises
Instituto Nacional de Geriatría Mexico City Mexico Instituto Nacional de Geriatría, Mexico City, Mexico.
Rev Panam Salud Publica. 2021 Sep 13;45:e121. doi: 10.26633/RPSP.2021.121. eCollection 2021.
OBJECTIVE: To describe the levels of intrinsic capacity and those factors related to its decline in Mexican older adults, using the Mexican Health and Aging Study. METHODS: This is a cross-sectional secondary analysis of the 2015 data of the Mexican Health and Aging Study, including adults aged 50 years and above. Selected questions were included to represent each domain of intrinsic capacity screening: cognition, depression, hearing, vision, anorexia, weight loss, and mobility. Sociodemographic characteristics, psychosocial factors, and health conditions were included to assess their association with intrinsic capacity. Further categories were established to assess not only individual characteristics but also different groupings. Along with descriptive statistics, multinomial regression models were performed. RESULTS: From a total of 12 459 adults aged 50 years and above, 54.7% were women and the average age was 71.2 years; 87.8% of the individuals had at least one intrinsic capacity domain affected, and mobility had the highest frequency (47.6%). All domains showed a trend of increasing with age and were higher among women. Self-rated health, chronic diseases, number of visits to a physician in the last year, and ≥2 affected activities of daily living were consistently associated with more intrinsic capacity domains affected. CONCLUSIONS: Decreased levels of intrinsic capacity in Mexican older people are associated with less schooling, self-rated health, chronic diseases, visits to a physician, and activities of daily living.
目的:利用墨西哥健康与老龄化研究,描述墨西哥老年人的内在能力水平及其下降的相关因素。 方法:这是对墨西哥健康与老龄化研究2015年数据的横断面二次分析,纳入了50岁及以上的成年人。选取了代表内在能力筛查各领域的问题:认知、抑郁、听力、视力、厌食、体重减轻和行动能力。纳入社会人口学特征、心理社会因素和健康状况,以评估它们与内在能力的关联。进一步划分类别,不仅评估个体特征,还评估不同分组情况。除描述性统计外,还进行了多项回归模型分析。 结果:在总共12459名50岁及以上的成年人中,54.7%为女性,平均年龄为71.2岁;87.8%的个体至少有一个内在能力领域受到影响,行动能力受影响的频率最高(47.6%)。所有领域均呈现随年龄增长而增加的趋势,且女性中的水平更高。自评健康状况、慢性病、过去一年看医生的次数以及≥2项日常生活活动受限均始终与更多内在能力领域受影响相关。 结论:墨西哥老年人内在能力水平下降与受教育程度低、自评健康状况、慢性病、看医生次数以及日常生活活动有关。
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