<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-4157</journal-id>
<journal-title><![CDATA[Biomédica]]></journal-title>
<abbrev-journal-title><![CDATA[Biomed.]]></abbrev-journal-title>
<issn>0120-4157</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-41572024000400537</article-id>
<article-id pub-id-type="doi">10.7705/biomedica.7473</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Relación de la capacidad funcional y la funcionalidad familiar con la fragilidad en adultos mayores con riesgo cardiovascular en el suroccidente colombiano]]></article-title>
<article-title xml:lang="en"><![CDATA[Association between functional capacity and family functionality with frailty in older adults with cardiovascular risk in southwestern Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paz]]></surname>
<given-names><![CDATA[Clara Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ledezma]]></surname>
<given-names><![CDATA[Betsy Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[Diana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[Mabel Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[María Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño]]></surname>
<given-names><![CDATA[Franklin René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mera-Mamián]]></surname>
<given-names><![CDATA[Andry Yasmid]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Cauca Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES Facultad de Fisioterapia ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>44</volume>
<numero>4</numero>
<fpage>537</fpage>
<lpage>551</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-41572024000400537&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-41572024000400537&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-41572024000400537&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[fragilidad]]></kwd>
<kwd lng="es"><![CDATA[estado funcional]]></kwd>
<kwd lng="es"><![CDATA[multimorbilidad]]></kwd>
<kwd lng="es"><![CDATA[envejecimiento saludable]]></kwd>
<kwd lng="es"><![CDATA[enfermedades cardiovasculares]]></kwd>
<kwd lng="en"><![CDATA[Aged]]></kwd>
<kwd lng="en"><![CDATA[frailty]]></kwd>
<kwd lng="en"><![CDATA[functional status]]></kwd>
<kwd lng="en"><![CDATA[multimorbidity]]></kwd>
<kwd lng="en"><![CDATA[healthy aging]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular diseases]]></kwd>
</kwd-group>
</article-meta>
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