<?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>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252020000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia del síndrome de fragilidad y factores asociados en adultos mayores]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of Frailty Syndrome and Associated Factors in Elderly Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Perez]]></surname>
<given-names><![CDATA[Dennis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano-Moreno]]></surname>
<given-names><![CDATA[Anderson Nelver]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigo-Gallardo]]></surname>
<given-names><![CDATA[Paola Katterine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro-Huamanchumo]]></surname>
<given-names><![CDATA[Carlos Jesus]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de San Martín Facultad de Porres de Medicina ]]></institution>
<addr-line><![CDATA[Chiclayo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Peruana Unión Escuela de Medicina ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Particular de Chiclayo Escuela de Medicina ]]></institution>
<addr-line><![CDATA[Chiclayo ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad San Ignacio de Loyola Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252020000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252020000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En Latinoamérica, la prevalencia del síndrome de fragilidad en adultos mayores no institucionalizados de 60 años a más oscila entre 7,7 y 39,3 %. En Perú, pocos estudios han abordado este tema y sus factores asociados en poblaciones similares.  Objetivo: Identificar la prevalencia de fragilidad y los factores asociados en adultos mayores pertenecientes a siete centros de atención primaria.  Métodos:  Estudio transversal analítico cuya variable desenlace fue la presencia de fragilidad, según criterios de Fried. Se incluyeron también datos sociodemográficos (para la ocupación se usó la clasificación SEE y Sem FyC), tamizaje de depresión (con la escala de Yesavage), grado de funcionalidad (con el índice de Barthel) y las comorbilidades (usando el índice Geriátrico de Comorbilidad y el índice de severidad de Greenfield).  Resultados:  Se evaluaron 116 adultos mayores, la prevalencia de fragilidad fue de 20,7 %. Los factores asociados fueron tener dos o más enfermedades (RPa = 3,33; IC 95 %: 1,04 - 10,68), tener depresión moderada (RPa = 6,50; IC 95 %: 2,52 - 16,75) y dependencia moderada para la realización de AVD (RPa = 2,63; IC 95 %: 2,63 - 14,15). Los factores protectores fueron haber tenido una ocupación clase III (RPa = 0,11; IC 95 %: 0,02 - 0,54), IV (RPa = 0,07; IC 95 %: 0,01 - 0,35) o V (RPa = 0,24; IC 95 %: 0,09 - 0,60) y el vivir con algún familiar (RPa = 0,25; IC 95 %: 0,08 - 0,74).  Conclusión:  Uno de cada cinco adultos mayores fue frágil. Los síntomas depresivos, tener dos o más comorbilidades y el ser dependiente para las actividades de la vida diaria fueron factores asociados a la fragilidad. Por su parte, trabajar en cargos no directivos y el vivir acompañado de algún familiar fueron factores protectores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In Latin America, the prevalence of frailty syndrome in non-institutionalized elderly adults aged 60 years and older ranges from 7.7 to 39.3%. In Peru, few studies have addressed this topic and its associated factors in similar populations.  Objective:  To identify the prevalence of frailty and the associated factors in elderly adults from seven primary care centers.  Methods:  Analytical and cross-sectional study whose outcome variable was the presence of frailty, according to the Fried criteria. We also included sociodemographic data (for occupation, the classifications of the Spanish Society of Epidemiology [SEE in Spanish] and the Spanish Society of Family and Community Medicine [SEMFyC in Spanish] were used), depression screening (using the Yesavage scale), degree of functionality (using the Barthel index), and comorbidities (using the Geriatric Index of Comorbidity and Greenfield&#8217;s severity index).  Results:  116 older adults were evaluated. The prevalence of frailty was 20.7%. The associated factors were having two or more illnesses (RPa=3.33; 95% CI: 1.04-10.68), having moderate depression (RPa=6.50; 95% CI: 2.52-16.75), and moderate dependence for performing daily-life activities (RPa=2.63; 95% CI: 2.63-14.15). Protective factors were having had a class III occupation (RPa=0.11; 95% CI: 0.02-0.54), class IV (RPa=0.07; 95% CI: 0.01-0.35), or class V (RPa=0.24; 95% CI: 0.09-0.60), and living with a relative (RPa=0.25; 95% CI: 0.08-0.74).  Conclusion:  One in five elderly adults was frail. Depressive symptoms, having two or more comorbidities, and being dependent for daily-life activities were factors associated with frailty. On the other hand, working in non-managerial positions and living with a family member were protective factors.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fragilidad]]></kwd>
<kwd lng="es"><![CDATA[anciano frágil]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="en"><![CDATA[frailty]]></kwd>
<kwd lng="en"><![CDATA[frail elderly]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
</kwd-group>
</article-meta>
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