Factors Associated with Recovered Functionality After Hip Fracture in Non-Institutionalized Older Adults: A Case-Control Study Nested in a Cohort.

PURPOSE: To identify factors associated with recovered functionality after a hip fracture in a sample of older adult patients. PATIENTS AND METHODS: Nested case-control study in a cohort. Older adults (60 years or older) with a hip fracture were recruited between May 2017 and October 2018. The Barthel scale was used to measure performance in activities of daily living (ADL). A questionnaire was applied to collect information about demographic, clinic, psychological and social variables, and anthropometric measurements were taken. A logistic regression model was built to analyze various factors related to recovered functionality. RESULTS: A total of 346 older adults with a hip fracture were studied (n=173 cases and n=173 controls); 69.4% (n=240) women and 30.6% (n=140) men. Mean age was 79.4 years (±8.7) overall; for cases, 77.4 (±7.9) years and for controls, 81.4 (±9.0). Mean schooling was 6.3 (± 4.3) years. Recovered functionality was associated with normal nutritional status (OR 4.81, 95% CI = 2.54-9.12), absence of heart disease (OR 4.08, 95% CI = 1.48-11.20), self-efficacy for ADL (OR 4.07, 95% CI = 2.15-7.72), absence of depressive symptoms (OR 2.99, 95% CI = 1.69-5.28), prior functionality (OR 2.83, 95% CI = 1.51-5.31), high socioeconomic level (OR 2.41, 95% CI = 1.24-4.65) and transcervical fracture (OR 2.34, 95% CI = 1.05-5.22). CONCLUSION: In older adults who have suffered a hip fracture, clinical, psychological, and demographic characteristics are associated with recovered functionality. These factors should be considered as a priority in the care of older adults who have experienced hip fractures.

[Brucellosis, a zoonotic disease present in the population: A time series study in Mexico]. / Brucelosis, una zoonosis presente en la población: estudio de series de tiempo en México.

OBJECTIVE: To determinate the relationship of human brucellosis incidence in Mexico during 2000-2011 in relation with domestic ruminant brucellosis. MATERIALS AND METHODS: An ecological time series study was analyzed using multilevel poisson multiple regression, the incidence of human brucellosis during 2000-2011 and incidence in ruminants and human development index. RESULTS: The high incidence of bovine brucellosis increased 19% the incidence of human brucellosis. The high incidence of caprine brucellosis increase 17% the incidence of human brucellosis. The presence of new cases of ovine brucellosis increased 13% the incidence rates of human brucellosis. CONCLUSIONS: Brucellosis is a public health problem in Mexico, the presence of brucellosis in domestic ruminants and the level of disease control in them affects the presence of the disease in humans.

Brucelosis, una zoonosis presente en la población: estudio de series de tiempo en México / Brucellosis, a zoonotic disease present in the population: A time series study in Mexico

Objetivo. Determinar el comportamiento de la incidencia de brucelosis humana en México durante el periodo 2000-2011 y su relación con la brucelosis en rumiantes domésticos. Material y métodos. En estudio ecológico de series de tiempo se analizaron, mediante regresión Poisson multinivel múltiple, la incidencia de brucelosis humanas durante 2000-2011 y la incidencia en rumiantes, y su relación con índice de desarrollo humano. Resultados. La alta incidencia de brucelosis bovina aumenta 15% la incidencia de brucelosis humana. La alta incidencia en caprinos aumenta 33% la incidencia de brucelosis humana. La presencia de casos nuevos de brucelosis ovina aumenta 13% la incidencia de brucelosis humana. Conclusiones. La brucelosis es un problema de salud pública; la presencia de la brucelosis en los rumiantes domésticos y el nivel de control de la enfermedad en ellos afecta la presencia de la enfermedad en humanos.

Objective. To determinate the relationship of human brucellosis incidence in Mexico during 2000-2011 in relation with domestic ruminant brucellosis. Materials and methods. An ecological time series study was analyzed using multilevel poisson multiple regression, the incidence of human brucellosis during 2000-2011 and incidence in ruminants and human development index. Results. The high incidence of bovine brucellosis increased 19% the incidence of human brucellosis. The high incidence of caprine brucellosis increase 17% the incidence of human brucellosis. The presence of new cases of ovine brucellosis increased 13% the incidence rates of human brucellosis. Conclusions. Brucellosis is a public health problem in Mexico, the presence of brucellosis in domestic ruminants and the level of disease control in them affects the presence of the disease in humans.

Propuesta para el ajuste de las tablas estandarizadas del índice de masa corporal para las personas adultas mayores en México / Proposal for the adjustment of the standardized tables of body mass index for older people in Mexico

Objetivo. Describir la distribución normalizada de los valores del índice de masa corporal (IMC) en la población adulta mayor mexicana. Material y método. Se utilizó la fórmula original de Quetelet para determinar el IMC de los participantes en SABE. Este es un estudio de campo, descriptivo, transversal, simultaneo, de corte comparativo. Fue llevado a cabo en 12 entidades federativas mexicanas en personas adultas mayores de 60 y más años de edad, residentes habituales de su domicilio actual al momento de realizarse la encuesta. La muestra abarcó a 12 411 individuos con representatividad estadística. El estudio se basó en estadística descriptiva. En el manejo estadístico de la información se utilizó como prueba no parametrica la χ² con un grado de libertad, y un intervalo de confianza > 95%. Se consideraron como valores estadísticamente significativos aquellos con p≤0,005. Resultados. Se encontró que los conceptos de IMC "normal", "sobrepeso" y "obesidad I" en SABE fueron mayores que los aportados por las actuales tablas estandarizadas de la OMS, lo que coincide en lo relativo a la obesidad grados II y III.

Objective. To describe the standard distribution of the values of the of body mass index in the Mexican older population. Material and methods. BMI was determined by the original Quetelet's formula in the participants of SABE study. This is a descriptive, cross-sectional, simultaneous and comparative field study. It was carried out a survey in 12 Mexican States in 60 year-old and elder usual adult residents. The representative sample comprised 12 411 individuals. The study was based on descriptive statistics. For analysis, it was used the non-parametric χ² test with one degree of freedom and an interval confidence<95%. It was considered as statistically significant those values with p≤0,005. Results. We found that the concepts of "normal" BMI, "overweight" and "obesity I" in SABE study were greater than the provided by the current standardized tables, and there coincidence with obesity grades II and III.