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Isaí Arturo Medina-Fernández , Sandra Cecilia Esparza-González , Nissa Yaing Torres Soto, Ana Laura Carrillo-Cervantes , Pedro Enrique Trujillo-Hernández, Josué Arturo Medina-Fernández,
Volume 21, Issue 4 (12-2024)
Abstract

Background: Sarcopenia, characterized by the progressive loss of muscle mass and strength, significantly impacts functional capacity and quality of life (QoL) in older adults. Among Mexican seniors, this condition exacerbates physical limitations, compromising daily activities and independence. The objective was to model the effect of sarcopenia on functional capacity and physical components of health-related QoL in older adults.
Methods: The study has a predictive correlational design with a sample population of 144 older adults from Coahuila, Mexico in 2024. A demographic and clinical form was applied, containing measurements of calf circumference, body mass index (BMI), grip strength with a dynamometer, gait speed and appendicular skeletal muscle mass, simple questionnaire to rapidly diagnose sarcopenia, a subscale of physical components of the SF-36, Barthel Index for Activities of Daily Living (BADL), and Lawton-Brody scale. The data were analyzed with SPSS software version 20 using central tendency and dispersion, Kolmogorov Smirnov test, Mann Whitney U test, Spearman test, and simple linear regressions. Moreover, structural equation was assessed using EQS software version 6.1.
Results: The results showed that the prevalence of sarcopenia was 44.8%, and sarcopenia significantly and negatively affected the basic activities of daily living (r=-0.46, p=0.001). In the same way, it negatively and significantly affected the instrumental activities of daily living (r=-0.41, p=0.001), meanwhile, it positively and significantly affected the physical components of quality of life (r=0.43, p=0.001).
Conclusion: Therefore, it is concluded that sarcopenia negatively influences the physical components of QoL and functional capacity.

 

Isaí Medina-Fernández , Donovan Casas-Patiño , Alejandra Rodríguez-Torres , Josué Medina-Fernández , Karla Patricia Valdés-García , Ana Laura Carrillo-Cervantes ,
Volume 23, Issue 1 (5-2026)
Abstract

Background: Aging is a complex and multidimensional process characterized by biological, psychological, and social changes that may increase vulnerability among older adults. Suicide in later life is recognized as a multifactorial public health issue influenced by several psychosocial factors, including attitudes toward death, vulnerability to abuse, and family functioning. Therefore, this study aimed to investigate the extent to which attitudes toward death, vulnerability to abuse, and family functioning predict suicide risk among older adults.
Methods: An analytical cross-sectional study was conducted in 2025 comprising 260 older adults from Coahuila State. Participants were selected via non-probability convenience sampling. Data were collected using a sociodemographic questionnaire, the Plutchik Suicide Risk Scale, the Revised Profile of Attitudes toward Death (PAM-R), the Vulnerability to Abuse Screening Scale (VASS), and the Family APGAR. Statistical analysis included descriptive statistics, Spearman’s correlation analysis, and multiple linear regression using SPSS version 25.
Results: A total of 260 older adults with a mean age of [69.25±6.80 years] years participated in the study. The majority of the cohort were female, married, and had completed secondary education. The prevalence of suicide risk was 13.8%, and vulnerability to abuse was identified in 10% of participants. An ambivalent attitude toward death was observed, and 33.9% of the sample exhibited moderate to severe family dysfunction. The regression model explained 17.4% of the variance in suicide risk (Adjusted R² = 0.174, F = 13.457, p < 0.001), with family functioning (β = - 0.350, p < 0.001) identified as the strongest and only significant predictor.
Conclusion: The risk of suicide in older adults is a multifactorial phenomenon in which family functioning plays a central protective role. These findings highlight the importance of preventive strategies in collective health, focused on strengthening families and early detection of psychosocial risk factors.


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