ResumenLas caídas son un problema que implica una carga de enfermedad importante en los adultos mayores. Existe escasa evidencia alrededor del impacto y frecuencia de este fenómeno en Latinoamérica. Se presenta una revisión del tema actualizada con énfasis en el conocimiento generado en los adultos mayores de la región. Adicionalmente hay una descripción de algunos artículos sobre esta población en particular. Hay una necesidad urgente de generar nuevo conocimiento con el fin de obtener evidencia suficiente, e integrar intervenciones efectivas para la prevención de caídas en los adultos mayores.Palabras clave: Ejercicio físico; Adulto mayor; Aptitud física; Calidad de vida; Educación y entrenamiento físico. ResumoAs quedas são um problema que envolve uma grande quantidade de doenças em idosos. Há poucas evidências sobre o impacto e a frequência deste fenômeno na América Latina. A presente revisão atualizada do tema enfatiza o conhecimento gerado em idosos da região. Além disso, há uma descrição de alguns tópicos sobre esta população específica. Há uma necessidade de se gerar novos conhecimentos, a fim de obter evidências suficientes, e integrar intervenções eficazes para a prevenção de quedas em idosos.Descritores: Exercício físico; Idoso; Aptidão física; Qualidade de vida; Educação física e treinamento. AbstractFalls are a problem that involves an important disease burden for the elderly. There's scarce evidence about the impact and frequency of this phenomenon in Latin America. We present a review of this subject emphasizing the knowledge gathered on the elderly of the region. We also include a description of a number of papers on this particular population. There's an urgent need for new knowledge and enough evidence to integrate effective interventions to prevent falls in the elderly population
Objective: The objective was to describe the association between the presence of cognitive impairment and the use of proton pump inhibitors (PPI) in the older adult population in Bogotá, Colombia. Methods: We analyzed the SABE Bogotá study. This study included 2,000 people over 60 years, in a cross-sectional sample. The variable of interest was the alteration in the modified Mini-Mental State Examination (MMSE-M). It was related to the use of PPI. This analysis was adjusted for factors such as sex, age, years of schooling and marital status. Results: The average age was 71.17±8.05 years, 63.4% were women. We found that 20.7% used PPIs, with an average duration of use of 74.8±93.76 months. 12.6% of older adults had altered MMSE-M, with a higher prevalence in PPI users (25.4% vs. 20.02%; p: 0.049). In the multivariate analysis, an association of adjusted risk increase was found between cognitive impairment and the use of PPIs for ≥24 months (OR: 1.90; CI: 1.11-3.24; p = 0.018). Conclusions: This study shows an association of a significant increase in the risk between using PPIs for ≥ 24 months and developing cognitive impairment. More studies are needed to conclude a direct causality relationship.
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