Social Support, Functional Capacity, and Quality of Life in Older Adults in Wellness centers
Abstract
Introduction: comprehensive management of the elderly is necessary to ensure quality of life in ageing.
Objective: Determine relationship between social support, functional capacity, and quality of life in older adults attending welfare centers in Cartagena, Colombia.
Materials and Method: descriptive, comparative, cross-sectional, and correlational study was conducted with 417 older adults. The Lawton and Brody functionality scale, the Multicultural Quality of Life Index, and the Social Support Scale were applied. The analysis used central tendency measures and statistical tests: Student’s t, Mann-Whitney U, and Kruskal-Wallis H. Ethical guidelines: Resolution 008430 and the Helsinki Principles.
Results: Women represented 61.72% of the participants, with a median age of 68 to 80 years. Economically, 50.96% depended on a state subsidy and 38.76% on family support. Bivariate analysis showed statistically significant associations (p < 0.05) with age (p < 0.001), economic resources (p = 0.045), medication use (p < 0.001), physical activity (p < 0.001), and productive activity (p = 0.004). Correlation analysis revealed that quality of life and social support scores were moderately correlated (r = 0.41). Age was significantly associated with functionality (p < 0.001). A negative correlation between age and Lawton and Brody scores (r = -0.21; p < 0.001) indicates increased dependence with advancing age, impacting health-related quality of life.
Conclusion: Older adults in welfare centers rely mainly on family or government financial support. It emphasizes the importance of strengthening support networks and involving families in care. It recommends interdisciplinary health strategies aimed at maintaining or improving functional capacity to enhance quality of life.
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References
Organización Mundial de la Salud. Envejecimiento activo: un marco político. Rev Esp Geriatr Gerontol. 2002;37(S2):74–105.
Huenchuan S. Envejecimiento, personas mayores y Agenda 2030 para el Desarrollo Sostenible: Perspectiva regional y de derechos humanos. Santiago; 2018.
OMS. Temas de Salud. 2024 [cited 2025 Jan 14]. Década del Envejecimiento Saludable 2021-2030. Available from: https://www.who.int/es/initiatives/decade-of-healthy-ageing
Aranda C, Pando M. Conceptualización del apoyo social y las redes de apoyo social. Rev Investig Psicol. 2017;16(1):233–45.
Arteaga Noriega A, Cogollo Jiménez R, Muñoz Monterroza D. Apoyo social y control metabólico en la diabetes mellitus tipo 2. Revista CUIDARTE. 2017 May 1;8(2):1668.
Mendoza-Núñez VM, Flores-Bello C, Correa-Muñoz E, Retana-U Galde R, Ruiz-Ramos M. Relationship between social support networks and diabetes control and its impact on the quality of life in older community-dwelling Mexicans. Nutr Hosp. 2016 Nov 29;33(6).
Pranata S, Wulandari H. Aconcept analysisof Self-management amongdiabetes mellitus. Int J Nurs Health Serv. 2021;4(3):356–67.
Prince MJ, Wu F, Guo Y, Gutierrez Robledo LM, O’Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. The Lancet. 2015 Feb;385(9967):549–62.
Moreno M, Gutiérrez M, Ramírez L, Barrera O. ¿Qué significa la discapacidad? Aquichan. 2006;6(1).
Paredes Arturo YV, Yarce Pinzón E, Aguirre Acevedo DC. Funcionalidade e fatores associados em idosos de San Juan de Pasto, na Colômbia. Revista Ciencias de la Salud. 2018 Jan 31;16(1):114–28.
Ministerio de Salud y Protección Social. Política Pública Nacional de Envejecimiento y Vejez 2022-2031. Bogotá; 2021.
CEPAL. Envejecimiento en América Latina y el Caribe: inclusión y derechos de las personas mayores. In: Quinta Conferencia Regional Intergubernamental sobre Envejecimiento y Derechos de las Personas Mayores en América Latina y el Caribe [Internet]. Santiago: Comisión Económica para América Latina y el Caribe (CEPAL),; 2022 [cited 2024 Sep 29]. Available from: https://repositorio.cepal.org/server/api/core/bitstreams/e345daf3-2e35-4569-a2f8-4e22db139a02/content
Gallardo-Peralta L, Conde-Llanes D, Córdova-Jorquera I. Asociación entre envejecimiento exitoso y participación social en personas mayores chilenas. Gerokomos. 2016;27(3):104–8.
Cerquera AM, Uribe Rodríguez AF, Matajira Camacho YJ, Delgado Porras MP. Apoyo social percibido y dependencia funcional en el adulto mayor con dolor. Diversitas. 2018 Jul 1;13(2):215–27.
Baracaldo H, Naranjo A, Medina V. Nivel de dependencia funcional de personas mayores institucionalizadas en centros de bienestar de Floridablanca (Santander, Colombia). Gerokomos [Internet]. 2019 [cited 2024 Sep 29];30(4):163–6. Available from: https://scielo.isciii.es/pdf/geroko/v30n4/1134-928X-geroko-30-04-163.pdf
Placideli N, Castanheira ERL, Dias A, Silva PA Da, Carrapato JLF, Sanine PR, et al. Evaluation of comprehensive care for older adults in primary care services. Rev Saude Publica. 2020 Jan 21;54:6.
Veiga de Cabo J, Fuente Díez E de la, Zimmermann Verdejo M. Medicina y seguridad del trabajo. Med Segur Trab (Madr) [Internet]. 1952 [cited 2025 Jan 14];54(210):81–8. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0465-546X2008000100011&lng=es&nrm=iso&tlng=
Echeverría A, Astorga C, Fernández C, Salgado M, Villalobos Dintrans P. Funcionalidad y personas mayores: ¿dónde estamos y hacia dónde ir? Revista Panamericana de Salud Pública. 2022 Apr 12;46:1.
Colombia M de S. Tests de valoración integral: Instrumentos [Internet]. Bogotá; 2018 [cited 2025 Jan 14]. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/anexo-instrumentos-valoracion-ruta-promocion.pdf
Schwartz KI, Zapata-Vega MI, Mezzich JE, Mazzotti G. Validation study of the Multicultural Quality of Life Index (MQLI) in a Peruvian sample. Revista Brasileira de Psiquiatria. 2006 Mar;28(1):24–8.
Jatuff J, Zapata M, Montenegro R, Mezzich J. El Índice Multicultural de Calidad de Vida en Argentina: un estudio de validación. Actas Esp Psiquiatr [Internet]. 2007 [cited 2024 Sep 29];35(4):253–8. Available from: https://repositorio.ub.edu.ar/bitstream/handle/123456789/4774/Jatuff.pdf?sequence=1&isAllowed=y
Bulacio J, Vieyra M, Álvarez C, Benatuil B, Mongiello E. Índice de Calidad de Vida: Validación en una muestra Argentina. Rev Argent Clín Neuropsiquiatr [Internet]. 2004 [cited 2024 Sep 29];11(4). Available from: https://www.alcmeon.com.ar/11/44/04_bulacio.htm
Herrera A, Cogollo Z, Pulido E, Ramírez D, Vargas M. Confiabilidad de la escala quality of life índex (QLI-Sp), en pacientes hemodializados de dos unidades renales en Cartagena [Internet] [Departamento de Investigación]. [Cartagena]: Universidad de Cartagena; 2008 [cited 2024 Sep 29]. Available from: https://hdl.handle.net/11227/3160
Londoño N, Rogers H, Castilla J, Posada S, Ochoa N, Jaramillo M, et al. Validación en Colombia del cuestionario MOS de apoyo social. Int J Psychol Res [Internet]. 2018 [cited 2024 Sep 29];5(1):142–50. Available from: http://www.redalyc.org/articulo.oa?id=299023539016
Valderrama E, Pérez J. Una visión crítica de las escalas de valoración funcional traducidas al castellano. Rev Esp Geriatr Gerontol [Internet]. 1997 [cited 2024 Sep 29];32:297–306. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=8807053
Fontana Fortuny C, Estany Almirall J, Pujol Salud J, Segarra Solanes I, Jordan Gómez Y. Concordancia entre índices de dependencia en las actividades de la vida diaria. Experiencia de aplicación en población geriátrica de ámbito rural. Enferm Clin. 2002 Jan;12(2):47–53.
Mbah AK, Paothong A. Shapiro–Francia test compared to other normality test using expected p -value. J Stat Comput Simul. 2015 Oct 13;85(15):3002–16.
Uhm T, Yi S. A comparison of normality testing methods by empirical power and distribution of P -values. Commun Stat Simul Comput. 2023 Sep 2;52(9):4445–58.
Avellí J, Boada A, Contel C, et al. Model del Programa d’atenció domiciliària (ATDOM) de l’atenció primària i comunitària (APiC) [Internet]. Barcelona; 2022 [cited 2024 Sep 29]. Available from: https://salutweb.gencat.cat/apic
Méndez Espinosa L del C. Ciudades amigables con las personas mayores: Un acercamiento a las Políticas Públicas relacionadas con las personas mayores y análisis crítico de su aplicación a comunas de Chile [Internet] [Tesis de maestría]. [Santiago]: Universidad Diego Portales; 2021 [cited 2025 Jan 14]. Available from: https://repositoriobiblioteca.udp.cl/TD001062.pdf
Damián A. Seguridad social, pensiones y pobreza de los adultos mayores en México. Acta Sociológica. 2016 May;70:151–72.
Contreras Hernández V. Reflexiones necesarias acerca de las actividades recreativas para beneficiar la calidad de vida en adultos mayores institucionalizados. Dilemas contemporáneos: Educación, Política y Valores. 2021 Oct 1;
Bhatia R, Hirsch C, Arnold AM, Newman AB, Mukamal KJ. Social networks, social support, and life expectancy in older adults: the Cardiovascular Health Study. Arch Gerontol Geriatr. 2023 Aug;111:104981.
Wickramasinghe A, Gamage M, Torabi MR, Perera B. Impact of perceived social support and physical fitness on quality of life of institutionalized and non-institutionalized older adults in Sri Lanka. Dialogues in Health. 2022 Dec;1:100079.
Chen Y, Li W, Zhang X, Cheng H, Tian Y, Yang H. Association between social capital and quality of life in older adults with subjective cognitive decline: A cross-sectional study. Applied Nursing Research. 2024 Feb;75:151773.
Villalobos Dintrans P. Panorama de la dependencia en Chile: avances y desafíos. Rev Med Chil. 2019;147(1):83–90.
Edjolo A, Proust-Lima C, Delva F, Dartigues JF, Pérès K. Natural History of Dependency in the Elderly: A 24-Year Population-Based Study Using a Longitudinal Item Response Theory Model. Am J Epidemiol. 2016 Feb 15;183(4):277–85.
Oliveira A, Nossa P, Mota-Pinto A. Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study. Acta Med Port. 2019 Oct 1;32(10):654–60.
Arrieta H, Rezola-Pardo C, Zarrazquin I, Echeverria I, Yanguas JJ, Iturburu M, et al. A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial. Exp Gerontol. 2018 Mar;103:94–100.
Lam FM, Chan PF, Liao L, Woo J, Hui E, Lai CW, et al. Effects of whole-body vibration on balance and mobility in institutionalized older adults: a randomized controlled trial. Clin Rehabil. 2018 Apr 11;32(4):462–72.
Hewitt J, Goodall S, Clemson L, Henwood T, Refshauge K. Progressive Resistance and Balance Training for Falls Prevention in Long-Term Residential Aged Care: A Cluster Randomized Trial of the Sunbeam Program. J Am Med Dir Assoc. 2018 Apr;19(4):361–9.
García Ballesteros, A y Jiménez Blasco, B. Envejecimiento y urbanización: implicaciones de dos procesos coincidentes. 2016, n.89, págs.58-73. Disponible en: <http://www.scielo.org.mx/scielo.php?Script=sci_arttext&pid=S0188-46112016000100058&lng=es&nrm=iso>. ISSN 2448-7279. Https://doi.org/10.14350/rig.47362 .
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