Fragilidad fisiológica en adultos jóvenes crónicos indigentes determinada por la fuerza de prensión / Physiological frailty in chronically homeless young adults determined by handgrip strength

Alí Ruiz Coronel, Ruben Fossión, Josué Sauri García

Resumen


Si bien hay pocos estudios sobre la indigencia, la investigación científica que aborda las condiciones fisiológicas de los indigentes es casi nula. Para examinar la viabilidad de tales investigaciones, se llevó a cabo un estudio para analizar la prevalencia de fragilidad entre 50 adultos jóvenes crónicos indigentes en la Ciudad de México al medir su fuerza de prensión y luego compararla con la misma información recolectada de un grupo de 50 estudiantes universitarios que nunca habían sido indigentes y que comprendían la muestra control. El síndrome de fragilidad se ha asociado frecuentemente con el envejecimiento y las enfermedades crónicas. Su presencia en adultos jóvenes indigentes demuestra que también puede ser causada por condiciones de vida adversas. Esto apoya la idea de que su salud general es un índice del sufrimiento social, el estrés, la exclusión y la violencia que tienen que enfrentar diariamente y que son causa de un envejecimiento acelerado que explica su alto índice de mortalidad. Este estudio es parte de un esfuerzo de investigación etnográfica más amplio que busca entender mejor su situación y enmendarla a través de intervenciones diseñadas con mayor precisión y que sean relevantes según sus habilidades y capacidades. Palabras clave: indigencia crónica, fragilidad, fuerza de prensión, condiciones de vida adversas, adultos jóvenes.


Abstract

If there are only few studies on homelessness, scientific research addressing the physiological conditions of the homeless are almost nil. In order to examine the feasibility of such investigations, we conducted a study analyzing the prevalence of frailty among fifty chronically homeless young adults in Mexico City through measuring their handgrip strength and then comparing it with the same information gathered from a group of 50 university students who had never been homeless and who comprised a control sample. The frailty syndrome has more often been associated with aging and chronic illnesses. Its presence in homeless young adults proves that it can also be caused by adverse life conditions. This supports the idea that their general health is an index of the social suffering, stress, exclusion and violence that they have to deal with on a daily basis and that it causes an accelerated aging that explains their high mortality index. This study is part of a wider ethnographical research effort that seeks to better understand their general state of being and improve it through more precisely designed interventions that are relevant to their skills and capacities.

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