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The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before–after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated the effect of 80 per cent adherence to the programme on the outcome variables using the generalised linear regression models (GLM). Two hundred and thirty-nine older adults agreed to participate, of whom 65 per cent completed the programme. Most were women; the average age was 77 years. Adherence to the programme was higher than 75 per cent for the group who completed active ageing services and less than 60 per cent for the drop-out group. Overall, 46 per cent of older adults reached an adherence level of 80 per cent or higher. Adherence was significantly associated with improved quality of life total score (coefficient 2.7,pp

Resumen: Antecedentes: La Organización Mundial de la Salud ha informado que en los adultos mayores se incrementará y agravará la magnitud de los problemas de salud mental, lo que estará relacionado al incremento de su expectativa de vida y al aumento de las personas que alcanzarán edades avanzadas. Objetivos: Identificar y estimar la frecuencia de desórdenes mentales en adultos mayores. Material y Método: Estudio observacional, descriptivo y transversal. Se aplicó un cuestionario que incluía variables sociodemográficas y la Mini Entrevista Neuropsiquiátrica Internacional (M.I.N.I.). Población de estudio de 60 años y más, residentes en una Institución de Asistencia Social de la Ciudad de México. La muestra se seleccionó aleatoria y sistemáticamente, eligiendo una de cada cuatro. Participó personal previamente capacitado tanto en la metodología como en los procedimientos y aplicación del instrumento. Resultados: De la población de estudio, se obtuvo una muestra ponderada de 80 entrevistas completas (67%). En su mayoría fueron femeninos y viudas, con una media de edad de 80 años y 5 de escolaridad. Encontramos ausencia en el 30%; en un 40% sólo se reportó sintomatología y en el 30% restante se cubrieron diagnósticos psiquiátricos. Conclusiones: La salud mental y los desórdenes psiquiátricos han sido escasamente conocidos y estudiados en esta población. La entrevista MINI permitió identificar y estimar la frecuencia de síntomas y diagnósticos de desórdenes mentales. Nuestra estimación (30%) fue similar a la reportada en otro estudio (29.7%). La prevención, identificación, detección e intervención oportuna a los problemas de salud mental adquieren gran importancia en este contexto. Palabras clabe: Adultos mayores. Envejecimiento. Vejez. Desórdenes mentales. Mini Entrevista Neuropsiquiátrica Internacional. Abstract: Background: World Health Organization has reported that in old adults population will increase and aggravate the magnitude of mental health problems, which will be linked to the increase in his life expectancy and with the rise of individuals who reach old age. Objectives: identify and estimate the frequency of mental disorders in elderly people. Materials and Methods: Study observational, descriptive and transversal. It applies a questionnaire, which included socio-demographic variables and the Mini International Neuropsychiatric Interview (M.I.N.I.). Study population of persons aged 60 and over living in an Institution of Social Assistance in Mexico City, here were selected a systematic random sample, choosing one in four adults. The interviews were available staff previously trained in the handling of the methodology, procedures and application of the instrument Results: Out of a population study, resulting in a weighted sample of 80 completed interviews (67%). The main percentages were females and widower, with a mean age of 80 years and 5 of schooling. We find absence in the 30%, only 40% reported symptoms and the remaining 30% were filled psychiatric diagnoses. Conclusions: Mental health and psychiatric disorders has been scantily known and studied until this moment. The interview M.I.N.I. allowed us to identify and estimate their frequency of symptoms and diagnostics mental disorders. The frequency diagnostic of mental disorders found in our research (30%) is very similar to that obtained in another study (29.7%). In this context, the prevention, detection and opportune intervention for mental health problems are remarkable. Keywords: Elderly. Aging. Oldness. Mental disorders. Mini International Neuropsychiatric Interview.