Introduction: Older adults constitute the most vulnerable population group to the COVID-19 pandemic . In Mexico, their biopsychosocial conditions might intensify their vulnerability .

Method: Affiliation to health systems, health conditions and gerontological evaluation of 3,218 older adults were analyzed following the methodology of the PAHO-Mexico Health, Well-being and Aging Survey . Results : 88.6% of older adults referred being affiliated to health systems; 30.2% , 52.4% , 10.3% , 4.1% and 5.6% referred suffering from diabetes mellitus, high blood pressure, chronic obstructive pulmonary disease, heart disease and cerebrovascular disease, respectively; 15.6% reported urinary incontinence, and 11.3%, fecal incontinence; 12.1% of the women referred having suffered from breast cancer at some point, and 6.3%, cervical cancer . The habit of smoking tobacco was observed in 11.1%, risk of malnutrition in 32.8%, established malnutrition in 4.1%, functional dependence for basic and instrumental activities of daily life in 16.3% and 17.6%, respectively . Conclusion: Comprehensive gerontological evaluation is essential for efficient care of older adults who suffer from COVID-19, and for adequate care of the effects or health conditions at the conclusion of the confinement imposed by the pandemic.