Resumen Objetivo: Determinar las condiciones sociofamiliares, asistenciales, funcionales y fac- tores asociados en adultos mayores de 65 anos en dos comunas de Sincelejo (Sucre, Co- lombia). Materiales y metodos: Estudio descriptivo, correlacional, de corte transversal y de con- tactos multiples en una muestra de 275 adultos mayores de 65 anos, residentes en 18 barrios que conforman las comunas 9 y 6 de la ciudad de Sincelejo. Mediante encuesta se indagaron las caracteristicas sociodemograficas, habitos higienicos, problemas de salud. Se emplearon la Escala de Valoracion Sociofamiliar de Gijon, Escala de Lawton y Brody, Indice de Katz para la valoracion funcional y la Escala Minimental para la evaluacion cognitiva. Resultados: El 61% de los adultos mayores son de sexo femenino y la media de edad de 75,4 anos. Con criterios diagnosticos de hipertension arterial (75.2%), cardiopatias isquemicas (70.5%) y osteoarticulares (68.3%), los cuales se incrementan con la edad, y en el sexo femenino, el 51% presenta pluripatologia. La comorbilidad se relaciono con polimedicacion (76%), problemas bucodentales (70.1%), dolores en miembros inferiores y depresion (68 y 54.1% respectivamente). El test de Gijon determino que el 67.7% de los adultos mayores tenia riesgo y problema social, siendo mas representativo en las mujeres (p Conclusion: Los adultos mayores se encuentran en vulnerabilidad y riesgo social, tienen buena capacidad funcional, la cual se deteriora con el incremento de la edad, y presentan una elevada comorbilidad. Palabras clave: Anciano, condiciones de salud, comorbilidad, salud del anciano. Abstract Objective: To determine social, family, health care and functional conditions and risk factors of elderly people over 65 year old in two neighborhoods of Sincelejo (Colombia). Materials and methods: A descriptive, correlational and cross-sectional study was con- ducted. Multiple contacts were made with 275 elderly people over 65 years old who living in 18 different neighborhoods of Sincelejo. Through survey, socio demographic character- istics, habits and health problems were determined. We used the Gijon Social-Familiar Scale, Lawton and Brody Scale, and the Katz index to assess productivity and the Mini- mental Scale, to avaluate the cognitive state. Results: 61% of the elderly people studied are females and the average age is 75, 4 years old. 75.2% of the studied population aged 65 or older was diagnosed with hypertension, 70.5% of them with ischemic heart disease, and 68.3% with ostearticular heart disease and 51% with comorbidity, which was associated with multiple medication (76%), oral health (70.1%), lower body pains (68%) and depression (54.1%). Gijon test found that 67.7% of elderly were at high risk and have social problems, specially woman (p Conclusion: The study found an elderly population at risk for social vulnerability; they have a good functional capacity that gets worse along with aging process and a high co- morbidity. Keywords: Aged, health status, comorbidity, health of the elderly.