OBJECTIVES: The aim of this study was to evaluate the relationship between home care and the health phenotype of Colombian centenarians.

METHODS: Prospective cohort nation-wide study. Through random sampling, centenarians and their families were identified and interviewed in person to assess specific health characteristics and home care.

RESULTS: A total of 50 centenarians were included, with an average age of 100.9 years, 74% of whom were female, 96% under a subsidized regime, 70% without any formal education, and 86% from low or very low socioeconomic status. 86% had some type of chronic comorbidity, with hypertension being the most frequent (86%). 68% were frail elderly, 60% had sarcopenia, and 42% had at least one fall in the past year. Only 26% had good nutrition, 28% had polypharmacy, 36% had severe or total dependence, and 52% were at high risk of falling. 72% received home care, most frequently of a comprehensive type, but not monthly. Receiving monthly or comprehensive home care was not associated with any health outcome. However, no centenarian without comorbidity received preventive home care.

CONCLUSIONS: Under the current model, there is no association between home care for centenarians and health outcomes. No centenarian without comorbidity receives preventive home care. However, they are a population with socioeconomic deficiencies and health needs.