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ABSTRACT The purpose of this study was to link the level of functionality with biopsychosocial factors of the elderly

that are responsible for children. Its importance lies in the fact that with the change in the demographic profile of the Chilean population, the number of elderly people that have had to assume the role of grandparenthood has increased. Because of this, it is necessary to investigate some biopsychosocial factors that could influence the level of functionality based on the continuity theory, which postulate that growing old is an extension of experiences, projects and habits with a constant adaptation to changes. A non-experimental, correlational and cross-sectional study was performed on 82 grandparents of age. The instruments applied for the collection of data were: Background questionnaire of the elderly, the Barthel Index, the Lawton and Brody Scale, the Tinetii Gait & Balance Scale, the Goldberg Scale, and the Stress and Change Adaptation Scale. Of the results obtained, 78.05% were female, 79.27% aged 65-74 years of age, 63.41% were in a relationship, 41.46% and 51.22% had an elementary and high school education level respectively, and 51.00% were part of the first socio-economic quintile. The predominant mental alteration was stress with a 54.88%, 57.32% suffered from hypertension, 89.2% had functional independence and 10.98% had partial dependence. The level of functionality has no relation with the biopsychosocial factors of the elderly in charge of the care of a grandchild. Key words: grandparenthood, functionality, elderly, grandchildren.