Showing 17 results for Elder
Mohsen Khoshniat Niko, Farah Madarshahian, Mohsen Hassanabadi, Ramin Heshmat, Nasim Khaleghian,
Volume 7, Issue 1 (7-2007)
Abstract
Background: Increasing number of people with diabetes make it the greatest world-wide epidemy which indicates importance of education in physical and mental health of the patients. Since researches report different results about cognition status of diabetic patients, this study was conducted to determine and compare cognitive status in older people with and without type 2 diabetes.
Methods: In this case- control study 80 patients with type 2 diabetes mellitus compare with 80 persons without diabetes. Cases were selected from the patients refer to diabetes outpatient clinic and control group were patients referred to other clinics. Instruments were questionnaire for gathering demographic data, glucometer, DSM-IR-TR questionnaire, FBS for control group and TSH - T4- HbA1c for cases..
Results: The mean scores of MMSE were 23.3 and 26.8 in case and control group respectively. Difference between two groups was significant in MMSE scores (P<0.01), furthermore between men and women of two groups (P<0.01 for both). No significant difference of MMSE scores between men and women in case group was seen (P=0.45). There was negative association between MMSE scores and age also duration of illness according to the results.
Conclusion: Elderly diabetic patients encounter some cognitive impairment which is exacerbated with increasing age.
Mojdeh Mirarefin, Azadeh Aminpour, Hossein Fakhrzadeh, Farideh Tahbaz, Alireza Abadi,
Volume 7, Issue 2 (9-2007)
Abstract
Background: Fortification of corn with folic acid has beneficial effects on hyperhomocysteinemia and heart disease. Folate fortification was contributed to an increase in average folate status and a reduction in serum homocysteine concentration.
Methods: In this randomized clinical trial 17 men and women aged 61±5 years old with hyperhomocysteinemia with mean homocysteine concentration of 15/32±6/13 µmol/L were recruited. Subjects received fortified bread which contained 100µg folic acid daily for 8 weeks. Three-day food record, food frequency questionnaire and BMI (Body Mass Index) data at baseline and week 8 were completed. Plasma homocysteine and serum folate at baseline and week 8 were measured. All dietary and statistical analyses were undertaken using Nutritionist III and SPSS release 15.0 software with paired t-test.
Results: Mean plasma homocysteine concentration decreased significantly in hyperhomocysteinemic subjects after daily consumption of folate fortified bread for 8 weeks (P<0.001).After 8 weeks serum folate concentration increased %26 (P=0.06). Mean BMI, energy and other components of dietary intake did not change significantly. Dietary vitamin C decreased significantly (P<0.001).
Conclusion: Daily consumption of folic acid fortified bread, with 100 µg folic acid, in hyperhomocysteinemic subjects for 8 weeks led to significant decrease in plasma homocysteine and an increase in serum folate.
Ghasem Abedi, Abolhasan Naghibi, Mahtab Alizadeh , Hosain Faghrzadeh, Farshad Sharifi, Mojtaba Rezaei Rad, Reza Yosefi, Fereshteh Farshidi,
Volume 13, Issue 1 (1-2014)
Abstract
Objective: Health of old people is one of the critical issues in many societies that needs to accurate
health policy making and adjust planning in health issues of elderly. The present study designed to
compare the efficacy of the two traditional and electronic training methods in nutritional issues in order
to life style modification in old people to develop of healthy elderly.
Methods: This survey was a quasi-experimental method via applying the Pre-test and Post-test among
65+ years old people in a retirement association of Sari province, Mazandaran state. By simple random
sampling method, 60 old people were selected, and then trained in two separated classes to 15 persons as
women and men (30 persons) via film technique. The other method was a traditional which applied in the
two separated classes of 15 persons as women and men (30 persons) by book technique. The
questionnaire applied to measure of nutritional knowledge made up by the health center. Data were
described by using SPSS software in accordance to descriptive statistics indexes (mean and standard
deviation), and inferential statistics indexes (independent T and dependent T) were used in order to
generalize results.
Findings: The mean score of increasing knowledge in training group by film was 18/57 and the mean
score in training group by book was 16/90 (T =5/299, df= 58). To satisfaction evaluating, the mean score
in training group by film was 59 and the mean score in training group by book was 35/73 (T =1/96,
df=58).
Conclusion: Based on results training of old people by electronic method as a film is more effective than
traditional method to increasing of nutritional knowledge in elderly. On the other hand, they had more
satisfaction to life style modification by using film method in comparison with traditional method as
book reading technique. Also, the training cost of the elderly via educational film is lower than training
by book. So, should be suggested to consider in training by film rather than book as an efficient and
effective method to improve of elderly health.
Reza Safdari, Mahtab Alizadeh, Seyed Masoud Arzaghi, Hosain Faghrzadeh, Minoo Rafiei, Farshad Sharifi, Maryam Mohamadiazar,
Volume 13, Issue 1 (1-2014)
Abstract
Introduction: Aspects of social and economic development in ICT has led to new applications of these
technologies. Using the portal geriatrics’ is an access point to a wide range of resources and information
in the content for geriatric medicine specialists, physicians and other health care workers, elderly and
their families. It provides integrated information on the sources and applications of heterogeneous. The
National Portal of Geriatric Medicine is the best solution to resolve this problem.This study compares the
experience of few developed countries and offer the geriatrics’ portal.
Methods: This paper is based on valid studies, library and internet searches in databases like as science
directly, Springer, Proquest, and advanced search in Google to review the literature on the geriatrics
portal in selected the countries.
Findings: Developing a portal is a strategy to support the development and maintenance of all the
desirable features of the portal and user needs’ analysis. It could also, characterize the structure and
integrated system of geriatric care. It makes the integrity to fulfill of the main condition portal services
and the content that offer to the elderly.
Mahtab Alizadeh, Azam Rahimi, Masome Arshinji, Farshad Sharifi, Seyed Masoud Arzaghi, Hossein Fakhrzadeh,
Volume 13, Issue 1 (1-2014)
Abstract
Objective: The present study describes assessing physical health status of old people in different age
groups in Tehran metropolitan area. The outcomes of this study could help to health policy makers to
develop of better health policy in gerontology field by determine of priorities of care in different age
groups of old people and effect of socio-economic components on elder’s’ physical health.
Method: This was a cross sectional study in 2010. The participants were (N=402) aged 60 years old and
over which have underrepresented from Shahid Beheshti university. The survey methods were via face-
to-face interviews, and just in a few cases as telephone interviews. The instrument to data collection
included demographic questionnaire, SF-36 short form and ADL tools. Data analyzed by Stata and SPSS
Ver.15 through t-test, one-way ANOVA. Regression models applied as well.
Findings: Based on the results 45% of elderly were in (60-69) years old, 36.5% were in (70-79) years
old, and 18.5% were 80+ years old. The median age was 71.5±8.9 years. Regarding ADL, 18.2% of
elderly were dependent 22.3% were semi dependent, and 59.5% of participants were independent to do
activity of daily living. Regarding physical functioning, 29.6% of elderly had severe limitation 32.6%
had moderate limitation, and 37.8% had no limitation in their physical function. Components of age, sex,
marital status, education, job, income, insurance, housing, and living with whom had significant
association with physical health status in old people. Although based on regression model and
considering in effect of conflict variables, age and sex had more effect to predict of activity of daily
living in old people. Age, sex, to be alone, and financial problems were the most predictors on physical
function in aged people.
Conclusion: The important components that effect on physical health of elderly related to fragile elderly
from aspect of socio economic factors. Based on the results of this study aged elderly and old women
were more disable to do Activity of Daily Living (ADL). Regarding physical function age, sex, living
with whom, and financial dependency were significant components in relation with physical function. In
other words, older people, women, elderly who did not live with their spouse, and elderly who were
dependent in financial aspect to others had more difficulty in physical function.
Mahtab Alizadeh, R Mark Mathews, Seyeda Zakia Hossain,
Volume 13, Issue 1 (1-2014)
Abstract
Objective(s): The purpose of the present study is to better understand relationships between mental
health components (Psychological distress, Psychological wellbeing) and utilization of health services
and community aged care services among the Iranian elderly living in Sydney metropolitan area. These
findings will, in part, fill the gap in gerontological knowledge and also help to health policy makers,
social fairness, increasing fairness to the Iranian elderly migrants, and also increasing their more access
to the aged care services.
Material & methods: In this cross sectional study 302 old people were selected via a random sample
among 1209 Iranian aged people 65 years old and over migrated in Australia. In this study 302 old
people 65 years old and over participated who lived in Sydney state’s of Australia for at least 6 months
prior to the survey. This study has done in 2005-7. Multiple methods were utilized to collect data
including telephone interviews, face to face interviews, or a written survey instrument by mail. The tools
used were based on the “annual elderly health survey in 2000” through Australian ministry of health. The
mental health instruments applied were psychological well being (Yeild), and psychological distress
(K6). The service utilization tools included utilization of aged care services (basic and supportive), and
use of health services. T test, ANOVA and liner regression applied to predict of mental health
components by SPSS ver.15 soft wear.
Results: demonstrated that the majority of respondents reported feeling so sad and nervous most of the
time in the last four weeks. The bulk of respondents had moderate level of psychological distress. About
one quarter of respondents had lower level of feeling of wellbeing in the last four weeks preceding this
study. Use of health services and community basic aged care services are predicted by mental health
status of Iranian elderly respondents. However, mental health status could not predict utilization of
community supportive aged care services.
Conclusion: Generally, use of interpreters and organized community services were predicted with
mental health components among the Iranian elderly migrants.
Reza Safdari, Mahtab Alizadeh, Maryam Mohamadiazar , Farshad Sharifi, Hossein Fakhrzadeh,
Volume 13, Issue 6 (9-2014)
Abstract
Background: Reducing in mortality rate due to improved health status in recent years has led to an
increased number of elderly people in the world. Therefore, this study aimed to determine the structure
of the home care plane in developed countries to provide practical implementations for Iran. This
paper is based on valid studies, library and internet searches in databases like science directly,
Springer, Proquest, and advanced search in Google to review the literature on the home care programs
in developed countries.
Results: Documents showed that developed countries have established the aimed, needs, priorities
programming of the elderly home care plan. Those groups of countries have designed the home care
services to care of older people in their homes respect to maintained of their function and ability as
independent individuals.
Conclusion: The investigations have been shown that community-based services and home care
programs that is not considered as a medical service component, could be eliminated the support
needs, and helped the elderly people to live independently and continue their life with quality.
Considering the significant role of home services in the prevention of hospital readmission in elderly
and to maintain of independency rate and also increasing the quality of life in elderly people, is a
necessary issue in Iran that makes to improve on the quality of life in Iranian seniors
Mohammad Jafar Mahmoudi, Soodabeh Alataab, Farshad Sharifi, Farhang Derakhshan, Hossein Fakhrzadeh,
Volume 13, Issue 6 (9-2014)
Abstract
Background: Metabolic syndrome is a cluster of disorders which altogether increase the risk of cardiovascular disease and type 2 Diabetes. We evaluated the effect of consumption of Omega-3 Fatty Acids on different components of this syndrome.
Methods: This was a double blind placebo controlled clinical trial on 199 elderly residents of Kahrizak charity foundation in Tehran. Participants were divided into two groups of intervention and control, consisting of 100 and 99 persons, respectively. The intervention group was given the Omega-3 Fatty Acid capsules contain 180 mg EPA and 120 mg DHA once daily. The control group was given placebo once per day. The duration of the study was 6 months in the beginning and after 6 months of the study, blood pressure, waist circumference and Serum levels of ESR, hs-CRP, APO B, APO A1 and Insulin were measured.
Results: The study was completed in 89 and 87 participants in the intervention and control groups, respectively. The mean age of intervention and control groups were 74.13 ± 9.96 and 75.17 ± 8.70 years, respectively. Consumption of Omega-3 Fatty Acids could decrease diastolic blood pressure (P = 0.001) and serum Triglyceride levels (P = 0.01) significantly compared to control group. No change was observed in other measured parameters.
Conclusion: Consumption of Omega-3 Fatty Acids with dosage used in this study could probably improve symptoms of Metabolic syndrome in the elderly.
Hamid Asayesh, Mostafa Qorbani , Mohammad Parvaresh Masoud, Hossein Rahmani Anarki, Hossein Ansari, Morteza Mansourian, Aziz Rezapour, Farshad Sharifi, Rasoul Mohammadi,
Volume 13, Issue 6 (9-2014)
Abstract
Background: Health staffs have different attitudes and beliefs toward elders that have effect on their behaviors in health service delivery to elders. This study was done for determination of Golestan province health centers general practitioners (GPs) attitude toward elders.
Methods: In this cross sectional study, 152 general practitioners of Golestan province health centers were selected via random sampling. The Kogan's Attitudes toward Older People Scale (KAOPS) questionnaire was used as data gathering tools. Data analysis was done in SPSS 16 software using Pearson correlation coefficient, paired t-test, t-tests and one way ANOVA test.
Results: Mean (standard deviation) of participants age was 34.73 (6.26) years. Mean (standard deviation) of total score of attitude toward elder scale was 115.48 (10.22) (score range in scale 34-204). 54.2 percent of GPs have lower score than mean. Negative attitude mean score were higher than positive attitude mean score which was statistically significant (P= 0.0001).
Conclusion: According to our finding, only half of GPs had favorite attitude toward elder. Whereas negative attitudes were higher than positive attitude toward elder, designing some programs for change in attitude of heath care staffs is necessary.
Mostafa Qorbani, Mohammad Parvaresh Masoud, Ali Soleimani, Hossein Rahmani Anarki, Leila Ghanbari Afra, Hamid Asayesh,
Volume 16, Issue 4 (9-2017)
Abstract
Background: health care providers have different attitudes and belies toward elders that have effect on their behaviors in health service delivery to older adults. This study was done to determine the Golestan province health centers staffs attitude towards elders.
Methods: In this cross-sectional study, 152 general practitioners of Glestan province health centers were selected via random simple sampling. Demographic questionnaire and Kogan's Attitudes toward Older People Scale (KAOPS) was used as data gathering tools. Data analysis was done in SPSS 16 software environment with Pearson correlation coefficient, paired t-test, t-tests and one way ANOVA.
Results: mean and standard deviation of participants age was 34.48 (4.31) years. Mean and standard deviation of total score of attitude toward elder scale was 116.42±9.58 (score range in scale 34-204). Lower score than mean were observed in 49.3 percent of health care providers. Negative attitude mean score were higher than positive attitude mean and paired t-test showed the difference is significant (P< 0.001).
Conclusion: according to our finding, only half of participants had favorite attitude toward aged people. Whereas, negative attitudes to this age group were higher than positive attitudes, designing some programs for change in attitudes of heath care staffs is necessary.
Parisa Taheri Tanjani, Mehdi Varmaghani, Neds Nazari, Farshad Sharifi, Hossein Fakhrzadeh, Seyed Masoud Arzaghi, Mahtab Alizadeh Khoee, Mohammad Smaeel Motlagh, Mahdi Ebrahimi,
Volume 16, Issue 5 (10-2017)
Abstract
Background: Elderly people need more receiving health services. Planning to provide services at regional and national levels requires information about the health status of the elderly. This study was performed to assess the health status of East Azarbaijan province.
Methods: In this cross-sectional study, 436 subjects were enrolled (180 men and 258 women) aged ≥ 60 years using multi-level proportioned cluster Random sampling from 19 cities of the province.
Data was collected by a demographic questionnaire , measuring anthropometric characteristics, and blood pressure and using "Mini Nutritional Assessment" ,”Geriatric Depression Scale-15 ", “Katz’s Activity of daily living”, and "Lawton’s Instrumental activities of daily living”.
Results: The mean age of the participants was 69.31 years. The self-reported prevalence of diabetes was 34.2%. The prevalence of hypertension in the elderly was 52.5%. The most common complaint of the participants was pain (60.9%). Totally, 46.9% had a difficulty in walking, 44.3% visually impaired, and 26.4% suffered from hearing impairment. Moreover, 44.8% of sleep disorders was found. Also 26% of the participants had depressed mood.
Conclusion: Elderly residents of East Azerbaijan province, has probably a better health status than the average Iranian elderly. However, there is a high prevalence of hypertension and diabetes among older adults of this province that need to more pay attention.
Zohreh Vares, Hamid Asayesh, Zahra Aliakbarzade Arani, Fatemeh Sharififard,
Volume 16, Issue 5 (10-2017)
Abstract
Background: Diabetes increases risk of incident or exacerbation geriatric syndromes in elderly and effect of different aspects of their life. This study was conducted to evaluate related factors in the quality of life of elderly diabetics.
Methods: This is a descriptive and analytic study that 88 elderly subjects with diabetes diabetic patients selected from 1400 cases in the age range 60-83 years have file in Kashan Diabetes Center in 2006. Samples were enrolled during about 2 months. Quality of life and a demographic questionaire were administered. The quality of life tool contained 41 questions that have been investigated in three dimensions: general (13-52 points), specificity (27-108 points) and overall (40-160 points). The relationship between QOL and other variables were analyzed by SPSS 16 using univariate and multivariate logistic regression models.
Results: Overall, 65.9% of patients were female and 34.1% male. Results has showed that there are significant relationship beetwin tingling, numbness and vision loss with the general quality of life and treatment type, kidney failure, tingling, numbness, and limb numbness with the special quality of life.
Conclusion: Considering the low quality of life in the majority of elderly diabetics and its role in the development of diabetic complications, results express severe need to care of the elderly and reaffirm the role of care in improvement the health level of older adults.
Roohangiz Alirezaei Shahraki, Ahmad Aliakbari Kamrani, Robab Sahaf, Yahola Abolfathi Momtaz, Narjes Khosravi Samani,
Volume 17, Issue 5 (7-2018)
Abstract
Background: Diabetes is a chronic disease that is increasing in the world that has a different outbreak in different societies. 90% to 95% of all types of diabetes include type 2 diabetes. This disease is spreading due to the Industrial life and urbanization .The Nationwide Program for Prevention and Control of Diabetes is already under way for controlling the disease and its side-effects. This study is intended to probe into the effects of the program in the country.
Methods: This study used a cross-sectional pre- and post-test design involving 100 elderly patients newly introduced to be suffering from diabetes who were selected by convenience sampling in Isfahan. The data collection methods were a questionnaire on demography and health, and another one on patients’ levels of fasting blood sugar (FBS) and hemoglobin glycosides (HbA1c(The data was gathered before and three months after the patients’ entrance into the program.
Results: The mean and standard deviation of the fasting blood sugar before the program were 172.73 and 71.68 and after the program 143.02 and 51.19, respectively (P<.001; t=5.30). And finally, glycated hemoglobin mean and standard deviation before the program were 8.24 and 1.9 and after the program 7.44 and 1.66, respectively (P<.001; t=4.79).
Conclusion: The results indicate the importance of the program for the prevention and control of the elderly patients’ diabetes by controlling their fasting blood sugar and glycated hemoglobin.It is recommended that this program be implemented in all health centers of the country.
Zahra Nourollahi, Vahid Valipour Dehnou, Rasoul Eslami,
Volume 18, Issue 4 (4-2019)
Abstract
Background: Physical activity is an effective stimulant for improving the health of elderly people with metabolic syndrome by increasing energy consumption and thus reducing body fat. The purpose of this study was to investigate the effect of 8 weeks of high intensity circuit training (HICT) on serum BDNF and Irisin levels and body weight in elderly women with metabolic syndrome in Khorramabad city.
Methods: In this semi-experimental study, 18 females (age 71.00 ± 6.17 years; weight 62.22 ± 9.18 kg; height 153.67 ± 3.27 cm) with metabolic syndrome voluntarily participated. During their daily routine, the subjects participated in an 8-week HICT protocol that performed 3 sessions per week. 24 hours before the training protocol and 48 hours after the training protocol, the fasting blood sample was taken by the laboratory expert between 7:30 minutes to 8 hours. ELISA kits were used to measure serum levels of BDNF and Irisin. The paired-Samples T test was used to identify any significant differences and statistical significance was set at p < .05.
Results: The results showed a significant increase in serum BDNF (p = .001) and Irisin (p = .033) levels and significant decrease in body weight (p = .001) in comparison with pre-test values in elderly women with metabolic syndrome.
Conclusion: High intensity circuit training in elderly women with metabolic syndrome increases serum BDNF and Irisin concentrations and possibly, the increase in these two factors can have beneficial effects on the lipid profile and finally body weight of these individuals.
Zhaleh Shademan, Farshad Sharifi, Mahbube Ebrahimpur, Moloud Payab, Seyed Masoud Arzaghi, Hossein Fakhrzadeh,
Volume 20, Issue 1 (1-2021)
Abstract
Background: Identifying the risk factors for the health of the elderly and designing interventions to improve the health of the elderly is one of the priorities of the health care system in the world today. This first requires the promotion of scientific knowledge in the field of health problems of the elderly.
Methods: In this review conducted in 1399, all studies with the keyword of aging or age-related diseases such as atherosclerosis, osteoporosis, diabetes, dementia, frailty, cognitive impairment, daily life function, nutritional status with organizational affiliation of the Endocrinology and Metabolism Research center or the Elderly Health Research Center of Tehran University of Medical Sciences were reviewed without time limit in databases, PubMed, Web of Science, Scopus and Google Scalar search engines.
Results: A total of 115 studies were found with these keywords. By examining the sampling, method, data analysis and also the removal of similar data, 63 articles were reviewed.
Conclusion: In this regard, the Elderly Health Research center has conducted several studies to localize tools for assessing the health of the elderly, identifying common diseases of the elderly, the prevalence of diseases and syndromes of the elderly and designing several interventional studies in the form of three large studies Kahrizak elderly study, Bushehr elderly health study and Birjand elderly longitudinal study has been discussed in this review.
Bahman Hasanvand, Ahmad Mohammadi Moghaddam, Rohollah Geravand,
Volume 22, Issue 1 (4-2022)
Abstract
Background: The aging process is usually accompanied by a decrease in the function of the body's systems and physiological capacity, along with an increase in susceptibility to diseases, especially metabolic syndrome. This study looked at the effect of eight weeks of resistance training on levels of Irisin, IL-15, CRP, and Cholesterol in elderly men with metabolic syndrome.
Methods: The statistical population was elderly men in Khorramabad, of whom 18 were selected and randomly divided into two experimental groups and control (65/2±2/2, 65/4±2/1). The exercise program included leg presses, chest presses, row movements, bending the knees, head, back of the arm, opening of the knees and front of the arm. The above program started with 30% of a maximum repetition and reached 50% of a maximum repetition at the end of the eighth week. Blood samples were taken 48 hours before and after the training sessions. Correlated t-test and independent t-test were used to examine the research data. The level of significance was also considered (P<0.05).
Results: Eight weeks’ resistance exercise significant increase in Irisin (P=0.01) and interleukin-15 (P=0.007), as well as a significantly decreased levels of CRP (P=0.007) and total cholesterol(P=0.02) in elderly men with metabolic syndrome.
Conclusion: Finding non-pharmacological solutions to improve metabolic indicators is very important. Based on the results of research, doing resistance exercises is recommended as a low-cost and non-pharmacological solution for the treatment of metabolic syndrome in elderly men.
Somaye Emamrezaee, Vahid Valipour Dehnou, Aliyavar Azizpour Fard,
Volume 23, Issue 6 (1-2024)
Abstract
Background: BDNF decrease, and HbA1c and Asprosin increase in diabetic people and exercise can reverse these effects, but the effect of vigorous exercise on Asprosin and BDNF in elderly diabetic people have not been investigated. Therefore, the aim of the present study was to investigate the effect of high-intensity functional exercise on Asprosin and BDNF and their relationship with glucose and HbA1c in elderly diabetic men and women.
Methods: In this semi-experimental study, 24 elderly diabetic men and women (age: 67.25 ± 5.84, BM: 70.29 ± 13.01, height: 160.92 ± 10.29) participated. The initial blood sample was taken while fasting. After 90 minutes, the subjects performed the exercise for 50 minutes. The second blood sample was taken 10 minutes after the high-intensity functional exercise. BDNF, Asprosin, HbA1c, and glucose levels were measured by ELISA method. To analyze the data, T-tests, covariance and Pearson's correlation coefficient were used.
Results: Asprosin and BDNF decreased (P< 0.0005) and increased (P< 0.0005), respectively in both groups. There was no significant difference between Asprosin and BDNF in elderly diabetic men and women in pre-test and post-test (P> 0.05). There was a significant negative correlation between BDNF with Asprosin, HbA1c and glucose and a significant positive correlation between Asprosin with HbA1c and glucose (P< 0.05).
Conclusion: Vigorous exercise decrease and increase Asprosin and BDNF in elderly diabetic men and women, respectively. Also, considering the significant negative relationship between BDNF with glucose and HbA1c and the significant positive relationship between Asprosin with glucose and HbA1c, it seems that vigorous exercise by reversing the changes of asprosin and BDNF causes possible improvement in levels of glucose and HbA1c.
