Showing 8 results for Elderly
L Manavifar, H Nemati Karimooy , A Nejat Shokuhi , A Sheerdel , M Shakeri , M Mahjoob ,
Volume 5, Issue 2 (9-2009)
Abstract
Background and Objectives: Incidence of neurocognitive and psychologic disorders in elderly seems to become high There are numerous factors affecting neurocognitive functions like vascular factors, Vitamin B12 and folate and homocysteine levels. The aim of this study was to assess the relation between neurocognitive- psychologic markers and homocystein (Hcy), V.B12 (Cobalamin) and folate in serum.
Methods: Two hundred eighty elderly people admitted to Emam Reza Teaching Hospital in Mashahd, Iran. neurocognitive-psychologic disorders was diagnosed by a trained physician. Serum cobalamin, folate and homocystein measured by RIAand ELIZA methods, respectively.
Results: Based on Hcy>15 µmol/l level, cut off point <330 pg/ml for serum cobalamin and <6.5 ng/ml for folate deficiency defined as deficiency. The correlation between cobalamin and folate was statistically significant (p=0.000). Hemocystein correlated inversely to cobalamin (p=0.001) and folate (p=0.044). There were no statistical significant between Cobalamin, Folate and Hcv>15µmol/l and neurocognitive & psychologic markers unless Deep Tendon reflex test (P=0.04). All patients with dementia had hyperhemocysteinemia.
Conclusions: Despite the plausible biochemical mechanism, further diagnostic studies, based on clinical, neuropsychological, laboratory features will be necessary to better understand this fascinating biochemical challenge.
L Salehi, Mh Taghdisi, H Ghasemi, B Shokervash,
Volume 6, Issue 2 (9-2010)
Abstract
Background & Objective: Physical activity is important for the health of all individuals, however, the determinants of physical activity behavior for elderly remain unexplored in Iran. The purpose of this investigation was to explore a range of factors that influence participation in physical activity for a group pf elderly people in Tehran in 2008.
Methods: This was a population-based study. Structured interviews with a valid questionnaire were employed for this survey. It was carried out on four hundred members of Healthy Association in Tehran. Multistage sampling was used.
Results: The mean age of participants was 64.07 ± 4.49. The prevalence of a sedentary lifestyle among elderly fifty-three (53%) estimated. The prevalence across the stages was as follows: 30.25% in pre contemplation, 12.75%in contemplation, 27.25% in preparation, 6.25% in action and 23.5% in maintenance. Inactive participants perceived that their laziness prevented them from being physically active. Meeting friends was the most important facilitator for participating in physical activity. The individuals who married, younger, lower body Mass index, having no chronic disease, and those with past history of exercise were more likely to adopt, initiate and maintain regular physical activity. Regression analysis showed that the greater knowledge of physical activity, higher Perceived health benefits, more Self efficacy were associated with physical activity.
Conclusion: Knowing the facilitators and barriers factors of physical activity in elderly would help to implement any future intervention for this group of people.
L Salehi, S Salaki, L Alizadeh,
Volume 8, Issue 1 (7-2012)
Abstract
Background & Objectives: Aging and elderly population growth has been increased
in Iran. Quality of life of older persons is important as a consideration in
medical decisions and as a clinical outcome measure. Health related quality of
life (HRQoL) is not well understood in this group therefore we designed this
study to determine the quality of life among elderly populations of Tehran,
Iran.
Methods: This
cross-sectional study was conducted on a random sample of elderly people
selected from the elderly centers in Tehran. The Iranian version of short-form
Health survey (SF-36) and perceived social support questionnaires were employed
as standard tools.
Results: Overall,
400 elderly people with the mean age of 64.07(SD =4.49) took part in this
study. Of all participants, 298 individuals were women. The mean score of PCS
(Physical Component summery) and MCS (Mental Component Summery) were 64.62 (SD=
12.68) and 63.35 (SD=4/7) respectively. The results of this study revealed that
women compared to men had significantly higher scores in different dimensions
of health related quality of life as physical function, social function, body
pain and general health. Additionally, participants with lower body mass
indexes, higher education level, married elderly, healthy aged participants and
richer ones had higher scores of health related quality of life.
Conclusion: According
to this study, there was correlation between mean PCS and social support as
well as MCS and social support. Quality of life in female, individuals with
higher education and socioeconomic status were higher than male, persons with
lower education and socioeconomic status.
Normal
N Shakeri, F Eskandari, F Hajsheikholeslami, Aa Momenan, F Azizi,
Volume 9, Issue 3 (2-2014)
Abstract
Background & Objectives: Although the population of elderly is increasing in Iran, few studies carried out on this group. The aim of this study was to identify life expectancy and contributory risk factors for the Tehranian elderly of ages above 60 years.
Methods: Individuals above 60 years old whom were recruited in the primary phase of the Tehran Lipid and Glucose Study (TLGS) during 1998-2001 were followed up for 12 years and their vital status were registered (1998-2011). Age and sex mortality rates for age groups (60-69, 70-79, 80+) were calculated and by using Cox proportional hazard model the mean of survival time and hazard rates with respect to risk factors were estimated.
Results: Life expectancy for females and males after crossing 60 years of age reaches to 81 and 80 years, respectively without any statistically significant differences between these two groups. Cox model showed that diabetes, BMI>33Kg/m2 and non ischmecic heart disease reduced survival time in women significantly. While diabetes, smoking, hypertension, ischemic heart disease, history of MI, stroke or sudden death of father, brother or son, lack of physical activity and antihypertensive medications are among the hazardous risk factors for men.
Conclusion: Among the variables studied, only three (ABC) of them were found as risk factors of women's life, while for men seven risk factors were identified. It seems that more studies are needed to determine the risk factors for women.
S Zaeri, S Asgharzadeh, M Zaeri, K Holakouie Naeini , A Rahimi Foroushani ,
Volume 9, Issue 4 (3-2014)
Abstract
Background & Objectives: The world population is growing old. The rising proportion of the elderly is creating new health care challenges in the current century. This study aimed to determine the quality of life and the associated factors in the elderly population of Azerbaijan district in the city of Tehran, Iran.
Methods: This cross-sectional study was conducted on 287 elderly persons aged 60 and older. Participants were selected through systemic random sampling. The WHOQOL-BREF questionnaire, the Activities of Daily Living (ADL) questionnaire, and a questionnaire for demographic characteristics were used for data collection. Each domain was given a score between 0 to100 based on the WHO manual. The final variables were determined in a multivariate linear regression model using SPSS16.
Results: The mean score of the 4 domains of quality of life (physical, psychological, environmental, and social health) of the elderly population living in Azerbaijan district was 58.41, 53.13, 59.53, and 42.82, respectively.
Conclusion: A variety of correlates affect the quality of life of the elderly. Recognizing and considering these factors are important for planning more effective programs for the elderly and empowering them.
Hr Gilasi, H Soori, Sh Yazdani, P Taheri Tenjani ,
Volume 11, Issue 2 (9-2015)
Abstract
Background and Objectives: Managers need the results of scientific researches for executive planning. Considering some methodological errors in reported studies in Iran and the lack of specific and summarized references, this article aims to provide practical considerations in elderly studies.
Methods: In this narrative review, we conducted a comprehensive search in all accessible electronic data bases using “epidemiology” or “methodology” and “elderly” or their synonyms as keywords. Related papers and books were selected. After review, considerable notes were extracted and presented.
Results: Considering attrition, death, and non-response rates in sample size calculation, proportional sampling from all strata, and considering differences in clinical manifestations and diagnosis are important. Matching for main confounders, considering recall bias, creating a quiet and comfortable environment to conduct the interview, allocating a certain percentage of participants to high risks, registering age and other quantitative variables in detailed and non-categorized formats, home visit for interview after receiving informed consent from the elderly or their guardians, interview at the closest location to the elderly’s residence, avoiding long interviews, considering bold and legible words in designing the questionnaire, data re-checking with proxy and documents, applying age and sex adjustment for rates, evaluating the functional status, appropriate interpretation related to odds ratio and considering the cost of the studies are the most essential considerations in aging studies.
Conclusion: Using epidemiological methods with respect to the characteristics of the elderly enhances the quality of the collected data. Well designed studies provide policy makers with reliable evidence for planning.
Aa Abbasi, Hr Bahrami, B Beygi, E Musa Farkhani, V Vakili, F Rezaee Talab , R Eftekhari Gol , M Talebi,
Volume 15, Issue 2 (9-2019)
Abstract
Background and Objectives: Sleep disorders include problems involving the quality, timing and amount of sleep, which cause decreased functioning and discomfort during the daytime. Considering the importance of sleep in health and quality of life and the probability of the related disorders in the elderly, this study was conducted to investigate sleep disorders and their risk factors in an elderly population covered by Mashhad University of Medical Sciences.
Methods: We conducted one of the largest population-based cross-sectional studies in an elderly population covered by Mashhad University of Medical Sciences in 2016. In this study, a total 8496 elderly people aged 60-90 years old with sleep disorders were compared with 35041 elderly subjects without complaints. Data were extracted from the Sina Electronic Health Record System. Bivariate and multivariate logistic regression analysis were carried out using the STATA ® version 14 to determine associations between independent variables and sleep disorders.
Results: In multivariate analysis, male gender (AOR=0.58; 95% CI: 0.55-0.61), being married (AOR=0.88; 95% CI: 0.83-0.93), overweight and lightweight compared to normal weight (AOR=1.27; 95% CI: 1.21-1.34 and AOR=1.20; 95% CI: 1.04-1.38, respectively), smoking (AOR=2.22; 95% C.I: 2.05-2.40), high blood pressure (AOR=1.44; 95% C.I: 1.37-1.52), diabetes (AOR= 1.49; 95% C.I: 1.40-1.58) and depression (AOR=3.05; 95% C.I: 2.74-3.38) variable remained in the final model after adjusting for confounders.
Conclusion: In this study, gender, marital status, body mass index, smoking, blood pressure, diabetes and depression were the main determinants of sleep disorders. It is necessary to identify the risk factors and perform appropriate interventions to improve the sleep.
N Faraji, N Alizadeh, M Akrami, Z Kheyri, H Hosamirudsari, N Zarei Jalalabadi , S Akbarpour , M Arefi, F Taghizadeh, S Mohammadnejad, F Goudarzi,
Volume 16, Issue 5 (3-2021)
Abstract
Background and Objectives: Reports indicates a higher mortality rate of Covid-19 in the elderly. A limited number of studies have been performed on elderly patients in Iran. In the present study, we investigated the clinical features and survival of elderly patients with Covid-19 in Baharloo Hospital, Tehran, Iran.
Methods: This retrospective cohort study was conducted on the data of elderly patients with Covid-19 admitted to Baharloo Hospital, Tehran, Iran. The data of the hospitalized patients were followed until discharge or death. Finally, survival-related factors were analyzed using Cox regression.
Results: A total of 522 patients were enrolled in the study, of whom 53.8% were male and 101 died. The mean age of the deceased was 76.3 years, with a standard deviation of 8.6 years. The most common clinical symptoms at the time of admission were respiratory distress (69.5%), cough (61.1%), and fever (51.1%). Cox regression results showed that the risk of death increased by 5% for each one-year increase in age. In addition, calcium supplementation reduced the risk of death by 35%.
Conclusion: The results of the present study showed that calcium supplementation could be associated with increased survival of the elderly and reduced mortality. Due to calcium insufficiency in the Iranian population and the protective role of calcium in Covid-19, this issue is essential in the elderly patients warranting further investigation in the future.
