Volume 9, Issue 3 (spring 2023)
2023, 9(3): 127-140 |
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, khorshidi-a@medilam.ac.ir
Abstract: (920 Views)
Introduction and purpose: Cardiovascular disease is one of the most common causes of death in diabetic patients, affecting almost equally men and women. Identifying the determinants of myocardial infarction in elderly diabetics is necessary to apply proper preventive or control measures. The aim of this study was to determine the prevalence and risk factors associated with Myocardial Infarction (MI) in elderly diabetics in Hovayzeh district in 2016.
Materials and Methods: Data of diabetic patients aged 60 to 75 in the Hoveyzeh Cohort were analyzed according to potentially influential factors: age, sex, marital status, family history of MI, smoking, Body Mass Index (BMI) and hypertension. We performed multiple logistic regression model to identify variables related to MI. The significance level was set at 0.05. Statistical analysis was conducted using IBM SPSS.
Findings: A total of 552 subjects were included in the study. Among them, 331(60%) were female and most (72.1%) of them were married. The mean age of participants was 64.5 ± 3.2 years. The prevalence of MI was 6.7 [95% Confidence Interval (CI) = 4.6 - 8.8]. In adjusted analyses, MI was associated with hypertension (OR 2.10, 95% CI; 1.03-4.32), smoking (OR 2.50, 95% CI; 1.28-4.89), family history (OR 2.82, 95% CI; 1.22-7.82) and BMI (OR 1.08, 95% CI; 1.02-1.48).
Conclusion: This study revealed that high blood pressure, family history of MI, cigarette smoking and BMI were significantly associated with the risk of MI in diabetic elderly. We recommend preventive measures and effective strategies for high risk group in diabetic elderly.
Materials and Methods: Data of diabetic patients aged 60 to 75 in the Hoveyzeh Cohort were analyzed according to potentially influential factors: age, sex, marital status, family history of MI, smoking, Body Mass Index (BMI) and hypertension. We performed multiple logistic regression model to identify variables related to MI. The significance level was set at 0.05. Statistical analysis was conducted using IBM SPSS.
Findings: A total of 552 subjects were included in the study. Among them, 331(60%) were female and most (72.1%) of them were married. The mean age of participants was 64.5 ± 3.2 years. The prevalence of MI was 6.7 [95% Confidence Interval (CI) = 4.6 - 8.8]. In adjusted analyses, MI was associated with hypertension (OR 2.10, 95% CI; 1.03-4.32), smoking (OR 2.50, 95% CI; 1.28-4.89), family history (OR 2.82, 95% CI; 1.22-7.82) and BMI (OR 1.08, 95% CI; 1.02-1.48).
Conclusion: This study revealed that high blood pressure, family history of MI, cigarette smoking and BMI were significantly associated with the risk of MI in diabetic elderly. We recommend preventive measures and effective strategies for high risk group in diabetic elderly.
Type of Study: Research |
Subject:
Special
Received: 2023/04/19 | Accepted: 2023/06/5 | Published: 2023/06/10
Received: 2023/04/19 | Accepted: 2023/06/5 | Published: 2023/06/10
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