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Study on the prevalence of hypertension and its associated factors in the elderly population
P Cheraghi, Z Mihandost Yeganeh, A Dosti Irani, M Sangestani, Z Cheraghi, M Khezeli,
Volume 1, Issue 3 (spring 2015)
Abstract

Introduction and purpose: Hypertension is an important risk factor for coronary heart diseases and the most common cause of stroke and renal failure in the elderly. This study was conducted to investigate the prevalence of hypertension and its associated risk factors in the elderly of Bahar city in the province of Hamadan.

Materials and Methods: This analytical cross-sectional study was conducted among older adults (more than 60 years old) of Bahar city in the province of Hamadan. Total sample of 476 elderly attending to the urban and rural health centers during March to June 2014 were enrolled. The information contained in the checklist of this study were; gender, age, systolic and diastolic blood pressure, marital status and living conditions.

Findings: Our findings revealed that the prevalence of hypertension in elderly was 25% and the average systolic and diastolic blood pressure was 124.94±19.52 and 75.55±11.7 mmHg, respectively. Furthermore, after adjusting for the effect of confounders, our results indicated that elderly at urban area had 2.19 times higher chance of having hypertension compared to rural area (P=0.002). Older people living alone had 4.51 times greater chance of having diastolic hypertension compared to the elderly who lived with spouses but, this relationship was not significant. (P=0.077).

Conclusion: The prevalence of hypertension in the elderly population of Bahar city was lower than majority of previous Iranian studies. Lifestyle of elderly could be potential risk factors for increasing systolic and diastolic blood pressure.


Factors affecting quality of life among elderly living in nursing homes
N Taheri, M Fereydouni Moghaddam , B Cheraghian, N Hekmati Pour , H Hojjati,
Volume 2, Issue 1 (Autumn 2015)
Abstract

Introduction and purpose: Understanding factors affect quality of life at old age is considered as an important social issue particularly when population is ageing.  Acquiring such information play a vital role in enhancing quality of life among elderly. Therefore, this study aimed to assess factors affecting quality of life in nursing homes-residing elderly people.

Materials and Methods: This cross-sectional study included 73 female elderly living in the nursing homes of Khoramshahr and Ahvaz city. Data were collected using two questionnaires including demographic characteristics and the SF-36 questionnaire. Data analysis was done by SPSS 13.

Findings: Results from the present study showed that mean age of participants was 52.75 (S.D= 11.39) years old which ranged from 60 to 102 years. There was a significant association between quality of life and education (P<0.05), age (P=0.03), chronic disease (P<0.01) and place of residence (P=0.4). However, no significant association was observed between quality of life and marital status (P=0.62), length of stay in nursing home (P=0.4) and income (P=0.3).

Conclusion: In general, elderly living in nursing homes reported lower quality of life compared to community-dwelling elderly. Therefore, nursing homes are recommended to create more caring and compassionate environment that is similar to elderly’s own home.  In addition, family members and friends are suggested to visit elderly residing in nursing homes on a regular basis in order to improve their quality of life.


Prevalence and associated factors of myocardial infarction in diabetic elderly Hovayzeh district in 2016, a population-based study
Maryam Nadi Baghoo, Bahman Cheraghian, Ali Khorshidi,
Volume 9, Issue 3 (spring 2023)
Abstract
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.
 

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