Factors In Elderly People Research Articles

Prevalence and associated factors of dyslipidemia in elderly people: Results from the Ardakan Cohort Study on Ageing, Iran.

Dyslipidemia is a major modifiable factor in elderly people. The study objective was to assess the prevalence and associated risk factors of dyslipidemia among the Iranian population aged over 50. This population-based cross-sectional study is part of the Iranian Longitudinal Study on Ageing conducted in Ardakan, Iran. In total, 5,197 participants aged over 50 years old were included through a stratified random sampling method. Dyslipidemia was defined in compliance with the Adult Treatment Panel III criteria. The Chi-square and independent sample t-test were used to compare categorical and quantitative variables, respectively. A logistic regression analysis was applied to determine associated factors of dyslipidemia. The mean age of the participants was 62.24±7.52. The prevalence of dyslipidemia was 68.85%. High levels of total cholesterol, triglyceride, low-density lipoprotein, and low level of high-density lipoprotein were seen among 9.74%, 24.66%, 5.54%, 19.20% of the participants, respectively. In addition, 66.05% of the study participants were under the treatment of lipid-lowering medications. Among the possible investigated risk factors of dyslipidemia, male gender (odds ratio (OR) = 0.56, 95% confidence interval (CI): 0.47, 0.68), waist circumference (OR = 1.03, 95%CI: 1.02, 1.04), diabetes mellitus (OR = 2.28, 95%CI: 1.96, 2.66), and hypertension (OR = 1.59, 95%CI: 1.38, 1.83) showed a statistically significant association (p<0.05). Dyslipidemia is highly prevalent in Ardakan's older population. So, lipid management interventions are necessary for this population.

Are pelvic floor muscle function, quadriceps femorismuscle, gluteus mediusmuscle, hand grip strength and functional performance affected by incontinence types in elderly people with urinary incontinence?

The aim of this study is to examine the relationship between incontinence type and pelvic floor muscle function, gluteus mediusmuscle, quadriceps femorismuscle, hand grip strength, functional performance and balance in elderly people with incontinence. This cross-sectional study was conducted in a nursing home with 78 elderly people with stress (SUI, n: 20), urgency (UUI, n: 27) and mixed (MUI, n: 31) urinary incontinence. "Urogenital Distress Inventory-6, Incontinence Impact Questionnaire Form-7, Overactive Bladder-8" were used to evaluate incontinence symptoms and severity. Superficial electromyography was used to evaluate the function of the PFM. A hand dynamometer was used to evaluate hand grip strength, and a digital manual muscle tester was used to evaluate quadriceps femoris (QF) and gluteus medius muscle strength. Short Physical Performance Battery and Time Up and Go Test were performed for functional performance. There was no significant difference between PFM contraction and relaxation functions, gluteus medius, QF muscle strength, functional performance (p > 0.05) but hand grip strength was highest in the group with UUI (ptotal: 0.022).The group with the highest rate of low hand grip strength is MUI (38.7%). A weak positive correlation was found between QF muscle strength and PFM Work Average value in the MUI group (r: 0.370, p: 0.048). In the MUI group, a moderate positive correlation was found between hand grip strength and gluteus medius muscle strength (r: 0.499, p: 0.005). Our findings show that hand grip strength is related to the type of incontinence in the elderly people. The average hand grip strength was highest in the elderly people with UUI. Additionally, there was a positive relationship between gluteus medius and hang grip strength in MUI. It may provide guidance for evaluation and risk factors in elderly people with incontinence.

Epidemiological analysis of cardiac risk factors in elderly people

This study analyzed cardiac risk factors found in older adults, highlighting the increased incidence of cardiovascular diseases with advancing age. A total of 372 elderly individuals were evaluated at Basic Health Units, and divided into sedentary and active groups. Research emphasized the importance of physical activity in reducing cardiovascular risk, using the Framingham Score to identify high cardiovascular risk and to guide interventions. The sociodemographic analysis included age group, ethnicity, marital status, education, income, and family history of diseases. Bayesian inferences were conducted to assess the number of simultaneous changes in variables and calculate the proportion of individuals with potential cardiac risk. The final conclusion of Bayesian inferences indicates that approximately 29.0% of individuals in the sample may bear potential cardiovascular risk due to two or more alterations in the evaluated variables.

Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey

BackgroundThe incidence of arterial hypertension increases with the aging of the population, but its magnitude remains insufficiently assessed. The aim of this study was to investigate the prevalence of hypertension and associated factors in elderly people in Guinea.MethodsData were obtained from a cross-sectional general population survey, conducted among people aged ≥ 60 years. A stratified enumeration area random sample survey was conducted in the four natural regions of Guinea from February to April 2021. This study included an interview on sociodemographic data, and a clinical examination. Hypertension was defined as systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg or previous diagnosis of hypertension (with or without antihypertensive medication). Hypertension control was defined as blood pressure below 140/90 mmHg during treatment. Age-standardized prevalence was calculated, and logistic regression was used to examine factors associated with hypertension.ResultsA total of 1698 adults (1079 men, mean age: 71.6 ± 9.4 years) had at least two blood pressure measurements. The standardized prevalence of hypertension was 61.4% [95% CI: 61.3–61.6], ranging from 52% in Middle Guinea to 67% in Upper Guinea, and was higher in women (65.2%: 65.0-65.4) than in men (59.1%:58.9–59.3). Among those with hypertension, 46.7% were unaware of their condition before the survey and 49.6% were on treatment and only 18.5% had controlled hypertension. Whatever the residence (rural or urban), increasing age, being unmarried, working as a trader or functionary, jobless, living in upper Guinea, low monthly income, intake of extra salt, known diabetic, overweight, and obesity increased the risk of hypertension. In urban area, female sex (AOR: 1.14: 1.12–1.17), living in lower Guinea (AOR: 3.08: 2.97–3.20), being Maninka (AOR: 1.26: 1.21–1.31), being Nguerze (AOR: 1.71: 1.63–1.81) increased the risk of hypertension, but living in forest Guinea (AOR: 0.88: 0.83–0.93), being Soussou (AOR: 0.88: 0.85–0.92) decreased the risk. In rural area, living in forest Guinea (AOR: 2.14: 2.03–2.26), being Soussou (AOR: 1.14: 1.12–1.17) increased the risk of hypertension, but female sex (AOR: 0.96: 0.94–0.98), living in lower Guinea (AOR: 0.87: 0.85–0.89), being Maninka (AOR: 0.94: 0.92–0.97), being Nguerze (AOR: 0.50: 0.47–0.52) decreased the risk.ConclusionHypertension is a major problem in the elderly population in Guinea, and the level of treatment and control in elderly with known hypertension is inadequate. The place of hypertension among cardiovascular diseases and the identification of associated factors underlines the need to develop innovative approaches to control this major risk factor.

VELOCIDADE DA MARCHA ASSOCIADA AOS FATORES CLÍNICOS EM IDOSOS NA ATENÇÃO PRIMÁRIA À SAÚDE: REVISÃO INTEGRATIVA

ABSTRACT Objective: to analyze national and international scientific production on gait speed associated with signs, symptoms, and clinical factors in elderly people in primary health care. Method: integrative literature review carried out in five data sources (Virtual Health Library, Embase, Web of Science, Cumulative Index To Nursing And Allied Health Literature (CINAHL), and PubMed) with publications from January 2017 to June 2023. Results: 13 publications met the eligibility criteria, with a predominance of studies in English. Studies indicated that reduced gait speed is associated with fractures (p&lt;0.05), dementia (p&lt;0.01), cardiovascular (p&lt;0.001) and neuropsychiatric (p&lt;0.01) diseases, falls (p&lt;0.05) and polypharmacy (p&lt;0.001). Conclusion: altered gait speed patterns in the older people are related to various clinical factors, reinforcing the need for further studies and the guiding role of the geriatric nursing team in the health of the older person.

A Novel Anthropometric Parameter, Weight-Adjusted Waist Index Represents Sarcopenic Obesity in Newly Diagnosed Type 2 Diabetes Mellitus.

As the metabolic significance of sarcopenic obesity (SO) is revealed, finding an appropriate index to detect SO is important, especially for type 2 diabetes mellitus (T2DM) patients with accompanying metabolic dysfunction. Participants (n=515) from the Korea Guro Diabetes Program were included to compare how well waist circumference (WC), waist hip ratio (WHR), waist height ratio (WHtR), and the weight-adjusted waist index (WWI) predict SO in newly diagnosed T2DM patients. Sarcopenia was defined based on guidelines from the 2019 Asian Working Group for Sarcopenia as both low muscle mass (appendicular skeletal muscle [ASM]/height2 <7.0 kg/m2 for men, <5.4 kg/m2 for women) and strength (handgrip strength <28.0 kg for men, <18.0 kg for women) and/or reduced physical performance (gait speed <1.0 m/sec). Obesity was defined as a WC ≥90 cm in men and ≥85 cm in women. The WHR, WHtR, and WWI were calculated by dividing the WC by the hip circumference, height, and √ weight, respectively. The WC, WHR, and WHtR correlated positively with the fat and muscle mass represented by truncal fat amount (TFA) and ASM, whereas the WWI was proportional to the TFA and inversely related to ASM. Of the four indices, the WWI showed the highest area under the receiver operative characteristic curve for SO. The WWI also exhibited a positive correlation with albuminuria and the mean brachial-ankle pulse wave velocity, especially in patients aged ≥65 years. The WWI is the preferable anthropometric index for predicting SO in T2DM patients, and it might be a proper index for predicting cardiometabolic risk factors in elderly people.

Determining the Constipation Status and Associated Factors in the Elderly People Receiving Institutional Care

Objective: The study aims to determine the constipation status and associated factors in elderly people receiving institutional care. Materials and Methods: This descriptive and analytic research was conducted with 108 elderly people in three institutional care centers in a province in Türkiye. Data were collected with the Individual Characteristics Form, the Mini-Cog© test, and the International Physical Activity Questionnaire–Short Form. Diagnosis of constipation was made according to the Rome IV criteria. Results: The average age of the participants was 74.16±7.51, 74.1% were female, and 46.3% were receiving institutional care for 2-4 years. It was found that 46.3% of the elderly had constipation and 72% were using laxatives. The prevalence of constipation was found to be statistically significantly higher among females, elderly people receiving institutional care for one year or less, physically inactive elderly who habitually delay defecation and elderly people who consume insufficient amounts of water (p&amp;lt;0.05). Conclusions: The results of the study revealed that one out of the two elderly people suffers from constipation. Thus, preventive care interventions such as diet and exercise programs, and exercises for bowel habits must be applied by determining the risk factors of constipation in elderly people.

Tear inflammation related indexes after cataract surgery in elderly patients with type 2 diabetes mellitus.

Quantitative studies on the changes in inflammation-related content in tears, especially the effect of diabetes, are lacking. In this study, we measured the preoperative and postoperative tear inflammatory mediator levels in cataract patients, focusing on the expression of inflammatory factors in postoperative cataracts in the diabetic, and investigated the effect of drugs on the control of postoperative inflammation. To study the expression of inflammatory factors in elderly people with type 2 diabetes after cataract surgery. Patients with a mean age of 70.3 ± 6.3 years were divided into group A (composed of elderly patients with cataracts and type 2 diabetes, n = 20 eyes) and group B (patients with age-related cataract, n = 20 eyes). Their tears were collected before each operation and on days 1 and 3, and weeks 1, 2, 3, and 4 post-surgery. Saline (150 μL) was dropped into the conjunctival sac of the surgical eye, followed by oculogyration in four directions. The fluid in the conjunctival sac was extracted using a sterile syringe and stored in Eppendorf tubes at -80 °C until measurement. The expression levels of matrix metalloproteinase-2 (MMP-2), MMP-9, tissue inhibitor of metalloproteinase-1 (TIMP-1), TIMP-2, interleukin-6 (IL-6), and IL-20 in tear fluid were measured using enzyme-linked immunosorbent assays. The postoperative expression levels of MMP-2, MMP-9, TIMP-2, IL-6, and IL-20 in group A were significantly higher than those in group B, whereas the concentration of TIMP-1 in group A remained lower than that in group B. The levels of MMP-2 and IL-6 in both groups continuously increased until the peak in the first postoperative week, and then gradually decreased over the next three weeks. Ultimately, MMP-2 declined to a lower level than that preoperatively at week 4, but IL-6 decreased to the same level as that preoperatively. The level of MMP-9 peaked in the first two weeks postoperative and then returned to the same level as 1-day post-operation. The concentration of TIMP-1 post-operation remained constant at a lower level than before surgery, and TIMP-2 Levels remained stable in both groups. IL-20 content started to increase in the third week after surgery. Inflammatory factor levels in tears fluctuated before and post-operation, which indicated more severe postoperative inflammation in the first two weeks.

Epilepsy and associated factors in elderly people of Amirkola, North of Iran (The Amirkola Health and Ageing Project).

Knowledge about the associated factors with epilepsy in the elderly in Iran is limited. Therefore, this study aimed to determine the prevalence of epilepsy and associated factors in Amirkola elderly patients. This cross-sectional study is a part of a comprehensive and cohort research of "The Amirkola Health and Ageing Project". The Mini-mental State Examination was used for cognitive impairment, Geriatric Depression Scale for psychiatric diseases and the Physical Activity Scale for Elderly questionnaire for physical activity. The prevalence of epilepsy was 35 from 1482 participants (24/1000). The significant association between Parkinson's Disease (OR=6.25, 95%CI=1.35-28.4, P=0.001), falls (OR= 3.81, 95%CI=1.62-8.97, P=0.001), depression (P=0.001), hyperphosphatemia (P=0.039) and hypokalemia (P= 0.031) concluded with epilepsy. Past history of stroke (6 % versus 2%, OR= 2.8, 95%CI, 0.97-8.27, P=0.07), increased serum level of triglyceride (OR= 1.96, 95%CI= 0.99-3.88, P=0.06) and low-density lipoprotein (LDL) (P=0. 45) were seen in epileptic patients vs. non-epileptic patients. Parkinson's disease, frequency of falls and depression were the associated factors in epileptic patients and a correlation between past history of stroke, increased serum level of triglyceride and LDL with epilepsy were seen. Associated factors required screening, diagnosis and treatment.

Healthy aging and its prediction based on individual, psychological and social factors in elderly people of Amol city

Healthy aging and its prediction based on individual, psychological and social factors in elderly people of Amol city

Effect of selected lifestyle factors on the nutrition state of elderly people with metabolic syndrome.

The formation and development of the metabolic syndrome (MetS) is largely caused by lifestyle factors. Many studies have shown that excessive consumption of simple carbohydrates, alcohol, salt, physical inactivity and smoking increase the risk of MetS. The aim of the study was to assess the nutritional status and its relationship with selected lifestyle factors in elderly people with MetS. 81 people aged 51-75 participated in the study. According to the guidelines, all tests were performed on an empty stomach. The comparison of individual quantitative variables between the groups was performed using the Student's t-test for independent measurements or using the Mann-Whitney U test. The relationship between quantitative variables was verified with the Spearman's correlation coefficient. All statistical tests were based on a significance level of p<0.05. The BMI, the percentage of body fat and the waist circumference significantly exceed the norm for the population in the examined persons. The responses of respondents aged 51-65 show that 36% of people sweetened their drinks, 65.6% were salted their food, 51.6% consumed alcohol, and at the age of 66-75, respectively: 47.1%, 52.9%, 41.2%. There was no correlation between sweetening beverages and salting food and the concentration of glucose and lipids. However, a positive correlation was found between the amount of salt consumed and the heart rate (r=0.28, pp<0.05). In both age groups, statistically significant differences in the concentration of triglycerides depending on alcohol consumption or non-consumption were found. Due to the lack of precise data on the amount of alcohol consumed, the correlation between alcohol consumption and the concentration of glucose and lipids was not analyzed. Physical activity was not undertaken by 39.1% of patients aged 51-65 years and 41.2% of patients aged 66-75 years. In the group of elderly people without physical activity, a statistically significantly higher glucose concentration was found in relation to those who were physically active (130 mg/dl vs. 105 mg/dl; p=0.031). Patients aged 51-65 who engaged physical activity had statistically significantly lower body weight, BMI, waist circumference and lean body mass, which requires further studies. The anthropometric indices and parameters of MetS patients indicated disturbances in the nutritional status. Unhealthy lifestyle was shown mainly in the younger group of patients 51-65 years old (they sweetened drinks more often, salted dishes, consumed alcohol). Patients with metabolic syndrome did not undertake physical activity as often as recommended.

Self-reported chronic back pain in the elderly living in rural riverine areas in the Amazon.

The present study aimed to estimate the prevalence of self-reported chronic low back pain and to identify the associated factors in elderly people living in rural riverside areas in the Amazon. Data from a cross-sectional home-based survey performed in 38 riverside rural locations along the left bank of the Negro River, in the municipality of Manaus, Amazonas, Brazil, were analyzed. The selected elderly people answered a questionnaire comprising items related to the living conditions, socioeconomic and demographic characteristics, health status and utilization of health services. The outcome was self-reported chronic back pain or problem. The association between the outcome and the independent variables was assessed using logistic regression, estimating the odds ratios and respective 95% confidence intervals (CIs). One hundred and six residents aged 60 years or older out of a total of 277 were included in the study. The prevalence of chronic back pain among the elderly residents was 57.5% (63.3% among men and 50.0% among women). Most of them did not have any treatment related to their chronic condition (77.0%). Occupation in activities other than agricultural activities was protective for the outcome (odds ratio (OR)=0.1, 95%CI=0.0-0.9). The chronic low back pain was also associated with worse self-perceived health (OR=10.3, 95%CI=1.6-67.5). The high prevalence of chronic low back pain in elderly people living in rural riverside areas, along with limited access to treatment and the different impacts on the performance of daily activities and the quality of life, reveals the relevance of this condition as a public health problem.

Evaluation of the Fear of Falling and Related Risk Factors in Elderly People from Hamadan, Iran: a Cross Sectional Study

Background/ purpose: older people are usually afraid of falling. The purpose of this study was to determine the fear of falling and underlying related risk factors among elderly people from Hamadan, Iran. Methods: A total of 321 elderly residents, aged 60 years and older, from 6 district heal th centers and 2 nursing homes were enrolled in this cross -sectional study. Fear of falling was evaluated by the Falls Efficacy Scale - International (FES-I) questionnaire, which contains 16 questions about different daily activities for elderly individuals. The study methods were compliant with the STROBE checklist. Data were analyzed with SPSS16 software. Results: The mean age of participants was 70± 7.46 years. We noted that 70% of participants had positive medical history of chronic diseases of which the most prevalent types were: osteoarthritis (63%), hypertension (42%) and diabetes (19%). The mean FES-I score was 27.83±9.87. The FES-I results indicated that 16.1% of participants had low fear of falling (score: 16-19), 37.6% had moderate fear (score: 20 -27), and 46.3% had severe fear (score: 28 -64). The fear of falling score in the study participants had a significant relationship with age, gender (female), living condition (alone), previous disease history and medication intake (all p values <0.05). Conclusions: The high mean FES-I score (27.83±9.83) alongside high proportion of moderate and severe fear of falling (83.9%) in this study indicates that elderly people from Hamadan, Iran are very concerned about falling. Fear of falling should be specificall y addressed for elderly people and the underlying risk factors should also be investigated.

Health Factors Associated with Frailty Biomarkers in the Elderly

Background: Few studies associate adverse health factors with frailty defined by biomarkers. Aim: To evaluate the association of adverse health factors in elderly people (controlled by age group, gender, and activity) with the combined analysis of leukocytes and brain-derived neurotrophic factor (BDNF). Method: The study was a cross-sectional epidemiological investigation of an integral part of the ELSIU (Uberaba Elderly Health Study), consisting of a sample of 241 elderly people. The data collection involved physical performance tests, anthropometric measurements, and a questionnaire through individual interviews. Fragility was defined by the concomitant presence of BDNF serum levels ≤1888.42 mg/dL (first quartile) and a leukocyte count lower than 4, 000 mm³ or higher than 9,290 mm³. For the data analysis, descriptive statistic procedures (frequency, mean) and Poisson regression were used, p ≤ 0.05. Results: The prevalence of frailty was 8.7%, and this condition was more prevalent in elderly individuals who were hospitalized in the last three months (RP = 7.33) and among those with disability in the basic activities of daily living (BADLs) (RP = 7.64), controlled by age group, gender and the level of physical activity. Conclusion: The early identification of frailty using biomarkers associated with health factors (hospitalization and disability in BADLs) may provide early intervention for these individuals.

The Associated Factors of Prolonged Screen Time and Using Electronic Devices before Sleep among Elderly People in Shaanxi Province of China: A Cross-Sectional Study.

This study aimed to investigate prolonged screen time and using electronic devices before sleep and their associated factors in elderly people in Shaanxi province of China. We conducted a cross-sectional study among 2647 elderly participants aged 60–88 years. Data were collected through questionnaires. Demographic characteristics, screen time, using electronic devices before sleep, health status, lifestyles, sleep quality, and other associated factors were investigated. Logistic regression analysis was used to analyze the relationship between the associated factors of screen time and using electronic devices before sleep. The crude odds ratio (cOR) and adjusted odds ratio (aOR) and their 95% confidence intervals (CI) were calculated. A total of 1784 subjects completed the questionnaire. There were 6.89% participants with prolonged screen time and 13.45% using electronic devices before sleep frequently. Prolonged screen time was associated with personal monthly income (aOR = 1.205, p = 0.001), number of household residents (aOR = 0.860, p = 0.010), rural residents (aOR = 0.617, p = 0.038), and regular drinkers (aOR = 2.889, p < 0.001). Using electronic devices before sleep was associated with being female (aOR = 0.657, p = 0.007), family monthly income (aOR = 0.866, p = 0.002), being an occasional drinker (aOR = 1.891, p = 0.005), and self-reported sleep quality (aOR = 1.593, p = 0.007). In conclusion, several factors related to screen time or using electronic devices before sleep were identified. Only being a drinker was a common associated factor for both screen time and using electronic devices before sleep.

Hypertension and its physio-psychosocial risks factors in elderly people: a cross-sectional study in north-eastern region of Bangladesh.

Hypertension and its physio-psychosocial risks factors in elderly people: a cross-sectional study in north-eastern region of Bangladesh.

The Effect of a Portable Electrical Muscle Stimulation on Brain-Derived Neurotrophic Factor in Elderly People: Three Case Studies.

Brain-derived neurotrophic factor (BDNF), which plays an important role in cognitive and nerve function, is released from skeletal muscle cells into the blood by muscle contractions and/or electrical muscle stimulation (EMS). However, the influence of EMS administered by a portable device on BDNF is unclear. The purpose of this case report was to quantify the influence of EMS administered by a portable device on BDNF and physical function. Three elderly people (age, 69.7 ± 1.5 years) were included in the present study. The participants used a portable EMS device to stimulate the bilateral quadriceps muscles for 8 weeks (23 min for 5 days/week). To determine the effects of EMS, the following parameters were assessed at baseline, 8 weeks, and 12 weeks (follow-up): knee extensor strength, muscle mass of the lower limb, Berg balance score, and blood BDNF level. All outcomes improved after the EMS intervention, but the improvements did not persist for 12 weeks. These findings suggest that portable EMS is potentially useful for improving the blood BDNF level and physical function.

&lt;p&gt;Relationship Between Gallstone Disease and Cardiometabolic Risk Factors in Elderly People with Non-Alcoholic Fatty Liver Disease&lt;/p&gt;

BackgroundThe prevalence of gallstone disease (GSD) increases with age, and the elderly have a much higher mortality risk and incidence of surgical comorbidities. The aim of this study was to explore the relationship between GSD and cardiometabolic risk factors in elderly people with non-alcoholic fatty liver disease (NAFLD).MethodsIn this cross-sectional study, we analyzed the data of elderly people who underwent annual health check-ups at a Northern Taiwan health examination center. These data were collected from physical examination, blood tests, abdominal ultrasonography, and medical histories. We excluded those with hepatitis B or C infections, heavy alcohol consumption, or cholecystectomy.ResultsThe analysis included 3,037 participants with a mean age of 73.6±6.0 years. Over 70% were overweight or obese, and the overall prevalence of GSD was 17.7%. In our univariate analysis, GSD was positively correlated with age, body mass index, metabolic syndrome, diabetes mellitus (DM), hypertension (HTN), and various metabolic factors (fasting plasma glucose [FPG], triglyceride, uric acid, and high-density lipoprotein cholesterol [HDL-C] levels). After adjustment for age, gender, and body mass index, metabolic syndrome showed a positive association with GSD (odds ratio [OR] 1.31 [95% confidence interval [CI], 1.05–1.64]; P=0.020). Specific components of metabolic syndrome that increased the risk for GSD in NAFLD elderly include lower levels of HDL-C (OR 1.35 [95% CI, 1.10–1.66]; P<0.001) and elevated FPG (OR 1.36 [95% CI, 1.10–1.69]; P<0.001).ConclusionOur study concluded that GSD is significantly associated with metabolic syndrome in elderly people with NAFLD. Reduced HDL-C and elevated FPG both heighten the risk of developing GSD. Therefore, to lower the risk of GSD in NAFLD patients, their FPG levels and HDL-C levels must be regularly followed-up, and these patients should be educated about the symptoms of GSD if they meet the criteria for metabolic syndrome.

Hypertension prevalence and associated risk factors in elderly people of Northern India

Background: Of the estimated 57 million global deaths in 2008, 36 million (63%) were due to non-communicable diseases (NCDs). In terms of attributable deaths, the leading behavioural and physiological risk factors globally are raised blood pressure (to which 13% of global deaths are attributed), followed by tobacco use (9%), raised blood glucose (6%), physical inactivity (6%) and being overweight or obese (5%). With this background the current study was planned to compare the prevalence and modifiable risk factors of hypertension amongst the rural and urban geriatric population.Methods: The present cross-sectional study included 535 persons aged 60 years or more, belonging to the families residing in the field practice areas of Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly. House to house visits were made for face-to-face interview.Results: The mean age of elderly was 66.76±5.92 years. The proportion of elderly who were apparently healthy was 10.1%. The most frequent morbidity found was hypertension (40%) followed in order by obesity (30.67%), arthritis (26.86%), diabetes (25.72%), gastroesophageal reflux disease (19.43%), chronic obstructive pulmonary disease (14.1%) and irritable bowel syndrome (3.62%). Hypertension was found to be positively associated with increasing age, not being with the spouse (separated, not married or widowed), being businessman, daily consumption of oil and salt, duration of use of tobacco, better socio-economic status, sedentary occupational physical activity and not getting support from the family.Conclusions: Prevalence of hypertension is higher in urban area. Hypertension is associated with age, marital separation, fat and salt consumption, tobacco and sedentary occupation.

Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China

Frailty is a common syndrome in elderly people, but has not been fully studied in China. We aimed to investigate the epidemiological characteristics of frailty and analyze its risk factors in elderly people in rural areas of China. This cross-sectional study was conducted between September and October 2016. Overall, 4323 elderly people over 60 yr were enrolled by cluster random sampling method from the Fengxian District of Shanghai, China. These subjects voluntarily participated in the health examination of the 2016 National Basic Public Health Service Program. In addition to regular examination items, frailty assessment was performed on the basis of Fried frailty phenotype criteria. The prevalence of pre-frailty and frailty was 49.4% and 6.8%, respectively. Advanced age (OR=1.44 for pre-frailty and OR=2.01 for frailty, 65-74 years old; OR=3.02 for pre-frailty and OR=14.13 for frailty,75-84 years old; OR=8.17 for pre-frailty and OR=71.71 for frailty, ≥85 years old), female (OR=1.32 for pre-frailty and OR=1.97 for frailty), stroke history (OR=1.75 for pre-frailty and OR=2.43 for frailty), vision decrease (OR=1.98 for pre-frailty and OR=2.70 for frailty), and anemia (OR=1.95 for pre-frailty and OR=3.64 for frailty) were common risk factors for both pre-frailty and frailty. Healthy elderly people in the rural areas of Shanghai have relatively high prevalence of pre-frailty and frailty. Advanced age, female, stroke history, decreased vision, and anemia are the risk factors for pre-frailty and frailty.