Kazem Ashrafi; Robab Sahaf; Farahnaz Mohammadi Shahbalaghi; Akram Farhadi; Gholamreza Ansari; Farid Najafi; Azizeh Gharanjik; SHadi Ghaderi
Abstract
Objectives The population aging is a pretty new phenomenon and psychological disorder is one of the most important problems associated with the elderly communities. In ethnic societies, there are some barriers in the elderly that could impede the diagnosis of psychological and mood disorders such as ...
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Objectives The population aging is a pretty new phenomenon and psychological disorder is one of the most important problems associated with the elderly communities. In ethnic societies, there are some barriers in the elderly that could impede the diagnosis of psychological and mood disorders such as depression. The current cross sectional study investigated the demographic characteristics, prevalence of depression, and some social factors and personal health problems of 60 Iranian Azeri Turkish elderly cases who stayed home.Methods The current cross sectional study was conducted on 300 Iranian Azeri Turkish elderly who participated in the study voluntarily and had no cognition impairment. Samples were selected randomly. The study participants filled out a questionnaire containing demographic information, health status and diseases antecedent; the questionnaire of depression in the elderly (GDS-15) was also completed by interviewing the cases. Collected data were analyzed by SPSS version 16 employing t test, Chi-square test, and ANOVA. Results The mean age of the study cases was 70±7.2 years in males and 69±6.5 years in females. Based on the results of the current study, the mean score of depression in the study cases was 4.62±3.53. The prevalence of minor depression was 28%, moderate depression 10.3%, and major depression 6.3%; also, 55.4% were asymptomatic. There was a significant statistical relationship between depression score and gender (P<0.001), occupational status (P<0.001), educational level (P=0.01), physical activity (P=0.02), chronic diseases (P<0.001), hearing impairments (P=0.007), and problems with kidney and urinary tract (P=0.04), gastrointestinal (P<0.001) and musculoskeletal systems (P<0.001); there was no significant statistical relationship between the mean score of depression and the place of living (urban or rural residence), level of income, and living together (P≥0.05). Conclusion Depression is one of the most important diseases in aging period. The prevalence of minor and moderate depression among Azeri elderly is lower or similar to those of other studies in Iran. The result indicated a positive and significant relationship between depression and some health status variables. Hence, it is recommended to apply screening programs to identify elderly who are at risk for psychological disorders and also define measures to improve their life satisfaction, health status, and the quality of life.
Mojtaba Azad Bakht; Parisa Taheri Tanjani; Gholamreza Garmaroudi; Robab Sahhaf; Davood Shojaee
Volume 22, Issue 2 , May and June 2015, , Pages 490-498
Abstract
Background & Objectives: Self-efficacy is one of the main contributing factors in adoption of healthy behaviors Measure of self-efficacy measurement is important in health planning and interventions. Current study examined the reliability and validity of Selfe rated Abilities for Health Practice ...
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Background & Objectives: Self-efficacy is one of the main contributing factors in adoption of healthy behaviors Measure of self-efficacy measurement is important in health planning and interventions. Current study examined the reliability and validity of Selfe rated Abilities for Health Practice Scale for Health Practice Scale (SRAHPS) in the Iranian elderly.
Materials & Methods: This is a descriptive study - applied that conducted on 310 elderly in Tehran. The applied instrument was SRAHPS questionnaire. Forward-Backward method used for the translation. CVI index and factor analysis were used to assess the content validity and construct validity , respectively. Ten percent of study population selected for test-retest reliability and have been interviewed following two weeks. Internal consistency of the questionnaire was tested by Cronbach's alpha and SPSS-18 software used for data analysis.
Results: The mean age of the participants was 67.1±5.9 years. Content validity Index of the questionnaire and all of its domains were greater than 0.82 . Exploratory factor analysis resulted in a four-factor model explaining 63.89% of the variation. Confirmatory factor analysis also showed fitness of good. Cronbach's alpha for the instrument and its subscale was ranged between 0.73 to 0.84. The ICC for the instrument 0.76 and for its subscale ranged between 0.76 to 0.84.
Conclusion: The present study showed that the SRAHPS questionnaire has acceptable reliability and validity for the assessment of self-efficacy in the Iranian elders.
Samaneh Mirzaee; Noreddin Karimi; Fereshteh Ghorat; Robab Sahhaf; Ali Samadi; Mostafa Rahimi; Mostafa Gholi Saberian
Volume 21, Issue 3 , July and August 2014, , Pages 402-415
Abstract
Background: The aim of this study was to evaluate the short-term effects of creatine supplementation in combination with vibration exercise on physical fitness and neuromuscular performance of elderly women.
Materials and Methods: The study population included women aged over 60 years. For this purpose, ...
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Background: The aim of this study was to evaluate the short-term effects of creatine supplementation in combination with vibration exercise on physical fitness and neuromuscular performance of elderly women.
Materials and Methods: The study population included women aged over 60 years. For this purpose, 22 healthy elderly females were selected and randomly divided into three groups: vibration exercise with creatine supplementation (n=8), vibration exercise with placebo (n=7), and control (n=7) groups. Vibration exercise with creatine supplementation group, performed exercises which included six posture exercises, based on the principle of overload, for 10 days, with a frequency of 30-35 Hz and amplitude of 5 mm; and at the same time, received 20 grams creatine, for the first 5-day, and 5 grams creatine, for the later 5-day, daily. Vibration exercise with placebo group, instead of creatine, received dextrose. Evaluation factors were the static strength of hands and feet (dynamometer), the dynamic power of leg (knee open device), the static balance (standing on one leg), and dynamic balance (lifted and walking), the lower body performance (30 meters walk, tandem gate and get up and sit on a chair), and flexibility (sit and delivery). ANOVA and analysis of covariance statistical tests were used to examine the main effects; and post hoc Tukey and Sidak tests, were used to compare pairs of groups (P≤0.05).
Results: The results of ANOVA showed that there was no significant difference between the groups in the static power (P=0.89), lower body function in tandem gate test (P=0.25), and flexibility (P=0.59); but the static power and performance of leg in 30-meter walk test, was better in vibration exercise with creatine supplementation group than the control group (P
Enayatollah Bakhshi; Ahmad Delbari; Maliheh Sabour; Ahmad Ali akbari kamrani; Hamidreza Yavari; Robab Sahhaf
Volume 20, Issue 1 , March and April 2013, , Pages 42-50
Abstract
Background: To identify the prevalence of polypharmacy (concurrent use of 5 or more medications) and the most frequent medications and medication groups used by the elderly residents of Kahrizak Charity Foundation (KCF). Materials and Methods: This is a descriptive cross-sectional study of 237 elderly ...
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Background: To identify the prevalence of polypharmacy (concurrent use of 5 or more medications) and the most frequent medications and medication groups used by the elderly residents of Kahrizak Charity Foundation (KCF). Materials and Methods: This is a descriptive cross-sectional study of 237 elderly residents of KCF (134 female), aged 60 or more, who have been taking care since the spring of 2010. A randomized cluster sampling was done. Polypharmacy was defined as concurrent use of 5 or more medications, prescribed or non-prescribed, excluding locally effective and "PRN" drugs. Classification of medication groups was based on the Anatomical Therapeutic Chemical (ATC) system. The SPSS software was applied for descriptive analysis.
Results: Mean number of drugs used for any resident was 5.10(±3.22). Prevalence of polypharmacy was 52.3%. The most frequent used medications among attendants were Calcium-Vit.D, Nitrocantin (Glyceryl Trinitrate), and Atenolol, and in polypharmacy group were Calcium-Vit.D, Nitrocantin, and Aspirin. The most frequent medication groups used by both, the attendants and polypharmacy groups, were Cardiovascular drugs, Nervous system drugs, and Alimentary/Metabolism drugs.
Results: The mean number of drugs used for any resident and prevalence of polypharmacy was high among the elderly residents of KCF. Conclusion: More pharmaco-epidemiological studies should be conducted to assess drug use status in Iranian elderly people, specially nursing homes residents, and guidelines should be presented for decreasing the incidence and prevalence of polypharmacy in this population.