Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program

Abstract Background Iran’s population is aging. Disability is a major public health problem for older adults, not only in Iran but all over the world. The purpose of this study was to investigate the relationship between cardio-metabolic and socio-demographic risk factors and disability in people 60...

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Main Authors: Kazem Khalagi, Akram Ansarifar, Noushin Fahimfar, Mahnaz Sanjari, Safoora Gharibzdeh, Farshad Sharifi, Gita Shafiee, Ramin Heshmat, Iraj Nabipour, Bagher Larijani, Afshin Ostovar
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-021-02124-x
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spelling doaj-2e32fd05f79b4c619a42afa501fed66a2021-03-11T11:28:20ZengBMCBMC Geriatrics1471-23182021-03-012111910.1186/s12877-021-02124-xCardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health programKazem Khalagi0Akram Ansarifar1Noushin Fahimfar2Mahnaz Sanjari3Safoora Gharibzdeh4Farshad Sharifi5Gita Shafiee6Ramin Heshmat7Iraj Nabipour8Bagher Larijani9Afshin Ostovar10Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDepartment of Epidemiology, School of Public Health, Iran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDepartment of Epidemiology and Biostatistics, Pasteur Institute of IranElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesThe Persian Gulf Marine Biotechnology Research Center, the Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical SciencesEndocrinology Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesAbstract Background Iran’s population is aging. Disability is a major public health problem for older adults, not only in Iran but all over the world. The purpose of this study was to investigate the relationship between cardio-metabolic and socio-demographic risk factors and disability in people 60 years and older in Iran. Methods The baseline (cross-sectional) data of 2426 samples from the Bushehr Elderly Health (BEH) program was included in the analysis. The participants were selected through multi-stage random sampling in Bushehr, southern Iran. Socio-demographic characteristics, as well as the history of diabetes and other chronic diseases, and smoking were measured using standardized questionnaires. Anthropometric measurements and laboratory tests were performed under standard conditions. Dependency was determined by the questionnaires of basic activities of daily living (BADL) and instrumental activities of daily living (IADL) using Barthel and Lawton scales respectively. Multiple logistic regression was used in the analysis. Results Mean (Standard Deviation) of the participants’ age was 69.3 (6.4) years (range: 60 and 96 years), and 48.1% of the participants were men. After adjusting for potential confounders, being older, being female (OR (95%CI): 2.3 (1.9–2.9)), having a lower education level, a history of diabetes mellitus (OR: 1.4 (1.2–1.7)) and past smoking (OR: 1.3 (1.0–1.6)), and no physical activity (OR: 1.5 (1.2–1.9)) were significantly associated with dependency in IADL. Also, being older and female (OR: 2.4 (1.9–3.0)), having a lower education level, no physical activity (OR: 2.2 (1.6–2.9)) and daily intake of calories (OR: 0.99 (0.99–0.99)) were associated with dependency in BADL. Conclusion Dependency in older adults can be prevented by increasing community literacy, improving physical activity, preventing and controlling diabetes mellitus, avoiding smoking, and reducing daily calorie intake.https://doi.org/10.1186/s12877-021-02124-xCardio-metabolicSocio-demographicRisk factorDisabilityBasic activities of daily livingInstrumental activities of daily living
collection DOAJ
language English
format Article
sources DOAJ
author Kazem Khalagi
Akram Ansarifar
Noushin Fahimfar
Mahnaz Sanjari
Safoora Gharibzdeh
Farshad Sharifi
Gita Shafiee
Ramin Heshmat
Iraj Nabipour
Bagher Larijani
Afshin Ostovar
spellingShingle Kazem Khalagi
Akram Ansarifar
Noushin Fahimfar
Mahnaz Sanjari
Safoora Gharibzdeh
Farshad Sharifi
Gita Shafiee
Ramin Heshmat
Iraj Nabipour
Bagher Larijani
Afshin Ostovar
Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
BMC Geriatrics
Cardio-metabolic
Socio-demographic
Risk factor
Disability
Basic activities of daily living
Instrumental activities of daily living
author_facet Kazem Khalagi
Akram Ansarifar
Noushin Fahimfar
Mahnaz Sanjari
Safoora Gharibzdeh
Farshad Sharifi
Gita Shafiee
Ramin Heshmat
Iraj Nabipour
Bagher Larijani
Afshin Ostovar
author_sort Kazem Khalagi
title Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
title_short Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
title_full Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
title_fullStr Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
title_full_unstemmed Cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older Iranian adults: Bushehr elderly health program
title_sort cardio-metabolic and socio-demographic risk factors associated with dependency in basic and instrumental activities of daily living among older iranian adults: bushehr elderly health program
publisher BMC
series BMC Geriatrics
issn 1471-2318
publishDate 2021-03-01
description Abstract Background Iran’s population is aging. Disability is a major public health problem for older adults, not only in Iran but all over the world. The purpose of this study was to investigate the relationship between cardio-metabolic and socio-demographic risk factors and disability in people 60 years and older in Iran. Methods The baseline (cross-sectional) data of 2426 samples from the Bushehr Elderly Health (BEH) program was included in the analysis. The participants were selected through multi-stage random sampling in Bushehr, southern Iran. Socio-demographic characteristics, as well as the history of diabetes and other chronic diseases, and smoking were measured using standardized questionnaires. Anthropometric measurements and laboratory tests were performed under standard conditions. Dependency was determined by the questionnaires of basic activities of daily living (BADL) and instrumental activities of daily living (IADL) using Barthel and Lawton scales respectively. Multiple logistic regression was used in the analysis. Results Mean (Standard Deviation) of the participants’ age was 69.3 (6.4) years (range: 60 and 96 years), and 48.1% of the participants were men. After adjusting for potential confounders, being older, being female (OR (95%CI): 2.3 (1.9–2.9)), having a lower education level, a history of diabetes mellitus (OR: 1.4 (1.2–1.7)) and past smoking (OR: 1.3 (1.0–1.6)), and no physical activity (OR: 1.5 (1.2–1.9)) were significantly associated with dependency in IADL. Also, being older and female (OR: 2.4 (1.9–3.0)), having a lower education level, no physical activity (OR: 2.2 (1.6–2.9)) and daily intake of calories (OR: 0.99 (0.99–0.99)) were associated with dependency in BADL. Conclusion Dependency in older adults can be prevented by increasing community literacy, improving physical activity, preventing and controlling diabetes mellitus, avoiding smoking, and reducing daily calorie intake.
topic Cardio-metabolic
Socio-demographic
Risk factor
Disability
Basic activities of daily living
Instrumental activities of daily living
url https://doi.org/10.1186/s12877-021-02124-x
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