Fatemeh Talaee Boura; Simin Mouodi; Reza Ghadimi; Ali Bijani
Volume 23, Issue 1 , 2021
Abstract
Background: The global incidence rate of frailty syndrome among older adults aged 60 years and over has been estimated to be 43.4 cases per 1000 persons/years.
Objectives: This study aimed to determine the prevalence of pre-frailty and frailty syndromes in community-dwelling older adults and assess ...
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Background: The global incidence rate of frailty syndrome among older adults aged 60 years and over has been estimated to be 43.4 cases per 1000 persons/years.
Objectives: This study aimed to determine the prevalence of pre-frailty and frailty syndromes in community-dwelling older adults and assess the correlated sociodemographic factors.
Methods: All elderly people recruited in the second phase of the Amirkola Health and Ageing Cohort Project, including 2135 older adults aged ?60 years living in Amirkola, North of Iran, were invited to participate in this study using the census method. The standard "FRAIL" scale was used to assess the frailty syndrome. The individuals who obtained a score of three or more and one or two were classified as frail and pre-frail cases, respectively.
Results: Totally, 2010 older adults with a mean age of 70.41±7.65 years were included in this study. Out of them, 672 (33.4%; 95% CI: 31.37-35.50%) cases met the criteria for frailty syndrome, and 874 (43.5%) individuals were regarded as pre-frail. The prevalence of frailty was significantly higher in females (50.8%; 95% CI: 47.58-54.05%), compared to males (18.7%; 95% CI: 16.41-21.05%). Multivariate logistic regression analysis revealed that age ?85 (OR=7.27; 95% CI: 4.12-24.46) and female gender (OR=2.67; 95% CI: 2.30-9.95) had the highest effect on frailty in older adults.
Conclusion: One out of every three elderly people (aged ?60) in Amirkola, North of Iran, had frailty syndrome. Older age, female gender, lower education level, low level of satisfaction with income, marital status (single), living alone, and unemployment increased the risk of frailty in older adults.
Mohammad Esmaeil Motlagh; Seiyed Davoud Nasrollahpour Shirvani; Reza Ghadimi; Majzobeh Taheri; Zahra Hassanzadeh-Rostami
Volume 19, Issue 5 , May 2017, , Pages 1-7
Abstract
Background: Body mass index (BMI) is the most applicable measure to screen overweight and obesity. However, individual and demographic factors affect the BMI cutoff values.Objectives: The current study aimed to determine the cutoff points for waist circumference (WC), waist-to-hip ratio (WHpR), waistto-height ...
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Background: Body mass index (BMI) is the most applicable measure to screen overweight and obesity. However, individual and demographic factors affect the BMI cutoff values.Objectives: The current study aimed to determine the cutoff points for waist circumference (WC), waist-to-hip ratio (WHpR), waistto-height ratio (WHtR) and neck circumference (NC) as indicators of overweight and obesity in Iranian females.Methods: This cross-sectional survey was conducted on 2466 females, aged 30 - 59 years, recruited from five ethnic groups; Arab, Kurd, Sistani and Baluchi, Turk and Turkmen in Iran, from Nov 2015 to Feb 2016. The subjects were selected by cluster multistage random sampling through five provinces. Receiver operating characteristics (ROC) analyses and Youden index were used to estimate the optimal anthropometric cutoff points.Results: Overall, 38.1% of females were overweight and 38.0% were obese. Significant differences of nutritional status were observed among different ethnic groups (P < 0.001). The higher rates of overweight were observed in Kurd and Turk subject. Furthermore, the obesity was more common among Arab and Kurd subjects. Sistani and Baluchi showed the lowest rate of obesity and highest underweight. ROC analysis showed the highest area under curve (AUC) for WHtR and WC, followed by NC and WHpR was in the lowest area. The optimal cutoff points to diagnose overweight and obesity were WC, 90.25 and 95 cm, WHtR, 0.57 and 0.62, NC, 33 and 34 cm, and WHpR, 0.90 and 0.93 in total population, respectively.Conclusions: Higher cutoff values were proposed for anthropometric parameters in different ethnic groups of Iranian females compared to international cutoff points to predict overweight and obesity.
