scholarly journals Prevalence and risk factors of underweight, overweight and obesity among a geriatric population living in a high-altitude region of rural Uttarakhand, India

2018 ◽  
Vol 21 (10) ◽  
pp. 1904-1911 ◽  
Author(s):  
Aakriti Gupta ◽  
Umesh Kapil ◽  
Ritika Khandelwal ◽  
Preetika Khenduja ◽  
Neha Sareen ◽  
...  

AbstractObjectiveTo assess the prevalence and risk factors of underweight, overweight and obesity among a geriatric population living in a high-altitude region of India.DesignCommunity-based cross-sectional study. Data were collected on sociodemographic profile and anthropometric parameters. Weight and height measurements were utilized for calculation of BMI. Nutrient intake data were collected using 24 h dietary recall.SettingHigh-altitude region of Nainital District, Uttarakhand State, North India.SubjectsCommunity-dwelling geriatric subjects (n981) aged 60 years or above.ResultsWe found that 26·6 % of the elderly subjects were underweight (BMI<18·5 kg/m2). Overweight (BMI 25·0–29·9 kg/m2) and obesity (BMI≥30·0 kg/m2) was seen among 18·0 % and 4·6 %, respectively. After controlling for potential cofounders, risk factors such as low level of education and income, chewing problems and lower number of daily meals were found to be associated with underweight. On the other hand, risk factors for overweight/obesity were lower age, high income and unskilled work.ConclusionsThere is a need to develop and implement intervention strategies to prevent underweight, overweight and obesity among the geriatric population of India.

2017 ◽  
Vol 11 (12) ◽  
pp. 4895
Author(s):  
Jerry Deyvid Freires Ferreira ◽  
Rafaella Pessoa Moreira ◽  
Tibelle Freitas Maurício ◽  
Paula Alves de Lima ◽  
Tahissa Frota Cavalcante ◽  
...  

RESUMOObjetivos: avaliar as condições de saúde cardiovascular e identificar os fatores de risco modificáveis para doenças cardiovasculares em idosos. Método: estudo quantitativo, transversal e descritivo com 246 idosos. Aplicou-se um formulário com questões abertas, referentes à identificação do paciente, relacionando dados sociodemográficos, fatores de risco e informações sobre as condições de saúde. Para análise dos dados, realizou-se o teste Qui-Quadrado de Pearson. Resultados: 75,7% dos participantes eram mulheres, 94,3% aposentados. O uso de bebidas alcoólicas, fumo ativo e passivo foram referidos, respectivamente, por 8,9%, 11,8% e 18,3% dos entrevistados. A pressão arterial esteve alterada em 58,6% dos idosos na primeira avaliação, 81,8% na segunda e 74,3% na terceira. Conclusão: foi possível traçar o perfil da saúde cardiovascular e dos fatores de risco modificáveis para as doenças cardiovasculares na população idosa, que subsidiarão de base para intervenções voltadas à promoção da saúde e prevenção dos agravos. Descritores: Enfermagem; Idosos; Doenças Cardiovasculares.ABSTRACTObjectives: to evaluate cardiovascular conditions and to identify modifiable risk factors for cardiovascular diseases in the elderly. Method: descriptive, cross-sectional and quantitative study with 246 elderly subjects. A questionnaire with open questions regarding patient identification was applied, relating sociodemographic data, risk factors and information on health conditions. For data analysis, the Pearson Chi-Square test was performed. Results: 75.7% of the participants were women, 94.3% were retired. Alcohol consumption, active and passive smoking were reported, respectively, by 8.9%, 11.8% and 18.3% of respondents. Changes in blood pressure were identified in 58.6% of the elderly in the first evaluation, 81.8% in the second and 74.3% in the third evaluation. Conclusion: it was possible to outline the profile of cardiovascular health status and of modifiable risk factors for cardiovascular diseases in the elderly population, which will support interventions aimed at health promotion and disease prevention. Descriptors: Nursing; Elderly; Cardiovascular Diseases.RESUMENObjetivos: evaluar las condiciones de salud cardiovascular e identificar los factores de riesgo modificables para enfermedades cardiovasculares en ancianos. Método: estudio cuantitativo, transversal y descriptivo con 246 ancianos. Se aplicó un formulario con preguntas abiertas, referentes a la identificación del paciente, relacionando datos sociodemográficos, factores de riesgo e informaciones sobre las condiciones de salud. Para análisis de los datos, se realizo el test Chi-Cuadrado de Pearson. Resultados: 75,7% de los participantes eran mujeres, 94,3% jubialdos. El uso de bebidas alcohólicas, fumador activo y pasivo fueron referidos, respectivamente, por 8,9%, 11,8% y 18,3% de los entrevistados. La presión arterial estuvo alterada en 58,6% de los ancianos en la primera evaluación, 81,8% en la segunda y 74,3% en la tercera. Conclusión: fue posible trazar el perfil de la salud cardiovascular y de los factores de riesgo modificables para las enfermedades cardiovasculares en la población anciana, que subsidiarán de base para intervenciones dirigidas ala promoción de la salud y prevención de los problemas. Descriptores: Enfermería; Los Ancianos; Enfermedades Cardiovasculares.


Gerontology ◽  
2017 ◽  
Vol 63 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Maximilian König ◽  
Maik Gollasch ◽  
Ilja Demuth ◽  
Elisabeth Steinhagen-Thiessen

Background: In aging populations with an ever-growing burden of risk factors such as obesity, diabetes, and hypertension, chronic kidney disease (CKD) is on the rise. However, little is known about its exact prevalence among elderly adults, and often albuminuria is not included in the definition of CKD. Moreover, novel equations for the estimated glomerular filtration rate (eGFR) have recently emerged, which have not been applied comprehensively to older adults. Data on CKD awareness among the elderly are sparse. Objectives: To determine the prevalence of CKD among older adults by eGFR and albumin/creatinine ratio (ACR), compare the performance of 6 established and novel eGFR formulas, explore risk factors, and determine the awareness of CKD in a large cohort of community-dwelling elderly from Germany. Methods: A total of 1,628 subjects from the Berlin Aging Study II (BASE-II) were included in this analysis (mean age 68.7 years; 51.2% female). Extensive cross-sectional data on sociodemographics, lifestyle, medication, and diagnoses were inquired during structured interviews and a medical examination, and blood and urine parameters were measured. Results: In all, 77.1% of the subjects had hypertension, 12.4% had diabetes, and 18.3% were obese. The prevalence of CKD strongly depended on the eGFR equations used: 25.4% (full age spectrum [FAS] equation), 24.6% (Berlin Initiative Study), 23.1% (Lund-Malmö revised), 19.3% (Cockcroft-Gault), 16.4% (Chronic Kidney Disease-Epidemiology Collaboration [CKD-EPI]), and 14.7% (Modification of Diet in Renal Disease [MDRD]). Of the subjects with an eGFRFAS <60 mL/min/1.73 m2 and/or an ACR >30 mg/g, only 3.9% were aware of having CKD. Polypharmacy, age, BMI, coronary artery disease, non-HDL cholesterol, and female sex were independently associated with CKD. Conclusions: CKD is prevalent among older adults in Germany, but awareness is low. The FAS equation detects higher rates of CKD than MDRD and CKD-EPI, which are most widely used at present. Also, when CKD is defined based on eGFR and albuminuria, considerably more people are identified than by eGFR alone. Finally, polypharmacy is associated with an increased risk for CKD in the elderly.


1996 ◽  
Vol 8 (3) ◽  
pp. 477-487 ◽  
Author(s):  
Giovanni B. Frisoni ◽  
Diego De Leo ◽  
Renzo Rozzini ◽  
Marco Trabucchi

The aim of this study was to assess the prevalence of daytime napping and its psychic, night sleep, and functional correlates in Italian community-dwelling elderly persons. A cross-sectional survey of community-dwelling elderly subjects was conducted with a multidimensional quality-of-life questionnaire administered by interviewers at the subjects' own homes. Participants were 223 community-dwelling elderly subjects, aged 75 and over, with a Mini-Mental State Examination score of 18 or more, living in Brescia, Italy. Statistical analysis was performed with logistic regression for estimates of the bivariate and multivariate associations of continuous independent variables with a dichotomous dependent variable (napping). Beta coefficients with 95% and 99% confidence interval (CI), and p values at Wald statistics, were computed. Napping once or more per week was reported by 23.8% of the sample. Napping was found to be independently and positively associated with obsessive-compulsive symptoms (β = .86, 95% CI 0.25 to 1.47, p = .005) and with the night sleep symptom of not feeling rested in the morning (β = .17, 95% CI 0.00 to 0.35, p = .048). No association was found with instrumental activities of daily living (β = .18, 95% CI -0.04 to 0.04, p = .113). It is concluded that napping in the elderly is partly related to personality characteristics and partly a consequence of night sleep disturbance.


2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Sarah Fitri Janaris ◽  
Sharon Gondodiputro ◽  
Nita Arisanti

Background: Multiple organ degenerative processes are parts of a normal biological process in aging. One of the geriatric syndromes is cognitive disorders that range from a mild cognitive impairment to dementia. The aim of this study was to analyze factors contributing to the occurrence of dementia in the elderly. Methods: A cross-sectional analytical study was conducted using secondary data on 306 elderly people who visited the Integrated Health Post (Pos Pembinaan Terpadu, Posbindu) from June to August 2016 in Bandung City, Indonesia. Nine variables were included in this study: age, gender, education level, marital status, occupation, living arrangements, social participation, comorbidity, and dementia. The dementia status was measured by the Mini-Mental State Examination and Mini Cog Assessment instruments. Data were then analyzed statistically using Chi-Square, Fisher Exact, and Kolmogorov-Smirnov tests, as well as using the multivariate logistic regression. Results: Around 35.3% (95%CI=30%–40.6%) of respondents had dementia. There were relationships between dementia and age (p=0.035), level of education (p=0.000), and social participation (p=0.001). Social participation was the most dominant risk factor of dementia (OR=2.703;95%CI=1.491-4.902). Conclusions: Age, education level, and social participation are risk factors that contribute to dementia. The elderly who has less than two times per week of social participation has a 2.7 times higher risk for having dementia compared to the elderly who has more than two times per week of social participation.


2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Milos Maksimovic ◽  
Hristina Vlajinac ◽  
Djordje Radak ◽  
Jelena Marinkovic ◽  
Jadranka Maksimovic ◽  
...  

Summary Background The aim of this study was to compare demographic, clinical and biochemical characteristics, including inflammatory markers, according to the nutritional status of patients with verified atherosclerotic disease. Methods This cross-sectional study involved 1045 consecutive patients with verified carotid disease or peripheral arterial disease (PAD). Anthropometric parameters and data on cardiovascular risk factors and therapy for hypertension and hyperlipidemia were collected for all participants. Results Carotid disease was positively and PAD was negatively associated with body mass index (BMI). Negative association between obesity and PAD was significant only in former smokers, not in current smokers or in patients who never smoked. Overweight and general obesity were significantly related to metabolic syndrome (p < 0.001), lower values of high – density lipoprotein cholesterol (p < 0.001), increased triglycerides (p < 0.001), hyperglycemia (p < 0.001), self-reported diabetes (p < 0.001), hypertension (p < 0.001), high serum uric acid (p < 0.001), increased high sensitivity C-reactive protein (p = 0.020) and former smoking (p = 0.005) after adjustment for age, gender and type of disease. Antihypertensive therapy seems to be less effective in patients who are overweight and obese. Conclusions In conclusion, overweight and general obesity were significantly related to several cardiovascular risk factors.


2021 ◽  
pp. 000486742110257
Author(s):  
Sylke Andreas ◽  
Holger Schulz ◽  
Jana Volkert ◽  
Jonas Lüdemann ◽  
Maria Dehoust ◽  
...  

Objective: While incidence rates of depression and anxiety disorders in the elderly have been comprehensively investigated, the incidence rates of other mental disorders have rarely been researched. The incidence rate and predictors of various mental disorders in the elderly were evaluated in different European and associated countries. Methods: A cross-sectional and longitudinal multi-centre survey of Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnoses was conducted in different European and associated countries (Germany, Italy, Spain, Switzerland, the United Kingdom and Israel) to collect data on the prevalence and incidence of mental disorders in the elderly. The sample size of the longitudinal wave was N = 2592 elderly. Results: The overall 1-year incidence rate for any mental disorder in the elderly is 8.65%. At 5.18%, any anxiety disorder had the highest incidence rate across all diagnostic groups. The incidence rate for any affective disorder was 2.97%. The lowest incidence rates were found for agoraphobia (1.37%) and panic disorder (1.30%). Risk factors for the development of any mental disorder were never having been married, no religious affiliation, a higher number of physical illnesses and a lower quality of life. Conclusion: In comparison to other studies, lower incidence rates for any affective disorder and middle-range incidence for any anxiety disorder were found. To the authors’ knowledge, no prior studies have reported 1-year incidence rates for somatoform disorder, bipolar disorder and substance misuse in community-dwelling elderly. These findings indicate the need to raise awareness of psychosocial problems in the elderly and to ensure adequate availability of mental health services.


Author(s):  
Mohd Ashraf Ganie ◽  
Gulzar Ahmad Bhat ◽  
Ishfaq Ahmad Wani ◽  
Aafia Rashid ◽  
Showkat Ali Zargar ◽  
...  

AbstractBackground:Obesity among children and adolescents is a growing public health problem. The objective of this study was to evaluate the prevalence, risk factors and metabolic consequences of obesity among schoolchildren from Kashmir, India.Methods:The study subjects (n=2024) included 870 boys and 1154 girls, aged between 6 and 18 years. Data were collected by interviewer-administered questionnaires. Information was obtained about different lifestyles, anthropometric parameters and dietary habits. Obesity was defined as body mass index (BMI) percentile as per the guidelines of Centers for Disease Control, 2000. For the evaluation of different clinical parameters, blood samples were collected from the subjects in the fasting state at 8 to 9 am after an overnight (10–12 h) fast.Results:The highest representation of subjects was from fee-paying private schools. Out of the total subjects, 6.69% were overweight and 4.64% were obese. The hip circumference, abdominal circumference, BMI, blood pressure (BP), use of ready-made foods as well as the clinical parameters like glucose, phosphorous, cholesterol and triglycerides were found significantly higher among girls than boys (p<0.05). Boys were taller and were physically more active than girls (p<0.01). Compared to the boys (3.33%), the girls were found to be more obese (5.63%). Rural dwelling subjects (4.22%) exhibited a lower percentage of obesity than urban population (5.00%). The difference in obesity among the different age groups was found statistically significant (p<0.05). Additionally, children with active lives in the form of vigorous (10.59%) or moderate (10.34%) exercise decreased their chances of gaining weight substantially.Conclusions:Results from the present study have shown that prevalence of obesity among children was high in our population.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Ritika Khandelwal ◽  
Umesh Kapil ◽  
Aakriti Gupta

AbstractBackgroundHigh prevalence of Malnutrition exists amongst the geriatric population in India. Evidence on malnutrition is available from the plain regions of the country. However there is lack of scientific evidence on malnutrition status of geriatric population residing at high altitude regions of Uttarakhand, India.Materials and methodsA community based cross-sectional study was conducted during 2015–2016 in District Nainital. Thirty clusters were identified using population proportionate to size sampling method; 30 geriatric subjects were selected from each cluster. Study population included 980 geriatric aged 60 years and above. Nutritional status of the geriatric population was assessed using Mini Nutritional Assessment (MNA) tool. Standard procedures were used to determine the height, weight, MCC and MUAC. The BMI was calculated from the measurements of weight (kg) and height (cm) (kg/m2). Data was entered in MS Excel 2007 and analyzed using SPSS version 20.0.ResultsThe MNA revealed that only 22.4% geriatric subjects had satisfactory nutritional status, 14.3% were malnourished and 63.3% were “at risk” of malnutrition. High prevalence of malnutrition was found among subjects belonging to age group of 60–70 years (58.9%), illiterate (74.5%) with family monthly income (1866–5546;43.3%), financially dependent (75.2%), with loss of appetite (71.6%), with chewing problem (63.1%) and who consumed < 2 full meals daily. (73.1%; all p < 0.0001;) in comparison to the subjects who had satisfactory nutritional status.ConclusionsThe present findings revealed that the high prevalence of malnutrition amongst the geriatric population in India. The risk factors identified were financial dependency, dietary intake, loss of appetite and chewing problem. Interventions to decrease these risk factors possibly may lead to reduction in malnutrition among geriatric population.


2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Subhash Das ◽  
Priti Arun ◽  
Ravi Rohilla ◽  
Kantadorshi Parashar ◽  
Aratrika Roy

Abstract Background The elderly are a vulnerable section of the population who are prone to physical, mental, social, and economic deprivation. The effect of COVID-19 had a worldwide impact on all age groups, with a particularly higher mortality and morbidity rate among the elderly population. The present study was undertaken to know about the psychological morbidity in the geriatric population during the period of the COVID-19 pandemic. The study was cross-sectional and was done through a telephonic survey. Eligible elderly subjects were contacted telephonically, and the Geriatric Anxiety Scale and the Geriatric Depression Scale were administered. To evaluate the functional ability of elderly subjects, the Everyday Abilities Scale for India (EASI) scale was administered. For the telephonic survey, verbal consent was sought. Results A total of 92 elderly subjects were included. Male outnumbered the females with a ratio of 1.8:1. Spouse and children were primary caregivers in 83.7% of the subjects. 90.2% were married, and 66.3% had earned a graduate/professional level of education. Chronic illness was present in 50% of subjects. The most common co-morbidities were hypertension (27.2%) and diabetes (21.7%). The proportion of elderly with anxiety and depression was 8.7% and 15.2% respectively. Conclusion The elderly showed lower levels of anxiety and depression. Higher resilience among the elderly and good family support may be the reasons for such an unexpected finding. However, more studies are required to validate the findings of the current study.


Author(s):  
Van Tuan Nguyen

TÓM TẮT Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và xác định một số yếu tố nguy cơ liên quan đến mức độ nặng thoái hóa khớp trên X-quang, siêu âm. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 96 bệnh nhân thoái hóa khớp gối nguyên phát theo tiêu chuẩn ACR 1991 tại bệnh viện Hữu nghị Đa khoa Nghệ An. Kết quả: Độ tuổi trung bình trong nghiên cứu là 76,8 ± 10,24, nhóm tuổi trên 70 chiếm tỷ lệ cao nhất là 54,71%. Nữ giới chiếm tỷ lệ 75%. BMI trung bình là 23,2 ± 1,08 kg/m2, trong đó BMI ≥ 23kg/m2 chiếm 75%. Triệu chứng đau cơ học chiếm 94,7%, cứng khớp buổi sáng dưới 30 phút 84,1%, lạo xạo khi cử động 88,74%, dấu hiệu bào gỗ 87,42%, bập bềnh xương bánh chè 5,3%. Gai xương khe đùi chè chiếm tỷ lệ cao nhất 81,48%, lệch trục khớp 52,98%, đặc xương dưới sụn 33,11%, siêu âm tràn dịch chiếm 20,53%, kén Baker 19,82%, Nhóm tuổi trên 60 có nguy cơ tổn thương trên X-quang cao gấp 12,72 lần và trên siêu âm cao gấp 14,6 lần so với nhóm tuổi dưới 60. Những bệnh nhân có BMI ≥ 23kg/m2 có nguy cơ tổn thương trên X-quang mức độ nặng cao gấp 2,24 lần nhóm có BMI < 23kg/m2. Kết luận: Thoái hóa khớp gối rất phổ biến ở người cao tuổi, đặc biệt ở nữ giới và tình trạng thừa cân béo phì. Các yếu tố như tuổi cao, tình trạng thừa cân béo phì có liên quan đến mức độ nặng của thoái hóa khớp gối trên X-quang và siêu âm. ABSTRACT CLINICAL, PARACLINICAL CHARACTERISTICS AND SOME RISK FACTORS FOR THE SEVERITY OF PRMARY KNEE OSTEOARTHRITIS Objetive: To describe clinical, paraclinical characteristics and expolore some risk factors regarding the severity of osteoarthritis based on X-ray and ultrasound findings. Methods: A prospective cross - sectional descriptive study was conducted on 96 patients with primary Results: The average age in the study was 76.8 ± 10.24, the age group of over 70 accounted for the highest rate of 54.71%. Women ratio made up 75%. The average BMI was 23.2 ± 1.08 kg/m2, of which the BMI ≥ 23kg/m2 accounted for 75%. Symptoms of mechanical pain accounted for 94.7%, knee stiffness in the morning less than 30 minutes 84.1%, knee crunch 88.74%, signs of wood plank 87.42%, patellar fluttering 5.3 %. The highest percentage of femoral cleft spines accounted for 81.48%, joint axis deviation 52.98%, subchondral solidification 33.11%, ultrasound effusion accounted for 20.53%, Baker’s cocoon 19.82%, The age group of over 60 had a 12.72 times higher risk of lesions on X-ray and on ultrasound 14.6 times higher than the age group under 60. The group of patients with BMI ≥ 23kg/m2 had the risk of severe lesions on X-ray 2.24 times higher than the group of patients with BMI < 23kg/m2. Conclusion: Osteoarthritis of the knee is very common in the elderly, especially female and obese subjects. Risk factors such as advanced age, overweight and obesity had the relation to the severity of the degeneration on radiographs and ultrasound. Keywords: Kneeosteoarthritis, X-ray, ulstrasonography knee osteoarthritis according to clinical criteria ACR 1991 at Nghe An general friendship hospital.


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