Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study

Background: Orthostatic hypotension (OH) in the elderly is an important health challenge that poses a significant burden. We sought to determine the prevalence and correlates of OH in an elderly population-based study. Methods: This study was conducted within the framework of the Amirkola Health and Ageing Project (AHAP) on 1,588 elderly individuals aged ≥60 years. The baseline measurement was performed from April 2011 to July 2012. The relationships between OH (dependent variable) and age, sex, diabetes, hypertension, and cognitive status (independent variables) were investigated by logistic regression. Results: The mean age of the participants was 69.37±7.42 years (men: 69.96±7.68 y, women: 68.66±7.02 y). The prevalence of OH was 10.7%: 8.4% in the male and 13.7% in the female patients. In the final model, hypertension (OR=2.4, 95% CI: 1.6–3.7), diabetes (OR=1.3, 95% CI: 1.0–1.9), age (OR=2.9, 95% CI: 1.7–4.8), and female sex (female [OR=1.6, 95% CI: 1.1–2.3]) were significantly correlated with OH. Conclusion: The prevalence of OH in our elderly subjects increased with age. Additionally, the older participants with diabetes and hypertension had a higher likelihood of having this OH. J Teh Univ Heart Ctr 2019;14(4):165-170 This paper should be cited as: Safarpour M, Fotouhi A, Hosseini SR, Mohamadzade M, Bijani A. Predictors of Orthostatic Hypotension in the Elderly: Results from the Amirkola Health and Ageing Project (AHAP) Study. J Teh Univ Heart Ctr 2019;14(4): 165-170

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Frequent consumption of vegetables predicts lower risk of depression in older Taiwanese – results of a prospective population-based study

Public Health Nutrition ◽

10.1017/s1368980011002977 ◽

2011 ◽

Vol 15 (6) ◽

pp. 1087-1092 ◽

Cited By ~ 55

Author(s):

Alan C Tsai ◽

Tsui-Lan Chang ◽

Shu-Hwang Chi

Keyword(s):

Depressive Symptoms ◽

Regression Model ◽

The Elderly ◽

Population Based ◽

Cognitive Status ◽

Confounding Factors ◽

Population Based Study ◽

Major Food ◽

Health Related ◽

Frequent Consumption

AbstractObjectiveThe study evaluated the association between consumption frequencies of the major food categories and the risk of new depression four years later in older Taiwanese.DesignA prospective cohort study with multistage random sampling. Logistic regression analysis evaluated the significance of the longitudinal associations of intake frequencies of the major food categories with future (4 years later) risk of new depression, controlled for possible confounding factors with or without adjustment for cognitive status.SettingPopulation-based free-living elderly.SubjectsMen and women (n 1609) ≥65 years of age.ResultsIn a regression model that controlled for demographic, socio-economic, lifestyle and disease/health-related variables but not cognitive status, both fruits (OR = 0·66, 95 % CI 0·45, 0·98, P = 0·038) and vegetables (OR = 0·38, 95 % CI 0·17, 0·86, P = 0·021) were protective against depressive symptoms 4 years later. However, when the same regression model was also adjusted for cognitive status, only vegetables (OR = 0·40, 95 % CI 0·17, 0·95, P = 0·039) were protective against depressive symptoms. Higher consumption of eggs was close to being significant in both regression models (P = 0·087 and 0·069, respectively). Other food categories including meat/poultry, fish, seafood, dairy, legumes, grains and tea showed no significant associations.ConclusionsResults suggest that although confounding factors cannot be totally ruled out, more frequent consumption of vegetables seems to be protective against depressive symptoms in the elderly. Further studies are needed to elucidate the causal role and the mechanism of the association.

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FACTORS LINKED TO THE PRACTICE OF PHYSICAL ACTIVITY AMONG THE ELDERLY IN SOUTHERN BRAZIL

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220192503174929 ◽

2019 ◽

Vol 25 (3) ◽

pp. 216-219

Author(s):

Alisson Padilha de Lima ◽

Ezequiel Vitório Lini ◽

Marilene Rodrigues Portella ◽

Marlene Doring ◽

Fabrício Bruno Cardoso

Keyword(s):

Physical Activity ◽

Urban Environment ◽

Elderly People ◽

The Elderly ◽

Population Based ◽

Level Of Evidence ◽

Population Based Study ◽

Multivariable Analyses ◽

The Mean ◽

The City

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.

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Association of thyroid dysfunction with vitamin B12, folate and plasma homocysteine levels in the elderly: a population-based study in Sicily

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm.2007.066 ◽

2007 ◽

Vol 45 (2) ◽

Cited By ~ 2

Author(s):

Giuseppe Stella ◽

Rosario Sebastiano Spada ◽

Santa Calabrese ◽

Paolo Bosco ◽

Guido Anello ◽

...

Keyword(s):

Thyroid Hormones ◽

Vitamin B12 ◽

Laboratory Tests ◽

Thyroid Dysfunction ◽

The Elderly ◽

Population Based ◽

Plasma Homocysteine ◽

Elderly Subjects ◽

Vitamin B ◽

Population Based Study

AbstractAssociation of thyroid dysfunction with plasma homocysteine levels and vitamin BSubjects (n=279) aged 60–85 years (119 males and 160 females) were examined using self-reported signs, clinical examination and laboratory tests.Hypothyroidism and/or goiter were two characteristics that were not associated with a significant change in homocysteine when compared with euthyroidism and the absence of goiter. Vitamin BOur results suggest that the influence of thyroid hormones on homocysteine is much weaker in elderly subjects than in selected patients with hypothyroidism.Clin Chem Lab Med 2007;45:143–7.

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Prevalence of overweight and obesity in Iranian population: A population-based study in northwestern of Iran

Journal of Public Health Research ◽

10.4081/jphr.2021.2475 ◽

2021 ◽

Author(s):

Farhad Pourfarzi ◽

Alireza Sadjadi ◽

Hossein Poustchi ◽

Firouz Amani

Keyword(s):

Population Based ◽

Overweight And Obesity ◽

Hip Circumference ◽

Anthropometric Parameters ◽

Population Based Study ◽

Health And Nutrition ◽

Important Health ◽

Northwest Of Iran ◽

The Mean

Background: Overweight and obesity and its problems are the most important health and nutrition issues of adolescents in developed and developing countries. This study aimed to determine prevalence of overweight and obesity among studied population.Design and Methods: This Persian Cohort Study is a population-based study of 10,000 men and women, aged 35-70 years in northwest of Iran. Anthropometric parameters such as height, weight, waist circumference and hip circumference were measured by interviewers. Body Mass Index (BMI) and waist-to-hip ratio (WHR) were used to assess the overweight and obesity.Results: The mean age of all participants was 49.1±8.7 and 56.1% of them were female. The mean height of participants was 162.5±9.4 kg in range 126-196 and the mean weight of them was 78.5±13.1 cm in range 40-164. According to BMI, 42.7% of all participants had overweight and 45% had obesity. According to the WHR, 71.8% of male and 97.9% of female had high WHR (abdominal obesity).Conclusions: Results showed that the rate of overweight and obesity in studied people was more than country rate. So programing for raising their Quality of Life (QoL) and life style and also change their poor nutritional habits is essential in area healthy people.

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Increased late night salivary cortisol in the elderly: Cross-sectional and longitudinal observations in a population based study

Experimental and Clinical Endocrinology & Diabetes ◽

10.1055/s-0035-1547703 ◽

2015 ◽

Vol 122 (03) ◽

Author(s):

L Pflüger ◽

H Johar ◽

R Thwing Emeny ◽

M Heier ◽

M Reincke ◽

...

Keyword(s):

Salivary Cortisol ◽

The Elderly ◽

Population Based ◽

Cross Sectional ◽

Population Based Study ◽

Late Night ◽

Late Night Salivary Cortisol

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Faculty Opinions recommendation of Prevalence of preclinical and clinical heart failure in the elderly. A population-based study in Central Italy.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717950656.793455962 ◽

2012 ◽

Author(s):

Gad Cotter ◽

Olga Milo

Keyword(s):

Heart Failure ◽

Central Italy ◽

The Elderly ◽

Population Based ◽

Population Based Study ◽

Clinical Heart Failure

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MALIGNANT MELANOMA. EPIDEMIOLOGY, ANALYTICAL INDICATORS OF THE EFFECTIVENESS OF ONCOLOGICAL SERVICES (POPULATION-BASED STUDY)

Problems in oncology ◽

10.37469/0507-3758-2017-63-2-221-233 ◽

2017 ◽

Vol 63 (2) ◽

pp. 221-233

Author(s):

Vakhtang Merabishvili

Keyword(s):

Malignant Melanoma ◽

Malignant Tumors ◽

The Elderly ◽

Population Based ◽

Special Treatment ◽

Detailed Structure ◽

Population Based Study ◽

Early Stages ◽

One Year ◽

Melanoma Epidemiology

Malignant melanoma of the skin (MMS) is less than 2% (1.74%) among all malignant tumors in Russia but this is more than 10,000 (10236-2015) of new cases. It is important to monitor the trend in dynamics of morbidity and mortality from this cause. From 1995 to 2015 a number of MMS primary cases was more than doubled in absolute numbers and “crude” rates. A slightly smaller increase is indicated by standardized indicators - 62.5% for men and 70.2% for women. Annually in Russia 3670 people die from MMS (2015), which is 1.2% of all cancer deaths. In recent years the previously revealed regularities have been largely preserved: lower rates of specific gravity detected in the early stages among people in the elderly and senile and in a smaller proportion in this group who received special treatment. At the same time a change in the detailed structure of the incidence of women has been revealed where currently the leading localization of MMS was not the lower extremities but the back. The index accuracy improved however the official statistics of the distribution of patients by stages of a disease was significantly distorted (weight of the early stages was increased from the real values). The index of one-year lethality and survival was significantly improved.

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Estimates and Determinants of SARS-Cov-2 Seroprevalence and Infection Fatality Ratio Using Latent Class Analysis: The Population-Based Tirschenreuth Study in the Hardest-Hit German County in Spring 2020

Viruses ◽

10.3390/v13061118 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1118

Author(s):

Ralf Wagner ◽

David Peterhoff ◽

Stephanie Beileke ◽

Felix Günther ◽

Melanie Berr ◽

...

Keyword(s):

Latent Class Analysis ◽

Latent Class ◽

Care Home ◽

Case Fatality ◽

The Elderly ◽

Population Based ◽

Class Analysis ◽

Population Based Study ◽

Targeted Testing ◽

June July

SARS-CoV-2 infection fatality ratios (IFR) remain controversially discussed with implications for political measures. The German county of Tirschenreuth suffered a severe SARS-CoV-2 outbreak in spring 2020, with particularly high case fatality ratio (CFR). To estimate seroprevalence, underreported infections, and IFR for the Tirschenreuth population aged ≥14 years in June/July 2020, we conducted a population-based study including home visits for the elderly, and analyzed 4203 participants for SARS-CoV-2 antibodies via three antibody tests. Latent class analysis yielded 8.6% standardized county-wide seroprevalence, a factor of underreported infections of 5.0, and 2.5% overall IFR. Seroprevalence was two-fold higher among medical workers and one third among current smokers with similar proportions of registered infections. While seroprevalence did not show an age-trend, the factor of underreported infections was 12.2 in the young versus 1.7 for ≥85-year-old. Age-specific IFRs were <0.5% below 60 years of age, 1.0% for age 60–69, and 13.2% for age 70+. Senior care homes accounted for 45% of COVID-19-related deaths, reflected by an IFR of 7.5% among individuals aged 70+ and an overall IFR of 1.4% when excluding senior care home residents from our computation. Our data underscore senior care home infections as key determinant of IFR additionally to age, insufficient targeted testing in the young, and the need for further investigations on behavioral or molecular causes of the fewer infections among current smokers.

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