scholarly journals Frailty Indexed Classification of Bangladeshi Older Adults’ Physio-psychosocial Health and Associated Risk Factors- A Cross-sectional Survey Study

2020 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Mohammad Hamiduzzaman ◽  
Saleha Akter ◽  
Zaki Farhana ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Health Status ◽  
Family Income ◽  
Psychosocial Health ◽  
Poor Health ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Study Results ◽  
Associated Risk Factors

Abstract Background: Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. We know about the ageing trends and common diseases of older adults living in South Asia, but literature to date does not widely feature their health status based on frailty, especially in Bangladesh. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors.Methods: A cross-sectional study was conducted in the north-eastern region (i.e. Sylhet City Corporation) of Bangladesh. Four hundred participants aged 55 years and above were randomly selected, attended a health assessment session and completed a multi-indicator survey questionnaire. We developed a 30-indicator Frailty Index (FI30) to assess the participant’s health status and categorized: good health (no-frailty/Fit); slightly poor health (mild frailty); poor health (moderate frailty); and very poor health (severe frailty). Pearson chi-square test and binary logistic regression analysis were conducted.Results: The participants’ mean age was 63.6 years, and 61.6% of them were assessed in poor to very poor health (moderate frailty/36.3% - severe frailty/25.3%). The eldest, female and participants from lower family income were found more frailty than their counterparts. Participants aged 70 years and above were more likely (adjusted OR: 4.23, 95 % CI: 2.26–7.92, p < 0.0001) to experience frailty (medical conditions) than the pre-elderly age group (55-59 years). Female participants were more vulnerable (adjusted OR=1.487, 95% CI: 0.84-2.64, p < 0.0174) to frailty (medical conditions) than male. Also, older adults who had higher family income (Income>$473.3) found a lower risk (adjusted OR: 0.294, 95% CI: 0.11-0.76, p<0.011) of frailty (poor health).Conclusion: Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

scholarly journals Frailty Indexed Classification of Bangladeshi Older Adults’ Physio-psychosocial Health and Associated Risk Factors- A Cross-sectional Survey Study

2021 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Mohammad Hamiduzzaman ◽  
Saleha Akter ◽  
Zaki Farhana ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Health Status ◽  
Family Income ◽  
Psychosocial Health ◽  
Poor Health ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Study Results ◽  
Associated Risk Factors

Abstract Background: Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. We know about the ageing trends and common diseases of older adults living in South Asia, but literature to date does not widely feature their health status based on frailty, especially in Bangladesh. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors. Methods: A cross-sectional study was conducted in the north-eastern region (i.e. Sylhet City Corporation) of Bangladesh. Four hundred participants aged 55 years and above were randomly selected, attended a health assessment session and completed a multi-indicator survey questionnaire. We developed a 30-indicator Frailty Index (FI30) to assess the participant’s health status and categorized: good health (no-frailty/Fit); slightly poor health (mild frailty); poor health (moderate frailty); and very poor health (severe frailty). Pearson chi-square test and binary logistic regression analysis were conducted.Results: The participants’ mean age was 63.6 years, and 61.6% of them were assessed in poor to very poor health (moderate frailty/36.3% - severe frailty/25.3%). The eldest, female and participants from lower family income were found more frailty than their counterparts. Participants aged 70 years and above were more likely (adjusted OR: 4.23, 95 % CI: 2.26–7.92, p < 0.0001) to experience frailty (medical conditions) than the pre-elderly age group (55-59 years). Female participants were more vulnerable (adjusted OR=1.487, 95% CI: 0.84-2.64, p < 0.0174) to frailty (medical conditions) than male. Also, older adults who had higher family income (Income>$473.3) found a lower risk (adjusted OR: 0.294, 95% CI: 0.11-0.76, p<0.011) of frailty (poor health).Conclusion: Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

scholarly journals Frailty indexed classification of Bangladeshi older adults’ physio-psychosocial health and associated risk factors- a cross-sectional survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Mohammad Hamiduzzaman ◽  
Mst. Saleha Akter ◽  
Zaki Farhana ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Health Status ◽  
Family Income ◽  
Psychosocial Health ◽  
Poor Health ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Study Results ◽  
Associated Risk Factors

Abstract Background Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. We know about the ageing trends and common diseases of older adults living in South Asia, but literature to date does not widely feature their health status based on frailty, especially in Bangladesh. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors. Methods A cross-sectional study was conducted in the north-eastern region (i.e. Sylhet City Corporation) of Bangladesh. Four hundred participants aged 55 years and above were randomly selected, attended a health assessment session and completed a multi-indicator survey questionnaire. We developed a 30-indicator Frailty Index (FI30) to assess the participant’s health status and categorized: good health (no-frailty/Fit); slightly poor health (mild frailty); poor health (moderate frailty); and very poor health (severe frailty). Pearson chi-square test and binary logistic regression analysis were conducted. Results The participants’ mean age was 63.6 years, and 61.6% of them were assessed in poor to very poor health (moderate frailty/36.3% - severe frailty/25.3%). The eldest, female and participants from lower family income were found more frailty than their counterparts. Participants aged 70 years and above were more likely (adjusted OR: 4.23, 95% CI: 2.26–7.92, p < 0.0001) to experience frailty (medical conditions) than the pre-elderly age group (55–59 years). Female participants were more vulnerable (adjusted OR = 1.487, 95% CI: 0.84–2.64, p < 0.0174) to frailty (medical conditions) than male. Also, older adults who had higher family income (Income>$473.3) found a lower risk (adjusted OR: 0.294, 95% CI: 0.11–0.76, p < 0.011) of frailty (poor health). Conclusion Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

scholarly journals Frailty Indexed Classification of Bangladeshi Older Adults’ Physio-psychosocial Health and Associated Risk Factors - A Cross-sectional Survey Study

2020 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Mohammad Hamiduzzaman ◽  
Saleha Akter ◽  
Zaki Farhana ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Health Status ◽  
Family Income ◽  
Psychosocial Health ◽  
Poor Health ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Study Results ◽  
Associated Risk Factors

Abstract Background: Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. This is true that we know about the ageing trends and common diseases of older adults living in South Asia, but literature to date does not widely feature their health status based on frailty, especially in Bangladesh. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors.Methods: A cross-sectional study was conducted in north-eastern region (i.e. Sylhet City Corporation) of Bangladesh. Four hundred participants aged 55 years and above were randomly selected, who attended in a health assessment session and completed a multi-indicator survey questionnaire. We developed a 30-indicators Frailty Index (FI30) to assess the participant’s health status and categorized: good health (no-frail/Fit); slightly poor health (least or mild frailty); poor health (moderately frailty); and very poor health (frailest/severe frailty). Pearson chi-square test and binary logistic regression analysis were conducted.Results: The participants’ mean age was 63.6 years, and 61.6% of them were assessed in poor to very poor health (moderately frail/36.3% - frailest/25.3%). The oldest aged, female and participants from the lower family income were found frailer than their counterparts. Participants aged 70 years and above were more likely (adjusted OR: 4.23, 95 % CI: 2.26–7.92, p < 0.0001) to experience frailty (medical conditions) than the pre-elderly age group (55-59 years). Female participants were more vulnerable (adjusted OR=1.847, 95% CI: 0.84-2.64, p < 0.0174) to frail (medical conditions) than male. Also, the older adults who had higher family income (Income>$473.3) found a lower risk (adjusted OR: 0.294, 95% CI: 0.11-0.76, p<0.011) of frailty (poor health).Conclusion: Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

scholarly journals Frailty Indexed Classification of Bangladeshi Older Adults' Physio-psychosocial Health and Associated Risk Factors: A Cross-sectional Survey Study

2020 ◽  
Author(s):  
Mohammad Meshbahur Rahman ◽  
Mohammad Hamiduzzaman ◽  
Saleha Akter ◽  
Zaki Farhana ◽  
Mohammad Kamal Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Health Status ◽  
Psychosocial Health ◽  
Poor Health ◽  
Eastern Region ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Study Results ◽  
Associated Risk Factors

Abstract Background: Frailty is associated with healthy ageing, and it has been identified as a means of measuring older adults’ physio-psychosocial health. This is true that we know about the ageing trends and common diseases of older adults living in low- and lower-middle-income countries, but literature to date does not widely feature their health status based on frailty. This study aims to understand the prevalence of frailty in Bangladeshi older adults; classify their health status; and investigate associated risk factors.Methods: A cross-sectional study was conducted in north-eastern region [i.e. Sylhet City Corporation] of Bangladesh. Four hundred participants aged 55 years and over were randomly selected who are ageing-in-place in the community. These participants attended in a person-centered health assessment session and completed a multi-indicator survey questionnaire. We used a 30-indicators Frailty Index to categorize their health status into: good health [no-frail]; slightly poor health [least frail]; poor health [moderately frail]; and very poor health [frailest]. A chi-square test and binary logistic regression analysis were conducted.Results: The participants’ mean age was 63.6 years, and 74% of them were assessed in poor to very poor health [(moderately frail/65% - frailest/9%). The age, marital status, occupation and religion of the participants were significantly associated with frailty. The oldest aged, female, illiterate and Muslim participants were found frailer than their counterparts. Participants aged 70 years and above were 3.18 times more likely to experience frailty [medical conditions] than the pre-elderly age group (55-59 years) and female participants were 1.8 times more vulnerable to medical conditions than male. Also, the older adults living alone and staying at home without regular job were at higher risk of frailty [poor health] than others.Conclusions: Our study results confirm the prevalence of frailty-related disorders in Bangladeshi older adults and highlight the importance of targeted clinical and community-led preventive care programs.

scholarly journals An analytical study of prevalence of ear disorders and their risk factors among children in a resettlement colony of Delhi

2021 ◽  
Vol 8 (3) ◽  
pp. 13-19
Author(s):  
Gupta Kalika ◽  
Gourav Kumar Goyal ◽  
Akshay Berad
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Educational Status ◽  
School Age Children ◽  
Cross Sectional ◽  
Total Prevalence ◽  
Study Results ◽  
Group 5 ◽  
One Year ◽  
Associated Risk Factors

Background: The world has more than 360 million population (almost 5% of world’s population) with disabling hearing loss and among them, 32 million are children. It is estimated that over 166 million people in the developing world face a severe lack of intervention services for hearing loss. There is a need to estimate the magnitude of various ear morbidities in school age children as well as to identify the various risk factors that play a role in the emergence of these morbidities. Aim: To find prevalence of various ear disorders and their risk factors among children 5-11 years old. Methodology: It was a cross-sectional, community based study conducted at a resettlement colony named Gokulpuri, in East Delhi. Study was conducted for a period of one year, Jan 2017 – Dec 2017. Children in the age group 5 yrs. to 11 yrs. were included in the study. Results: Total prevalence of ear morbidities in children was found to be 15.8%. Wax impaction in the ears was found to be most prevalent morbidity 10.6%. Educational status of mother and head of the family, immunization status of child, history of slapping trauma and coryza were among the associated risk factors. Exclusive breast feeding was statistically insignificantly associated

scholarly journals Prevalence, demographic characteristics and associated risk factors of malnutrition among 0-5 aged children: a cross-sectional study from Van, eastern Turkey

2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Baran Serdar Kizilyildiz ◽  
Bülent Sönmez ◽  
Kamuran Karaman ◽  
Burhan Beger ◽  
Adnan Mercen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Family Income ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Monthly Family Income ◽  
History Of ◽  
Associated Risk Factors ◽  
Demographic Features

Malnutrition in childhood is a dramatic indicator of poor socio-economical status worldwide. To recognize and reveal the socio-demographic features is crucial, especially for developing countries. Our aim was to investigate the prevalence and association with sociodemographic variables of malnutrition in 0-5 years old children in Van, Turkey. A total of 702 children are included in this cross-sectional study. Demographic features of subject including age, gender, family characteristics and other data were obtained. Nutritional assessment was done using anthropometric indices including weight-for-age, height-for-age, weight-for-height, head circumference and body mass index-for-age. Multivariate logistic regressions were carried out to assess malnutrition- associated factors. Prevalence of underweight, stunting and wasting were 19.7, 17.7 and 16.2%, respectively. Socio-demographic variables that statistical significantly in association with malnutrition were low monthly family income, educational level and employment status of father, parental consanguinity, number of pregnancies, regular intake of vitamin D and history of prematurity. The prevalence of children with head circumference-z score ≤−2SD and body mass index-for-age ≤−2SD were 9.8 and 16.3%, respectively. Multivariate analysis detected following risk factors for these indices; low monthly family income, history of prematurity, unemployed father and the period between pregnancies (1- 2 years). We found that prevalence of malnutrition in the city of Van, was still higher than more developed regions of Turkey. The associated risk factors of malnutrition should be specifically interpreted by health professionals and also by government authorities that are responsible for making practical politics of public health.

scholarly journals Malnutrition and other risk factors of geriatric depression: a community-based comparative cross-sectional study in older adults in rural Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Md. Ziaul Islam ◽  
Tasnim Rahman Disu ◽  
Sharmin Farjana ◽  
Mohammad Meshbahur Rahman
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cross Sectional Study ◽  
Older Individuals ◽  
Geriatric Depression ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Associated Risk Factors ◽  
Rural Older Adults

Abstract Background Malnutrition and depression are highly prevalent in older adults and can lead to disparaging outcomes. Analytical studies on geriatric depression (GD) and its association with malnutrition are very scarce in Bangladesh, although the size of the older population is increasing fast in the country. The current study aimed to assess the association between malnutrition and depression and associated risk factors in rural older adults. Methods A community-based comparative cross-sectional study was conducted in 600 older adult residents (aged ≥60 years) of three rural communities of Bangladesh from January to October 2019. The study enrolled two groups of participants; 300 depressed as cases and another 300 non-depressed older adults as a comparison group matching their age and living area. We used a semi-structured questionnaire to collect data through a face-to-face interview. Geriatric Depression Scale-15 was used to determine depression, and a score of ≥5 was considered as depressed. We used the Bangla version of the Mini-Nutritional Assessment-Short Form to assess nutritional status, which comprised questions related to appetite, weight loss, mobility, recent illness/stress, dementia/depression, and BMI, and considered a score of 0–7 as the cutoff score for malnutrition. Measures included baseline and personal characteristics, malnutrition, GD, and its associated risk factors. A binary logistic regression model was fitted to identify variables associated with the risk of GD. Results The study found no significant difference in gender (male Vs. female) between depressed (44.0% Vs. 56.0%) and non-depressed (46.0% Vs. 54.0%) older individuals. The study revealed that malnutrition was significantly (p < 0.01) higher in depressed (56.0%) than in non-depressed (18.0%) rural older adults. The malnourished older adults had around three times (AOR = 3.155; 95% CI: 1.53–6.49, p = 0.002) more risk of having depression than the well-nourished older individuals. Older adults who were unemployed (AOR = 4.964; 95% CI: 2.361–10.440; p = 0.0001) and from lower and middle class (AOR = 3.654; 95% CI: 2.266–7.767; p = 0.001) were more likely to experience depression. Older adults having a ‘poor diet’ were more likely to experience depression (AOR = 3.384; 95% CI: 1.764–6.703; p = 0.0001). The rural older adults who were single (AOR = 2.368; 95% CI: 1.762–6.524; p = 0.001) and tobacco users (AOR = 2.332; 95% CI: 1.663–5.623; p = 0.003) were found more likely to experience depression. Conclusions A significant association between malnutrition and depression was evident by the current study in the rural older individuals of Bangladesh. It will be a prolific initiative if policymakers merge malnutrition and the risk factors associated with geriatric depression in providing universal health care for better health and well-being of the rural older populations.

scholarly journals Health and wellbeing of indigenous older adults living in the tea gardens of Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247957
Author(s):  
Farah Naz Rahman ◽  
Hafiz T. A. Khan ◽  
Md. Jahangir Hossain ◽  
Anthony Obinna Iwuagwu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Status ◽  
Family Income ◽  
Service Providers ◽  
Health Facilities ◽  
Poor Health ◽  
Health Seeking Behaviour ◽  
Health Seeking

Background There are currently 1.5 million indigenous people in Bangladesh, constituting 1.8% of the total population and representing one of the country’s most deprived communities. This study explores the health status and quality of life along with their determinants among indigenous older people in Bangladesh in order to fill the knowledge and evidence gap on this topic. Methods A mixed-methods approach was deployed in October 2019 in the Sylhet division of Bangladesh which involved a cross-sectional survey among 400 indigenous older adults (200 males, 200 females) from 8 tea gardens using a pre-tested semi-structured questionnaire. Ten in-depth interviews were also conducted with providers of the tea garden health facilities. Descriptive analysis, multiple logistic and multi-nominal linear regression were performed to explore associated factors around health and quality of life. Results Of the total respondents, the majority (79.5%) had chronic diseases, with visual difficulty being predominant (74%) among the conditions. Almost all (94%) of the respondents experienced delays in receiving treatment and poverty was identified by most (85%) as the primary cause of those delays. Extreme age, being male, living alone and low family income were significantly associated with suffering from chronic conditions. Furthermore, having a chronic condition and extreme age were found to be significantly associated with a low quality of life. Health service providers identified lack of logistical support in the health facilities, the economic crisis and lack of awareness as the major causes of poor health status and poor health seeking behaviour of the indigenous older adults. Conclusion Indigenous older men in extreme old age are more vulnerable to adverse health conditions and poor quality of life. Health literacy and health seeking behaviour is poor among indigenous older adults generally and there is a huge gap in the health services and social supports available to them.

Health Concerns of Older Adults: Observations from a Survey and Public Education Programme in Bhubaneswar, India

2019 ◽  
Vol 15 (1) ◽  
pp. 10-16
Author(s):  
Shreyan Kar ◽  
Tushar Kanti Das ◽  
Prasanta Kumar Mohapatra ◽  
Brajaballav Kar ◽  
Anupama Senapati ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Mood State ◽  
Physical Symptoms ◽  
Considerable Proportion ◽  
Cardiovascular Risks ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Concerns

Background: While it is apparent that old age is associated with multiple health concerns, the extent of its multiplicity and burden is often not clear. It was intended to find out self-reported health concerns for one month and cardiovascular risk factors in middle and older adults. Methods: In the cross-sectional survey, attendees of a Healthy Ageing Conference were approached with a semi-structured questionnaire about their health concerns and cardiovascular risks. Risk of a cardiovascular event in 10 years based on QRISK3 was calculated. Results: A considerable proportion of older adults had a range of physical symptoms, depressive mood state and memory problems. Mean number of health problems reported were 4.8±3.3 (male 4.4±3.1 and female 5.0±4.3). Cardiovascular risk was high, mean QRISK3 score for males were 22.2% (±14.4), and for females 10.3% (±6.6) (p<0.05). On average, the heart age was increased by 7.9±6.2 years (8.6±6.6 years for males and 5.0±3.3 for females). The relative risk of participants was 2.1 for males and 1.5 for females for heart attack or stroke within the ten years, compared to healthy persons. The symptoms and risk factors were elicited easily, and the process probably facilitated improving the awareness about the health concerns holistically. The survey also identified issues related to the engagement of older adults in the existing health care systems. Conclusions: The results suggested that questionnaire-based health screening in a community can identify a range of health concerns and identify multi-morbidity in general and cardiovascular risks in particular. This process may help to focus on the appropriate public health awareness and intervention programmes required in the community.

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