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The Levels and Trends of Metabolic Risk Factors in the Elderly Population at the National and Sub-National Scale in Iran From 1990 to 2016 Publisher



Shokri Varniab Z1 ; Saeedi Moghaddam S1, 2 ; Pourabhari Langroudi A1 ; Shati M3 ; Koolaji S1 ; Ghanbari A1 ; Mehdipour P1, 4 ; Barakati SH5 ; Moghadam M6 ; Shobeiri P1 ; Esfahani Z1 ; Sharifnejad Tehrani Y1 ; Salahi S1 ; Bagheri H1 Show All Authors
Authors
  1. Shokri Varniab Z1
  2. Saeedi Moghaddam S1, 2
  3. Pourabhari Langroudi A1
  4. Shati M3
  5. Koolaji S1
  6. Ghanbari A1
  7. Mehdipour P1, 4
  8. Barakati SH5
  9. Moghadam M6
  10. Shobeiri P1
  11. Esfahani Z1
  12. Sharifnejad Tehrani Y1
  13. Salahi S1
  14. Bagheri H1
  15. Mortazavi SS7
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Mental Health Research Center, Department of Epidemiology, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
  5. 5. Family, Population and School Health Office, Health Deputy, M, Tehran, Iran
  6. 6. Department of Older Adult Health, Health Deputy, Ministry of Health and Medical Education of Iran, Tehran, Iran
  7. 7. Geriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran

Source: Journal of Diabetes and Metabolic Disorders Published:2023


Abstract

Purpose: Describing the trends of metabolic risk factors (MRFs) in the elderly population. Methods: We used modeled data from previous comprehensive systematic reviews for MRFs among adults aged ≥ 60 years. Two stages of age-specific Spatio-temporal modeling and Gaussian process regression were used to estimate the mean of MRFs. We used crosswalk modeling to estimate the prevalence of elevated and raised Total cholesterol (TC), overweight/obesity and obesity, hypertension, and diabetes. Estimates were analyzed based on combinations of sex, age, year, and province from 1990 to 2016. Results: Comparing prevalence estimates from 2016 with those of 1990, in the elderly population, the age-standardized prevalence of overweight/obesity, obesity, diabetes, and hypertension increased, conversely, the prevalence of hypercholesteremia decreased. The prevalence of hypertension increased about 141.5% and 129.9% in men and women respectively. The age-standardized prevalence of diabetes increased about 109.5% in females, and 116.0% in males. Prevalence of elevated TC at the national level decreased to 67.4% (64.1–70.4) in women and to 51.1% (47.5–54.8) in men. These findings were almost shown across provinces. In general, the northern and western provinces had the highest prevalence of overweight/obesity in women in 2016. Conclusion: The rising prevalence of most MRFs, as well as the greater prevalence and mean of all MRFs in women, necessitate effective public health policies to reduce the burden of non-communicable diseases and run preventive programs. © 2023, The Author(s), under exclusive licence to Tehran University of Medical Sciences.
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