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 S^{1, 2} ; Pourabhari Langroudi A¹ ; Shati M³ ; Koolaji S¹ ; Ghanbari A¹ ; Mehdipour P^{1, 4} ; Barakati SH⁵ ; Moghadam M⁶ ; Shobeiri P¹ ; Esfahani Z¹ ; Sharifnejad Tehrani Y¹ ; Salahi S¹ ; Bagheri H¹ Show All Authors
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.