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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

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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