zohre badamchizade

The aim of this study was to compare of waist circumference with metabolic syndrome, as a predictor insulin resistance in agroup of elderly population. In a cross-sectional study among 225 elderlyaged 60 year old and more whose clinical data were complete, 94 subjects (42 males and 52 females) who were able to sign the consent form Mini Mental stat Examination > 20 and wanted to participate in studyentered the study. Insulin sensitivity was determined by using Homeostasis Model Assessment index. Insulin resistance was defined as topquartile of Homeostasis Model Assessment. Waist Circumference and Homeostasis Model assessment andHomeostasis Model Assessment index were highly positively correlated in both sexes. The optimal waist circumference was 94.5 cm for men and 90.5 cm for women. `The high sensitivity and specificity of Waist Circumference and Homeostasis Model assessment in males (0.80 & 0.84) indicates the proportion of Insulin Resistance which are correctlyidentified all non-IR males as such. In this study 94.5 cm determined as cut-off for insulin resistance index in males. It seems that optimal Waist Circumference andHomeostasis Model assessment determinination in Iran warrants further study in a larger sample of metabolic syndrome subjects.

The aims of this study were to investigate the association of Mini-Nutritional Assessment and activities of daily living as well as examining Mini Nutritional Assessment as a good prognostic tool ofactivities of daily living in elderly residents of nursing home. In a cross-sectional study, among 1200 recorded files, 247 subjects completed Mini Nutritional Assessment and Barthel index questionnaire. The relations between studied variables were assessed using Pearson and spearman correlation. These relations were confirmed by adjusted regression model. 130 elderly had Mini Nutritional Assessment ≥ 24.5 and 102 had Mini Nutritional Assessment < 23.5. Mini Nutritional Assessment and BI were positively correlated (r=0.26, P < 0.001). In an age- and sex-adjusted model, Barthel index is associated significantly with age (P< 0.006), Body Massive Index I (P< 0.009), and MNA (P< 0.001). Mini Nutritional Assessment can be a good predictor ofdaily living activities in elderly residents of Kahrizak Charity Foundation (KCF).

In this study, we investigated the inter-relationships between C-reactive protein, metabolic syndrome, and chronic kidney disease among a group of Iranian elderly. In this cross-sectional study, 122 elderly among 1220 aged residents of Kahrizak Charity foundation with average age of 73.6 ± 9.71 were studied. Metabolic syndrome and chronic kidney diseasewere defined according to the criteria of National Cholesterol Education Program,Adult Treatment Panel III and an estimated glomerular filtration rate <60 mL/min/1.73 m2, respectively. C-reactive protein ≥ 3mg/dl was considered as a high CRP. Prevalence of Chronic Kidney Disease was 82.9 (59.3%) in subjects with and without metabolic syndrome, respectively (p<0.006). Subjects with metabolic syndrome and high C-reactive protein had 1.71-fold greater odds of having Chronic Kidney Disease. Metabolic syndrome was a risk factor for chronic kidney disease in elderly people of this study. The odds of chronic kidneydisease also increased significantly in presence of high C-reactive protein and metabolic syndrome.

In this study, the relation of late-life body mass index (BMI) and waist circumference with incident dementia risk was investigatedin a group of iranian elderly peopel. In cross-sectional present study 107 elderly residents of the Kahrizak Charity Foundation aged 80 and older were participated. Dementia was assessed using Mini-Mental State Examination questionnaire. Body mass index (BMI) was computed by weight (kg)/ height (m2). In a multivariate logistic regression model, late-life overweight was indicated an independent and significant protective factor against developing dementia (Odd Ratio: 0.24, 95% Confidence Interval: 0.06-0.93(, also there was no significant association between waistcircumference and risk of dementia incident. Overweight in late-life was shown as a protective factor against incident dementia risk incident.

This study was performed to investigate the effect of ω-3 fatty acids on lipid profiles, lipoprotein (a), apolipoprotein A-1 and apolipoprotein B, fasting glucose and insulin, and insulin resistance in a group of Iranian elderly subjects. In this clinical trial, 124 elderly residents of the KahrizakCharity Foundation, aged 65 and older were divided into two intervention (consumption of 1 gram per day of fish oil) and control (consumption of placebo) groups. Blood sampling was done at the baseline and at the end of the study. After 6 months, TG and apo A-1 increased significantly (p=0.01 and p=0.02, respectively) and high-density lipoprotein cholesterol decreased significantly in the control group (P=0.009). Overall and comparative effects of fish oil were positively significant (P =0.02). fish oil intake can be effective in reduction of serumtriglycerides in elderly.

The aim of the present study was to investigate the prevalence of hypertension and type II diabetes in elderly Iranianresidents of the Kahrizak Charity Foundation(KCF). In this cross-sectional study, a total of two hundred sixty eight men and women ≥60 years were studied. The data were collected during annual health examination of the elderly residents in KCF. Hypertension and diabetes were defined based on JNC VII andAmerican Diabetes Association, respectively. Crude prevalence of hypertension was 55% in men and 67% in women. In hypertensives, mean age and Body Mass Index (BMI) were significantly higher than normotensives. Diabetes prevalence was 21% in men and 16% in women. Means of age, body mass index (BMI), waist to hip ratio (WHR), total cholesterol, LDL-cholesterol in diabeticwere significantly more than normal ones. Body mass index and hypertension showed significant correlation and women were at higher risk for hypertension. Instead,men were at higher risk of diabetes and its related factors.