per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Successful Aging: Concept Analysis with Walker and Avant\'s Approach
Ladan Naseh
naseh@nm.mui.ac.ir
1
Farahnaz Mohammadi-Shahboulaghi
f.mohammadi@uswr.ac.ir
2
Hamid Reza Khankeh
hamid.khankeh@ki.se
3
Kian Norouzi Tabrizi
dr.kian_nourozi@yahoo.com
4
Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Health in Emergency and Disaster Research Center, nursing department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: Following the emergence of population aging phenomenon in the world, “successful aging” as a quality concept has recently attracted the attention of many researchers and policy makers; yet it seems that there is no single and clear definition of it presented in the literature. This study aims to analyze the concept of successful aging.
Materials & Methods: The study was conducted with Walker and Avant’s 8-step approach. For this purpose, articles meeting the inclusion criteria were selected through searching the SID, Magiran, Noormags, ISI, Pubmed, Scopus and Proquest databases and using the keywords of aging, successful aging and related concepts during the years 2000-2022. Then they were analyzed using Graneheim and Lundman's content analysis method to extract the successful aging concept's applications, characteristics, antecedents and consequences.
Results: The content analysis of 83 selected articles revealed the characteristics of successful aging in the following seven categories: 1) "manageable process", 2) "multi-dimensional and comprehensive", 3) "socio-cultural context-bounded", 4) "enjoyment of physical, psychological and social health", 5) "non-dependence on others", 6) "happiness", and 7) "continuity and active participation in different fields of life".
Conclusions: A comprehensive definition of successful aging was presented using the identified characteristics, antecedents and consequences, which can help to better understand this concept, recognize its various dimensions, and ultimately, plan for its realization.
http://salmandj.uswr.ac.ir/article-1-2623-en.pdf
Successful aging
Concept analysis
Walker and Avant
eng
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
Effectiveness of Virtual Self-Care Training on Preventing Falls at Home among Older People: A Quasi-Experimental Study
Maryam Tajvar
mtajvar@tums.ac.ir
1
Azar Jahanbani
azarjahanbani@yahoo.com
2
Omolbanin Atashbahar
o.atashbahar@gmail.com
3
Mahnaz Ashoorkhani
ashoorkhani@tums.ac.ir
4
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Family and Population Health Department, Deputy of Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran.
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences and Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Objectives: Falling in the elderly can have significant negative consequences on the health and quality of life of this age group. The purpose of this study was to determine the effect of virtual self-care training on the knowledge, attitude and performance of older people in preventing falls at home.
Materials and methods: A quasi -experimental intervention with a before and after evaluation design was conducted on 120 people aged 65 years and older referring to Health Centers in Southen Tehran, in 2021. Before the intervention, the research questionnaire was completed by the participants. The intervention was designed and presented in the form of a virtual training program for self-care and fall prevention at home. Immediately and three months after the intervention, the questionnaire was filled again by the elderly. Data analysis was done by SPSS 26 software using descriptive statistics such as mean and standard deviation and analytical statistics including independent t-test, Mann-Whitney and chi-square.
Findings: About 22% of the studied elderly had a history of falling in the past year. The mean scores of the elderly immediately after the intervention in each of studied dimensions were: awareness (18.39±2.86), attitude (14.99±2.51) and performance (13.76±3.1) of self-care in preventing falls at home which was significantly higher than pre-test scores (P<0.001). Also, the mean scores of the elderly three months after the intervention were: awareness (18.18±1.14), attitude (14.91±1.57) and performance (9.06±2.78) which compared to pre-test scores was significantly higher (P < 0.001).
Conclusion: Considering the living conditions of the elderly and the less social access to this vulnerable age group, virtual training on fall prevention at home can significantly affected on increase the knowledge of the elderly about fall prevention methods, their attitude about the usefulness of fall prevention measures and their preventive practices to reduce the risk of falling.
http://salmandj.uswr.ac.ir/article-1-2565-en.pdf
Falling
Elderly
Distance training
Virtual education
Self-care
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
The Effect of Period a Walking Forward and Walking Back Training on Some of the Inflammatory and Physical Fitness Factors Elderly Women
Mitra Khademosharie
m_khadem_un@yahoo.com
1
Azam Mollanovruzi
a.novruzi@yahoo.com
2
Marziye Azarniveh
azarnive.m@gmail.com
3
Ayoub Saiedi
a.saiedi@uok.ac.ir
4
Department of Sport Sciences, Faculty of Humanities, Kosar University of Bojnord, Bojnord, Iran.
Department of Sport Sciences, Faculty of Humanities, Kosar University of Bojnord, Bojnord, Iran.
Sports Science Department, Faculty of Literature and Human Sciences, Zabol University, Zabol, Iran.
Department of Physical Education and Sport Sciences, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Kurdistan, Iran.
Background and purpose: The purpose of this research was the effect of a training course of walking forward and walking backward on some inflammatory factors and physical fitness of elderly women.
Method: For this purpose, 24 elderly women (60-75 years old) were divided into three groups: walking forward, walking backward, and the control group. Two groups, walking forward and walking backward, exercised three times a week for eight weeks with an intensity of 14-15 according to Borg's scale. Before and after the exercise training, anthropometric measurements of the subjects including: age, height, weight and body mass index, as well as pre-tests of muscle strength, muscle endurance and blood sampling (for analysis Biochemistry) was done. ANOVA test with repeated measurement was used to compare the mean of the data. Calculations were done using SPSS version 23 and the significance level of the tests was considered as p ≤ 0.05.
Results: The results indicated that walking backwards significantly increased muscle strength and endurance compared to the control group and walking forwards. But it did not cause a significant change in the levels of TNF-α, TGF-β and VDBP.
Conclusion: It seems that doing the walking backwards can have a greater effect on performance indicators in the elderly than walking forward and can play a more effective role in creating a healthier life for them.
http://salmandj.uswr.ac.ir/article-1-2615-en.pdf
Walking
Elderly
TNF-Α
TGF-Β
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
The Effectiveness of Mindfulness-Based Cognitive Therapy on the Symptoms of Pain Perception in Older Women
Nasibeh Sarrami Foroushani
nasibehsar@gmail.com
1
Parvaneh Mohammadkhani
pa.mohammadkhani@uswr.ac.ir
2
Javad Rasti
rasti@eng.ui.ac.ir
3
Department of Psychology, Science and Arts University, Yazd, Iran.
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Department of Medical Engineering, University of Isfahan, Isfahan, Iran.
Objective: One of the most common issues of old age is chronic pain. The aim of mindfulness-based approaches is to create psychological flexibility and change attitudes towards pain. The purpose of the present study was to investigate the effectiveness of mindfulness-based cognitive therapy on the symptoms of pain perception in older women
Methods and Materials: It was a semi-experimental study with a pre-test, post-test and one-month follow-up with a control group. The statistical population was 60 and older women lived in Isfahan in 1402. Among them 30 women were selected by available sampling method and using the entry criteria and randomly assigned to equal experimental and control groups. The research tool was the short form of the McGill Pain Questionnaire. The experimental group received the intervention in eight two-hour sessions and the control group was placed on the waiting list. The data were analyzed by repeated measure analysis of variance using SPSS-25 software.
Results: The average age of the participants of the experimental group was 64.07±3.37 and the control group was 64.20±3.57, the average total pain perception score of the experimental and control groups was reported as 22.67 and 35.13 respectively in the post-test phase and 23.60 and 35.07 respectively in the follow-up phase. The results showed that there is a significant difference between the average of the three assessment stages (pre-test, post-test and follow-up) in all subscales and the total score (P<0.01). The results of the Benferroni test indicated the effectiveness of the treatment in the post-test and follow-up phase for all subscales compared to the control group (P≤0.05).
Conclusion: The use of mindfulness-based cognitive therapy significantly leads to the reduction of pain perception in older women.
http://salmandj.uswr.ac.ir/article-1-2628-en.pdf
Cognitive therapy
Mindfulness
Pain perception
Older women
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
Perspectives of Iranian Family Carers about Facilitators and Educational Needs in Homecare for Older Adults: A Qualitative Study
Fatemeh Rahimi
f-rahimi@razi.tums.ac.ir
1
Elham Shakibazadeh
shakibazadeh@sina.tums.ac.ir
2
Mahnaz Ashoorkhani
ashoorkhani1392@yahoo.com
3
Mahshid Foroughan
M_Foroughan@yahoo.com
4
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: The aging of populations accompanies a surge in older adults’ demand for long-term care, which is mainly provided by family carers. Providing quality care while maintaining the health of carers requires an understanding of facilitators and training needs that are under-appreciated. Therefore, this study investigated homecare facilitators of older adults from the perspectives of family carers.
Methods and materials: This study was a qualitative conventional content analysis. To collect data, we conducted semi-structured telephone interviews. Seventeen family carers who were 18 years or older, had at least one month of caregiving experience, at least six hours per week were selected for interviews as a purposive and snowball sampling from January 2021 to April 2021. Sampling continued until data saturation. After rewriting the recorded interviews, the data were entered into the qualitative analysis software (MAXQDA 2018), coded and analyzed.
Results: Personal, interpersonal, and supportive environment factors were identified as the three main categories of facilitators. Carer’s skills in providing care, perceived mental benefits, and positive perspectives considerably facilitate responsibility. Benefiting from emotional support of family members, cooperation in performing caregiving tasks, and organizational support can help provide care easily. The highesteducational priority was assigned to caring activities such as preparing nutritious meals based on needs and swallowing ability, positioning in the movement of disabled older adults.
Conclusions: Carers need to access cost-effective caregiving and housekeeping services according to their educational needs, such as caregiving skills, which call for the planned support of service-providing organizations.
http://salmandj.uswr.ac.ir/article-1-2626-en.pdf
Family carers
Older adults
Homecare
Facilitators
Qualitative study
Iran
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Supportive Needs among Family Caregivers of Elderly Patients with Cancer: A Qualitative Study
Batol Mohammadian
mohammadian.batol@yahoo.com
1
Farahnaz Mohammadi-Shahboulaghi
f.mohammadi@uswr.ac.ir
2
Mohammadali Hosseini
mahmaimy2020@gmail.com
3
Narges Arsalani
nargesarsalani@gmail.com
4
Masoud Fallahi-Khoshknab
msflir@yahoo.com
5
Pooneh Pirjani
pirjanipooneh@yahoo.com
6
Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Palliative care Physician, Iranian Cancer Control Center (MACSA), Tehran, Iran.
Objectives: Family caregivers have a significant role in caregiving for elderly patients with cancer. However, these caregivers are exposed to a significant caregiving burden. Therefore, it is necessary to support these caregivers as hidden patients. Knowing the needs of these caregivers is important for designing interventions to support them. Hence, the present study aimed to explain the supportive needs of family caregivers of elderly patients with cancer.
Methods & Materials: This descriptive qualitative study was conducted in 2020–2022. Thirty-one family caregivers and family members of elderly patients with cancer and healthcare providers were purposefully recruited from several healthcare centers in Tehran, Iran. Data were collected through semi-structured interviews until data saturation. Data analysis was performed along with data collection using conventional content analysis proposed by Graneheim and Lundman. Guba and Lincoln’s criteria were used to ensure the trustworthiness of the data.
Findings: The analysis of the obtained data led to the identification of supportive needs of family caregivers of the elderly patients with cancer. These needs were categorized into six main categories, including the need for informational support, the need for physical support, the need to get rid of mental insecurity, the need for strengthen spirituality, the need for practical support, and the need to be accompanied by a care team.
Conclusion: Considering the multiple support needs of family caregivers of elderly patients with cancer, policymakers and healthcare planners, and healthcare providers should design and plan various interventions based on such needs by using a caregiver-centered approach to support these caregivers.
http://salmandj.uswr.ac.ir/article-1-2611-en.pdf
Cancer
Aging
Family caregiver
Supportive needs
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
The Mediating Role of Resilience in the Relationship Between Religious Components and Psychological Well-being in Older Adults
Saeideh Mohammadi
saeideh_mhm@yahoo.com
1
Mahmoud Kazemi
mdkazemi@znu.ac.ir
2
Majid Yousefi Afrashteh
yousefi@znu.ac.ir
3
Department of Psychology, Faculty of Humanities, Zanjan University, Zanjan, Iran
Department of Psychology, Faculty of Humanities, Zanjan University, Zanjan, Iran
Department of Psychology, Faculty of Humanities, Zanjan University, Zanjan, Iran
Objective: Given the increasing elderly population and the challenges and problems associated with this stage of life, social planning, and policy-making to improve the quality of life of older adults is of crucial importance. Therefore, the aim of this study was to investigate the mediating role of resilience in the relationship between religiosity and psychological well-being in older adults.
Materials and Methods: This cross-sectional study was of an applied nature and based on data collection through correlation. The study was conducted in 2022 in the city of Mianeh. A total of 319 elderly individuals (aged 60 and over) were selected through convenient sampling, based on inclusion criteria. The tools used to collect data in this study were the Glack Star Religious Questionnaire, the Connor-Davidson Resilience Questionnaire, and the Ryff Psychological Well-being Questionnaire. The data obtained were analyzed using correlation and path analysis tests with SPSS 26 and LISREL 2.10 software.
Findings: : According to the results of this study, The mean scores for religiositywere 56.90, resilience was 16.86, and psychological well-being was 76.04. The standard deviations were 26.42 for religiosity, 16.46 for resilience, and 10.81 for psychological well-being. The results showed that all correlation coefficients obtained were significant at the level of p < 0.05 or p < 0.01, indicating that high levels of religiosity and resilience are associated with higher levels of psychological well-being. Furthermore, based on the path analysis results and the obtained t-values (≥1.96), it can be concluded that all paths except for the indirect path to psychological well-being were significant. Therefore, the proposed model showed that the cognitive, emotional, and ritual dimensions of religiosity have a positive and significant relationship with psychological well-being through the mediating role of resilience, and there is also a positive and significant relationship between the dimensions of religiosity and resilience, as well as between resilience and psychological well-being.
Conclusion: The findings of this study emphasize the mediating role of resilience in the relationship between religious components and psychological well-being, and the promotion of psychological well-being through this pathway. Based on these findings, it is recommended that community leaders pay attention to the impact of religiosity, resilience, and education in these areas in order to promote the mental health of the older adults.
http://salmandj.uswr.ac.ir/article-1-2593-en.pdf
Psychological well-being
Resilience
Religiosity
Aged
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
The Lived Experiences of the Older Adult from the Empty Nest: A Phenomenological Study
Abdolbaset Mahmoudpour
mahmoudpour@atu.ac.ir
1
Asie Shariatmadar
s_shariatmadar@yahoo.com
2
Ahmad Borjali
borjali@yahoo.com
3
Abdollah Shafiabadi
ashaafibadi@yahoo.com
4
Counseling Department, Allameh Tabataba'i University, Tehran. Iran.
Counseling Department, Allameh Tabataba’i University, Tehran, Iran.
Psychology Department, Allameh Tabataba’i University, Tehran, Iran.
Counseling Department, Allameh Tabataba'i University, Tehran. Iran.
Objectives: Older adults with empty nest syndrome are becoming an important social phenomenon in Iran. Although it is not a clinical disorder, empty nest syndrome can have real effects on a person's life. Research shows that it can lead to depression, alcoholism, marital conflicts and identity crisis. Therefore, this study was conducted with the aim of explaining the lived experiences of the older adult from the empty nest in Iran.
Materials and methods: This study was carried out with a Colaizzi's descriptive phenomenological method. The target group of the research included the older adult of empty nests in Tehran in 1401. Sampling of the current research was continued with the purposeful method and up to the theoretical saturation of the data, and 17 people were interviewed after meeting the conditions for entering the research and personal satisfaction. Of all 17 participants in this study, 6 were male and 11 were female. Their average age was 65.7 years. In the present study, semi-structured interviews were used to collect data in order to determine lived experiences.
Findings: The lived experiences of the older adult from the empty nest syndrome were included in 6 main themes of experiencing an existential crisis, occurrence of emotional disturbance, occurrence of cognitive disturbance, decline and loss of performance, disruption in interpersonal relationships, Satisfaction with the transition period, and 23 sub-themes.
Conclusion: The description and understanding of Iranian older adults' experience of the empty nest can provide valuable insights to gerontologists and practitioners in related fields within various psychology, counseling, and social work groups. This information can be utilized to facilitate the reduction and resolution of existing issues, to plan future interventions for empty nest elderly, to establish more effective connections with these groups, and ultimately, to advance gerontology knowledge and enhance the quality of life for empty nest the older adult.
http://salmandj.uswr.ac.ir/article-1-2653-en.pdf
The older adult
Empty nest syndrome
Phenomenological
Lived experiences
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
-
Articles In Press
0
0
article
The relationship between Resilience and the Mental Health of the Elderly in Ahar County during the Covid 19 Pandemic in 2021
Asghar Shahbazi
asgharshahbazy63@yahoo.com
1
Malihe Saboor
saboor_malihe@yahoo.com
2
Zhale Zandieh
zhzandie@gmail.com
3
Samane Hosseinzadeh
hosseinzadeh.sam@gmail.com
4
Leila Miri
leila_miri@yahoo.com
5
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: The outbreak of the Covid-19 pandemic is considered a stressful event, especially In the elderly. This study was conducted with the aim of determining the relationship between resilience and mental health during the covid-19 pandemic in the elderly of Ahar city.
Methods & Materials: A cross-sectional (descriptive-analytical) study was conducted in 2021 on 271 elderly people over 60 years old , They refers from primary health care of ahar city.and Sampling was done using a random random cluster method. After filling the demographic questionnaire, general health questionnaire (GHQ), Connor and Davidson Resilience Questionnaire (CD-RISC) were completed by the elderly. Research data analyzed with using SPSS-23 statistical software, descriptive statistics and chi-square, Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficient tests.
Results: the mean total score of resilience and general health were 64.38 ± 16.42 and 24.56 ± 10.05. There is a significant difference in the average of total resilience in elderly who had a high level of education had a graiter resilience. (P<0.05). general health and then physical symptoms and impairment in social functioning with people who live with the elderly(wife-children) increased (P>0.05).
Conclusion: There is relationship between resilience and social support with the mental health of the elderly people, it is important to pay attention to these areas in them. Therefore, it is recommended to evaluate the resilience of the elderly people in the routine care programs of the elderly people in order to improve their general health. It is also recommended to design and implement appropriate educational programs during pandemics and quarantine periods to increase resilience and public health.
http://salmandj.uswr.ac.ir/article-1-2581-en.pdf
Elderly
Resilience
Mental heaith
Covid-19
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Comparison of Memory, Balance, and Fear of Falling in Elderly Women after Performing Two Types of Mind-Body Exercises
Marzieh Eskandari
marzie.eskandari74@yahoo.com
1
Maraym Nezakat Alhosseini
nezakat@spr.ui.ac.ir
2
Shila Safavi Hamami
s.safavi@spr.ui.ac.ir
3
Department of Sport Sciences, University of Isfahan, Iran.
Department of Sport Sciences, University of Isfahan, Iran.
Department of Sport Sciences, University of Isfahan, Iran.
Objectives: Most falls in the elderly occur as a result of the interaction between physical and cognitive risk factors, so the purpose of this study was to compare the effect of two types of mind-body exercises on memory, balance, and fear of falling in elderly women.
Methods and Materials: A quasi-experimental study was conducted on 20 elderly women with an age range of 60 to 70 years. Participants were selected through purposive sampling and were randomly assigned to yoga and Square-Stepping groups. Both groups did exercise for 12 weeks and participated in a pre-test and post-test. The Wechsler Memory test, Stork test, Berg Balance test, and International Falls Efficacy Scale were used to measure memory quotient, static balance, dynamic balance, and fear of falling, respectively. Analysis of variance with repeated measures was conducted to analyze the data.
Results: Results showed that the mean scores of memory quotient in the two groups were significantly (F(1,18) = 32.692, P < .001, η2 = .645) higher after practice than before, and also the mean static balance time of older women in the yoga group was significantly (F(1,18) = 60.755, P < .001, η2 = 0.771) higher than the square stepping group. Furthermore, the mean dynamic balance score of older women in the square stepping group was significantly (F(1,18) = 7.714, P < .012, η2 = .300) higher than the yoga group. In addition, the mean square of fear of falling of older women was significantly (F(1,18) = 11.777, P < .003, η2 = .396) lower in the square stepping group than yoga group.
Conclusions: Therefore, it seems that square stepping exercises can also be used as a simple and applicable exercise method by the individual to improve physical and cognitive functions in the elderly.
http://salmandj.uswr.ac.ir/article-1-2583-en.pdf
Balance
Elderly
Exercise
Memory
Mind body
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Investigating the Care Challenges Caregivers of the Elderly with Alzheimer\'s Disease
Soheila Zabolypour
S_zabolypour@yahoo.com
1
Narges Arsalani
nargesarsalani@gmail.com
2
Tahereh Gilvari
t.gilvari@hotmail.com
3
Leila Rafiee Vardanjani
Rafiee.leila@yahoo.com
4
Masoud Fallahi
fallahi@uswr.ac.ir
5
Faezeh Khajehmirzaei
Faezeh-Khajehmirzaei@yahoo.com
6
Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Nursing, Iran Aging Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Background and purpose: Alzheimer's disease is a progressive chronic disease that causes complete dependence of the patient and the need for round-the-clock care and creates challenges for caregivers and families that need to be investigated and recognized Therefore, the present study was conducted with the aim of investigating the care challenges of elderly caregivers with Alzheimer's disease in 1401.
Materials and methods: Narrative Review study using Persian keywords "caregiver and Alzheimer's disease" and English keywords "Alzheimer Disease, Caregiver and Carer" and searching in PubMed, Embase, ProQuest, SID and Irandoc was conducted in the period from 2017 to 2022. Out of 4594 articles, 27 articles were evaluated and analyzed using the Gifford quality assessment criteria.
Findings: Following a review of the articles, it was determined that the most common caregiving issues faced by elderly Alzheimer's patients were divided into two categories: individual challenges, which included psychological subcategories, lack of information, physical and occupational, and workload, and family challenges, which included subcategories economic, marital, social relationship disruption and lack of emotional relationships obtained.
Conclusion: Caring for the elderly with Alzheimer's causes many care challenges for their caregivers, therefore, in addition to treating and caring for the elderly with Alzheimer's, it is necessary to pay attention to the challenges of the caregivers and plan to empower and solve their challenges in the health and treatment systems.
http://salmandj.uswr.ac.ir/article-1-2560-en.pdf
Narrative review
Alzheimer disease
Caregiver
Elderly
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Futures Studies of the Challenges and Drivers of Population Aging in Iran: Scenario Analysis Approach
Nasibeh Zanjari
zanjari.nz@gmail.com
1
Seyedeh Zahra Kalantari Banadaki
S.kalantary@modares.ac.ir
2
Rasoul Sadeghi
rassadeghi@ut.ac.ir
3
Ahmad Delbari
ahmad_1128@yahoo.com
4
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
National Institute of Population Research, Tehran, Iran
Department of Demography, University of Tehran, Tehran, Iran
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Introduction: The rate of population aging in Iran is higher than the regional and global levels and since 2040 decade, Iran will enter the phase of aged societies. Considering the importance of the changes that population aging will bring about in Iranian society, the aim of this study is to investigate the challenges and drivers of population aging in the next three decades of Iran.
Method: The approach of the present study is the futures studies using the scenario writing method. Data and trends were collected from different sources in order to understand the possible challenges facing the aging of the population. Then, the obtained information was analyzed using experts' opinions, structural analysis, balance analysis of mutual effects, and scenario planning. The data has been analyzed using Mic Mac and Scenario Wizard software.
Findings: In this study, the most effective variables on population aging in the future included governance variables in the field of old age, pension funds, consumer spending at micro and macro levels, welfare distribution, fertility and family size, insurance and pension coverage, which actually The main determinants or drivers were those that affected the special force of old age, intergenerational communication and social participation, and finally, the lifestyle and quality of life of the older adults, as outcome variables and output of the system. Based on the most effective variables and identifying the alternatives of each one, the possible scenarios of the future of old age in the perspective of 2050 can be in the form of possible scenarios of "Risky ageing", " Twilight ageing", "Dawn of ageing", and "Prosperous ageing".
Conclusion: To achieve the desired scenario, the state of " prosperous ageing" in Iran, we need a smart governance with a forward-looking view, equal welfare distribution, win-win pension funds, active participation market and fertility rate above the replacement level.
http://salmandj.uswr.ac.ir/article-1-2649-en.pdf
Aged
Population
Uncertainty
Forecasting
Pension fund
Pension fund
Iran
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دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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Articles In Press
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Comparison of the Effect of an Aerobic Training Period and More Wet Cupping on the Serum Concentration of Immunoglobulins of the Immune System Older Adult’s Women
Amir Delshad
ah_delshad@yahoo.com
1
Narges Chamani
narges.ch1371@gmail.com
2
Department of Sports Physiology and Immunology, Faculty of Literature and Human Sciences, University of Qom, Qom, Iran.
Department of Sports Physiology and Immunology, Tolo Mehr University, Qom, Iran.
Introduction: With aging, cellular changes cause a decrease in the function of the immune system in the elderly. Aging is associated with impaired local inflammatory response necessary to control pathogenic pathogen attack. Regular exercise is considered as a healthy lifestyle factor that can reduce immune-related health problems in the elderly. Therefore, the aim of this study was to compare the effect of six weeks of aerobic exercise and more cupping on immunoglobulins E. , G and A are elderly women.
Methodology: In this semi-experimental research, 4 inactive elderly women with an age range of 55 to 65 participated. Qualified volunteers based on Vo2max, BMI were randomly divided into four aerobic training groups (n=10), one time cupping (n=10), two times cupping (n=10)and control group (n=10). Aerobic exercises with an intensity of 60 to 75% of heart rate reserve were performed three times a week for 6 weeks and the cupping group was cupped twice in the second and fifth weeks in this research before the start of the training period (pre-test) and 48 hours after At the end of the last six-week training session (after the test), blood sampling was done to measure IgG, IgE and IgA indices. Then, using the analysis of covariance test (Ancova) for inter-group comparison and pre-test and post-test comparison between groups, paired t-test was checked by SPSS version 25 software at a significance level (p ≤0/05).
Findings: The results show that after six weeks of aerobic training and cupping, the serum levels of IgG (P=0.003), IgE (P=0.013) and IgA (P=0.026) decreased significantly compared to the control group. Is. The results of the paired T test showed a significant decrease in IgG, IgE and IgA after the test compared to the pre-test in the training group, cupping twice after the intervention.
Conclusion: It seems that sports activities with different intensities and cupping can affect the immune system, although this response is different in different age groups and can be more effective in the elderly.
http://salmandj.uswr.ac.ir/article-1-2679-en.pdf
Aerobic exercises
Wet cupping
Immunoglobulin E
Immunoglobulin G
Immunoglobulin A
Older adults women
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دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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article
The Effect of 8 Weeks of Fall-Proof Exercises on Mini BESTest Scores in Elderly Women with Knee Osteoarthritis
Hadis Sheikhshoaei
hadis.sheikhshoaei@sport.uk.ac.ir
1
Saeid Bahiraei
s.bahiraei@uk.ac.ir
2
Marta Safavi
martasafavi1@gmail.com
3
Faculty of Physical Education and Sports Sciences, Shahid Bahonar university of Kerman, Kerman, Iran.
Faculty of Physical Education and Sports Sciences, Shahid Bahonar university of Kerman, Kerman, Iran.
Sports Medicine Specialist with Specialized Board from Iran University of Medical Sciences, Tehran, Iran.
Objectives: Impaired proprioception and balance is one of the important complications that elderly people with knee osteoarthritis are dealing with, which can expose people to falling.The present study was conducted with the aim of investigating the effect of 8 weeks of fall-proof exercises on the scores of the Mini-BESTest in elderly women with knee osteoarthritis.
Materials &Methods: The subjects included 25 elderly women aged 60-75 years with knee osteoarthritis who were purposefully selected as samples in two experimental and control groups.
Mini-BESTest test was used to evaluate the balance index. The subjects of the experimental group practiced for 8 weeks, 3 days a week and one hour per session.While the control group did not participate in any exercise. For data analysis, mixed repeated measure test was used, using SPSS version 26 software at a significance level of 0.05.
Results: The results showed that the total scores of Mini-BESTest and its 3 subsets (anticipatory, reactive postural control and dynamic gait) increased significantly after the exercises in the experimental group (F = 51.42, p = 0.001, η = 0.69). While there was no significant difference between the sensory orientation scores of the two groups in the pre-test and post-test (p>0.05).
Conclusions: Due to its effectiveness and the lack of need to have expensive facilities, the Fall Proof training program is recommended to the trainers and therapists to improve balance in the elderly with knee osteoarthritis.
http://salmandj.uswr.ac.ir/article-1-2677-en.pdf
Fall proof
Mini-BESTest
Elderly
Knee osteoarthritis
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
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Evaluating the Prevalence of Hypertension Complications and Identifying the Related Factors among Older Adults of Semnan in 2023
Sayed Saeed Kassaeian
saeedkassaeian@gmail.com
1
Navid Dabaei
drdanai@gmail.com
2
Sayed Amir Masoud Meshkat
agh8sed8masoud@gmail.com
3
Farid Gharibi
gharibihsa@gmail.com
4
Ali Heidari Roochi
aliheydarir@yahoo.com
5
Masoumeh Ebrahimi Tavani
ebrahimi.mas@gmail.com
6
Department of Community Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Department of Pediatrics, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Alborz University of Medical Sciences, Karaj, Iran.
Center of Health Network Management, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran.
Objectives: The most important reason for considering hypertension as a major problem in the field of public health is the extensive and sometimes severe complications that can seriously threaten the health of communities, especially the older people. Considering the importance of community assessment in this regard and the need to use the obtained information for correct management of the disease, this study was conducted to evaluate the prevalence of hypertension complications and identify the related factors among older adults.
Materials & Methods: This cross-sectional study randomly included 400 older adults with hypertension in Semnan, from January to February of 2023. The study tool was a researcher-made questionnaire, whose content validity was confirmed based on the opinion of 10 experts (CVR: 0.95 and CVI: 0.98). The reliability of the questionnaire was confirmed by examining the internal consistency through the test-retest method (Cronbach's alpha: 0.895). The results of descriptive studies were calculated as mean (standard deviation) for quantitative variables and frequency (percentage) for qualitative variables. The statistical relationship between the demographic and background variables with the types of hypertension complications was investigated using chi-square test. All the statistical analyses were performed using SPSS v.27 and P<0.05 was considered significant.
Results: The mean age of participants was 68.35 (±5.23) years and age range was 60-94 years. The gender distribution was nearly equal (males: 196 or 49% vs. females: 204 or 51%). The results indicated that 26.75% (CI: ±4.33%) of participants suffered from serious hypertension complications. Also, the prevalence of heart failure was 14.25% (CI: ±3.17%), retinopathy was 7.5% (CI: ±2.58%), kidney failure was 5.5% (CI: ±2.23%), heart attack was 4% (CI: ±1.92%), and stroke was 1.5% (CI: ±1.19%). Moreover, the prevalence of hypertension complications had a statistical relationship with age, marital status, education level, time elapsed since the initial diagnosis, time interval between the initial diagnosis and the start of treatment, the status of disease, having history of not receiving the necessary care, and receiving financial aid to cover medical expenses (P≤0/05).
Conclusions: A notable part of older adults living in Semnan are facing serious complication of hypertension. Also, numerous demographic and background variables, along with health seeking behaviors are correlated with the prevalence of these complications. It is hoped that the results of this study can help health policymakers in the design and implementation of promotional interventions.
http://salmandj.uswr.ac.ir/article-1-2704-en.pdf
Non-communicable diseases
Hypertension
Complications
Older adults
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دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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The Effectiveness of Perceptual-Motor Exercises based on Multiple Sensory Therapy on the Body Image and Sensory Processing of the Elderly with Cognitive Deficits-a Clinical Trial
Hossein Alibakshi
halibakhshi.m@gmail.com
1
Jamil Eslami
sj831@yahoo.com
2
Shima Shahrokhi
msj83@yahoo.com
3
Hossein Mirzabigi
msj31@yahoo.com
4
Ansieh Naimi
msj1@yahoo.com
5
Mina Sadat Mirshoja
msj5831@yahoo.com
6
Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Background & Aims: Aging is one of the stages of the life cycle, which is associated with sensory changes and physical awareness. Since sensory problems in the elderly cause disturbances in body image and sensory processing, this study investigates the effectiveness of perceptual-motor exercises based on multiple sensory therapy on the body image and sensory processing of the elderly with cognitive defects.
Materials and methods: The current research is a clinical trial with a pre-test-post-test design with an experimental and control group, which was conducted in a double-blind manner. The research population consists of 30 non-resident elderly people in the cities of Semnan and Gorgan, who were selected through available sampling from all the rehabilitation centers in Semnan and Gorgan, and then randomly and equally divided into two control and experimental groups (15 people in each group). They got. Interventions were conducted individually for each participant in 8 therapy sessions, 2 days a week for 1 month. The experimental group received perceptual-motor exercises based on multiple sensory therapy, and the control group received routine occupational therapy exercises. To measure the body image, the multidimensional questionnaire of the person's attitude about the body was used, and to measure the sensory processing performance, the sensory profile questionnaire was used. Then the data were analyzed using spss software version 20.
Findings: The results showed that movement perception exercises based on multiple sensory therapy in both groups had significant differences in all cases of the multidimensional questionnaire of the person's attitude about his body (except for body satisfaction and preoccupation with extra body) and the sensory profile questionnaire. (p<0.05). Also, in the analysis of covariance in both questionnaires and in both groups, it was calculated to be less than 0.05 and significant.
Conclusion: The results of this study showed that motor perception exercises based on multi-sensory methods can improve the body image and sensory processing skills of the elderly with effective cognitive deficits. Hence, teaching and repeating this will help therapists and clients to achieve more beneficial results.
http://salmandj.uswr.ac.ir/article-1-2642-en.pdf
Perceptual-motor exercises
Multiple sensory therapies
Body image
Sensory profile
The elderly
Cognitive deficits
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دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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Articles In Press
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Grief in the Elderly: A Concept Analysis
Roya Marsa
r_marsa@yahoo.com
1
Bahman Bahmani
bbahmani43@yahoo.com
2
Abbas Ebadi
ebadi1347@yahoo.com
3
Manoochehr Azkhosh
azkhosh34@yahoo.com
4
Ahmad Delbari
ahmad_1128@yahoo.com
5
Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Behavioral Sciences Research Center, Life style institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: Grief is a human experience, universal, very personal and multidimensional, and at the same time very common in the elderly. Although studies have been conducted with the aim of describing grief, there has never been a consensus among researchers about a theoretical or empirical definition. This study was conducted with the aim of analyzing the concept of grief.
Methods: The present study was conducted with the Walker and Avant approach in eight stages. In order to access studies, search electronic databases including Science Direct, Scopus, PsychInfo, Pubmed, Web of Science, Imbase using the keywords Grief, Mourn, Bereavement, old, old*, eld*, geriatric*, aging. , age*, "later life", senior, octogenarian, nonagenarian, centenarian. In the abstract and title; Also, publications were examined without considering the time limit from the beginning of publication until January 30, 2023. In this study, the search strategy, screening and data selection were done based on the guidelines of Prisma.
Findings: the total of 5963 articles, 34 articles that met the inclusion criteria were examined. According to the findings, the five features of grief are: a unique phenomenon, negative emotional experience, physiological irritation, experience of loneliness and loss of previous meanings; Three antecedents of grief include: loss of loved ones, loss of pets, and loss of health; and four consequences of grief including health consequences, social consequences, financial consequences, and reparability were obtained.
Conclusion: The conceptual definition of bereavement in the elderly can help the health team to better understand this concept and carry out investigations, interventions and evaluation of their actions to improve the health of the elderly.
http://salmandj.uswr.ac.ir/article-1-2691-en.pdf
Elderly
Grief
Concept analysis
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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Comparing the Effectiveness of Transcranial Direct Current Stimulation (tDCS) and Short-Term Cognitive Rehabilitation Protocol on Language Skills and Attention in the Elderly with Mild Alzheimer\'s Disease: An Interventional Study
Arezoo Mojarrad
arezoomojarrad@yahoo.com
1
Esmaeil Sadri Damirchi
araz_sadri@yahoo.com
2
Ali Sheykholslamy
a_sheykholslamy@yahoo.com
3
Ali Rezaii Sharif
rezaeisharif@uma.com
4
Vahid Abbasi
v.abbasineuro@gmail.com
5
Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Department of Neurology, Faculty of Medicine, University of Medical Sciences, Ardabil, Iran.
Objectives: Today, Alzheimer's is considered one of the most basic problems of the elderly, which causes a decline in their cognitive function.the purpose of this study was to compare the effectiveness of transcranial direct current stimulation (tDCS) and short-term cognitive rehabilitation protocol on language skills and attention in the elderly with mild Alzheimer's disease.
Materials and Methods: The research method was semi-experimental with two experimental groups and one control group, which was conducted using the pre-test and post-test method. The statistical population included all elderly people over 65 years of age with mild Alzheimer's who had referred to a neurologist in 2022, and among these people, 60 people were selected by available sampling. They were randomly assigned in two experimental groups and one control group (20 people in each group). Then, the independent variables of transcranial direct current stimulation (tDCS) for 10 sessions of 20 minutes once a week on an experimental group and a short-term cognitive rehabilitation program with 9 sessions (each session 90 minutes), which was designed by a documentary method and based on Luria's (1963) healthy function replacement approach, and after confirming the validity of the content by experts, was applied once a week to the second experimental group, and no intervention was performed on the third group. After the end of the intervention, the post-test was conducted with an interval of one week on the experimental and control groups. After one month, the studied groups were followed up again. Adden Brook's cognitive test revised version (ACE-R) was used to collect data. For data analysis repeated measurement analysis of variance test was used in SPSS-23 software.
Results: The results showed that both methods improved the writing and naming components of language skills variables, while they had no significant effect on the attention variable.
Conclusion: Therefore, it can be concluded that both methods can be used to improve the language skills of the elderly with mild Alzheimer's.
http://salmandj.uswr.ac.ir/article-1-2631-en.pdf
Transcranial direct current stimulation
Cognitive rehabilitation
Language skills
Attention
Mild Alzheimer's
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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article
An Exploration of the Experiences of Loneliness from the Perspective of Single Alone Elderly Women in Tehran
Hajar Karami Agh Ghaleh
mrs13621362@yahoo.com
1
Tahereh Dehdari
hoseyni.akramsadat@yahoo.com
2
Avasadat Hoseini
avasadat.hoseini@yahoo.com
3
School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
School of Health, Karaj Branch, Islamic Azad University, Karaj, Iran.
Objective: Loneliness is one of the most important factors that can greatly affect people's health. Although the feeling of loneliness may occur in any age group, it is more common in the elderly. Considering that the population of the world, including Iran, is rapidly aging, it is important to pay special attention to this vulnerable group. On the other hand, considering the longer life expectancy of women compared to elderly men, the increase in the number of single elderly women in the country, the increase in problems such as living alone and its destructive effects on them, is not far from expected. Therefore, it seems necessary to examine the experiences and problems of the elderly in order to design appropriate interventions for these loved ones. The present qualitative study was conducted with the aim of explaining the experience of loneliness from the perspective of a sample of single elderly women in Tehran.
Methods: This qualitative research was conducted in 2019-1400 in Tehran. Sampling was done using the snowball method from 5 areas of north, center, west, south and east of Tehran. In this research, 23 elderly women aged 60 to 70 years old who are unmarried and lived alone for at least one year, and also were interested in participating in the present research, entered the study. Elderly people with cognitive problems and hearing-speech disorders were excluded from the study. The working method was as follows: first, the objective of the present study was stated for the participating women, and after obtaining their consent, the appropriate time and place for the interviews was determined. The data of this study were collected by in-depth individual and semi-structured interviews and analyzed by content analysis (conventional type). It should be mentioned that the duration of each interview was not fixed, it was determined depending on the situation and its process, but in general each interview lasted between 15 and 25 minutes. Data analysis started after each interview, continued until information saturation.
Results: In total, 23 interviews were conducted. The average age of the study participants was 62.1 years old. The age range of these people was between 60 and 70 years. After analyzing and coding the information, finally, the methods of coping with loneliness with 2 adaptive ((including getting the support of first-class family members and friends and using the media and social networks)) and maladaptive categories(such as getting used to being alone, social isolation, self-blame, and grief and regret in coping with loneliness) were identified.The outcomes of living alone (with two categories including perceived advantages and disadvantages of loneliness) , were identified. The sense of independence, not having the problems of married life and having peace of mind are the most important perceived benefits and problems related to renting a house by single women, being a burden, insomnia and taking painkillers and sleeping pills, being afraid (especially at night), emotional problems- Emotions, having headaches and not having the support of a spouse were among the perceived disadvantages of living alone among the participants of the present study. Influencing mediators the coping with loneliness (with three categories include social factors (such as the society's view on single women, continued employment and participation in the workforce, as well as the issue of security in apartments and residential complexes), the individual's physiological conditions (age and Illness) and socio-economic status (including the amount of income, job and type of housing ownership) emerged as other experiences of the participants.
Conclusion: Identifying the lived experiences of elderly women who live alone can help better clarify the needs of this group of elderly people and make the necessary plans to address their concerns and problems. Designing interventions to educate the elderly to spend their free time and adaptive methods of coping with loneliness, dealing with the topic of dynamic aging from the beginning of life to prevent chronic diseases in old age, paying more attention to the economic status of the elderly and increasing their salaries and wages. Based on the annual inflation rate, culture building is needed to reduce the society's negative view and attitude towards elderly women who are not married for any reason and to provide more civil support for this group.
http://salmandj.uswr.ac.ir/article-1-2567-en.pdf
Experiences
Loneliness
Single elderly women
Qualitative study
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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The Influences of Population Ageing on Functions of Health System: A Systematic Review
Alireza Hajizadeh
alireza.hajizadeh93@gmail.com
1
Ahmed Hassan Albelbeisi
ahmedabuanass@gmail.com
2
Maryam Tajvar
mtajvar@sina.tums.ac.ir
3
Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Medical Services Direction, Gaza Strip, Palestine.
Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Objectives: Considering the rapid growth of the proportion of elderly people in societies and since the elderly are the main consumers of health services and the main clients of the health system, it is important to address the effects of the ageing population on the health system. The main goal of this study was to review the evidence related to the influences of population ageing on various functions of the health system, including stewardship, financing, creating resources, and delivering of health services.
Materials and methods: This systematic review was conducted through searching databases including PubMed, Web of Science (WoS), ProQuest and Google Scholar search engines from 2000 to 2022. In this search, a combination of the keywords of *, Impact, role, Affect, Old*, Elderly, Aging, Ageing, Senior, "Population aging", "Population ageing", "ageing society", "aging society", "old society", "older adult*", "Health system", "Healthcare", "Health care", "Health service*", "Health delivery", "Health sector", "Health financ*", "Health cost", "Health resource*" and "Medic*". Quality evaluation of selected articles was done with STROBE checklist. To analyze the extracted data, the framework analysis method based on the health system model of the World Health Organization was used.
Findings: Among 1954 identified articles initially, 23 articles were selected after the screening process based on inclusion and exclusion criteria. In the function of stewardship, the influences related to the aspects of management and policy making and the increased need to respond to the growing needs of the health of the elderly. The influences of ageing in the function of financing included an increase in the financial burden and the need to provide financial resources. In the creating resource's function, the influences of ageing were classified in the categories related to human, information and physical resources. The influences on demand, the complexity of service provision and how to provide them to elderly were the main-themes of the function of providing health services.
Conclusion: The influences of the phenomenon of population ageing on all the functions of the health system, especially the function of financing, are inevitable, so that the increase in the aging of the population is associated with the increase in health costs. Policy makers and managers of the health system should use practical strategies to strengthen the health system against the effects of population ageing.
http://salmandj.uswr.ac.ir/article-1-2640-en.pdf
Ageing population
Health system
Stewardship
Financing
Creating resource
Delivering services
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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article
Predictors of One-Year Mortality in Elderly Patients with ST-Segment Elevation Myocardial Infarction Imam-Ali Hospital (2018-2019): The Results of a Cohort Study
Nahid Salehi
n_salehi45@yahoo.com
1
Farid Abasi
fabasi35@yahoo.com
2
Sousan Mahmoudi Bavandpouri
susan.mahmudi1348@gmail.com
3
Sayeh Motevaseli
sayemotevaseli@gmail.com
4
Cardiovascular Research Center, Research Institute for Health, Imam Ali Hospital Kermanshah University of Medical Sciences Kermanshah, Iran.
Deputy of research and technology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Cardiovascular Research Center, Research Institute for Health, Imam Ali Hospital Kermanshah University of Medical Sciences Kermanshah, Iran.
Cardiovascular Research Center, Research Institute for Health, Imam Ali Hospital Kermanshah University of Medical Sciences Kermanshah, Iran.
Background: Little is known about the elderly population with ST-segment elevation myocardial infarction (STEMI) in low- and middle-income countries. Therefore, our aim was to investigate the predictors of one-year mortality of elderly STEMI patients in Kermanshah City.
Method: This cohort study was conducted on 421 elderly STEMI patients who were admitted to Imam-Ali Hospital in Kermanshah between July 3, 2018, and December 21, 2019. Descriptive statistics were used to investigate the prevalence of risk factors, and univariate and multiple Cox regression models were used to investigate predictors of one-year mortality in the elderly.
Result: The study involved 421 elderly individuals with STEMI, with an average age of 73.51 ± 6.73. The majority of patients were men (67.5%), residents of Kermanshah (74.9%), and illiterate (60.8%). Reperfusion therapy was administered for 86.0% of patients (percutaneous coronary intervention(PCI):50.4%, thrombolytic:30.4%). The follow-up period was 350.62 person-years. In one year 76 elderly people (18.5%) died, of which 12.4% had undergone PCI treatment, 16.1% had undergone thrombolytic treatment, and 0.38% had not received reperfusion therapy. Independent predictors of mortality were: no reperfusion therapy (HR: 2.42, 95% CI:1.14-5.11), and glomerular filtration rate (HR:0.97, 95% CI:0.94-0.99).
Conclusion: The findings show that reperfusion therapy is an effective treatment that leads to a better prognosis for the elderly. In particular, the elderly treated with PCI showed a lower one-year mortality rate. It is recommended to establish a comprehensive STEMI network to enhance timely reperfusion for patients and to develop plans for improving the health literacy of the elderly.
http://salmandj.uswr.ac.ir/article-1-2718-en.pdf
Aged
ST elevation Myocardial infarction
Mortality
Reperfusion
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
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1735-806X
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Articles In Press
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article
The Predictive Role of the Age Friendly City Indicators in Social Belonging of Older Adults Residing in Mohammadiyeh City, Qazvin
Samaneh Marofi
samaneh.marofy74@gmail.com
1
Farnoosh Zarabadi Poor
farnushz@yahoo.com
2
Fatemeh Mohammadi
mohammadi1508@gmail.com
3
Ahad Alizadeh
st.alizadeh@gmail.com
4
Seyedeh Ameneh Motalebi
ammotalebi@yahoo.com
5
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Introduction and Objective: A strong sense of belonging is crucial for the physical and psychological well-being of older adults, and their social interactions. The age-friendly city offers various opportunities for social participation. Therefore, the present study was conducted to determine the relationship between age friendly-city indicators and social belonging among older adults residing in Mohammadiyeh City, Qazvin province, Iran.
Materials and Methods: This descriptive-analytical study was conducted on 300 older adults in 2022. The older adults were selected by a cluster sampling method from six municipal districts of Mohammadiyeh City. Data were collected using the demographic checklist, age-friendly city, and social belonging questionnaires. Data analysis was conducted using SPSS software. A multivariate regression model was used for data analysis. The significance level was set at P < .05.
Results: The mean age of the older participants was 67.55 ± 6.00, ranging from 60 to 84 years old. The majority of the older adults were men (n =157, 52.33%), married (n =216, 72.00%), and illiterate (n =157, 52.33%). The older adults expressed the highest level of satisfaction with the safety and ease of traffic (16.86 ± 4.51) and the open spaces of the city (45.61 ± 11.47) indicators. The results also showed that marital status (β: -0.150, p=0.006), under diploma (β=0.170, p=0.003) and diploma (β=0.192,p=0.001) educational level, and safety and ease of traffic (β=0.328, p<0.001) were predictors of social belonging of older adults.
Conclusion: In the present study, the majority of older adults were dissatisfied with age-friendly indicators in Mohammadiyeh city. Based on the results, the older adults who feel safe and have easy access to transportation had a stronger sense of social belonging. The results of this study can effectively assist policymakers and managers in designing the urban space and making it suitable for older adults.
http://salmandj.uswr.ac.ir/article-1-2693-en.pdf
Aged
Cities
Social interaction
World Health Organization
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
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0
article
The Effect of Resistance Training on Selected Hemodynamic and Functional Factors of the Older Adults Residents of a Nursing Home in Kahrizak
Sajad Karami
karami.sp@gmail.com
1
Hamid Rajabi
Hrajabi1346@gmail.com
2
Department of Physical Education and sport Science, Teacher Training Shahid Rajaee University of Tehran, Tehran, Iran.
Department of Physical Education and sport science, Kharazmi University of Tehran, Tehran, Iran.
Objectives Changes in hemodynamic factors such as blood pressure, Rate of Pressure Product and Flow mediated dilation, are the most important cardiovascular changes in older age. The purpose of this study is to investigate the effect of resistance training on some hemodynamic and functional factors in the elderly.
Materials and Methods In this quasi-experimental study, 24 older adults men were selected from among 100 older adults people and were randomly divided into two control and training groups. Before and after eight weeks of resistance training, mean arterial blood pressure, Rate of Pressure Product and Flow mediated dilation, hand muscle strength and Timed Up and Go were measured. The difference in the values of the variables in the two groups was analyzed by independent and correlated t-test at the level of P≤0.05 using SPSS software version 25.
Results The mean of age subjects was 67.75 years. Decrease in mean arterial blood pressure (P=0.027), increase in changes in Flow mediated dilation (P=0.022), decrease in Rate of Pressure Product (P=0.023), increase hand muscle strength (P=0.019) And a decrease in Timed Up and Go (P=0.032) was observed in the experimental group.
Conclusion Resistance training can reduce the load on the cardiovascular system by improving hemodynamic factors and possibly prevent the occurrence of cardiovascular diseases related to older age. Also, with the increase in muscle strength and balance in the elderly, the risk of falling will decrease and their quality of life will increase. Therefore, it can be cautiously said that resistance training with sufficient intensity can be considered as a supplement to aerobic training in old age.
http://salmandj.uswr.ac.ir/article-1-2727-en.pdf
Mean aortic pressures
Blood pressure
Heart rate
Hemodynamics
Resistance training
Older adults
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
The Effects of Routine Breathing and Gradual Device-guided Slow Breathing Exercises on the Quality of Life, Physical Functional Performance, and Blood Pressure in Elderly Patients with Chronic Heart Failure
Mahdi Rahmati-Yami
mahdi.rahmati@modares.ac.ir
1
Roya Ravanbod
ravanbod@modares.ac.ir
2
Farveh Vakilian
vakilianf@mums.ac.ir
3
Mohammad Ravari
mr@mshdiau.ac.ir
4
Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Fellowship in Heart Failure, Faculty of Medicine, Associate Professor of Cardiology, Mashhad University of Medical Science, Mashhad, Iran.
Department of Biomedical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
Objectives: The cardio-respiratory system is one of the systems affected by age. Exercises that focus on breathing are one of the exercises that complement the treatment of Chronic Heart Failure (CHF) patients, which have not received sufficient attention. Device-guided slow breathing is one of the most recent models of breathing exercises for these people. The purpose of this study was to determine the effects of routine respiratory and gradual device-guided slow breathing exercises on the quality of life, physical functional performance, and blood pressure in elderly patients with chronic heart failure.
Methods & Materials: This study was a single-blind randomized clinical trial and was conducted in Mashhad in 2022–2023. In the study, 36 patients with chronic heart failure were randomized into three groups of 12 people by concealed envelope, including a control group with an average age of 64/58±3/46, a routine breathing exercise group with a mean age of 63/67±3/91, and a gradual device-guided slow breathing exercise group with an average age of 62/58±2/57 based on the inclusion and exclusion criteria. The intervention was done for 4 weeks, and evaluations were completed before and after the intervention. The quality of life of heart failure patients using the Minnesota questionnaire (MLWHF), physical performance using the six-minute walking test (6MWT), blood pressure using the blood pressure Holter were recorded. The SPSS23 program was used for data analysis, and paired t-tests and one-way ANOVA were used.
Results: Before the intervention, there were no statistically significant differences among the three groups in terms of demographic variables (p>0.05). There were also no significant differences in blood hemodynamic parameters after the intervention (p>0.05). The average quality of life score following the intervention was statistically significant in the routine breathing exercise group (p = 0.02) and the gradual slow breathing exercise group (p = 0.007). The average physical functional performance score was similarly statistically significant following the intervention in the routine breathing exercise group (p = 0.028) and the gradual slow breathing exercise group (p = 0.033). The one-way ANOVA demonstrated statistically significant differences in the average quality of life score in the routine breathing exercise group (p = 0.026) and the average physical functional performance score in the gradual slow breathing exercise group (p = 0.042) compared to the control group.
Conclusions: Elderly people with Heart Failure, who frequently experience challenges in daily activities can improve their quality of life and physical performance with breathing exercises. It is advised that these exercises be used in the outpatient phase of cardiac rehabilitation in addition to the inpatient phase due to their low cost, simplicity, and availability.
http://salmandj.uswr.ac.ir/article-1-2733-en.pdf
Heart failure
Aging
Breathing exercises
Blood pressure
Physical functional performance
Quality of life
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Well-being in Elderly: Scoping Review of Concept, Components and Indicators
Faezeh Joghataei
fa.joghataei@uswr.ac.ir
1
Hossein Mohaqeqi Kamal
hosseinmohaqeq@gmail.com
2
Mehdi Basakha
basakha@gmail.com
3
Salime Goharinezhad
goharinezhad@gmail.com
4
Nadia Sanee
nadiasanee@yahoo.com
5
Hassan Rafiey
hassan441015@gmail.com
6
Ahmad Delbari
ah.delbari@uswr.ac.ir
7
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Educational Development Center, Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Asadabad School of Medical Sciences, Asadabad, Iran.
Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: The increase in the elderly population over the past decades has become a global phenomenon, so it is necessary to make appropriate policies for improving welfare and wellbeing of this group. There is little consensus in the theoretical field regarding the concept of wellbeing, therefore this study examines the dimensions and indicators of the seniors wellbeing in the published studies of this field.
Methods & Materials: Arksey and O'Malley's six-stage methodological framework for scoping reviews guided this scoping literature review. This study has reviewed all English and Persian papers published in the last twenty years that have examined the dimensions and indicators of wellbeing in older people. After screening, 25 studies were included in the analysis.
Results: The dominant approach to study wellbeing in older people is a multiple approach, exploring a combination of objective and subjective dimensions. The most mentioned dimensions are: health status, mental wellbeing, social relationship, living environment, economic status, resources and capabilities. The wellbeing indicators are presented in a multifacet model according to individual level, family level, local level and social level.
Coclusion: Policy making for seniors wellbeing, need to consider both objective and subjective dimensions and different indicators based on the context of society.
http://salmandj.uswr.ac.ir/article-1-2699-en.pdf
Wellbeing
Welfare
Elderly
Scoping review
Iran
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
The Relationship between Anxiety and Depression with Disease-Related Lifestyle in the Elderly with Prostate Cancer
Reyhaneh Karegar
r.kargarniyavol@gmail.com
1
Zahra Fotokian
zfotoukian@yahoo.com
2
Fateme Ghaffari
qaffari.fatemeh@gmail.com
3
Ali Saravi
shayansaravy@yahoo.com
4
Farzan Kheirkhah
drfarzankh@yahoo.com
5
Faculty of Nursing, Babol University of Medical Sciences, Babol, Iran.
Faculty of Nursing, Babol University of Medical Sciences, Babol, Iran.
Faculty of Nursing, Babol University of Medical Sciences, Babol, Iran.
Faculty of Nursing, Babol University of Medical Sciences, Babol, Iran.
Faculty of Nursing, Babol University of Medical Sciences, Babol, Iran.
Background and Objective: Acknowledging the psychological factors of lifestyle related to prostate cancer in the elderly, such as anxiety and depression, can help promote provision of evidence-based nursing care. The aim of the present study was to determine the relationship between anxiety and depression with disease-related lifestyle in the elderly with prostate cancer.
Methods: This descriptive study was conducted during 2021-2022. A total of 250 elderly patients referred to oncology and urology hospital clinics and physician offices in the western region of Mazandaran (Noor, Nowshahr, Chalus, Tonekabon and Ramsar cities, Iran) participated in the study were sampled using convenience method. Data collection tools included anxiety and depression self-assessment scales and lifestyle-related prostate cancer questionnaire. SPSS version 18 software and statistical tests of analysis of variance, t-independent, Pearson correlation coefficient and multiple regression were used to analyze data. A significance level of less than 0.05 was considered.
Findings: The mean and standard deviation of the age of participants was 69.33±3.69 years. The results showed significant relationship between anxiety and depression with disease-related lifestyle (P<0.001). Thus, an increase in anxiety and depression, deteriorated disease-related lifestyle elderly patients with prostate cancer. Furthermore, disease-related lifestyle was significantly related to economic status and education level (P<0.001), and worsened with poor economic status and illiteracy.
Conclusion: According to the findings, increased anxiety and depression levels, deteriorated lifestyle related to prostate cancer in the affected elderly. Therefore, interventions to reduce anxiety and depression are recommended to improve the lifestyle of the elderly with prostate cancer.
http://salmandj.uswr.ac.ir/article-1-2720-en.pdf
Elderly
Prostate cancer
Lifestyle
Anxiety
Depression
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
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0
article
Causes and Trends of Mortality among Iranian Older Adults from 2000 to 2019
Arya Hamedanchi
doctorarya@yahoo.com
1
Fereshteh Rezaie
fereshte.rezaie318@gmail.com
2
Ayoub Nafei
nafei.un@gmail.com
3
Hamid Hamzezadeh
hamid78mb@gmail.com
4
Shahid Beheshti University of Medical Sciences Branch, ACECR, Tehran, Iran.
Shahid Beheshti University of Medical Sciences Branch, ACECR, Tehran, Iran.
Shahid Beheshti University of Medical Sciences Branch, ACECR, Tehran, Iran.
Shahid Beheshti University of Medical Sciences Branch, ACECR, Tehran, Iran.
Introcution: Mortality statistics are among the important health indicators. Despite of some available studies on the mortality of Iranian older adults, these are not adequately considered compared with other demographic groups such as children under 5 years old and pregnant women. The current study aims to investigate the causes and trends of mortality among Iran older adults and to compare them with global statistics.
Methods: In the current study, the World Health Organization available data on the causes of death for different sexes, age groups and countries were analyzed. After calculation and raking of cause-specific death rates and proportional mortality from the specific diseases, five main causes of death and 20 diseases with highest specific death rates among Iranian older men and women, 60-70 and over 70 years age groups, were reported and compared. The results were also compared with the global statistics.
Findings: Overall, the main groups of cardiovascular diseases (47.75%), malignancies (22.56%), diabetes (5.98%), unintentional injuries (4.86%) and pulmonary diseases (4.53%) were the most common causes of death in the age group 60-69 in 2019 respectively. Meanwhile, in the age group of 70 years and older, cardiovascular disease (54, 09%), malignancies (15.71%), neurologic disorders including dementias (6.80%), pulmonary diseases (5.42%) and diabetes (4.15%) were the main causes of death respectively.
Conclusion: Examining the top 20 causes of mortality shows significant differences in the pattern and rate of mortality between the two age groups of under and over 70 years old, which should be taken into account in studying the specific mortality rates of various diseases, as well as in planning and conducting studies related to the health of the older adult. Since the complications of some diseases that are common causes of death in the elderly, such as diabetes, hypertension, and cardiovascular diseases, are largely preventable, more actions are recommended to identify, control, and prevent the complications of these diseases.
http://salmandj.uswr.ac.ir/article-1-2737-en.pdf
Aging
Epidemiology
Mortality
Health transition
Demography
Iran
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
The Prevalence of Frailty in Community Dwelling Older Adults Living in Tehran
Delnia Rostamnia
rostamnia.1390@gmail.com
1
Tayabbeh Marashi
marashi14002@yahoo.com
2
Masoumeh Sadeghipour Roudsari
sadeqipur@yahoo.com
3
Mahshid Namdari
mah.namdari@gmail.com
4
School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Science, Tehran, Iran.
Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Science, Tehran, Iran.
Department of Biostatistics, School of Allied Medical Sciences, and Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction: With the increase in human lifespan, frailty has become an increasingly important issue that threatens older adults health. In Iran, Limited studies have addressed the prevalence of frailty in community dwelling older adults. Therefore, this study aimed to investigate the prevalence of frailty and its related factors in community dwelling older adults in Tehran.
Materials and methods: This cross-sectional study was conducted on 383 people aged 60 years and older with supervision of Shahid Beheshti University of Medical Sciences in Tehran in 2022. We used randomized multi stage cluster sampling. Data collection was done using The Tilburg Frailty Indicator (TFI). The researcher asked older adults and completed the questionnaires based on their answers. Statistical analysis was performed using Chi-square and t-test and Fishers exact test and Logistic Regression applying SPSS 23th version. The significance level was (P< 0.05).
Findings: Women constituted 48.80% and men 51.20% of the samples with an average age of (68.20 ± 6/30). Among the participants, 72.30% were married. Prevalence of frailty was 40.50%. Frailty was associated with age, being unmarried, lower education level, lower income, unhealthy lifestyle, suffering from several diseases, dissatisfaction with living environment conditions, and some stressful events (P<0.001).
Conclusion: The results of this research showed a high prevalence of frailty among community dwelling older adults in Tehran. Applying screening programs for frailty in primary care units and early interventions can prevent the adverse outcomes.
http://salmandj.uswr.ac.ir/article-1-2632-en.pdf
Older adults
Frailty
Prevalence
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
A Review of Senolytic Drugs in Reducing the Biological Problems of Aging
Sara Assadiasl
assadiasl@sina.tums.ac.ir
1
Sepehr Safdel
sepehr.safdel@gmail.com
2
Mohammad Hossein Nicknam
mhnicknam@sina.tums.ac.ir
3
Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Objectives: Considering the increase in the old adult population and age-related disorders there is a need for strategies to reduce the complications of aging. Senolytic drugs might improve the function of tissues and organs in elderly people by destroying senescent cells. In this review, we aimed to introduce different categories of senolytic drugs.
Materials and methods: The keywords “senolytic” and “senolysis” were searched in PubMed, Scopus, and Google Scholar search engines. All original, review, and systematic review articles published between 2015 and 2023 were studied systematically. After the validation of data, 50 out of 108 articles were selected and a summary of classifications and results was provided.
Results: Currently, 12 categories of senolytics, including kinase inhibitors, natural polyphenols, Bcl2 protein family inhibitors, P53 stabilizers, heat shock protein inhibitors, BET protein family inhibitors, cardiac steroids, PPARα agonists. , antibiotics, integrase inhibitors, caloric restriction and CAR-T cells have been introduced that are under study in different phases of preclinical or clinical research.
Conclusion: Considering the aging of the population, one of the strategies to deal with the debilitating effects of old age is senolytics, which can eliminate senescent cells with unfavorable function. The most studied categories with promising results include kinase enzymes and polyphenols, but novel strategies such as specific targeting of senescent cells with CAR-T cells are being developed.
http://salmandj.uswr.ac.ir/article-1-2767-en.pdf
Aging
Cellular senescence
Geroscience
Senolytic
per
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
1735-806X
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Articles In Press
0
0
article
Facilitators and Barriers in the Tendency of the Elderly to Universities of the Third Age
Sara Maghare Dehkordi
s.maghare.2007@gmail.com
1
Samaneh Pourhadi
samaneh.pourhadi@gmail.com
2
Masoud Lotfizadeh
masoud_lotfizadeh@yahoo.com
3
Shima Sum
Sumshima@yahoo.com
4
Student Research Committee, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Social Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Social Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Social Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Introduction: With the progress in the last century and the increased population of the elderly, their social importance in the society has become more prominent and with the beginning of old age and retirement, most of the retired elderly face changes in different aspects of their lives. Given the favorable impact of learning on people's well-being, the role of universities in the general health of third-generation learners (Adults between the ages of 50 and 75 who do not have regular job or family responsibilities) and their lack of expansion in our country, this study was conducted with the aim of determining facilitators and barriers in the tendency of the elderly to universities of the third age.
Research method: This qualitative study was conducted using content analysis with 19 members of the Shahrekord Retirees' Center, who had been retired at least one year ago and were selected using purposive sampling with maximum variation (in terms of demographic characteristics) as well as in-depth, semi-structured interviews. The interviews were transcribed word for word and continued until data saturation was achieved. The content analysis of the interviews was done by determining the conceptual units, accurate coding and continuous comparison, and gradually subthemes and themes were created.
Findings: From all the interviews, 364 initial codes were drawn, the codes obtained from data analysis were assigned to two themes, obstacles to the tendency of the elderly to university, including 7 subthemes (changing the learning process with increasing age, distance and transportation, lack of social trust, socio-economic problems, not having enough opportunities, the presence of disabilities in old age, concern for young people) and facilitating factors for the tendency of the elderly to university, including 7 subthemes (existence of well-being and comfort in life, lack of responsibilities and costs, existence of support and special privileges, increasing the level of awareness and culture, localization University and programs, the participation of capable retirees in programs, the importance of different views or interests of people).
Conclusion: Considering the change in the learning process of older people, the lack of social trust in the society, economic-social problems, the concern of distance and transportation, the existence of disabilities in the old age, a working group of specialists and pundits is necessary to provide the required infrastructure. The need to formulate, revise and monitor the implementation of the laws of universities of the third age is formed in order to take appropriate planning and organization in order to remove obstacles and create universities of the third age based on the cultural and social characteristics of Iranian society, which is an important step towards promoting and improving the quality of life of the elderly.
http://salmandj.uswr.ac.ir/article-1-2696-en.pdf
Facilitators
Barriers
Older adults
Universities