Trend of cardiovascular risk factors in the older Iranian population: 2002–2014

Eslami, Akbar; Lotfaliany, Mojtaba; Akbarpour, Samaneh; Azizi, Fereidoun; Hadaegh, Farzad

doi:10.1111/ggi.13154

Cited by 22 publications

(16 citation statements)

References 29 publications

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“…Our findings regarding improvements in blood pressure and non-HDL lipid levels are in line with those of previous studies on Iranian populations, showing similar decreasing trends 10 – 12 Notably, in this study, we had a higher proportion of participants, with and without diabetes who met goals of blood pressure and non-HDL lipids (53%-92%) compared with previous studies conducted in Iran (36%-87%) 10 – 12 . Our findings are also in line with those of the Global Burden of Disease (GBD) and NCD Risk Factor Collaboration (NCD-RisC), which showed reductions in the burden of high blood pressure and dyslipidemia in the Middle East and Worldwide 13 – 15 .…”

Section: Discussionsupporting

confidence: 91%

Trends in cardiovascular risk factors in diabetic patients in comparison to general population in Iran: findings from National Surveys 2007–2016

Malekzadeh

Lotfaliany

Ostovar

et al. 2020

Sci Rep

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to determine levels of change in risk factors for cardiovascular disease among people with and without a previous diagnosis of diabetes from 2007 to 2016 in Iran. Data were obtained from five rounds of the World Health Organization STEPwise approach to Surveillance (STEPS) cross-sectional surveys. Participants were 7665 and 93,733 adults with and without known diabetes, respectively, aged 25-65 years. We used logistic and linear regressions to assess the trends of risk factors. Individuals with known diabetes compared to those without the condition, experienced greater reductions in mean levels of systolic blood pressure (3.0 vs. 0.5 mmHg among women and 3.9 vs. 1.6 mmHg among men), diastolic blood pressure (6.4 vs. 5.11 mmHg in women and 3.3 vs. 1.8 mmHg in men), and non-HDL cholesterol (42.4 vs. 27.2 mg/dL among women and 30.3 vs. 21.0 mg/dL among men) throughout these years. Men with diabetes also showed a greater reduction in the prevalence of daily cigarette smoking compared to their non-diabetic counterparts (7.3% vs. 2.3%). Fasting plasma glucose decreased among subjects with diabetes but increased among those without diabetes. Significant increases were observed in proportions who met goals for blood pressure, triglycerides, non-HDL cholesterol and LDL cholesterol in both groups; however, almost half of diabetic subjects did not achieve risk factor goals in 2016. Secondary prevention in diabetic patients was more effective than primary prevention in the general population; however, the rate of diabetic patients who met the designated goals for each risk factor was still suboptimal. Diabetes is associated with premature mortality from different causes, including cardiovascular diseases (CVD) 1. Previous studies have demonstrated the vitality of CVD risk factor control to decrease the fast-rising trend of this mortality and CVD events in people with diabetes 2-4. Furthermore, evidence suggests that the use of more intensive targets for blood pressure and cholesterol in individuals with diabetes results in a more significant reduction in the incidence of CVD events 5-7. However, several studies report that people with diabetes are less likely to achieve target goals for control of CVD risk factors than those without diabetes 8,9. Nationally representative data that investigate trends in CVD risk factors in both the general population and people with diabetes in Middle Eastern countries such as Iran are scarce. Moreover, due to the lack of proper investigations that compare secular trends for CVD risk factors in individuals with and without diabetes in

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Section: Discussionsupporting

confidence: 91%

Trends in cardiovascular risk factors in diabetic patients in comparison to general population in Iran: findings from National Surveys 2007–2016

Malekzadeh

Lotfaliany

Ostovar

et al. 2020

Sci Rep

Self Cite

View full text Add to dashboard Cite

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“…26 Hypertension was diagnosed based on the JNC-VI criteria 27 including a mean SBP ≥ 140 mm Hg, mean DBP ≥ 90 mm Hg, or the current use of anti-hypertensive medicine. 28,29 We considered type 2 diabetes mellitus as fasting blood sugar (FBS) ≥7 mmol/L (measured twice), 2-h post-challenge plasma glucose (PCPG) ≥11.1 mmol/L, or taking anti-diabetic drugs. 30…”

Section: Measurementsmentioning

confidence: 99%

Low serum testosterone levels and the incidence of chronic kidney disease among male adults: A prospective population‐based study

et al. 2019

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Background: Despite existing evidence regarding the role of testosterone as a protective factor for the kidney function in male adults, there are conflicting and inconclusive results on the influence of testosterone deficiency on developing chronic kidney disease (CKD).Objective: This study aimed to investigate the incidence and hazard ratio of CKD among male adults with low testosterone levels compared to controls with normal testosterone levels. Materials and Methods: During a 15-year follow-up study, a total of 1277 eligible male adults aged 20-80 year consisting of 605 males with low testosterone levels (< 350 ng/dL) and 672 controls with normal levels participating in the Tehran Lipid andGlucose Study were recruited. Cox's proportional hazards models were applied to estimate hazard ratios of CKD between the groups after adjusting for confounders. Results:The total cumulative incidence rate of CKD at the median follow-up time of approximately 11.2 years was 21/1000 (95% CI: 18/1000, 25/1000) and 18/1000 (95% CI: 16/1000, 22/1000) in the low and normal testosterone groups, respectively (P = .2). The multivariate Cox model adjusted for age, body mass index, dyslipidemia, hypertension, diabetes, and smoking showed that HR of developing CKD in the male adults with low testosterone levels was significantly higher than those with normal levels (HR = 1.38; 95% CI: 1.05, 1.80). Discussion and conclusion:This study shows a higher hazard ratio of CKD progression in male adults with hypogonadism compared to those with normal levels in their later life. Therefore, timely diagnosis and treatment of kidney diseases in hypogonadal men can prevent the morbidity and mortality from CKD.

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“…PA-related behavioral changes in women are typically occur at the time of menopause and beyond. This insu cient physical activity is the main cause of epidemics of many serious diseases such as cardiovascular, respiratory, musculoskeletal, and metabolic diseases [2,4,9]. Thus, there is a necessity to design appropriate behavioral models to change the PA pattern in women of this age group.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the information release about the disadvantages of a sedentary lifestyle, Iranians are in a state of extreme immobility, so that studies show that more than 80% of Iran's population is physically inactive (less than 90 min per week for 3 months) [8]. Since the Iranian people are moving towards aging, it is not far-fetched to predict an increase in the burden of chronic diseases and their risk factors [9]. Besides, it is anticipated that approximately 20% of the worldwide population by 2050 will be women older than 50 years old [10].…”

Section: Introductionmentioning

confidence: 99%

Promoting Sustainable Physical Activity Among Iranian Middle-Aged Women: An Interventional Study

Shariati¹,

Astaneh²,

Khedmat³

et al. 2020

Preprint

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Background: The physical inactivity can enhance the risk of adverse health conditions such as non-communicable diseases, morbidity, and mortality among middle- and older-aged population. This study aimed to design, implement, and evaluate a conceptual model of physical activity (PA) promotion among Iranian middle-aged women (IMGW). Methods: An interventional study with 80 women aged 30-59 years in intervention and control groups was conducted in 2018-2019. The subjects referred to health centers were selected by the available convenience sampling method. The data collection tools including face-to-face interviews, body mass index (BMI) measurements, the four-question form of PA vital signs in the framework of the Iran's Package of Essential Non-communicable (IraPEN) program, and the questionnaire based on Health Belief Model (HBM) constructs were used to assess the IMGW' PA level (metabolic equivalent tasks (MET)-min/week). Results: The intervention led to a three-fold increase in the average PA (from 280.63 to 927.70 MET-min/week) of the intervention group. Although there was no significant difference in the BMI between both the groups before the intervention, this educational program decreased the mean BMI from 30.36 to 28.83 kg/m2 (p=0.01). The HBM-based perceived sensitivity/severity and self-efficacy values after the intervention were increased from 62.09 to 71.03% and from 27.01 to 83.15%, respectively (p<0.0001). No significant difference in the cue to action and perceived benefits and barriers after the intervention was found. Conclusion: The developed model through increasing the motivation of IMGW could remarkably improve the PA level with a decrease in their BMI.Trial register: Iranian Registry of Clinical Trials (IRCT): IRCT20200717048124N1 at 2020-08-05, retrospectively registered.

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Trend of cardiovascular risk factors in the older Iranian population: 2002–2014

Cited by 22 publications

References 29 publications

Trends in cardiovascular risk factors in diabetic patients in comparison to general population in Iran: findings from National Surveys 2007–2016

Trends in cardiovascular risk factors in diabetic patients in comparison to general population in Iran: findings from National Surveys 2007–2016

Low serum testosterone levels and the incidence of chronic kidney disease among male adults: A prospective population‐based study

Promoting Sustainable Physical Activity Among Iranian Middle-Aged Women: An Interventional Study

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