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Health Promot Perspect. 2022;12(1): 37-44.
doi: 10.34172/hpp.2022.06
PMID: 35854848
PMCID: PMC9277287
Scopus ID: 85133068304
  Abstract View: 1016
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Original Article

Self-perceived health and functional status of older people: Telephone-based lifestyle survey of older adults in Tehran province

Masoumeh Sadeghipour Rousari 1 ORCID logo, Moloud Payab 2, Sahar Keyvanloo shahrestanaki 3, Mahbube Ebrahimpur 2,4, Neda Mehrdad 4,5* ORCID logo, Solmaz Sadat Naghavi Alhosseini 6,7, Faranak Bidmeshgipour 8, Hossein Adibi 9, Amirali Safari Astaraei 10, Raziye Sadat Hosseini 11, Bagher Larijani 2, Farshad Sharifi 12* ORCID logo

1 Public Health Department, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
3 School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4 Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
5 Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
6 Idea Development and Innovation Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
7 Evidence Based Medicine Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
8 Yas Diabetes and Metabolic Diseases Research Center, Tehran, Iran
9 Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
10 Software Developer, Tehran, Iran
11 Department of Public Health Nursing and Geriatric, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
12 Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Authors: Corresponding Authors: Neda Mehrdad, Email: , Email: nmehrdad@tums.ac.ir; Corresponding Authors: Farshad Sharifi, Email: , Email: farshad.sharifi@gmail.com

Abstract

Background: The prevalence study of health conditions can help policy makers to document base policymaking. This study aimed to reveal the health status, including the prevalence of geriatric syndrome health conditions such as activity of daily livings, pain, and physical and mental health of older adults in Tehran province.

Methods: This cross-sectional study was a telephone survey with older people ≥60 years old using a systematic random sampling of telephone numbers in Tehran province. The Persian version of the Katz’ activity of daily living (ADL) and the Lawton’s instrumental activity of daily living (IADL) questionnaires were used to evaluate the functional status. Pain, history of chronic diseases, continence, hospital admission, sensory problems, and self-perceived health (SPH) were asked by trained nurses or gerontologists thorough telephone interviews.

Results: In this study, 1251 older adults with the mean age of 67.03±7.51 years have been recruited. About 64.50% (95% CI: 64.4-64.6) of them were totally independent according to ADL (female=60.02% and male=68.50%), and about 40.50% (95% CI: 40.4-40.5) were independent based on IADL domains (female=39.41% and male=41.80). The dependency rates in ADL increased with the aging of population. Joint pain was the most prevalent type of pains and near to 26.00% (95% CI: 64.4-64.6) of the participants suffered moderate joint pains. About 71.5% (95% CI: 71.4-71.5) of the participants were urinary continent (female=67.66% and male=76.06%), and 91.9% (95% CI: 91.9-92.0) had bowel control (female=91.47% and male=92.94%) and the prevalence of incontinence increased by advancing age. Only 26.70% (95% CI: 26.6-26.8) of the participants reported excellent and good levels of perceived health status (female=21.98% and male=31.48%) and about 26.2% (95% CI: 26.1-26.2) of them reported some degree of visual impairment.

Conclusion: The results of the present study can provide a good view about the health profile of older adults, including pain, functional status, sphincter control, chronic diseases, sensory status, and SPH. Future studies should prioritize SPH as an important predictor of mortality rates.

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Submitted: 29 Aug 2021
Revision: 09 Jan 2022
Accepted: 29 Jan 2022
ePublished: 29 May 2022
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