Seyed Reza Seyed Reza, Bayani Mohammadali, Zabihi Ali, Shakerian Moghaddeseh, Habibian Tara, Bijani Ali
Social Determinants of Health (SDH) Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Nursing Care Research Center, Babol University of Medical Sciences, Babol, Iran.
Caspian J Intern Med. 2019 Summer;10(3):303-308. doi: 10.22088/cjim.10.3.303.
As populations of elderly grow, the prevalence of type 2 diabetes and hypertension increases. These diseases can be asymptomatic for a long time and cause irreversible damages to organs. Therefore the aim of this study was to evaluate the prevalence of undiagnosed hypertension and diabetes among the elderly in Amirkola.
This is a descriptive/analytical cross-sectional study and a part of the first phase of a cohort study on the health status of the elderly in Amirkola (a city in the North of Iran) which has been conducted on all people aged 60 and over since 2011. The demographic information was collected using a questionnaire, the hypertension was diagnosed by measuring blood pressure in lying down- position and the diabetes was diagnosed by measuring fasting blood glucose level.
This study was conducted on 1568 elderly participants including 703 (44.8%) females and 865 (55.2%) males. The overall prevalence of diabetes was 30.6% of which, 23.3% was diagnosed and 7.4% was undiagnosed. Nearly one-fourth (24.1%) of the participants with diabetes were unaware of their disease. Thirty-one percent of the people with undiagnosed diabetes also had undiagnosed hypertension. The overall prevalence of hypertension in this study was 62.8%, including 41.2% diagnosed and 21.5% undiagnosed hypertension.
Regarding the results of this study and the high prevalence of undiagnosed diabetes and hypertension in elderly, improving the individual's general awareness and screening in older adults for timely management are necessary.
随着老年人口的增加，2型糖尿病和高血压的患病率也在上升。这些疾病可能长期无症状，并对器官造成不可逆转的损害。因此，本研究的目的是评估阿米科拉地区老年人中未诊断出的高血压和糖尿病的患病率。
这是一项描述性/分析性横断面研究，是对阿米科拉（伊朗北部的一个城市）老年人健康状况进行的队列研究第一阶段的一部分，自2011年以来对所有60岁及以上的人群进行了研究。使用问卷收集人口统计学信息，通过测量卧位血压诊断高血压，通过测量空腹血糖水平诊断糖尿病。
本研究共纳入1568名老年参与者，其中女性703名（44.8%），男性865名（55.2%）。糖尿病的总体患病率为30.6%，其中23.3%已被诊断，7.4%未被诊断。近四分之一（24.1%）的糖尿病患者不知道自己患有该病。未被诊断出糖尿病的患者中，31%同时也患有未被诊断出的高血压。本研究中高血压的总体患病率为62.8%，包括41.2%已被诊断和21.5%未被诊断的高血压。
鉴于本研究的结果以及老年人中未被诊断出的糖尿病和高血压的高患病率情况，提高个人的总体认识并对老年人进行筛查以便及时管理是必要的。
