RESUMO
Introduction: There are many factors that affect the level of physical activity and body mass index of the elderly. The current study aimed to assess the relationship of physical activity facilitators and body mass index of Kashan elderly
Methods: The cross-sectional study sampled 400 elderly older than 60 referred to 10 healthcare centers in Kashan, 2014, via multistage quota method. Participations were tested under demographic characters, body mass index [BMI] level, and exercise benefits part of exercise benefits and barrier scale [persian version] for measurig physical activity facilitators. Data were analyzed in SPSS software, descriptive statistic, Spearman correlation test, Chi-Square and Ordinal regression
Results: Of the participations73.6% were overweight or obese. Median and interquartile range of physical activity facilitators was 75 and 33 respectively. The most prominent physical activity facilitators was" physical activity increases my physical ability, [83.2%]. There was a significantly inverse relationship between physical activity facilitators score and BMI of participants [r = -0.233, p = 0.001]. Ordinal regression evealed that mostly predictor of BMI among physical activity facilitators was "physical activity improves the quality of my work " [OR = 8.683, o = 0.001]
Conclusion: Results identified physical activity facilitators directly is related to improve physical circumstances of the elderly people. Surly poviding physical activity facilitators through educational and interventional programs may improve the health status of aging population.
RESUMO
Background: diabetes Mellitus is a common chronic disease with severe of complications. Proper glycaemic control can prevent these compIications considerably. Evaluation of effectiveness of community based and patient centered interventions on glycaemic control, quality of life, patient satisfaction, patient knowledge and reported symptoms were the main aims of this research
Methods: in a clinical trial, patients referring to Iranian Diabetes Association, who were more than 18 years old, divided to intervention and control group randomly. After three months of general interventions in both groups, including diabetes education and specific interventions including telephone calls, continuous corresponding and sending educational issues. in intervention group, changes in variables were studied
Results: among 52 patients in each group, 17 were male and 42 had type 2 diabetes. The average age was 49 in intervention and 51 in control group. Two groups had no significant difference in age, sex, type of diabetes, treatment method and duration of diabetes, other diseases and education. Both groups showed significant improvement in glycaemic control. The mean reduction in HbA1c was 1.45 in intervention and 0.86 percent in control group; the difference is statistically significant [P= 0.02]. Patient satisfaction increased in both groups. The satisfaction is significantly higher in intervention group [P=0.000]. Knowledge has increased significantly in both groups; the difference in groups is not significant. The improvement in Quality of Life was just significant in intervention group. The reported sign and symptoms have not changed in both groups
Conclusion: community based and patient centered interventions with emphasis on continuous education and support can improve glycemic control, quality of life, patient satisfaction and patient knowledge in diabetes mellitus