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Saeed Ghaneh Ezzabadi, Zahra Maghsoudi, Alireza Beigomi,
Volume 1, Issue 1 (June 2015)
Abstract

Introduction: Now a day, resulting from life style modification and alteration, fatigue, as a consequence, is not uncommon symptom. Diverse tools are available to measure fatigue status. One of which is Functional Assessment of Chronic Illness Treatment (FACIT) fatigue scale. The FACIT is one of the most widely used questionnaires for screening fatigue. The questionnaire has been translated and validated? Into 45 different languages, but there is not Persian version. The aim of the study was to test validity and reliability of Persian version of this scale amongst the elderly population of Yazd, a city in Iran.

Methods: The scale was translated into Persian by using standard method of backward-forward. Then a prospective cross-sectional study was defined thereby 150 elderly people, who were selected by a classified cluster random sampling, filled in the Persian FACIT (P-FACIT) Content validity index, test- retest of 20 people and calculating Cronbach’s alpha by SPSS 20 were used to investigate content validity and reliability, respectively.

Results: Content validity index of the Persian version was (0.96) and Cronbach’s alpha (0.891) approved its internal consistency. Also, intra-cluster correlation coefficient of questionnaire was upper than 0.7.

Conclusion: The P-FACIT fatigue scale achieved acceptable validity and reliability to use as a scale for the elderly in Yazd. In addition, our result made the scale available as a tool for population-based study.


Mohammad Reza Vafaeenasab, Najme Kuchakinejad Meybodi, Hamid Reza Fallah, Mohammad Ali Morowatisharifabad, Seyedeh Mahdieh Namayandeh, Alireza Beigomi,
Volume 5, Issue 1 (June 2019)
Abstract

Introduction: The aim of this study was to investigate the effect of an 8-week resistance exercise program on balance, walking speed, and muscle strength in elderly women.
 
Methods: This randomized controlled trial was performed on 50 elderly women aged 60-66 years who were assigned to two groups of experimental and control. The Time Up and Go test, was used to measure dynamic balance, Romberg's test was used to measure static balance, and the 10 Meter Walk Test was used to measure walking speed, and the 30 Second Chair Stand test was used to measure muscle strength. Paired t-test and independent t-test was used for comparing balance time before and after the exercise program.
 
Results: The mean duration of static balance increased in the experimental group from 21.64 ± 10.98 before exercise to 28.20 ± 13.47 after exercise (p < 0.001). The mean duration of Up and Go Time decreased from 12.88 ± 1.45 seconds before exercise to 10.80 ± 1.80 seconds after exercise (p < 0.001). Ten-meter walking time in the experimental group decreased from 1.15 ± 0.1 seconds before exercise to 1.00 ± 0.11 seconds after exercise (p < 0.001) and muscle strength in the experimental group increased from 7.8 ± 1 before exercise to 9.56 ± 1.71 after exercise (p < 0.001). 
 
Conclusion: Lower limb resistance exercises with elastic band improve static and dynamic balance and also walking speed, which possibly improve muscle strength. It is recommended that these exercises be considered in developing the elderly women's health care programs due to their accessibility, affordability, and reliability.


Mohammadali Morowatisharifabad, Sahar Bijari, Farzan Madadizadeh, Reza Bidaki, Alireza Beigomi,
Volume 8, Issue 2 (December 2022)
Abstract

Introduction: Restless legs syndrome (RLS) is a neurological sensory-motor disorder that is observed as an unpleasant sensation in the legs, especially when sitting or lying down and at rest. This study aimed to determine the prevalence RLS and its related factors among older adults in Eslamabad-e-Gharb, Kermanshah province, Iran in 2021.
Methods: Totally, 240 elderlies entered the study using two stages random sampling. The instruments used in the study included the International RLS Questionnaire, Pittsburgh Sleep Quality Index, Mind Wandering Questionnaire, Epworth Sleepiness Scale and Pain Self-efficacy Questionnaire.
Results: Symptoms of RLS were mild in 68.3% of the participants and severe in 14.2% of them. There was a statistically significant relationship between RLS and sleep quality (p = 0.001) and daily drowsiness (p = 0.034). The chance of developing RLS in the group with poor sleep quality was 22% higher than the group with good sleep quality (OR = 1.22). Also, people with drowsiness were 13% more likely to develop RLS than others (OR = 1.131), and in the age group of 71-80 years and over 80 years, 6% and 2% higher than the 60-70 years respectively (OR = 1.068 and 1.023). No statistically significant relationship was found between RLS with mind wandering and pain self-efficacy.
Conclusion: Due to the high prevalence of RLS and its relationship with sleep quality and daily drowsiness among older adults, implementation of RLS screening to identify patients to prevent sleep disorders seems necessary. The relation of RLS with mind wandering and pain self-efficacy need further studies.

Rezvan Davari, Mohammad Ali Morowatisharifabad, Alireza Beigomi, Sara Jambarsang,
Volume 9, Issue 1 (June 2023)
Abstract

Introduction: Older adults are the largest group of medication users in each society. Since medications act differently in seniors compared with younger patients, great considerations are required regarding the effects and side effects of medications in the older adults. The present study aimed to determine the status of medication use and its related factors among older adults in Kerman city, Iran.
Methods: In the cross-sectional study, 388 seniors were selected using multistage cluster sampling from the population covered by comprehensive health centers in Kerman in 2021. Demographic information questions (age, gender, education level, marital status, life status, substance abuse, income, and health insurance status), a question regarding medication usage status and a question regarding disease that the elderly are currently suffering from, Montreal Cognitive Assessment Questionnaire, Geriatric Depression Scale, and Sleep Disorder Questionnaire were used for data collection. The data were analyzed using SPSS software by running Chi-square and multiple logistic regression tests.
Results: The average number of medications used per day was 4.59 and 53.5% of the participants used five or more medications concomitantly. Antihypertensive medications had the highest prevalence (64.3%) followed by anti-hyperlipidemic (43.6%) and Supplements (41.3%). A significant correlation was found between the participants' frequency of medication use and their gender, income, primary insomnia, and cognitive impairment (p < 0.001). However, medication use had no significant association with the senior's age, marital status, education level, living status, substance abuse, and health insurance (p < 0.05). The risk of polypharmacy was 2.15 times higher in the elderly women than men (p = 0.001) and 0.45 times higher in participants with depression than non-depressed seniors (p = 0.011).
Conclusion: The high prevalence of polypharmacy indicates an unfavorable status of medication use among older adults in Kerman. So, authorities are required to provide educational information about polypharmacy to aged groups.


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