en jalali 1400 3 1 gregorian 2021 6 1 7 1 online 1 fulltext

en    This article has no abstract. COVID-19, Social distance, Aged 1 2 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-270-1&slc_lang=en&sid=1 2020/11/29 1399/9/9 2021/06/27 1400/4/6 Reza Bidaki Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran reza.bidaki111@gmail.com 0000-0002-5482-9143 No Fatemeh Sadat Mirzadeh Department of Geriatric & Gerontology, Medical School, Tehran University of Medical Sciences, Tehran, Iran fatima_mirzadeh@yahoo.com https://orcid.org/0000-0002-4307-0282 Yes

en Introduction: Higher personal mastery is associated with better physical functioning, wellbeing, and longevity among older populations. However, few studies have focused on whether personal mastery is protective against mortality among older adults living with diabetes over time.  Methods: A total of 1,779 participants were identified from an off-year survey of the Health and Retirement Study. Proportional Hazard Models were used to evaluate the significance of selected variables in predicting the survival of participants over a 13-year period. Results: A substantial proportion (46.7%) of the diabetic patients had survived by the end of 2016. Adults with lower mastery scores were more likely to die (Hazard Ratio = .94, p < .001). Gender differences in the association patterns between personal mastery and survival were identified. Personal mastery had an independent health-protective effect on the survival of diabetes patients over the study period. With lower educational attainment, the foreign-born female diabetics scored higher in personal mastery measure when compared to their male counterparts. In the face of more severe diabetes comorbidity, foreign-born female diabetics also  outlived their male counterparts over the study period. Conclusion: As a crucial psychological resource and a modifiable factor, personal mastery holds a potential for improving the health status among lower SES groups of older adults. Further investigations into the identified gender difference could be applied to break the cycle of poor health among lower Socio-Economic Status groups of older adults. Personal Mastery, Aged, Diabetes, Mortality, Immigrants 3 10 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-301-1&slc_lang=en&sid=1 2020/11/292021/02/14 1399/11/26 2021/06/272021/04/7 1400/1/18 Ho-Jui Tung Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, United States of America htung@georgiasouthern.edu 0000-0001-5333-2250 Yes Ming-Chin Yeh Nutrition Program, Hunter College, City University of New York, New York, United States of America No Randall Ford Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, United States of America No Gulzar Shah Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, United States of America No

en Introduction: People do health care not only to diagnose and relieve pain but also to reduce pain, anxiety, and loneliness in their daily lives. The present study aims to evaluate the effectiveness of Morita therapy among older women suffering from emotional distress and social isolation with chronic knee pain. Methods: The research method was pretest - posttest with a control group. The statistical population of the study included the older adults with chronic knee pain in the period of May to August 2020 in Tabriz, Iran. The sample consisted of 30 female patients aged 60-70 years with chronic knee pain who entered the study by convenience sampling method and randomly assigned to experimental and control group (15 patients each group). The research instruments included the Depression Anxiety and Stress Scale (DASS-21) and the Lubben Social Network Scale (LSNS). In the experimental group, Morita therapy was held during nine sessions for 90 minutes once a week.  Results: The results of multivariate analysis of covariance showed significant effectiveness of Morita therapy on emotional distress and social isolation (p < 0.001). Morita therapy significantly reduced patients' depression and anxiety scores (Eta = 0.68). In addition, the social isolation scores of the experimental group significantly reduced compared to the control group (p < 0.001), which indicates an increase in the quality of social network (Eta = 0.49). Conclusion: Morita therapy can help reduce emotional distress and social isolation in older women with chronic knee pain and can be used in conjunction with other common therapies. Chronic Knee Pain, Emotional Distress, Social Isolation, Morita Therapy, Aged 11 17 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-249-2&slc_lang=en&sid=1 2020/11/292021/02/142020/12/11 1399/9/21 2021/06/272021/04/72021/05/24 1400/3/3 Behnaz Dehghan Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran behnaz.dehghan@gmail.com 0000-0003-2195-1203 No Ali Isazadeg Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran Ali_issazadeg@yahoo.com No Esmaiel Soleimani Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran soleymany.psy@gmail.com 0000-0002-7204-1229 Yes

en Introduction: Aging may increase physical or functional limitations, and India has a rapidly aging population. This study aimed to assess the prevalence and correlates of difficulties with Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) among older adults in India. Methods: The cross-sectional sample consisted of 31,477 individuals (≥ 60 years) from the Longitudinal Aging Study in India, Wave 1 in 2017-2019. Functional disability was measured with 6 items of ADL and 7 items of IADL. Results: The prevalence of at least one ADL difficulty was 23.8%, at least one IADL difficulty was 48.4%, and at least one ADL/IADL difficulty was 52.0% (43.2% among men, and 60.0% among women). In the adjusted logistic regression analysis, older age, and food insecurity were positively and male sex and having a health insurance were negatively associated with both ADL and IADL difficulty. No formal education was positively and urban residence and married were negatively associated with IADL difficulty. Poor or faith self-rated health status, chronic conditions, insomnia symptoms, major depressive disorder, physical pain, poor distant vision, poor near vision and poor word recall were positively associated with both ADL and IADL difficulty. Body underweight and hearing or ear problem increased the odds for IADL difficulty. In univariate analysis, vigorous physical activity and higher social network were protective against both ADL and IADL difficulty. Conclusion: Almost one in four older adults in India had ADL difficulty and almost half had IADL difficulty and several associated factors were identified that can be targeted in interventions. Functional Disability, Aged, India, Activities of Daily Living 18 25 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-315-1&slc_lang=en&sid=1 2020/11/292021/02/142020/12/112021/03/23 1400/1/3 2021/06/272021/04/72021/05/242021/05/2 1400/2/12 Supa Pengpid ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand supaprom@yahoo.com 0000-0002-7714-8869 No Karl Peltzer Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan kfpeltzer@gmail.com 0000-0002-5980-0876 Yes

en Introduction: Healthcare- Associated Infections (HAI) are known to be one of the most important health issues in developed and developing countries. The most common infections include central line-associated bloodstream infections, catheter-associated urinary tract infections, ventilator-associated pneumonia and surgical site infection. The aim of this study was to investigate the incidence of nosocomial infections in the elderly patients.  Methods: In this cross-sectional study, 1279 patients were 60 years of age or older. Patients who had been admitted for more than 48 hours in the hospital and had no signs of infection at the time of admission, were entered into the study. It was evaluated four most common HAI, according to CDC include bacteremia, central line-associated blood stream infections, urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections. The Chi-square and T- test or analysis of variance was used for data analysis. Results: Of the total patients, 93 (7.3%) developed HAI at duration admission. The highest rate of infection was bacteremia, which was 48.4 % and then urinary tract infection 21.5%. The prevalence of HAI among patients with cardiovascular diseases was relatively higher than underlying diseases. The frequency of length of hospital stay was significant in patients > 7 days with 68.8% in the HAI group. Conclusion: Our findings showed that patients with cardiovascular, renal and pulmonary disease are more susceptible to HAIs. Due to the increased length of hospital stay increases the risk of infection, it is recommended to discharge patients as soon as possible. Infections, Hospitalized, Health care, Patients, Aged 26 31 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-294-1&slc_lang=en&sid=1 2020/11/292021/02/142020/12/112021/03/232021/01/11 1399/10/22 2021/06/272021/04/72021/05/242021/05/22021/06/9 1400/3/19 Aria Rahimi Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran No Alireza Namazi Shabestari Department of Geriatric Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 0000-0003-0817-0883 No Maryam Sadeh 3. Department of Laboratory Sciences, School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran No Reza Bidaki Research Center of Addiction and Behavioral Sciences , Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran No Saeidreza Jamalimoghadamsiahkali Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran No Zahra Vahabi 2. Department of Geriatric Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran vahab1357@gmail.com 0000-0001-5057-8028 Yes

en Introduction: The most common nutritional problem observed among the aged is malnutrition. The study was conducted as methodological research to evaluate the validity and reliability of the Turkish Self Mini Nutritional Assessment Scale (Self-MNA) among Turkish elderly people. Methods: Data were collected from 131 aged individuals with the Sociodemographic Information Form, Mini Nutritional Assessment long-form (MNA), Mini Nutritional Assessment short-form (MNA-SF) and Self-MNA. In the study, test-retest, parallel form methods, lower 27%-upper 27% discrimination, ROC and correlation analysis were used to evaluate the validity and reliability of the scale. The scale was translated and then the final version was created by the views of three experts. A correlation analysis was conducted between MNA, MNA-SF and Self-MNA which are used as parallel forms.  Results: No statistically significant difference was found between test-retest scores of Self-MNA scores for reliability (p > 0.05). Positive relationships were found between Self-MNA and MNA and MNA-SF. Self-MNA scores of the upper 27% group were significantly higher than the Self-MNA scores of the lower 27% group. The appropriate cut-off value of Self MNA is determined as 12. Self-MNA scores below 12 points indicate that there may be a risk of malnutrition. The areas under the ROC curves (AUC = 0.718) were statistically significant (p < 0.05). At the cut-off value, the sensitivity is determined to be 75 and the specificity is 56.63.  Conclusion: Self-MNA is a valid and reliable tool for screening the malnutrition status of the aged in Turkey. Nutrition Assessment, Aged, Malnutrition, Validity 32 38 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-293-1&slc_lang=en&sid=1 2020/11/292021/02/142020/12/112021/03/232021/01/112021/01/11 1399/10/22 2021/06/272021/04/72021/05/242021/05/22021/06/92021/04/4 1400/1/15 Emine Ekici Department of Nursing, Faculty of Health Sciences, Uskudar University, İstanbul, Turkey emine.ekici@uskudar.edu.tr 0000-0001-7933-4107 Yes Nursel Vatansever Department of Surgical Diseases Nursing, Faculty of Health Sciences, Uludağ University, Bursa, Turkey No Merve Çolak Department of Public Health Nursing, Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, İstanbul, Turkey No Ezgi Hasret Kozan Department of Public Health Nursing, Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, İstanbul, Turkey No

en Introduction: Aging involves a decrease in  physiological function, physical activity and nutrition that modulate body functions. The aim of this study was to evaluate the effect of a six week-swimming interval training with resveratrol consumption on apoptotic markers in the liver tissue of aged rat. Methods: In this experimental study, thirty-two 20-month aged rats weighing 350-370 g were divided into four groups of 8 rats including 1) sham, 2) training, 3) resveratrol and 4) training + resveratrol. For six weeks, groups 3 and 4 received 100 mg/kg of resveratrol supplementation dissolved in 1% methylcellulose daily by gavage, and groups 2 and 4 performed swimming training three times a week. One-way analysis of variance with Tukey's post- hoc test was used to analyze the data (p < 0.05). Results: Bcl2 Gene expression levels in the resveratrol and the exercise + resveratrol groups were significantly higher than the sham and exercise groups (p < 0.05).  Bax levels in the exercise + resveratrol group were lower than the resveratrol group, and the levels in the resveratrol group were higher than the sham group(p <0.05).also Bax/Bcl2 levels in the exercise + resveratrol group were significantly lower than the exercise group(p < 0.05). Conclusion: It seems that swimming interval training with resveratrol consumption has beneficial effects on anti-apoptotic markers, however, the effect of swimming interval training on liver apoptosis in the aging is still unknown and more studies are needed in this field. Swimming Training, Resveratrol, Apoptosis, Liver, Aging 39 44 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-291-1&slc_lang=en&sid=1 2020/11/292021/02/142020/12/112021/03/232021/01/112021/01/112021/01/10 1399/10/21 2021/06/272021/04/72021/05/242021/05/22021/06/92021/04/42021/05/25 1400/3/4 Maryam Mehboudi Department of Physical Education and Sport Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran mehboodimaryam@yahoo.com No Habib Asgharpour Department of Physical Education and Sport Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran habibasgharpour@gmail.com https://orcid.org/0000-0002-4116-981X Yes Seyed Ali Hosseini Department of Sport Physiology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran No Reza Rezaeeshirazi Department of Physical Education and Sport Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran No

en Introduction: Increasing age is one of the most important predictors of mortality among aged population. Therefore, determining the causes of death among older people could be imperative. The purpose of this study was to investigate non-communicable disease mortality among a sample of older people in Iran from 2007 to 2018. Methods: This was a retrospective descriptive study that applied census sampling technique to investigate 1202 Medical Records of older adults (60 ≤ years old) died during 2007-2018 at three hospitals of Khuzestan province, Iran. Data analysis was conducted using SPSS version 24 software. Results: The mean age of participants was 77.4 ± 8.38. Of whom 50.7 % were male. The highest number of deaths were related to the internal ward (41.4%), CCU (29.3%) and ICU (25.6%), respectively. In addition, Angina pectoris, Respiratory disease and Cerebrovascular Accident were the most important cause of death among aged population. Also, the history of hospitalization (87.1%) and cardiovascular disease (82.2%), and hypertension (67.8%) were the prominent risk factors for mortality among aged population. According to chi-squared, there was a significant relationship between smoking and death attributed to cardiovascular diseases among older adults. Conclusion: Angina pectoris, Respiratory disease and Cerebrovascular accident diseases are the most important cause of death among older adults. Prevention and screening programs should be implemented to discern and screen these chronic diseases at the early stage among older people. Non-Communicable Disease, Mortality, Aged 45 51 http://ehj.ssu.ac.ir/browse.php?a_code=A-10-325-1&slc_lang=en&sid=1 2020/11/292021/02/142020/12/112021/03/232021/01/112021/01/112021/01/102021/04/11 1400/1/22 2021/06/272021/04/72021/05/242021/05/22021/06/92021/04/42021/05/252021/05/31 1400/3/10 Masood Yousefi Iranian Research Center on Aging, University of Social Welfare & Rehabilitation Science, Tehran, Iran No Shahab Papi Department of Public Health, Faculty of Health, Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran No Yadollah Abolfathi Momtaz Malaysian Research Institute on Ageing (My Ageing), University Putra Malaysia No Ahmad Ali Akbari Kamrani Iranian Research Center on Aging, University of Social Welfare & Rehabilitation Science, Tehran, Iran No Mahdi Yousefi Department of Biomedical Engineering, Home Care Research Center, Dezful Branch, Dezful, Iran No Reza Fadayevatan Clinical Gerontologist, Vice-Chancellor of Azad University in Oxford (GB) and Dubai (UAE) reza1092@yahoo.com https://orcid.org/0000-0002-9783-118X Yes