Socioeconomic – related inequalities in overweight and obesity: findings from the PERSIAN cohort study

Authors

Farid Najafi 1 2, Shahin Soltani 3 4, Behzad Karami Matin 1 2, Ali Kazemi Karyani 1 2, Satar Rezaei 1, Moslem Soofi 2, Yahya Salimi 2, Mehdi Moradinazar 1, Mohammad Hajizadeh 5, Loghman Barzegar 1, Yahya Pasdar 1, Behrooz Hamzeh 1, Ali Akbar Haghdoost 6, Reza Malekzadeh 7, Hossein Poustchi 7, Sareh Eghtesad 7, Azim Nejatizadeh 8, Mahmood Moosazadeh 9, Mohammad Javad Zare Sakhvidi 10, Farahnaz Joukar 11, Seyed Mohammad Hashemi-Shahri 12, Alireza Vakilian 13, Ramin Niknam 14, Elnaz Faramarzi 15, Ghodrat Akhavan Akbari 16, Fershteh Ghorat 17, Arsalan Khaledifar 18, Davoud Vahabzadeh 19, Reza Homayounfar 20, Ali Reza Safarpour 14, Sayed Vahid Hosseini 21, Reza Rezvani 22, Seyyed Ahmad Hosseini 23

  1. Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  2. Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  3. Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. sh-soltani@alumnus.tums.ac.ir.
  4. Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. sh-soltani@alumnus.tums.ac.ir.
  5. School of Health Administration, Faculty of Health, Dalhousie University, Halifax, Canada.
  6. Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  7. Liver and pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  8. Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
  9. Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
  10. Occupational Health Research Centre, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  11. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
  12. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  13. Dept. of Neurology, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
  14. Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  15. Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical sciences, Tabriz, Iran.
  16. Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
  17. Traditional and Complementary Medicine Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.
  18. Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
  19. Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.
  20. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
  21. Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  22. Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
  23. Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
bmj open

Abstract

Introduction: Musculoskeletal disorders and cognitive diseases are prevalent, and they are significant determinants of morbidity and mortality in older adults. The aim of this study is to investigate the prevalence of musculoskeletal and cognitive diseases and their risk factors and also to assess their associations during future follow-ups.

Methods and analysis: Bushehr Elderly Health (BEH) programme is a population-based prospective cohort study being conducted in Bushehr, a southern province of Iran. A total of 3000 older people aged ≥60 years participated in the first stage from which 2772 were eligible to participate in the second stage, which started after 2.5 years. Data including demographic status, lifestyle factors, general healthandmedical history, and mentalandfunctional health are collected through a questionnaire. Anthropometric measures, performance testsandmuscle strength, blood pressure and and body composition measurements are done. A total 25 cc venous blood is taken, and sera are stored at -80°C for possible future analyses.

Ethics and dissemination: The study protocol was approved by the ethics committee of Endocrinology and Metabolism Research Institute, affiliated to Tehran University of Medical Science as well as the Research Ethics Committee of Bushehr University of Medical Sciences. A written informed consent was signed by all the participants. The study findings will show the prevalence of musculoskeletal disease, cognitive impairment and their risk factors in an elderly population. The participants will be followed during the study to measure the occurrence outcomes.This study will also have the potential to inform the development of beneficial interventions to improve the management of musculoskeletal and cognitive impairment in Iran and other countries in the Middle East.Our findings will be disseminated via scientific publication as well as presentation to stakeholders, including the patients, clinicians, the public and policymakers, via appropriate avenues.

Keywords: cognitive function; elderly; musculoskeletal system; protocol.

How to Cite

Shafiee G, Ostovar A, Heshmat R, Darabi H, Sharifi F, Raeisi A, Mehrdad N, Shadman Z, Razi F, Amini MR, Arzaghi SM, Meybodi HA, Soltani A, Nabipour I, Larijani B. Bushehr Elderly Health (BEH) programme: study protocol and design of musculoskeletal system and cognitive function (stage II). BMJ Open. 2017 Aug 4;7(8):e013606. doi: 10.1136/bmjopen-2016-013606. PMID: 28780537; PMCID: PMC5577871.

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Socioeconomic – related inequalities in overweight and obesity: findings from the PERSIAN cohort study