Bushehr Elderly Health (BEH) programme: study protocol and design of musculoskeletal system and cognitive function (stage II)

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.

[1]  M. H. Motamedi,et al.  Osteoporosis in Iran , 2017 .

[2]  F. Farzadfar,et al.  Prevalence of Dementia and Associated Factors among Older Adults in Iran: National Elderly Health Survey (NEHS). , 2016, Archives of Iranian medicine.

[3]  R. Heshmat,et al.  Bushehr Elderly Health (BEH) Programme, phase I (cardiovascular system) , 2015, BMJ Open.

[4]  M. Noroozian,et al.  Development and implementation of Persian test of Elderly for Assessment of Cognition and Executive function (PEACE) , 2015, Electronic physician.

[5]  L. Nilsson,et al.  Self‐Reported Memory Failures: Associations with Future Dementia in a Population‐Based Study with Long‐Term Follow‐Up , 2015, Journal of the American Geriatrics Society.

[6]  Raquel Aparicio-Ugarriza,et al.  Physical activity assessment in the general population; validated self-report methods. , 2015, Nutricion hospitalaria.

[7]  R. Cumming,et al.  Cohort profile: the Amirkola Health and Ageing Project (AHAP). , 2014, International journal of epidemiology.

[8]  G. Taghizadeh,et al.  Validity and Reliability of the Persian Version of Lawton Instrumental Activities of Daily Living Scale in Patients with Dementia , 2014, Medical journal of the Islamic Republic of Iran.

[9]  A. Khalilian,et al.  Prevalence of osteoporosis in Iran: A meta-analysis , 2013, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences.

[10]  N. Binkley,et al.  What’s in a name revisited: should osteoporosis and sarcopenia be considered components of “dysmobility syndrome?” , 2013, Osteoporosis International.

[11]  Charlotte Glümer,et al.  Recent temporal trends in sleep duration, domain-specific sedentary behaviour and physical activity. A survey among 25–79-year-old Danish adults , 2013, Scandinavian journal of public health.

[12]  Nicholas J Wareham,et al.  Cohort Profile: A prospective cohort study of objective physical and cognitive capability and visual health in an ageing population of men and women in Norfolk (EPIC-Norfolk 3) , 2013, International journal of epidemiology.

[13]  Nir Giladi,et al.  Subjective memory complaints in elders: depression, anxiety, or cognitive decline? , 2013, Acta neurologica Scandinavica.

[14]  Young Seol Kim,et al.  Sarcopenia Is Independently Associated with Cardiovascular Disease in Older Korean Adults: The Korea National Health and Nutrition Examination Survey (KNHANES) from 2009 , 2013, PloS one.

[15]  J. Attia,et al.  Memory complaint questionnaire performed poorly as screening tool: validation against psychometric tests and affective measures. , 2012, Journal of clinical epidemiology.

[16]  E. Sacanella,et al.  Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain) , 2012, The journal of nutrition, health & aging.

[17]  T. Jørgensen,et al.  Construct validity of a revised Physical Activity Scale and testing by cognitive interviewing , 2010, Scandinavian journal of public health.

[18]  H. Kuo,et al.  Sarcopenia, Cardiopulmonary Fitness, and Physical Disability in Community-Dwelling Elderly People , 2010, Physical Therapy.

[19]  M. Walterfang,et al.  Validity and Reliability of the Persian Language Version of the Neuropsychiatry Unit Cognitive Assessment Tool , 2010, Dementia and Geriatric Cognitive Disorders.

[20]  M. Mirarefin,et al.  Evaluation of the Mini Nutritional Assessment in the elderly, Tehran, Iran , 2010, Public Health Nutrition.

[21]  M. Reddy,et al.  Depression: The Disorder and the Burden , 2010, Indian journal of psychological medicine.

[22]  D. Houston,et al.  Weighty concerns: the growing prevalence of obesity among older adults. , 2009, Journal of the American Dietetic Association.

[23]  Ali Montazeri,et al.  The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity , 2009, BMC public health.

[24]  M. Kenward,et al.  Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls , 2009, BMJ : British Medical Journal.

[25]  David R. Thomas,et al.  Loss of skeletal muscle mass in aging: examining the relationship of starvation, sarcopenia and cachexia. , 2007, Clinical nutrition.

[26]  T. Jørgensen,et al.  Self-reported physical activity compared with maximal oxygen uptake in adults , 2007, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[27]  Ronenn Roubenoff,et al.  The Healthcare Costs of Sarcopenia in the United States , 2004, Journal of the American Geriatrics Society.

[28]  Peijun Chen,et al.  The Mini‐Cog as a Screen for Dementia: Validation in a Population‐Based Sample , 2003, Journal of the American Geriatrics Society.

[29]  T. Jørgensen,et al.  Validation of a new self-report instrument for measuring physical activity. , 2003, Medicine and science in sports and exercise.

[30]  J. Lindsay,et al.  An Overview of the Canadian Study of Health and Aging , 2001, International Psychogeriatrics.

[31]  L. Kurlowicz,et al.  The Mini Mental State Examination (MMSE). , 1999, Director.

[32]  P J Garry,et al.  The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. , 1999, Nutrition.

[33]  J. Ware,et al.  A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. , 1996, Medical care.

[34]  K Kroenke,et al.  Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. , 1995, JAMA.

[35]  L. Ferrucci,et al.  A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. , 1994, Journal of gerontology.

[36]  J. Ashford,et al.  Assessing Alzheimer Severity With a Global Clinical Scale , 1992, International Psychogeriatrics.

[37]  B. Reisberg,et al.  Functional Assessment Staging (FAST) in Alzheimer's Disease: Reliability, Validity, and Ordinality , 1992, International Psychogeriatrics.

[38]  A. Hofman,et al.  Determinants of disease and disability in the elderly: The Rotterdam elderly study , 1991, European Journal of Epidemiology.

[39]  J. Tobin,et al.  Factors affecting attrition in the Baltimore longitudinal study of aging , 1986, Experimental Gerontology.

[40]  Sydney Katz Assessing Self‐maintenance: Activities of Daily Living, Mobility, and Instrumental Activities of Daily Living , 1983, Journal of the American Geriatrics Society.

[41]  M. Gaviria,et al.  Depression in Old Age * , 1978, Journal of the American Geriatrics Society.

[42]  Ninoslav Mimica,et al.  Dementia: a public health priority , 2019 .

[43]  Markaz-i Āmār-i Īrān Selected findings of national population and housing census, 2011 , 2012 .

[44]  J. Baeyens,et al.  European working group on sarcopenia in older people. Sarcopenia: European consensus on definition and diagnosis: report of the European working group on sarcopenia in older people , 2010 .

[45]  B. Larijani,et al.  Osteoporosis in Iran, Overview and Management , 2007 .

[46]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[47]  R. Kelishadi,et al.  Assessment of Physical Activity of Adolescents in Isfahan , 2001 .