Background: Ageing of the Omani society calls for the evaluation of functional abilities and the factors that should be addressed by health programs. This study was conducted to reveal the extent and determinants of dependency on IADL and ADL among the elderly in Al-Dakhliyah governorate, Oman.Methods: Records of the comprehensive assessment of elderly population in Al-Dakhliyah between 2008 and 200 were reviewed. Data covered socio-demographic characteristics, medical and nutrition evaluation and the assessment of mental status and functional abilities. Logistic regression analyses were used to identify the significant determinants of ADL and IADL at the 5% level.
Results:The study included 86 elderly aged between 60 and 94 years. More elderly were dependent on IADL (56.12%) than ADL (25.17%). Depression and dementia were more frequent among the elderly dependent on ADL (32.57% and 43.63%) than those dependent on IADL (21.30% and 33.83%). Dependency on IADL was predicted by age, unfavorable socioeconomic status, stroke with residual deficits, use of aid, joint problems, dementia and incontinence. Age, stroke with residual deficits, poor perception of health, physical inactivity, corneal opacity, hearing defect, dementia, depression, incontinence, the use of aid and mobility restriction predicted dependency on ADL.
Conclusion: Deterioration of functional abilities among healthy elderly is inevitable because of theadvance in age. Prevention and management of depression, dementia and musculoskeletal disorders and improvement of socioeconomic status may reduce the rates of dependency. ABSTRACT Background: Oxidative stress is characterized by an increased concentration of O 2 -derived products that provoke critical, even irreversible, cell injury. In diabetes mellitus, oxidative stress results both from exposure to hyperglycaemia and from functional limitation of the hexose monophosphate shunt. Aim: Assess relationship between glycaemic control and oxidative stress in elderly diabetic patients. Methodology: Cross sectional study, Ain Shams University, 82 subjects > 50 years, full clinical assessment, FBS (fasting blood sugar), 2 hour PP (post prandial), glycated hemoglobin (HbA1c), TAC (total antioxidant capacity), MDA (malonyldialdehyde ) measured.Results: Patients with nephropathy have higher levels of MDA and lower levels of TAC. Patients with neuropathy and retinopathy have higher levels of MDA than those without (statistically not significant). There was a slightly negative correlation between FBS, HBA1C and TAC and slightly positive correlation between MDA and FBS, HBAC. MDA showed a slightly negative correlation with TAC.
Patients on insulin therapy have the higher level of MDA and the lower level of TAC in comparison to the other two groups (not statistically significant).
Conclusion: In elderly diabetic patients oxidative stress is highest in those suffering from nephropathy.
ABSTRACTBangladesh is one of the poorest densely populated least developed countries in the world, having about 0 million older people...