Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1401
10
1
gregorian
2023
1
1
14
1
online
1
fulltext
en
Epilepsy and Associated Factors in Elderly People of Amirkola, North of Iran (The Amirkola Health and Ageing Project)
Neurology
Neurology
Original Article
Original Article
<div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> Knowledge about the associated factors with epilepsy in the elderly in Iran is limited. Therefore, this study aimed to determine the prevalence of epilepsy and associated factors in Amirkola elderly patients.<span style="font-size:9.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Methods:</span></i></b> This cross-sectional study is a part of a comprehensive and cohort research of "The Amirkola Health and Ageing Project". The Mini-mental State Examination was used for cognitive impairment, Geriatric Depression Scale for psychiatric diseases and the Physical Activity Scale for Elderly questionnaire for physical activity.<span style="font-size:10.0pt"></span></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Results:</span></i></b> The prevalence of epilepsy was 35 from 1482 participants (24/1000). The significant association between Parkinson’s Disease (OR=6.25, 95%CI=1.35-28.4, P=0.001), falls (OR= 3.81, 95%CI=1.62-8.97, P=0.001), depression (P=0.001), hyperphosphatemia (P=0.039) and hypokalemia (P= 0.031) concluded with epilepsy. Past history of stroke (6 % versus 2%, OR= 2.8, 95%CI, 0.97-8.27, P=0.07), increased serum level of triglyceride (OR= 1.96, 95%CI= 0.99-3.88, P=0.06) and low-density lipoprotein (LDL) (P=0. 45) were seen in epileptic patients vs. non-epileptic patients.<b><i><span style="color:blue"></span></i></b></span><br>
<span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> Parkinson's disease, frequency of falls and depression were the associated factors in epileptic patients and a correlation between past history of stroke, increased serum level of triglyceride and LDL with epilepsy were seen. Associated factors required screening, diagnosis and treatment.</span></span></span></div>
elderly, epilepsy, Parkinson disease
100
107
http://caspjim.com/browse.php?a_code=A-10-1466-7&slc_lang=en&sid=1
Payam
Saadat
Sepanta1968@yahoo.com
100319475328460041953
100319475328460041953
No
Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Alijan
Ahmadi Ahangar
ahmadiahangaralijan@yahoo.com
100319475328460041954
100319475328460041954
Yes
Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Seyed Reza
Hosseini
hosseinirezaseyed@gmail.com
100319475328460041955
100319475328460041955
No
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Ali
Bijani
alibijani@yahoo.com
100319475328460041956
100319475328460041956
No
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Mohsen
Khalili-Fomeshi
k.mohsen1995@yahoo.com
100319475328460041957
100319475328460041957
No
Student Research Committee, Babol University of Medical Sciences, Babol, Iran
Shayan
Alijanpour
alijanpour.sh@live.com
100319475328460041958
100319475328460041958
No
Pre-hospital Emergency Organization and Emergency Medical Service Center, Babol University of Medical Science, Babol, Iran