AUCTORES
Globalize your Research
Review Article
*Corresponding Author: A.K.M. Majbah Uddin. Assistant Professor & Head of Department, Department of Public Health, Fareast International University.
Citation: A.K.M. Majbah Uddin, (2024), Health Status and Risk Factors of Non-Communicable Diseases Among Elderly People Living in Dhaka City, Journal of Clinical and Laboratory Research, 5(4); DOI:10.31579/2768-0487/129
Copyright: © 2024, A.K.M. Majbah Uddin. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 06 February 2024 | Accepted: 23 February 2024 | Published: 01 March 2024
Keywords: health status; elderly peoples; old home; community dwellers; chronic obstructive pulmonary disease (copd)
Elderly peoples are occupying a big portion in Bangladesh as life expectancy increases. In Bangladesh, NCDs are a significant cause of mortality, responsible for 67% of total deaths. Non-communicable diseases (NCDs) including cardiovascular diseases and stroke, type 2 diabetes, and pulmonary disorders are the result of a combination of genetic, socio-demographic, biochemical, and behavioral factors. The study focuses on the compare of the health status of elderly people residing among both communities & old homes in Dhaka city. A cross sectional analytical primary data-based study was carried out and the subjects were conducted among 200 senior citizens living at the old home and same respondents from the community living with family or alone. Most of the elderly peoples’ age group was 62-65 years among both community and old home resident’s. Most of the respondents were Muslim in the old home and community. Among community residents, 80.50% lived with a joint family and 19.50% in a nuclear family dwellers and old home dwellers. The health status of elderly peoples’ staying in both communities and old home is more or less similar, except COPD. The COPD was found higher in old home dwellers. Anxiety was higher in community dwellers, but depression was found higher in old home dwellers. Dementia and sleep disturbance was found higher in community dwellers. Diabetes was higher community than old home. It was found among 62% and 69% community and old home respondents. COPD was larger among old home than community residents. It was found among (66%) than the community residents (41%) and arthritis was found a serious problem among the study subjects.
Like many other countries, Bangladesh is undergoing urbanization and industrialization. This change is weakening family ties. It is also speeding up the nuclearization of the family in the place of joint or extended families. Such change is bringing effects to the geriatric population. Their control on the family has reduced leading to a decrease in their importance in the family. The amount of care and attention they need not paid to them properly. On many occasions, they are landing up in the old home owing to a lack of care in the regular family set up. According to the World Health Organization (1999), there were 580 million older people in the world. Their age is 65 and above. Subsequently, this figure may reach two billion in 2050 in the world. People’s average life expectancy has risen to 72 years (BBS, 2018). Increased life expectancy and changes in lifestyle and the environment have led to changes in the pattern of diseases among the senior citizens in South -East Asia. In Bangladesh, inappropriate eating habits and lack of exercise are rated as the second and the third leading health risk behaviors (WHO, 1999). In Bangladesh, the elderly people were most frequently hospitalized with asthma since asthma is a disease that can attack frequently. Although non-communicable diseases such as hypertension, diabetes mellitus and coronary artery disease are considered the most common diseases among the elderly, they are not the major causes of hospitalization among the elderly in Bangladesh (WHO, 2004). By 2025 along with other four Asian countries, Bangladesh will account for about half of the world’s elderly population. However, they are prone to suffer from the problems of dependency and disability followed by the increased burden of disease. Most of the geriatric people in Bangladesh suffer from socio-economic insecurity, chronic diseases and proper health and medicine facilities (The Daily Star, July 15, 2019). The health status of the elderly people depends on adequate food-safe water, proper sanitation facilities and maintaining hygienic environment. In Bangladesh, the elderly peoples suffer from multiple health problems which may demand long term psychosocial and nursing care (Barikdar et al, 2016). Kirtanapai M (2010) documented that the higher incidence of malnutrition in the elderly and revealed that a higher risk of malnutrition was involved among old home residents compared to elderly living in community residents. Researchers conducted one of the first comprehensive systematic reviews to assess the relationship between poverty and non-communicable diseases (NCDs) in low- and middle-income countries shows that populations with lower socioeconomic status are at an elevated risk of developing NCDs risk factors such as high BMI, tobacco use, alcohol use and hypertension, low level of physical inactivity, unhealthy diet which are high among poor nations and poor elderly people & poverty increases the risk of death and disability from non-communicable diseases, such as cancer, heart disease, stroke and diabetes (JHU,2018).However, an aged population might be expected to suffer from the problems of dependency and disability leading to an increased in disease (Dipietro, 2001). A very limited number of old homes are available for taking care of food, medical service, and rehabilitative care older persons in Bangladesh. The ones that exist are often having too few members of staff to operate effectively and not having the necessary resources to deal with the problems of senior citizens.
The cross-sectional comparative study was a feasible design for the current study & data on the elderly people health status in the old home as well as community residents were collected by face-to-face interview. Collected data were analyzed by SPSS version 22.0. Collected information was presented in the form of tables & graphs and descriptive statistics and Chi-square was used.
| Age (year) | Community | Old Home |
| Mean±SD | 63.16±2.19 | 63.92±3.25 |
| 62-65 | 166(84.5) | 152(77.0) |
| 66-71 | 38(19.5) | 45(23.0) |
| 72-76 | 0(0) | 5(3.0) |
| 77-81 | 0(0) | 3(2.0) |
| Total | 200(100.0) | 200(100.0) |
Table 1: The respondents Age.
The community and old home elderly people average age was 62-65 years.84.5% appear with 62-65 years age among community dwellers and besides, the subjects (77%) appear with 62-65 years among old home dwellers.
In community male and female was 56.50% and 43.50% but in the old home, the male was 93% and female was 7%.
In the community, 36.50%, 35% and 10.50% of the respondents did household activities, business, and service. Previous occupational engagement of the old home dwellers about 51% were businessmen followed by service holders 26%, housewife 8%, and others 14%.
Figure 3: Family type of the study subjects.
Among community residents, 80.50% lived with a combined family and 19.50% in an elementary family. On the other hand, 94% of elderly people in the old home came from a joint family and 6% from an elementary family.
| Items | Community residents | Old Home Residents |
| Hypertension | ||
| Yes | 161(81.0) | 137(69.0) |
| No | 34(17.0) | 60(30.0) |
| Diabetes | ||
| Yes | 123(62.0) | 137(69.0) |
| No | 64(32.0) | 64(32.0) |
| COPD | ||
| Yes | 95(41.0) | 131(66.0) |
| No | 99(50.0) | 65(33.0) |
Table 2: State of Health of the study subjects.
The state of health of geriatric peoples living in both communities and old home is more or less similar, except COPD. The COPD was found larger in old home dwellers. Prevalence of hypertension was 81% among community whereas 69% among old home & diabetes was 62% among community whereas 69% among old home. COPD was larger between old home dwellers (66%) whereas it was 41% among community elderly people.
| Items | Community | Old home |
| Anxiety | ||
| Yes | 80(40.0) | 58(29.0) |
| No | 116(58.0) | 142(71.0) |
| Donts know | 4(2) | 0(0) |
| Depression | ||
| Yes | 30(15.0) | 46(23.0) |
| No | 164(82.0) | 146(73.0) |
| Dementia | ||
| Yes | 70(35.0) | 46(23.0) |
| No | 119(59.5) | 146(73.0) |
Table 3: Psychological state of the study subjects.
Psychological state did not follow a single pattern in either community or old home dwellers. Anxiety was higher in community dwellers, but depression was found higher in old home dwellers. Dementia and sleep disturbance was found higher in community dwellers.
| Recreational activities | Appetite | Total | χ2 | p-value | |
| Good | Poor | ||||
| Never | 9(2.2) | 6(1.5) | 15(3.8) |
12.525 |
0.006 |
| Seldom | 55(13.8) | 7(1.8) | 62(15.5) | ||
| Sometimes | 206(51.5) | 28(7.0) | 234(58.5) | ||
| Often | 70(17.5) | 19(4.8) | 89(22.2) | ||
| Total | 340(85.0) | 60(15.0) | 400(100.0) | ||
Table 4: Association between recreational activities and appetite.
Association was found between recreational activities and appetite (p=0.006<0>
The findings of this study showed the similarity and dissimilarity of other studies. Our country's context is different from others. So several studies were not similar to us. But biology and physiology of old age are similar for any human from any country. In those respect, the study was found similar. Although hundreds of studies were done on health in Bangladesh, the elderly focused study is rare. Among both community residents and the old home, the majority came from a joint family. Taking the history of the last seven days prior to the interview, it was found that most senior citizens both in community and old home watched TV or listened to music (sedentary activities), rather than involved in gardening, playing softball or tennis (physical activities). The health status of senior citizens staying in both community and old home is more or less similar. Psychological state did not follow a single pattern in either community or old home dwellers. Anxiety was higher in community dwellers, but depression was found higher in old home dwellers. Dementia and sleep disturbance was found higher in community dwellers. The health status of senior citizens staying in both communities and old home is more or less similar, except COPD.
The study has found that old home dwellers demonstrate better results in terms of selected health indicators, than those who live in regular family in the community. They are the most respectable part of our nation. They gathered vast experience in all their life. This experience helps us to go on our day to life. Their experience guided us all the time. Adult population faces many health problems. Such as hypertension, diabetes, COPD, Skin disease, Stroke, hearing and vision problems, various chronic disease and Arthritis. We should take care of them at every moment. They are an inspiration for us. With the help of their gather knowledge, the experience we can rebuild our life. But it is a matter of great regarded that our elderly people are not valued so far.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
