Experts of Health of the Middle-Aged and Elderly


کارشناس مسئول سلامت میانسالان و سالمندان


Dr. Zhamak Aghvami


Telephone: 023-31052189


Health Program of Middle-Aged

Today, half of the population in developing countries is middle-aged. The majority of the middle-aged population, about one and a half billion people, live in Asian countries. The middle-aged population is growing; Especially, it grows faster than the total population growth at all ages, and conversely, the child population is declining in developing countries; The growth rate of the adult population will continue for the next few decades. The percentage of the world's population aged 15-59 was 59.2 in 2000. This figure is expected to reach 61.3% in 2015. The broad base of the population age pyramid will be extended to higher age groups in young countries in the coming years. Our country is no exception to this rule and the belly of the population pyramid will be closer to the middle of the pyramid in the coming years. This large and productive group of society, which has been deprived of many services due to its focus on other high-risk groups such as children, needs serious support to improve the quality of life in all aspects. The disease in this group puts the most social and economic pressure on society and creates the most missed days due to the presence of middle-aged people in the workplace. It also affects the amount of income and can cause problems in social issues.

Middle-aged or in other words parents are the focus of family health and their mortality and disability affect all aspects of family health. Risks threatening the health of middle-aged people also affect the health of other age groups in the family (mother-to-fetus transmission, the effect of malnutrition and diabetes and maternal blood pressure on the fetus, the effect of smoking on the health of other family members, etc.). In addition to the effect of the natural period of diseases in the family, it should be noted that considering the learning of behavior in the family and the role of parents in the social learning network, the effects of these behaviors on various aspects of health and disease and its effect on behavioral culture of family are obvious. In this regard, the Department of Middle-Aged Health in the Ministry of Health and Medical Education was established in 2005, which has taken effective steps to improve the health of middle-aged people in the country, including the implementation of Menopausal Care Training Plan from 2008 to the end of 2011 in 5 pilot provinces (Semnan province: Damghan cities, Qazvin province: Qazvin city, Zanjan province: Khorramdareh city, Hamadan province: Asadabad city and Mazandaran province: Chalous city).

In the second phase, the Department of Middle-Aged Health presented two Iranian Women’s Health Program (middle-aged women) and Iranian Men’s Health Program (middle-aged men) to promote education of improvement of healthy lifestyle of middle-aged, provide integrated middle-aged health care and prevention, diagnosis and early treatment of diseases which are common among people of 30 to 59 years. It has been active in many universities of the country since 2012.


Health Program of Elderly

Aging as a biological process and not a disease is a vital phenomenon that gradually covers everyone. The world's population is rapidly declining towards aging, and much of this change has taken place in the early 21st century in developing countries. According to the United Nations, 10.5% of the world's population in 2007 was elderly, which will increase to 21.8% (1.970 billion people) in 2050. Iran will be no exception to these demographic changes due to advances in the health- treatment system. Therefore, after experiencing the passage of epidemiological changes in diseases, increasing life expectancy, gradual decrease in birth rates, our country must necessarily prepare itself for the management of the aging wave in the close future. According to the latest census of the Statistics Center of Iran, 8.2% of our country's population is currently elderly. Meanwhile, the elderly population will reach 14.5% in 2036 and 22% (25 million people) in 2046.

It should be noted that in 2013, life expectancy was 76 years for women, 72 years for men and 74 years for both sexes. However, life expectancy with health is 10 years less than life expectancy at birth. In addition, three diseases of myocardial infarction, stroke and cardiovascular disease due to hypertension were the most common causes of death in the elderly in 2011.

Source: Report of United Nations Population Fund 2011

According to the vital rural statistics of universities across the country in 2014, Semnan University of Medical Sciences and Health Services with 17% of the population over 60 years, ranks second in the elderly population of the country. According to the information related to the deaths aged 60 to 70 of Semnan University of Medical Sciences and Health Services in 2012, the number of deaths in this age group was 259, of which 103 were women and 156 were men. In addition, five important causes of death in the elderly covered by SEMUMS, regardless of their gender, are cardiovascular diseases (107 people), cancers and tumors (64 people), respiratory diseases (24 people), endocrine diseases, metabolic (23 people), urogenital (11 people).

Since one of the effective and important factors in the health process of people, including the elderly, is their proper nutrition, the implementation of an improvement program of healthy lifestyle with the aim of improving the quality of life of the elderly through healthy nutrition education and the implementation of integrated care program in elderly has been on the agenda of the Department of Elderly Health of the Ministry of Health and Medical Education and consequently universities of medical sciences throughout the country, including Semnan University of Medical Sciences and Health Services since 2007 in order to reduce disability and death due to common diseases in old age.