fa تاثیر تغییرات اقلیمی بر سلامت سالمندان: مطالعه مرور نظام مند عمومى General مرور ساختاریافته Systematic Review <div style="text-align: justify;"><span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> افزایش سریع جمعیت سالمندان و تغییرات اقلیمی، دو چالش بزرگ جهانی قرن بیست و یکم است. مطالعه حاضر به منظور شناسایی اثرات تغییرات اقلیمی بر سلامت سالمندان انجام شده است.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">روش بررسی:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> این مطالعه مرور نظام مند، با جستجوی جامع در پایگاه های اطلاعاتی الکترونیکی </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">scopus</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">،</span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">pubmed </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&nbsp;و </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">web of science</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> با استفاده از کلیدواژه های &quot;</span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">elderly</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&quot;، &quot;</span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">aging</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&quot;، &quot; </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">older people</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&quot;، &quot;</span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">health</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&quot; و &quot; </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">climate change</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">&quot; به زبان انگلیسی انجام شد. مقالات مربوط به سال های</span></span></span><span b="" class="Style1Char" nazanin="" style="font-family:"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> 2014 تا فوریه 2023 </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">با پیروی از </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">چک لیست</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> پریزما، مورد بررسی قرار گرفت. مطالعاتی که دارای متن کامل بودند، به زبان انگلیسی چاپ شده و جمعیت مورد مطالعه افراد بالای</span></span></span><span b="" class="Style1Char" nazanin="" style="font-family:"><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> 60 </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">سال بودند، وارد مطالعه گردید و مطالعات شبیه سازی شده از مطالعه حذف شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> کیفیت مطالعات با استفاده از چک لیست استروب، متوسط تا خوب گزارش شد. نتایج این مطالعه نشان داد تغییرات اقلیمی روی سلامت جسمی، روانی و اجتماعی سالمندان تاثیر منفی می گذارد و افزایش شیوع بیماری های قلبی عروقی، کلیوی، تنفسی، افسردگی، کاهش فعالیت های روزمره، افزایش بستری در بیمارستان و مرگ و میر را به همراه دارد. افزایش دما نسبت به سایر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">تغییرات</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> اقلیمی بیشترین تهدید برای سلامت سالمندان است.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> تغییرات اقلیمی خصوصا افزایش دما، بیشترین تاثیر منفی بر سلامت جسمی سالمندان دارد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:">بنابراین</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" lotus="" style="font-family:"> نیاز به توجه بیشتری در زمینه پایداری زیست محیطی، ایجاد سیاست های مداخله ای بهداشت عمومی و استراتژی های انطباقی هنگام قرار گرفتن در معرض دمای شدید برای سالمندان وجود دارد.</span></span></span></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Background and Objective:</span></span></b><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Rapid aging and climate change</span></span> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">are two major global challenges of the 21st century. This study was conducted to identify the effects of climate change on the health of older adults.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> This systematic review was conducted by comprehensively searching the Scopus, PubMed, and Web of Science electronic databases using the keywords elderly, aging, older people, health, and climate change, in English. Articles from 2014 to February 2023 following the PRISMA</span></span> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">checklist were examined. Studies were included if they were published in English, had full text available, and focused on a population of people over 60 years old.&nbsp; Simulated studies were excluded.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Results:</span></span></b> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The quality of these studies was reported to be moderate to good according to the STROBE checklist. </span></span><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The results showed that climate change negatively impacts the physical, mental and social health of the elderly.</span></span> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">It causes an increase in the prevalence of cardiovascular, kidney, and respiratory diseases, as well as depression. Additionally, it leads to a reduction in daily activities, an increase in hospitalization rates and higher mortality.</span></span> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Among various climate changes, the increase in temperature poses the greatest to the health of older adults.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Climate changes, particularly the rise in temperature, have the most significant negative impact on the physical health of older adults.</span></span> <span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Therefore, there is a pressing need for increased focus on environmental sustainability, the development of public health intervention policies, and the implementation of adaptive strategies to mitigate the effects of extreme temperatures for older adults.</span></span></span></span></span><br> &nbsp;</div> سالمند, سالمندی, افراد مسن, سلامتی, تغییرات اقلیمی Elderly, Aging, Older adults, Health, Climate change 397 416 http://ijhe.tums.ac.ir/browse.php?a_code=A-10-2782-1&slc_lang=fa&sid=1 Nasibeh Zanjari نسیبه زنجری zanjari.nz@gmail.com No Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran مرکز تحقیقات سالمندی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران Parisa Mollaei پریسا ملائی parisamollaei73@gmail.com Yes Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran مرکز تحقیقات سالمندی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران