• Raheem Nayyef Naser
  • Ali A. Saadoon Al-Ghuzi


Non-communicable diseases, Prevalence, Geriatric, Al- Nasiriyah


Objectives: To assess the extent of NCDs among geriatric people in Al- Nasiriyah city together with an assessment of general health status and the health care services provided to this segment of the population. Methodology: Analytical, cross-sectional study in form of household survey had been conducted in Al- Nasiriyah City, from 1 October 2015 to the end of August 2016. A multistage sampling involving 423 individuals aged ≥ 60 years as a representative sample. Results: The overall prevalence of chronic NCDs was 89%. The top five chronic diseases were hypertension (67%), diabetes (31.2%), musculoskeletal diseases (15.4%), heart diseases (11.1%), and cataract (12.8%). Prevalence of mutimorbidity (patient with two or more chronic diseases) was 59%. The main geriatric symptoms were vision problems (77.8%), feeling sad or depressed (36.4%), hearing problems (31.7%), falls (30%), memory problems (22.9%), and urinary symptoms (11.1%). Conclusion: The overall prevalence of chronic NCDs, mutimorbidity and geriatric problems among geriatric people of Al- Nasiriyah city was high, particularly cardiovascular diseases and diabetes alarming the need for actual and focused efforts in the field of prevention and improvement as well as strengthen the health care system particularly geriatric health care to reduce morbidity and to improve the healthy life years for elderly people.


- WHO. Non-communicable diseases.2015. [Internet]. Available from (accessed 17 February 2016).

- United States department of health and human services. [Internet]. Non-communicable diseases. Available from: (accessed 18 February 2016).

- Chronic diseases. My aged care. [Internet]. 2015 [cited 7 May 2016]. Available from:

- Non-communicable diseases: current status of major modifiable risk factors in Korea. - Pub Med - NCBI [Internet]. 2013 [cited 25 May 2016]. Available from:

- Non-communicable Diseases (NCDs): Central to the Post -¬ 2015 Development Framework [Internet]. The NCD Alliance. 2012 [cited 10 June 2016]. Available from: pdf.

- Overview of non-communicable Diseases and related risk factors [Internet]. CDC. 2016 [cited 9 May 2016]. Available from:

- Non-communicable Disease unit fact sheet [Internet]. 2016 [cited 6 February 2016]. Available from:

- Nurses leading the fight against chronic diseases [Internet]. 2016[cited10 June 2016] Available from:

- Pawelec G, Goldeck D, Derhovanessian E. Inflammation, ageing and chronic disease. Curr Opin Immunol. 2014/04/26 ed2014. p. 23-8.

- Brunet A, Berger SL. Epigenetics of aging and aging-related disease. J Gerontol a Biol Sci Med Sci. 2014;69 Suppl 1: S17-20. Epub 2014/05/17.

- Healthy Aging-fact sheath [Internet]. 2014 [cited 11 June 2016]. Available from:

- Non-Communicable Diseases Policy [Internet]. 2016 [cited 11 June 2016].

- CDC- global non-communicable diseases (NCDs). Division of Global Health Protection, Global Health, CDC [Internet]. 2016 [cited 21 May-2016]. Available-from:

- Alwan - The Global Response to Address CVDs and other NCDs. [online] (n.d.). [Accessed 24 Aug. 2016].

- Global epidemiology of chronic diseases: The Epidemiological Transition". 2012 cited 20 Aug 2016. [Internet]. Available from:

- The develoment and experience of epidemiological transition theory over four decades: a systematic review. [Internet].2014[cited.11. June.2016]. 734056/FULLTEXT01.pdf.

- Non-communicable diseases and implications for medical practice in Australia: a framework for analysis [Internet]. MJA.2014. [cited.11. June.2016].

- The national strategy for prevention and control of Non-communicable diseases. Republic of Iraq. Ministry of Health. [Internet]. 2015 [cited 20 February 2016]. Available from:

- Veteran DL, Foebel AD, Marengoni A, Brandi V, Collamati A, Heckman GA, et al. Chronic diseases and geriatric syndromes: The different weight of comorbidity. Eur J Intern Med. 2016; 27:62-7. Epub 2015/12/09.

- Welsh TJ, Gordon AL, Gladman JR. Comprehensive geriatric assessment--a guide for the non-specialist. Int J Clin Pract. 2014;68(3):290-3.

- Walker B, Colledge N, Ralston S, Penman I. Davidson's principles and practice of medicine 21th edition. China. Churchill Livingston Elsevier.

- Philip D. Sloane et al. Essentials of family medicine. Philadelphia: Lippincott William &Wilkins six edition 2012.

- Ministry of planning, Iraq/central statistic organization.

- Thi-qar central statistic organization.

- Sampling method, size and calculation [Internet]. Scribd. 2011 [cited 18 March 2016].

- Study of morbidity pattern among geriatric population in Fayoum ... governorate [Internet]. 2015 [cited 18 March 2016]. Available from:

- Rakel, Textbook of family medicine. 8th ed. china: Elsevier; 2011.

- Long term conditions compendium of Information- Third Edition [Internet]. 2012 [cited 25 May 2016]. Available.from:

- Oliveira. [Internet]. [cited30.June.2016]. Available.from:

- Shilpa Sahukaiah V. An epidemiological study of prevalence of morbidity patterns among geriatric age group in an urban slum of Mumbai. International Journal of Medical Science and Public Health [Internet]. 2015 [cited 30 June 2016]. 4(7):883-887. Available from:

- Taskin, T., Biswan, Siddiquee, A., Islam, and Alam, a (2014). Chronic non-communicable diseases among[Online]Research.Gate.Available.from: [Accessed 30 Jun. 2016].

- Prazeres F, Santiago L. Prevalence of mutimorbidity in the adult population attending primary care in Portugal: a cross-sectional study. BMJ Open 2015; 5: e009287. Doi: 10.1136/bmjopen-2015- 009287.

- Healthy aging & non-communicable Diseases [Internet]. 2012 [cited 30 June 2016]. Available from:

- Sivasapu, S., Kumar, S. and Kakeata, L. (2012). Morbidity pattern of lifestyle associated non-communicable diseases among greying Malaysian in primary care. [Online] Available at: [Accessed 29 Jun. 2016].

- G.K. MINI Pattern and correlates of chronic non-communicable diseases among older adults in selected states of India. (2014). [online] Available at: [Accessed 29 Jun. 2016].

- Fu S, Huang N, Chou Y. Trends in the prevalence of multiple chronic conditions in Taiwan from 2000 to 2010: A population-based study. Preventing chronic disease. 2014; 11.

- Nancy Phaswana -Mafuya (2013) Self-reported prevalence of chronic non-communicable diseases and associated factors among older adults in South 2016 [internet]. Available at: Pdf

- Xiang Huang (2015). The Association between physical activity, mental status, and social and family support with five major non-communicable chronic diseases among elderly people: A cross-sectional study of a rural population in Southern China. [Online] Available at: [Accessed 29 Jun. 2016].

- 39. Valderas JM, Star field B, Sibbald B, Salisbury C, Roland M. Defining Co-morbidity: Implications for understanding health and health services. Annals of family medicine. 2009; 7(4):357-363. doi:10.1370/afm.983.

- Salive ME. Mutimorbidity in older adults. - PubMed - NCBI [Internet]. 2013 [cited 1 July 2016]. Available from:

- The impact of mutimorbidity on adult physical and mental health in low- and middle-income countries: what does the study on global ageing and adult health (SAGE) reveal [Internet]. 2015 [cited 1 July 2016]. Available from:

- Taskin, T., Biswan, Siddiquee, A., Islam, and Alam, A (2014). Chronic non-communicable diseases among the elderly in Bangladesh old age homes. [Online] Research Gate. Available from: Communicable_Diseases_among_the_Elderly_in_Bangladesh_Old_Age_Homes [Accessed 30 Jun. 2016].

- American heart association, 2015. Older Americans &cardiovascular diseases. Statistical fact sheet [internet]. Available from: [Accessed 29 Jun. 2016].

- Uche Pascal Iloh, G. (2013). Burden of non-communicable diseases among geriatric Nigerians in a rural constrain.ed. setting.of. Eastern.Nigeria. [Online] [Accessed 29 Jun. 2016].

- (2016). Fast Stats. [Online] Available at: [Accessed 2 Jul. 2016].

- Nasra M. Shah a Jaafar Behbehani a Makhdoom A. Shah. (2009). Prevalence and correlates of major chronic illnesses among older Kuwaiti nationals in two governorates. [Online] Available at: [Accessed 30 Jun. 2016].

- Al-Ghuzi, A. and Al-Asadi, J. (2014). Prevalence and socio-demographic determinants of hypertension in Thi-Qar governorate: A Household survey. American Journal of advanced drug delivery, [online] 2(6), pp.802-815. Available at: http:/ [Accessed 1 Jul. 2016].

- Cheryl D et al, (2010). Hypertension, high serum total cholesterol, and diabetes: Racial and ethnic prevalence differences in U.S. Adults, 1999–2006. [Online] Available at: [Accessed 2 Jul. 2016].

- American heart association, 2015. Older Americans &cardiovascular diseases. Statistical fact sheet [internet]. Available from: [Accessed 29 Jun. 2016].

- Sherif S, Sumpio BE. Economic development and diabetes prevalence in MENA countries: Egypt and Saudi Arabia comparison. World Journal of diabetes. 2015; 6(2):304-311. doi:10.4239/wjd. v6. i2.304.

- Ministry of health Saudi Arabia. (2015). diabetes health day. [Online] Available at: [Accessed 2 Jul. 2016].

- Hammami, S., Mehri, S., Hajem, S., Koubaa, N., Souid, H. and Hammami, M. (2012). Prevalence of diabetes mellitus among non-institutionalized elderly in Monastir City. BMC Endocrine Disorders, 12(1), p.15.

- American Diabetes Association. (2016). Statistics about diabetes. [Online] Available at: [Accessed 2 Jul. 2016].

- Gray CS, et al. Prevalence and prediction of unrecognized diabetes mellitus and impaired glucose tolerance following. acute. stroke. -PubMed-NCBI. [Online] [Accessed 3 Jul. 2016].

- Centers for disease control and prevention. National diabetes statistics report: Estimates of diabetes and its burden in the United States, 2014. Atlanta, GA: US Department of Health and Human Services; 2014.

- WHO, (2010). Burden.of. major. musculoskeletal. conditions. [Online] [Accessed 4 Jul. 2016].

- (2016). Arthritis-related statistics. Data and statistics | Arthritis | CDC. [Online] Available at: [Accessed 4 Jul. 2016].

- Shraddha, Prashantha, Prakash Study on m morbidity pattern among elderly in urban population of Mysore, Karnataka, India. [Online] Available at: [Accessed 3 Jul. 2016].

- (2016). CDC - Data and Statistics - Chronic Obstructive Pulmonary Disease (COPD). [Online] Available at: [Accessed 4 Jul. 2016].

- (2016). WHO. Burden of COPD. [Online] Available at: [Accessed 4 Jul. 2016].

- (2016). WHO World Health Organization. [Online] Available at: [Accessed 4 Jul. 2016].

- (2005). Vision problems among older Australians. [Online] Available at: [Accessed 5 Jul. 2016].

- Prokofyeva, E., Wegener, A. and Zrenner, E. (2013). Cataract prevalence and prevention in Europe: a literature review. [Online] Available at: [Accessed 5 Jul. 2016].

- WHO, (2016). Priority.eye.diseases. [Online] [Accessed 5 Jul. 2016]

- Krieger, John N. et al. “Epidemiology of prostatitis.” International journal of antimicrobial agents 31. Suppl 1 (2008): S85–S90. PMC. Web. 5 July 2016.

- D.S. Qaader, S.Y. Yousif1 and L.K. Mahdi, (2006). Prevalence and etiology of urinary stones in hospitalized patients in Baghdad. [Online] Available at: [Accessed 5 Jul. 2016].

- Barua, Ankur et al. “Prevalence of depressive disorders in the elderly.” Annals of Saudi Medicine 31.6 (2011): 620–624. PMC. Web. 6 July 2016.

- WHO, (2007). WHO Global report on falls Prevention in older age. [Online] Available at: [Accessed 6 Jul. 2016].

- Jerliu N, Toçi E, Burazeri G, Ramadani N, Brand H. Prevalence and socioeconomic correlates of chronic morbidity among elderly people in Kosovo: a population-based survey. BMC Geriatric. 2013; 13(1):22.