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Background: Regarding the high prevalence of depression, anxiety and stress, as well-known complications of aging, understanding the factors associated with these problems is very important. The aging perception is proposed as a factor- that can play a role in the mental health of the elderly. The aim of this study was investigating the relationship between aging perception with stress, anxiety and depression in the elderly members of the Tehran's social security retirees in 2020. Method: The present study was a cross-sectional correlational study in which 300 elderly people referring to the Tehran's social security retirees were participated. Data were collected online using demographic information questionnaire, abbreviated psychological status questionnaire (AMT), abbreviated the understanding aging (BAPQ) and stress, depression and anxiety questionnaire (DASS 21) and analysed with SPSS 21 software. Results: In this study, 69.3% of the elderly were female and 30.7% were male. The mean score of aging perception was 55.01 ± 97.7 which shows the average level of aging perception. The highest mean of aging perception was related to the dimension of negative control (13.28 ±22.117) and the lowest mean was related to the dimension of emotional reactions (7.51 ±10.826). The mean scores of stress was 13.9 ± 19.282, depression (12.55 ± 20.168) and anxiety (11.32 ± 17.09) which shows that the elderly experienced high levels of stress, depression and anxiety. The perception of aging was significantly associated with depression, anxiety and stress in the elderly (p= 0.001). Conclusion: According to this study, the higher perception of aging is related with higher incidence of depression, anxiety and stress, so the perception of aging can be considered as a predictor of depression, anxiety and stress in the elderly. However, the difference between the results of this study and other existing data reveals a need for more and deeper assessment in this field to clarify the various dimensions of this relationship.

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Background: Frailty is a complex syndrome in which the reduction of physiological reserves in various organs increases vulnerability to stressors and negative health outcomes in the elderly. Considering that no specific intervention based on Pender lifestyle education has been performed to reduce the outcomes of this syndrome, the present study aims to determine the Effect of lifestyle education based on Pender model on frailty outcomes in community-dwelling older adults.
Methods: In this single-blind randomized clinical trial, 50 eligible elderly were selected and randomly assigned to intervention and control groups. The elderly in the intervention group received 6 training sessions based on the dimensions of Pender lifestyle. The control group did not receive any intervention but was given an educational booklet at the end of the study. Outcomes measured in this study included Activities of daily living, fear of falling, physical function and hospitalization. Data were collected before the intervention and 3 months after the intervention.
Results: there was no significant difference between the mean outcome scores of the two groups before the study. However, intervention group scores for fear of falling (32.54 ± 11.275 vs. 25.16 ± 5.764), physical activity (1104.71 ± 1460.387 vs. 1771.72 ± 1168.229) and physical function (7.50 ± 2.654 vs. 8.64 ± 2.430) were significantly higher than control group 3 month after intervention. There was no significant difference between the scores of daily life activities (1.319 5. 5.36 vs. 5.77 5. 5.80) and the number of readmissions (25% vs. 20%) in the intervention and control groups.
Conclusion: Providing lifestyle education based on Pender model can reduce the fear of falling, physical activity and physical function in frailty people, but this intervention could not significantly improve the ability of the elderly to perform activities of daily living and reduce elderly readmitted to the hospital. However, further studies with longer follow-up periods are needed to measure the effect of the intervention on all outcomes of frailty syndrome.

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Introduction: The Mediterranean diet plays an essential role in maintaining older adults’ health and their quality of life (QOL). However, the older adults living in countries outside of the Mediterranean region face difficulties in adhering to the diet. This study aimed to investigate Mediterranean diet adherence and related factors among older women.
Methods: This descriptive-analytical study was conducted on 130 older women living in Shiraz in 2019. Samples were selected by two-stage cluster sampling from comprehensive health centers. Data were collected through face-to-face interviews using a demographic information questionnaire, Mediterranean diet adherence questionnaire, Lipad quality of life questionnaire, and two researcher-made questionnaires on nutritional attitude and nutritional knowledge. Data were analyzed by SPSS software version 25 at a significance level of 0.05.
Results: The mean age of the elderly in the present study was 63.95 ± 3.44. According to the results, 19.2% of participants had low adherence, 66.2% had moderate adherence, and 14.6% had high adherence to the Mediterranean diet. There was a significant negative correlation between adherence to the Mediterranean diet with age (r = - 0.24, p <0.01), and diastolic blood pressure (r = - 0.31, p <0.05) and showed a significant positive correlation with education (r = 0.20, p <0.05) and QOL (r = 0.34, p <0.001).
Conclusion: Adherence to the Mediterranean diet in Iranian women elderly was not at a desirable level. In addition, adherence to the Mediterranean diet was correlated with the QOL of the older adults, so interventions are needed that increase adherence to the Mediterranean diet to improve the quality of life of Iranian women elderly.