Yue Li, Jie Yun, Xie Cen, Liping Wang, Ruiting Yang, Danni Lu, Dianhe Liu
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引用次数: 0
Abstract
Objectives: The growing population of prefrail older adults is increasingly becoming a priority in health care services within aging nations. This study was designed to assess the effect of health-promoting interventions on clinical efficacy in prefrail older adult populations and to undertake a preliminary exploration of their associated cost-effectiveness.
Design: Systematic review.
Setting and participants: Prefrail older people ≥60 years of age who conform to 1 or 2 of the criteria within Fried's frailty phenotype, in any setting.
Methods: A comprehensive search of 7 databases (PubMed, Web of Science, Embase, CINAHL, Cochrane Library, CNKI, and Wanfang) was conducted from database inception through March 2025. Inclusion criteria encompassed randomized controlled trials investigating multidimensional health outcomes for older adults with prefrailty. Dual independent processes were implemented for both data extraction and methodologic quality assessment using the Cochrane risk of bias tool.
Results: This review included 7 randomized controlled trials (N = 1323) with intervention periods spanning 3 to 26 months. Health promotion strategies comprised 3 main categories: multicomponent exercise, theory-driven approaches, and multidisciplinary interventions. Despite variations in outcome measurements, the study results preliminarily suggest that health-promoting interventions have demonstrated a certain degree of positive impact on both the health status and cost-effectiveness of prefrail older adults.
Conclusions and implications: Health promotion interventions can improve clinical outcome indicators for prefrail older adults and possess potential advantages in terms of cost-effectiveness. However, the benefits largely depend on the type and duration of the intervention. When assessing these factors together, home-based health promotion interventions seem to be a particularly beneficial strategy, offering both cost efficiency and meaningful improvements in prefrailty status.
期刊介绍：
JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates.
The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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