Prevalence of Social Frailty and Pre-Frailty in Asian Older Adults: A Systematic Review and Meta-Analysis.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI:10.3928/00989134-20250811-02

Junting Huang, Fiona Timmins, Duolao Wang, Xiaorong Luan, Wanxia Yao, Youwen Zhang

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引用次数: 0

Abstract

Purpose: To synthesize the pooled estimate of the overall incidence of social frailty (SF) and pre-frailty, as well as the prevalence of SF based on sex, country, participant type, and assessment tool used.

Method: This systematic review and meta-analysis incorporated data from inception to December 2021 using six databases: PubMed, Embase, MEDLINE, CINAHL Plus, PsycINFO, and Cochrane Library. In addition to using a comprehensive set of medical subject headings and text phrases in Chinese and English, additional research was manually retrieved from reference lists. Calculations of the combined incidence of SF and pre-frailty were based on a random-effects model. Sources of heterogeneity were also verified through subgroup analysis.

Results: The literature search yielded 2,371 articles, with 17 articles included in the meta-analysis. The combined incidences of SF and pre-frailty were 18.9% (95% confidence interval [CI] [13.7, 24.1]) and 46.6% (95% CI [34.4, 58.7]), respectively. After subgroup analyses of SF, the combined prevalence was 21.6% (95% CI [12.9, 30.3]) in Japan, 19.4% (95% CI [13.2, 25.5]) among females, 25.1% (95% CI [9.1, 41.1]) with Makizako's 5-item SF questionnaire, and 66.5% (95% CI [63.9, 69.1]) among older adults with heart failure.

Conclusion: SF and pre-frailty were prevalent in Asian older adults, especially in Japan, among females, with Makizako's 5-item SF questionnaire, and among older adults with heart failure.

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亚洲老年人社会脆弱和前期脆弱的患病率：系统回顾和荟萃分析。

目的：根据性别、国家、参与者类型和使用的评估工具，综合综合社会脆弱（SF）和脆弱前期的总体发生率，以及SF的患病率。方法：本系统评价和荟萃分析纳入了从成立到2021年12月的六个数据库的数据：PubMed、Embase、MEDLINE、CINAHL Plus、PsycINFO和Cochrane Library。除了使用一套全面的中文和英文医学主题标题和文本短语外，还从参考文献列表中手动检索了其他研究。SF和前期虚弱的合并发生率是基于随机效应模型计算的。通过亚组分析也验证了异质性的来源。结果：文献检索结果为2371篇，其中17篇纳入meta分析。SF和前期虚弱的合并发生率分别为18.9%（95%可信区间[CI][13.7, 24.1]）和46.6% （95% CI[34.4, 58.7]）。在SF亚组分析后，日本SF的总患病率为21.6% (95% CI[12.9, 30.3])，女性为19.4% (95% CI [13.2, 25.5])， Makizako的5项SF问卷为25.1% (95% CI[9.1, 41.1])，老年心力衰竭患者为66.5% （95% CI[63.9, 69.1]）。结论：SF和前期虚弱在亚洲老年人中普遍存在，尤其是在日本，在女性中，Makizako的5项SF问卷中，以及在心力衰竭的老年人中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.