Yurong Liu, Xuan Zhang, Xiangrui Fu, Wen Li, Yuan Wang, Wenli Lu
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Quality assessment was conducted using the Agency for Healthcare Quality and Research criteria and the Newcastle-Ottawa Scale. Statistical analyses were conducted using Revman 5.3 and Stata 11.0.</p><p><strong>Results: </strong>A total of 546,228 older adults from 64 studies were incorporated into the meta-analysis. In the 64 studies, SA criteria mentioned 11 aspects: psychology, disease, cognitive function, physical function, social engagement, disability, independence, self-rated health, economy, memory impairment, and obesity. The meta-analysis indicated that the summary estimate of SA rate among people aged ≥60 years was 22.0% (95% CI 19.0%-25.0%) globally. A meta-analysis was conducted on the 6 aspects included more commonly in SA criteria, and the results showed that the rate of no disability was the highest (72.0%), followed by good psychological status (69%), active social engagement (65%), high cognitive function (64%), and high physical function (62%), with no major diseases being the lowest (50.0%).</p><p><strong>Conclusions and implications: </strong>The overall estimated SA rate among people aged ≥60 years was 22% globally. The SA criteria mainly include 6 aspects: good psychological status, no major diseases, high cognitive function, high physical function, active social engagement, and no disability. 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引用次数: 0
摘要
目的本荟萃分析旨在对成功老龄化（SA）标准的不同方面进行定性分析，并对全球≥60 岁人群的成功老龄化率及其不同维度进行定量评估，为构建成功老龄化标准提供依据：这是一项系统回顾和荟萃分析，已在 PROSPERO（CRD42024585934）上注册：环境和参与者：老年人（≥60 岁）：使用 PubMed、Embase、CINAHL、Web of science、SCOPUS 和 PsycINFO（开始至 2023 年 7 月 17 日）搜索相关研究，以评估 SA 的综合水平。采用随机效应模型综合得出 SA 率和 95% CI。采用医疗质量与研究机构标准和纽卡斯尔-渥太华量表进行质量评估。统计分析使用 Revman 5.3 和 Stata 11.0 进行：共有来自 64 项研究的 546228 名老年人被纳入荟萃分析。在这 64 项研究中，SA 标准涉及 11 个方面：心理、疾病、认知功能、身体功能、社会参与、残疾、独立性、自评健康、经济、记忆损伤和肥胖。荟萃分析表明，在全球范围内，年龄≥60 岁人群的 SA 率估计值为 22.0%（95% CI 19.0%-25.0%）。对SA标准中较常见的6个方面进行了荟萃分析，结果显示，无残疾的比例最高（72.0%），其次是良好的心理状态（69%）、积极的社会参与（65%）、高认知功能（64%）和高身体功能（62%），无重大疾病的比例最低（50.0%）：据估计，全球≥60 岁人群的总体 SA 率为 22%。SA标准主要包括6个方面：良好的心理状态、无重大疾病、高认知功能、高身体功能、积极参与社会活动和无残疾。研究结果强调了心理健康和慢性病管理的重要性，为未来有关老龄人口福利的研究和政策制定提供了宝贵的见解。
Successful Aging Rates of Global Older Adults: A Systematic Review and Meta-analysis.
Objective: This meta-analysis aimed to qualitatively analyze the different aspects of the successful aging (SA) criteria and quantitatively assess the rate of SA and its different dimensions among people aged ≥60 years globally to provide a basis for constructing criteria for SA.
Design: This is a systematic review and meta-analysis, which has been registered on PROSPERO (CRD42024585934).
Setting and participants: Older adults (≥60 years).
Methods: PubMed, Embase, CINAHL, Web of science, SCOPUS, and PsycINFO (inception to July 17, 2023) were used to search for relevant studies to evaluate the comprehensive level of SA. A random effects model was used to synthesize SA rates and 95% CIs. Quality assessment was conducted using the Agency for Healthcare Quality and Research criteria and the Newcastle-Ottawa Scale. Statistical analyses were conducted using Revman 5.3 and Stata 11.0.
Results: A total of 546,228 older adults from 64 studies were incorporated into the meta-analysis. In the 64 studies, SA criteria mentioned 11 aspects: psychology, disease, cognitive function, physical function, social engagement, disability, independence, self-rated health, economy, memory impairment, and obesity. The meta-analysis indicated that the summary estimate of SA rate among people aged ≥60 years was 22.0% (95% CI 19.0%-25.0%) globally. A meta-analysis was conducted on the 6 aspects included more commonly in SA criteria, and the results showed that the rate of no disability was the highest (72.0%), followed by good psychological status (69%), active social engagement (65%), high cognitive function (64%), and high physical function (62%), with no major diseases being the lowest (50.0%).
Conclusions and implications: The overall estimated SA rate among people aged ≥60 years was 22% globally. The SA criteria mainly include 6 aspects: good psychological status, no major diseases, high cognitive function, high physical function, active social engagement, and no disability. Emphasizing the importance of psychological well-being and chronic disease management, the findings offer valuable insights for future research and policy making related to the welfare of aging populations.
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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