{"title":"有和没有糖尿病的老年人的老年综合征：一项系统回顾和荟萃分析。","authors":"Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi","doi":"10.3928/19404921-20250115-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Diabetes prevalence is increasing among older adults globally. The current study aimed to compare geriatric syndrome prevalence in older adults with and without diabetes.</p><p><strong>Method: </strong>Primary research (2011 to 2024) in English, French, or Spanish was included. We used multiple databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pooled log odds ratios (ORs) and prevalence rates were calculated using random-effects models. Sensitivity analysis explored heterogeneity, and publication bias was assessed.</p><p><strong>Results: </strong>Older adults with diabetes exhibited higher prevalence rates of cognitive impairment (9.13% vs. 4.22%, log OR: 0.1884), depression (8.96% vs. 5.44%, log OR: 0.3543), falls (11.5% vs. 4.47%, log OR: 0.4237), functional impairment (14.2% vs. 10.6%, log OR: 1.02), urinary incontinence (9.72% vs. 4.35%, log OR: 1.3668), frailty (22.8% vs. 12.1%, log OR: 1.3443), and polypharmacy (22.9% vs. 5.78%, log OR: 2.5420). Diabetes was also associated with a higher comorbidity burden.</p><p><strong>Conclusion: </strong>Multidisciplinary strategies addressing diabetes and associated conditions are crucial for older adults with diabetes. Future research should delve into underlying mechanisms and optimize care strategies. [<i>Research in Gerontological Nursing, 18</i>(2), 99-108.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"99-108"},"PeriodicalIF":1.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Geriatric Syndromes in Older Adults With and Without Diabetes: A Systematic Review and Meta-Analysis.\",\"authors\":\"Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi\",\"doi\":\"10.3928/19404921-20250115-01\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Diabetes prevalence is increasing among older adults globally. The current study aimed to compare geriatric syndrome prevalence in older adults with and without diabetes.</p><p><strong>Method: </strong>Primary research (2011 to 2024) in English, French, or Spanish was included. We used multiple databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pooled log odds ratios (ORs) and prevalence rates were calculated using random-effects models. Sensitivity analysis explored heterogeneity, and publication bias was assessed.</p><p><strong>Results: </strong>Older adults with diabetes exhibited higher prevalence rates of cognitive impairment (9.13% vs. 4.22%, log OR: 0.1884), depression (8.96% vs. 5.44%, log OR: 0.3543), falls (11.5% vs. 4.47%, log OR: 0.4237), functional impairment (14.2% vs. 10.6%, log OR: 1.02), urinary incontinence (9.72% vs. 4.35%, log OR: 1.3668), frailty (22.8% vs. 12.1%, log OR: 1.3443), and polypharmacy (22.9% vs. 5.78%, log OR: 2.5420). Diabetes was also associated with a higher comorbidity burden.</p><p><strong>Conclusion: </strong>Multidisciplinary strategies addressing diabetes and associated conditions are crucial for older adults with diabetes. Future research should delve into underlying mechanisms and optimize care strategies. [<i>Research in Gerontological Nursing, 18</i>(2), 99-108.].</p>\",\"PeriodicalId\":51272,\"journal\":{\"name\":\"Research in Gerontological Nursing\",\"volume\":\" \",\"pages\":\"99-108\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research in Gerontological Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/19404921-20250115-01\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Gerontological Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/19404921-20250115-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：全球老年人糖尿病患病率正在上升。目前的研究旨在比较老年糖尿病患者和非糖尿病患者的老年综合征患病率。方法：纳入英语、法语或西班牙语的初步研究（2011 - 2024年）。我们按照系统评价和荟萃分析指南的首选报告项目使用了多个数据库。采用随机效应模型计算合并对数比值比（ORs）和患病率。敏感性分析探讨异质性，并评估发表偏倚。结果：老年糖尿病患者在认知障碍（9.13% vs. 4.22%，对数OR: 0.1884）、抑郁（8.96% vs. 5.44%，对数OR: 0.3543）、跌倒（11.5% vs. 4.47%，对数OR: 0.4237）、功能障碍（14.2% vs. 10.6%，对数OR: 1.02）、尿失禁（9.72% vs. 4.35%，对数OR: 1.3668）、虚弱（22.8% vs. 12.1%，对数OR: 1.3443）和多药（22.9% vs. 5.78%，对数OR: 2.5420）方面的患病率较高。糖尿病还与较高的合并症负担相关。结论：针对糖尿病及相关疾病的多学科策略对老年糖尿病患者至关重要。未来的研究应深入探讨其潜在机制并优化护理策略。[老年护理研究，xx(x)， xx-xx.]
Geriatric Syndromes in Older Adults With and Without Diabetes: A Systematic Review and Meta-Analysis.
Purpose: Diabetes prevalence is increasing among older adults globally. The current study aimed to compare geriatric syndrome prevalence in older adults with and without diabetes.
Method: Primary research (2011 to 2024) in English, French, or Spanish was included. We used multiple databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pooled log odds ratios (ORs) and prevalence rates were calculated using random-effects models. Sensitivity analysis explored heterogeneity, and publication bias was assessed.
Results: Older adults with diabetes exhibited higher prevalence rates of cognitive impairment (9.13% vs. 4.22%, log OR: 0.1884), depression (8.96% vs. 5.44%, log OR: 0.3543), falls (11.5% vs. 4.47%, log OR: 0.4237), functional impairment (14.2% vs. 10.6%, log OR: 1.02), urinary incontinence (9.72% vs. 4.35%, log OR: 1.3668), frailty (22.8% vs. 12.1%, log OR: 1.3443), and polypharmacy (22.9% vs. 5.78%, log OR: 2.5420). Diabetes was also associated with a higher comorbidity burden.
Conclusion: Multidisciplinary strategies addressing diabetes and associated conditions are crucial for older adults with diabetes. Future research should delve into underlying mechanisms and optimize care strategies. [Research in Gerontological Nursing, 18(2), 99-108.].
期刊介绍：
Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
