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。

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

摘要

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

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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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
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.
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