Linxi Tang, Nur Syahmina Binti Rasudin, Yuan Dong, Azlina Yusuf
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Two independent reviewers screened articles, extracted data, and assessed study quality using the Newcastle-Ottawa Quality Assessment Scale (NOS) and the Agency for Healthcare Research and Quality (AHRQ) Methodology Checklist. Eligible studies were included in a meta-analysis using Stata 18.0 and R version 4.5.0.</p><p><strong>Results: </strong>A total of 39 studies involving 300,624 participants were included. The pooled prevalence of healthy aging was 23.0% (95% CI: 18%-27%). After adjusting for publication bias using the trim-and-fill method, the estimate decreased to 15.6% (95% CI: 11.0%-20.1%), suggesting possible overestimation in the original estimate. 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引用次数: 0
摘要
背景：健康老龄化是全球公共卫生和老龄化政策举措的关键目标。了解其流行情况和相关决定因素对于设计有针对性的干预措施和促进老年人福祉至关重要。目的：本研究旨在估计全球健康老龄化的流行程度，并确定不同国家的相关因素。方法：进行系统综述和荟萃分析。对Web of Science、PubMed、EBSCO Discovery Service （EDS）、Scopus和ProQuest从数据库建立到2025年2月进行了全面的文献检索。两名独立审稿人筛选文章，提取数据，并使用纽卡斯尔-渥太华质量评估量表（NOS）和卫生保健研究与质量机构（AHRQ）方法学检查表评估研究质量。使用Stata 18.0和R 4.5.0将符合条件的研究纳入meta分析。结果：共纳入39项研究，涉及300,624名受试者。健康老龄化的总患病率为23.0% （95% CI: 18%-27%）。在使用修剪填充法调整发表偏倚后，估计值降至15.6% (95% CI: 11.0%-20.1%)，表明原始估计值可能高估。年龄（≥75岁）、性别、婚姻状况、教育程度、经济水平、社会参与、就业状况、经济状况、吸烟状况、饮酒情况、体力活动、身体质量指数（BMI）和自评健康与健康老龄化有显著相关。结论：研究结果表明，在全球范围内，只有不到四分之一的老年人符合健康老龄化的标准，各地区差异很大。广泛的社会人口、行为和健康相关因素影响这一结果。这些结果强调了在未来的公共卫生努力中解决可改变的决定因素以促进健康老龄化的重要性。注册表：PROSPERO [CRD42024542942]。
Prevalence and related factors of healthy aging: A systematic review and meta-analysis.
Background: Healthy aging is a key goal of global public health and aging policy initiatives. Understanding its prevalence and associated determinants is essential for designing targeted interventions and promoting well-being among older adults.
Objective: This study aimed to estimate the global prevalence of healthy aging and to identify its associated factors across different countries.
Methods: A systematic review and meta-analysis were conducted. A comprehensive literature search was conducted in Web of Science, PubMed, EBSCO Discovery Service (EDS), Scopus, and ProQuest from database inception to February 2025. Two independent reviewers screened articles, extracted data, and assessed study quality using the Newcastle-Ottawa Quality Assessment Scale (NOS) and the Agency for Healthcare Research and Quality (AHRQ) Methodology Checklist. Eligible studies were included in a meta-analysis using Stata 18.0 and R version 4.5.0.
Results: A total of 39 studies involving 300,624 participants were included. The pooled prevalence of healthy aging was 23.0% (95% CI: 18%-27%). After adjusting for publication bias using the trim-and-fill method, the estimate decreased to 15.6% (95% CI: 11.0%-20.1%), suggesting possible overestimation in the original estimate. Significant associations with healthy aging were found for age (≥75 years), gender, marital status, educational level, economic level, social participation, employment status, economy, smoking status, alcohol consumption, physical activity, body mass index (BMI), and self-rated health.
Conclusions: The findings indicate that fewer than one in four older adults meet the criteria for healthy aging globally, with substantial variation across regions. A wide range of sociodemographic, behavioral, and health-related factors influence this outcome. These results underscore the importance of addressing modifiable determinants in future public health efforts to promote healthy aging.
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