文献类型：期刊文献

英文题名：Prevalence and Risk Factors for Frailty Among Community-Dwelling Older People in China: A Systematic Review and Meta-Analysis

作者：He, B.[1];Ma, Y.[2];Wang, C.[3];Jiang, M.[4];Geng, C.[4];Chang, X.[1];Ma, B.[5];Han, L.[3,4]

第一作者：He, B.

通信作者：Han, L[1];Han, L[2]

机构：[1]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Gansu, Peoples R China;[2]Lanzhou Univ, Sch Nursing, Evidence Based Care Ctr, Lanzhou, Gansu, Peoples R China;[3]Gansu Prov Hosp, Lanzhou, Gansu, Peoples R China;[4]Lanzhou Univ, Sch Nursing, 28 Yanxi Rd, Lanzhou 730000, Gansu, Peoples R China;[5]Lanzhou Univ, Sch Basic Med Sci, Evidence Based Ctr, Lanzhou, Gansu, Peoples R China

第一机构：甘肃中医药大学护理学院

通信机构：[1]corresponding author), Lanzhou Univ, Sch Nursing, 28 Yanxi Rd, Lanzhou 730000, Gansu, Peoples R China;[2]corresponding author), Gansu Prov Hosp, Nursing Dept, Nursing, 204 Donggang West Rd, Lanzhou, Gansu, Peoples R China.

年份：2019

卷号：23

期号：5

起止页码：442

外文期刊名：JOURNAL OF NUTRITION HEALTH & AGING

收录：;Scopus(收录号：2-s2.0-85062645545);WOS:【SSCI(收录号:WOS:000467696700007)，SCI-EXPANDED(收录号:WOS:000467696700007)】；

基金：National Nature Science Foundation of China (grant 71363004, 71663002, 71704071), the Fundamental Research Funds for the Central Universities (lzujbky-2016-ct14, lzujbky-2018-ct05, lzujbky-2018-77).

语种：英文

外文关键词：Chinese; community-dwelling older people; frailty; prevalence

摘要：ObjectiveTo systematically assess the prevalence of frailty, including prefrailty, stratified prevalence according to frailty criteria, gender, age, and region, and the risk factors for frailty in China.DesignWe conducted a systematic literature review and meta-analysis using articles available in 8 databases including PubMed, Cochrane Library, Web of Science, CINAHL Plus, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Chinese Biomedical Database (CBM), and Weipu Database (VIP).SettingCrosssectional and cohort data from Chinese community.ParticipantsCommunity-dwelling adults aged 65 and older.MeasurementsTwo authors independently extracted data based upon predefined criteria. Where data were available we conducted a meta-analysis of frailty parameters using a random-effects model.ResultsWe screened 915 different articles, and 14 studies (81258 participants) were ultimately included in this analysis. The prevalence of frailty and prefrailty in individual studies varied from 5.9% to 17.4% and from 26.8% to 62.8%, respectively. The pooled prevalence of frailty and prefrailty were 10% (95% CI: 8% to 12%, I2 = 97.4%, P = 0.000) and 43% (95% CI: 37% to 50%, I2 = 98.0%, P = 0.000), respectively. The pooled frailty prevalence was 8% for the Fried frailty phenotype, 12% for the frail index, and 15% for the FRAIL scale. Age-stratified meta-analyses showed the pooled prevalence of frailty to be 6%, 15%, and 25% for those aged 65-74, 75-84, and 85 years old, respectively. The pooled prevalence of frailty was 8% for males and 11% for females. The pooled prevalence of frailty in Mainland China, Taiwan, and Hong Kong was 12%, 8%, and 14%, respectively. The pooled frailty prevalence was 10% in urban areas and 7% in rural areas. After controlling for confounding variables, increasing age (OR = 1.28, 95% CI: 1.2 to 1.36, I-2 = 98.0%, P = 0.000), being female (OR = 1.29, 95% CI: 1.16 to 1.43, I-2 =92.7%, P=0.000), activities of daily living (ADL) disability (OR = 1.72, 95% CI: 1.57 to 1.90, I-2 = 99.7%, P = 0.000), and having three or more chronic diseases (OR = 1.97, 95% CI: 1.78 to 2.18, I-2 = 97.5%, P = 0.000) were associated with frailty.ConclusionsThese findings of this review indicate an overall pooled prevalence of frailty among Chinese community-dwelling older people of 10%. Increasing age, being female, ADL disability, and having three or more chronic diseases were all risk factors for frailty. Further research will be needed to identify additional frailty risk factors in order to better treat and prevent frailty in the community.