Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for countries to deal with fast population ageing. Methods: Six electronic databases were searched until November 2022. Data from cross-sectional...

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Published inInternational journal of public health Vol. 68; p. 1605964
Main Authors Zhou, Qi, Li, Yao, Gao, Qiang, Yuan, Huiping, Sun, Liang, Xi, Huan, Wu, Wenbin
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 01.08.2023
Subjects
community-dwelling
economic condition
frailty
older adults
Public Health Archive
regional disparities
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Abstract Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for countries to deal with fast population ageing. Methods: Six electronic databases were searched until November 2022. Data from cross-sectional studies with a clear definition of frailty and a mean age ≥60 years were pooled using meta-analysis. Results: 64 studies ( n = 106,826 participants) from 23 (67.6%) of China’s provinces were included. The overall prevalence of frailty and prefrailty among older community dwellers was 10.1% (95% CI: 8.5%–11.7%) and 43.9% (95% CI: 40.1%–47.8%), respectively. Adults over 70 years, women, unmarried, living alone, and those with less education had higher odds of being frail. Furthermore, regional disparities in frailty were observed; people in rural areas or areas with worse economic conditions had a higher prevalence of frailty. Conclusion: A great variation in frailty prevalence was observed between subgroups of older adults stratified by common risk factors. The Chinese government should pay more attentions to seniors at high risk and regions with a high prevalence of frailty.
AbstractList Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for countries to deal with fast population ageing. Methods: Six electronic databases were searched until November 2022. Data from cross-sectional studies with a clear definition of frailty and a mean age ≥60 years were pooled using meta-analysis. Results: 64 studies ( n = 106,826 participants) from 23 (67.6%) of China’s provinces were included. The overall prevalence of frailty and prefrailty among older community dwellers was 10.1% (95% CI: 8.5%–11.7%) and 43.9% (95% CI: 40.1%–47.8%), respectively. Adults over 70 years, women, unmarried, living alone, and those with less education had higher odds of being frail. Furthermore, regional disparities in frailty were observed; people in rural areas or areas with worse economic conditions had a higher prevalence of frailty. Conclusion: A great variation in frailty prevalence was observed between subgroups of older adults stratified by common risk factors. The Chinese government should pay more attentions to seniors at high risk and regions with a high prevalence of frailty.
Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for countries to deal with fast population ageing.Methods: Six electronic databases were searched until November 2022. Data from cross-sectional studies with a clear definition of frailty and a mean age ≥60 years were pooled using meta-analysis.Results: 64 studies (n = 106,826 participants) from 23 (67.6%) of China’s provinces were included. The overall prevalence of frailty and prefrailty among older community dwellers was 10.1% (95% CI: 8.5%–11.7%) and 43.9% (95% CI: 40.1%–47.8%), respectively. Adults over 70 years, women, unmarried, living alone, and those with less education had higher odds of being frail. Furthermore, regional disparities in frailty were observed; people in rural areas or areas with worse economic conditions had a higher prevalence of frailty.Conclusion: A great variation in frailty prevalence was observed between subgroups of older adults stratified by common risk factors. The Chinese government should pay more attentions to seniors at high risk and regions with a high prevalence of frailty.
Author Zhou, Qi
Yuan, Huiping
Li, Yao
Wu, Wenbin
Sun, Liang
Gao, Qiang
Xi, Huan
AuthorAffiliation 4 Department of Geriatrics , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
2 Department of Thyroid-Breast-Hernia Surgery , Department of General Surgery , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
3 Department of Scientific Research , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
1 The Key Laboratory of Geriatrics , Beijing Institute of Geriatrics , Chinese Academy of Medical Sciences , Beijing Hospital/National Center of Gerontology of National Health Commission , Beijing , China
AuthorAffiliation_xml – name: 2 Department of Thyroid-Breast-Hernia Surgery , Department of General Surgery , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
– name: 1 The Key Laboratory of Geriatrics , Beijing Institute of Geriatrics , Chinese Academy of Medical Sciences , Beijing Hospital/National Center of Gerontology of National Health Commission , Beijing , China
– name: 3 Department of Scientific Research , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
– name: 4 Department of Geriatrics , Beijing Hospital , National Center of Gerontology , Institute of Geriatric Medicine , Chinese Academy of Medical Sciences , Beijing , China
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Snippet Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for...
Objectives: To systematically review the epidemiology of frailty in China, one of the world’s most populous countries, and to provide insightful guidance for...
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SubjectTerms community-dwelling
economic condition
frailty
older adults
Public Health Archive
regional disparities
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Title Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
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