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 s...

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Main Authors: Qi Zhou, Yao Li, Qiang Gao, Huiping Yuan, Liang Sun, Huan Xi, Wenbin Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605964/full
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author Qi Zhou
Yao Li
Qiang Gao
Huiping Yuan
Liang Sun
Huan Xi
Wenbin Wu
author_facet Qi Zhou
Yao Li
Qiang Gao
Huiping Yuan
Liang Sun
Huan Xi
Wenbin Wu
author_sort Qi Zhou
collection DOAJ
description 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.
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spelling doaj.art-2bef685ef70f437a87033c0fd7f849362023-08-01T04:11:06ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-08-016810.3389/ijph.2023.16059641605964Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-AnalysisQi Zhou0Yao Li1Qiang Gao2Huiping Yuan3Liang Sun4Huan Xi5Wenbin Wu6The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, ChinaDepartment 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, ChinaDepartment of Scientific Research, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, ChinaThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, ChinaDepartment of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaObjectives: 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.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605964/fullfrailtycommunity-dwellingolder adultsregional disparitieseconomic condition
spellingShingle Qi Zhou
Yao Li
Qiang Gao
Huiping Yuan
Liang Sun
Huan Xi
Wenbin Wu
Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
International Journal of Public Health
frailty
community-dwelling
older adults
regional disparities
economic condition
title Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
title_full Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
title_fullStr Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
title_full_unstemmed Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
title_short Prevalence of Frailty Among Chinese Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
title_sort prevalence of frailty among chinese community dwelling older adults a systematic review and meta analysis
topic frailty
community-dwelling
older adults
regional disparities
economic condition
url https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605964/full
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