Prevalence of Frailty in Latin America and the Caribbean: A Systematic Review and Meta-Analysis.

Prevalence of Frailty in Latin America and the Caribbean: A Systematic Review and Meta-Analysis.
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DOI:
10.1371/journal.pone.0160019
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发表时间:
2016
期刊:
影响因子:
3.7
通讯作者:
Pereira MG
Pereira MG
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Da Mata FA;Pereira PP;Andrade KR;Figueiredo AC;Silva MT;Pereira MG

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拉丁美洲和加勒比地区 (LAC) 国家的老年人口比例迅速增加。该地区的特点是老年人中慢性病和残疾的患病率很高。 LAC 对许多老年人的生活质量产生负面影响,导致虚弱。通过系统评价和荟萃分析来调查拉美和加勒比地区社区老年人的衰弱患病率。在索引数据库和灰色文献中进行了文献检索。检索了拉丁美洲和加勒比地区社区居住老年人代表性样本调查虚弱患病率的研究。独立研究人员进行了研究选择过程和数据提取。使用 STATA 11 软件进行荟萃分析和荟萃回归。该系统评价已在国际前瞻性系统评价登记册上注册,注册号为 CRD42014015203。系统评价共纳入 29 项研究和 43,083 名个体。调查地区的虚弱患病率为 19.6%(95% CI:15.4-24.3%),在回顾的研究中,虚弱患病率范围为 7.7% 至 42.6%。数据收集的年份影响了研究之间的异质性。虚弱在拉美和加勒比地区的老年人中非常常见。因此,该地区国家需要调整其卫生和社会保健系统,以满足老年人口的需求。
Countries in Latin America and the Caribbean (LAC) have experienced a rapid increase in their proportion of older people. This region is marked by a high prevalence of chronic diseases and disabilities among aging adults. Frailty appears in the context of LAC negatively affecting quality of life among many older people. To investigate the prevalence of frailty among community-dwelling older people in LAC through a systematic review and meta-analysis. A literature search was performed in indexed databases and in the grey literature. Studies investigating the prevalence of frailty with representative samples of community-dwelling older people in Latin America and the Caribbean were retrieved. Independent investigators carried out the study selection process and the data extraction. A meta-analysis and meta-regression were performed using STATA 11 software. The systematic review was registered at the International Prospective Register of Systematic Reviews under the number CRD42014015203. A total of 29 studies and 43,083 individuals were included in the systematic review. The prevalence of frailty was 19.6% (95% CI: 15.4–24.3%) in the investigated region, with a range of 7.7% to 42.6% in the studies reviewed. The year of data collection influenced the heterogeneity between the studies. Frailty is very common among older people in LAC. As a result, countries in the region need to adapt their health and social care systems to demands of an older population.