社区老年人社会衰弱与不良健康结局关系队列研究的系统评价

摘要/Abstract

摘要： 目的系统评价社区老年人社会衰弱与不良健康结局的关系。方法检索 PubMed、Web of Science、Embase、Cochrance Library、中国知网、万方数据库、维普数据库,纳入从建库到2022年8月国内外关于老年人社会衰弱与不良健康结局的队列研究,采用RevMan 5.3软件对提取的数据进行meta分析,对不能合并的数据进行描述分析。结果共纳入15篇队列研究,Meta分析结果表明,与低水平社会衰弱老年人相比,高水平社会衰弱老年人发生死亡（HR=1.35,95%CI：1.19~1.53,P<0.01）、失能（OR=1.33,95%CI：1.18~1.50,P<0.01）、抑郁（OR=1.68,95%CI：1.25~2.25,P<0.01）的风险更高,且每增加1项社会缺陷指标,老年人死亡风险增加4%（HR=1.04,95%CI：1.03~1.05,P<0.01）。描述分析结果显示,社会衰弱同样可导致老年人死亡、失能、抑郁以及认知功能下降的风险升高。结论社区老年人社会衰弱与死亡、失能、抑郁等不良结局密切相关,应加强对老年人社会衰弱的关注。亟需早期识别社会衰弱并制定相应的干预措施,预防或减缓社会衰弱的进展,减少不良健康结局的发生。

关键词: 社会衰弱, 不良健康结局, 老年人, 队列研究, 系统评价

Abstract: Objective To systematically evaluate the relationship between social frailty and adverse health outcomes of the elderly in the community. Methods PubMed,Web of Science,Embase,Cochrance Library,CNKI,WanFang data,and VIP were searched for cohort studies investigating the social frailty and adverse health outcomes of the elderly at home and abroad from inception to August 2022. A meta-analysis on extracted data was conducted by RevMan 5.3 software,and the descriptive analysis was performed on the data that cannot be merged. Results A total of 15 articles were included. The meta-analysis results showed that high-social frail elderly had higher risk of death（HR=1.35,95%CI：1.19-1.53,P<0.01）,disability（OR=1.33,95%CI：1.18-1.50）,P<0.01） and depression（OR=1.68,95%CI：1.25-2.25,P<0.05） than low-social frail group,and each additional social vulnerability deficit was associated with a 4% increased risk of death（HR=1.04,95%CI：1.03-1.05,P<0.01）. The descriptive analysis results showed that social frailty could increase the risks of death,disability,depression,and cognitive decline in the elderly. Conclusions The social frailty of older adults in the community is closely related to death,disability,depression and other adverse outcomes,so the domestic scholars should pay more attention to the social frailty among older adults. It is necessary to identify the social frailty early and formulate corresponding intervention measures to prevent or slow down the progress of social frailty and reduce the occurrence of adverse health outcomes.

Key words: Social frailty, Adverse health outcomes, The elderly, Cohort study, Systematic review

中图分类号:

R181.3⁺7

刘跃, 宋洁, 刘霖, 陈海雯, 李汝钊, 靳子恒. 社区老年人社会衰弱与不良健康结局关系队列研究的系统评价. [J]职业与健康, 2023, 39(22): 3143-3147.

LIU Yue, SONG Jie, LIU Lin, CHEN Haiwen, LI Ruzhao, JIN Ziheng. Cohort study on association between social frailty and adverse health outcomes in community elderly：A systematic review. [J]OCCUPATION AND HEALTH, 2023, 39(22): 3143-3147.

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