老年人社会衰弱发生率的meta分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (20): 2856-2860.

老年人社会衰弱发生率的meta分析

邢慧敏¹, 祝丽娜², 王洋¹, 付得盛¹, 刘丹¹, 汤圆圆¹

1.长春中医药大学护理学院,吉林长春 130117;
2.中日联谊医院神经外科,吉林长春 130117

收稿日期:2022-08-10 修回日期:2023-05-29 发布日期:2026-03-26
通信作者: 王洋,副教授,E-mail：wangyanglml@163.com
作者简介:邢慧敏,女,在读硕士研究生,研究方向为中西医结合内科护理实践研究。
基金资助:
2020年度吉林省中医药科技项目（2020058）

Prevalence of social weakness in the elderly：A meta-analysis

XING Huimin¹, ZHU Lina², WANG Yang¹, FU Desheng¹, LIU Dan¹, TANG Yuanyuan¹

1. School of Nursing,Changchun University of Chinese Medicine,Changchun Jilin 130117,China;
2. Department of Neurosurgery,China-Japan Union Hospital,Changchun Jilin 130117,China

Received:2022-08-10 Revised:2023-05-29 Published:2026-03-26
Contact: WANG Yang,Associate professor,E-mail：wangyanglml@163.com

摘要/Abstract

摘要： 目的采用meta分析综合评价老年人社会衰弱的发生率,为老年人社会衰弱状况的预防及干预提供参考依据。方法检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库,搜集自建库起至2022年2月有关老年人社会衰弱发生率的相关文献,采用Stata 15.0软件对符合纳入标准的文献资料进行meta分析。结果最终纳入15篇文献,共18 534例患者。Meta分析结果显示,老年人社会衰弱的总体发生率为16%（95%CI：13%~19%）。亚组分析结果显示,女性老年人社会衰弱的发生率（15%）高于男性（11%）,医院发生率（21%）高于社区（15%）,队列研究发生率（16%）高于描述性研究（15%）,2020—2022年发生率（19%）高于2012—2019年（13%）。结论老年人社会衰弱发生率较高,应进行早期筛查,并采取有效、科学的干预措施,以期降低老年人社会衰弱的发生率。

关键词: 社会衰弱, 老年人, 发生率, Meta分析, 预防

Abstract: Objective To comprehensively evaluate the incidence of social weakness in the elderly by meta-analysis,so as to provide reference for the prevention and intervention of social weakness in the elderly. Methods PubMed,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure（CNKI）,Wan-fang database and VIP database were searched to collect relevant literature on the incidence of social frailty in the elderly from the inception of the database to February 2022. Stata 15.0 software was used to conduct a meta-analysis of the literature that met the inclusion criteria. Results A total of 18 534 patients were included in 15 studies.Meta-analysis showed that the overall incidence of social weakness in the elderly was 16%（95%CI：13%-19%）. The results of subgroup analysis showed that the incidence of social weakness in female elderly（15%） was higher than that in male（11%）,the incidence in hospital（21%） was higher than that in community（15%）,the incidence of cohort studies（16%） was higher than that of descriptive studies（15%）,and the incidence was higher in 2020-2022（19%） than in 2012-2019（13%）. Conclusion The incidence ofsocial weakness in the elderly is high,and the early screening and effective and scientific intervention measures should be taken to reduce the incidence of social weakness in the elderly.

Key words: Social weakness, The elderly, Incidence, Meta analysis, Prevention

中图分类号:

R181.2

邢慧敏, 祝丽娜, 王洋, 付得盛, 刘丹, 汤圆圆. 老年人社会衰弱发生率的meta分析. [J]职业与健康, 2023, 39(20): 2856-2860.

XING Huimin, ZHU Lina, WANG Yang, FU Desheng, LIU Dan, TANG Yuanyuan. Prevalence of social weakness in the elderly：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(20): 2856-2860.

参考文献

[1] United Nations Department of Economic and Social Affairs(DESA).Population Division.World Population Prospects2019[EB/OL].(2019-08-28)[2022-05-16].https://population.un.org/wpp/Download/Standard/Population/.
[2] FRIED L P,TANGEN C M,WALSTON J,et al.Frailty in older adults:evidence for a phenotype[J].J Gerontol A Biol Sci Med Sci,2001,56(3):M146-M156.
[3] GOBBENS R J,LUIJKX K G,WIJNEN-APONSELEE M T,et al.In search of an integral conceptual definition of frailty:opinions of experts[J].J Am Med Dir Assoc,2010,11(5):338-343.
[4] ABELLAN G,ROLLAND Y,BERGMAN H,et al.The I.A.N.A Task Force on frailty assessment of older people in clinical practice[J].J Nutr Health Aging,2008,12(1):29-37.
[5] BUNT S,STEVERINK N,OLTHOF J,et al.Social frailty in older adults:a scoping review[J].Eur J Ageing,2017,14(3):323-334.
[6] BUCHMAN A S,BOYLE P A,WILSON R S,et al.Association between late-life social activity and motor decline in older adults[J].Arch Intern Med,2009,169(12):1139-1146.
[7] MAKIZAKO H,KUBOZONO T,KIYYAMA R,et al.Associations of social frailty with loss of muscle mass and muscle weakness among community-dwelling older adults[J].Geriatr Gerontol Int,2019,19(1):76-80.
[8] 周英凤,顾莺,胡雁,等.JBI循证卫生保健中心对关于不同类型研究的质量评价工具—患病率及分析性横断面研究的质量评价[J].护士进修杂志,2018,33(3):219-221.
[9] ANDREW M K,MITNISKI A,KIRKLAND S A,et al.The impact of social vulnerability on the survival of the fittest older adults[J].Age Ageing,2012,41(2):161-165.
[10] TSUTSUMIMOTO K,DOI T,MAKIZAKO H,et al.Association of social frailty with both cognitive and physical deficits among older people[J].J Am Med Dir Assoc,2017,18(7):603-607.
[11] TEO N,GAO Q,NYUNT M S,et al.Social frailty and functional disability:Findings from the Singapore Longitudinal Ageing Study I(SLAS-I)[J].J Am Med Dir Assoc,2018,18(7):637.
[12] MA L,TANG Z.Social frailty is associated with pysical functioning,cognition,and depression,and predicts mortality[J].J Nutr Health Aging,2018,22(8):989-995.
[13] YOO M,KIM S,KIM B S,et al.Moderate hearing loss is related with social frailty in a community-dwelling older adults:The Korean Frailty and Aging Cohort Study(KFACS)[J].Arch Gerontol Geriatr,2019,83:126-130.
[14] NAKAKUBO S,DOI T,MAKIZAKO H,et al.Association of sleep condition and social frailty in community-dwelling older people[J].Geriatr Gerontol Int,2019,19(9):885-889.
[15] HIRASE T,MAKIZAKO H,OKUBO Y,et al.Chronic pain is independently associated with social frailty in community-dwelling older adults[J].Geriatr Gerontol Int,2019,19(11):1153-1156.
[16] PEK K,CHEW J,LIM J P,et al.Social frailty is independently associated with mood,nutrition,physical performance,and physical activity:Insights from a theory-guided approach[J].Int J Environ Res Public Health,2020,17(12):4239.
[17] NAGAI K,TAMAKI K,KUSUNOKI H,et al.Physical frailty predicts the development of social frailty:A prospective cohort study[J].BMC Geriatr,2020,20(1):403.
[18] HUANG C H,OKADA K,MATSUSHITA E,et al.Sex-specific association between social frailty and diet quality,diet quantity,and nutrition in community-dwelling elderly[J].Nutrients,2020,12(9):2845.
[19] ONO R,MURATA S,UCHIDA K,et al.Reciprocal relationship between locomotive syndrome and social frailty in older adults[J].Geriatr Gerontol Int,2021,21(11):981-984.
[20] 毛国菊. 住院老年人整体衰弱与社会衰弱现状及相关性研究[D].沈阳:中国医科大学,2021.
[21] 赵欧,李耘,张亚欣,等.老年住院患者社会衰弱与生理衰弱的相关性[J].中华老年多器官疾病杂志,2021,20(6):402-405.
[22] 彭心雨,宋明方,张婉,等.社区老年人社会衰弱现状及影响因素[J].护理研究,2021,35(19):3401-3406.
[23] 赵欧,李耘,张亚欣,等.住院患者社会衰弱情况及影响因素分析[J].北京医学,2021,43(8):730-734.
[24] 奚兴,郭桂芳.社区老年人衰弱现状及其影响因素研究[J].中国护理管理,2014,14(12):1315-1319.
[25] 杨小娇,邢凤梅,汪凤兰,等.社区老年人居家不出与孤独感、家庭关怀度的关系[J].中国老年学杂志,2019,39(9):2261-2264.
[26] 环京津网.世界人口老龄化最严重的5个国家,日本上榜[EB/OL].(2020-06-01)[2022-05-16].https://baijiahao.baidu.com/s?id=1668250212371955231&wfr=spider&for=pc.
[27] 陈雪蕊,李翠.疫情期间生活方式的转变对人体身心健康的影响[C]//第十二届全国体育科学大会论文摘要汇编—墙报交流(体育社会科学分会).北京:中国体育科学学会委员会,2022:461-462.
[28] DOBROWOLSKI H,WODAREK D.Body mass,physical activity and eating habits changes during the first COVID-19 pandemic lockdown in Poland[J].Int J Environ Res Public Health,2021,18(11):5682.
[29] 艾聪,李光校,周波,等.中国2000年后急性心肌梗死患者抑郁患病率的Meta分析[J].中国循证医学杂志,2017,17(1):47-51.