The prevalence of frailty among community-dwelling older adults with diabetes: A meta-analysis
作者全名："Kong, Ling-Na; Lyu, Qiong; Yao, Hai-Yan; Yang, Li; Chen, Shuo-Zhen"
作者地址："[Kong, Ling-Na] Chongqing Med Univ, Sch Nursing, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China; [Kong, Ling-Na] Chongqing Med Univ, Sch Nursing, Affiliated Hosp 1, Chongqing, Peoples R China; [Lyu, Qiong] Chongqing Med Univ, Dept Geriatr, Affiliated Hosp 1, Chongqing, Peoples R China; [Yao, Hai-Yan] Chongqing Med Univ, Affiliated Hosp 1, Lib, Chongqing, Peoples R China; [Yang, Li] Qingdao Univ, Sch Nursing, Qingdao, Peoples R China; [Chen, Shuo-Zhen] Zunyi Med Univ, Clin Nursing Teaching & Res Sect, Affiliated Hosp, Zunyi, Guizhou, Peoples R China"
通信作者："Kong, LN (corresponding author), Chongqing Med Univ, Sch Nursing, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China."
来源：INTERNATIONAL JOURNAL OF NURSING STUDIES
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:000662236400010
JCR分区：Q1
影响因子：8.1
年份：2021
卷号：119
期号：
开始页：
结束页：
文献类型：Article
关键词：Frailty; Prefrailty; Diabetes; Prevalence; Elderly; Community-dwelling; Meta-analysis
摘要："Background: Coexistence of frailty and chronic diseases including diabetes is related to a higher risk of adverse health outcomes. There is an increasing interest in the intersection of diabetes and frailty. Under-standing the prevalence of frailty in older adults with diabetes is of great importance. However, estimates of the prevalence of frailty among this population varied widely in the relevant literature. Objectives: To conduct a systematic review and meta-analysis to estimate the overall prevalence of frailty and prefrailty among community-dwelling older adults with diabetes, and examine the risk factors asso-ciated with frailty in this population. Methods: PubMed, Web of Science, Embase, Wiley Cochrane Library, and Cumulative Index of Nursing and Allied Health were searched from inception to May 30th, 2020. Investigators assessed eligibility, extracted data and evaluated methodological quality. The pooled prevalence of frailty and prefrailty was calculated using the random-effects model. Meta-regression analysis and subgroup analysis were conducted to ex-plore sources of heterogeneity. Results: A total of 32 studies met the inclusion criteria, involving 14,450 individuals. The pooled preva-lence of frailty and prefrailty in older adults with diabetes was 20.1% (95% CI = 16.0-24.2%) and 49.1% (95%CI = 45.1-53.1%), respectively, with significant heterogeneity across the studies. Frailty was more prevalent in older adults with diabetes than those without diabetes (OR = 1.61, 95%CI = 1.47-1.77, p < 0.001). The pooled prevalence of frailty was lower in studies using Frailty Phenotype to define frailty (16.3%) and conducted in Asia (14.3%). Female gender and unmarried status were risk factors of frailty among this population. Conclusion: Frailty and prefrailty are common in community-dwelling older adults with diabetes. Early screening of frailty and interventions should be integrated into diabetes care for older adults to prevent and reduce the negative effects of frailty at the community level. Better quality longitudinal research is required to examine the temporal relationship between diabetes and frailty. (c) 2021 Elsevier Ltd. All rights reserved."
基金机构：Science and Technology Bureau of Yuzhong District in Chongqing City [20200120]; Joint Project of Chongqing Science and Technology Commission and Chongqing Health Commission [2021MSXM012]
基金资助正文："This study was supported by Science and Technology Bureau of Yuzhong District in Chongqing City (20200120) , and Joint Project of Chongqing Science and Technology Commission and Chongqing Health Commission (2021MSXM012) ."
