PDF(Pubmed)
Abstract：
Background: Frailty is a globally recognized issue. However, there is a lack of evidence exploring factors associated with frailty among older residents in community and nursing-home settings. Methods: To explore the prevalence and factors associated with frailty among older adults in community and nursing-home settings, we conducted a systematic search following the PRISMA guidelines across Web of Science, MEDLINE, EMBASE, PubMed, and Cochrane databases up until January 2024, selecting 38 studies which encompassed 150,642 participants. Results: Our findings showed higher frailty prevalence in nursing homes compared to communities. Frailty was significantly associated with sociodemographic (living alone, poor self-reported health), physiological (poor sleep, low activity of daily living), behavioral (physical inactivity) and disease (chronic conditions, depression) factors in both community and nursing-home settings. Conclusions: There are numerous factors associated with frailty in older adults in nursing-home and community settings. These factors underscore the significance of promptly identifying high-risk individuals and devising appropriate interventions to mitigate frailty among them.
摘要：
背景：脆弱是一个全球公认的问题。然而,缺乏证据探索社区和疗养院中老年居民的虚弱相关因素.方法：探讨社区和养老院中老年人体弱者的患病率和相关因素，我们根据网络科学的PRISMA指南进行了系统的搜索，MEDLINE,EMBASE,PubMed,和Cochrane数据库截至2024年1月，选择了38项研究，涵盖150,642名参与者。结果：我们的发现表明，与社区相比，疗养院的脆弱患病率更高。虚弱与社会人口统计学显著相关(独居，自我报告的健康状况不佳)，生理（睡眠不好，日常生活活动少)，行为(身体不活动)和疾病(慢性病，抑郁)社区和疗养院环境中的因素。结论：在养老院和社区环境中，有许多与老年人虚弱相关的因素。这些因素强调了及时识别高风险个体并制定适当的干预措施以减轻他们的脆弱的重要性。
