背景:成功衰老(SA)描述了在老年时实现最佳身心健康和社会福祉组合的多维方面。近年来,人们对了解SA患病率的兴趣日益浓厚。本研究系统地评估了全球SA的现状,定义为多维结果。
目的:系统评估老年人SA的全球患病率。
方法:我们搜索了PubMed,Embase,WebofScience,科克伦图书馆,中国生物医学数据库,中国国家知识基础设施,万方数据知识服务平台,和维普数据库从成立到2024年2月14日。两名研究者独立进行文献筛选,数据提取,和质量评估。采用Stata16.0进行Meta分析。
结果:包括250,460名老年人的30项研究。Meta分析显示,SA的全球总体患病率为24.0%[95%CI(20.7%,27.3%)]。亚洲患病率为25.1%,21.5%在欧洲,美洲为20.6%;发达国家为16.8%,发展中国家为27.1%。亚组分析显示男性老年人的SA发生率较高,已婚/同居,生活在城市地区,拥有更高的教育水平。
结论:全球老年人SA患病率较低,随着年龄组的变化,regions,和教育水平。由于纳入研究的局限性,需要进一步的高质量研究来验证这些发现.
BACKGROUND: Successful aging (SA) describes the multidimensional aspects of achieving optimal physical and mental health and social well-being combinations in old age. Recent years have seen increasing interest in understanding SA prevalence. This study systematically evaluates the current state of SA globally, defined as multidimensional outcomes.
OBJECTIVE: To systematically evaluate the global prevalence of SA in older adults.
METHODS: We searched PubMed, Embase, Web of Science, Cochrane Library, China Biomedical Database, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, and Weipu Database from inception to February 14, 2024. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Meta-analysis was performed using Stata 16.0.
RESULTS: Thirty studies comprising 250,460 older adults were included. Meta-analysis showed the overall global prevalence of SA was 24.0 % [95 % CI (20.7 %, 27.3 %)]. Prevalence rates were 25.1 % in Asia, 21.5 % in Europe, 20.6 % in the Americas; 16.8 % in developed and 27.1 % in developing countries. Subgroup analyses indicated higher SA rates among male older adults, married/cohabiting, living in urban areas, and having higher education levels.
CONCLUSIONS: The global prevalence of SA among older adults is low, with variations across age groups, regions, and education levels. Due to the limitations of the included studies, further high-quality research is needed to validate these findings.