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老年人口腔衰弱患病率的 Meta 分析

Meta-analysis of the Prevalence of Oral Frailty in the Elderly

中文摘要英文摘要

背景 人口老龄化加剧,老年人健康备受关注;口腔衰弱作为老年人衰弱的新表型,其患病率直接关系到老年人生活质量;全面了解老年人口腔衰弱现状,对于制订有效的预防和干预措施具有重要意义。目的 系统评价老年人口腔衰弱的患病率。方法 计算机检索中国知网(CNKI)、万方数据知识服务平台(Wanfang Data)、维普网(VIP)、中国生物医学文献数据库(CBM)、PubMed、Web of Science、Embase、CINAHL 及 Cochrane Library 数据库中老年人口腔衰弱患病率的相关研究,检索时限为建库至 2024-04-19。由 2 名研究者独立对文献进行筛选、信息提取及质量评价,采用 Stata 14.0 软件对纳入文献进行 Meta 分析。结果 共纳入 19 篇横断面研究,总样本量为 11 776 例,偏倚风险质量评分为 6~9 分,均为中等或高质量。Meta 分析结果显示,老年人口腔衰弱的总患病率为 29.5%(95%CI=24.1%~35.2%),口腔衰弱前期总患病率为 47.9%(95%CI=40.5%~55.4%)。亚组分析结果显示,老年人口腔衰弱患病率随年龄增长递增,使用口腔衰弱指数 -8、中国、女性、医养机构人群、无配偶、独居、吸烟、小学及以下文化水平的老年人口腔衰弱患病率更高(P<0.05)。结论 老年人口腔衰弱总患病率较高,应重点关注我国高龄、女性、医养机构、独居无配偶、吸烟、文化水平低的老年人的口腔健康状况。

BackgroundPopulation aging has heightenedraising concerns about elderly health. Oral frailtya novel frailty phenotype in the elderlydirectly impacts the quality of life. A thorough grasp of oral frailty's prevalence in the elderly is crucial for formulating effective preventive and interventional strategies. ObjectiveTo systematically evaluate the prevalence of oral frailty in the elderly. MethodsThe CNKIWanfang DataVIPCBMPubMedWeb of ScienceEmbaseCINAHL and Cochrane Library databases were searched for literature related to the study purpose with a time limit of the construction of the database to 19 April 2024. Literature was independently screenedinformation extracted and quality assessed by 2 researchers and Meta-analysis was performed using Stata 14.0 software. ResultsA total of 19 cross-sectional studies were includedwith a total sample size of 11 776 cases and a risk of bias quality score of 6-9all of which were of moderate or high quality. Metaanalysis showed that the prevalence of oral frailty in elderly people was 29.5%95%CI=24.1%-35.2%and the prevalence of pre-oral frailty was 47.9%95%CI=40.5%-55.4%. Subgroup analyses showed that the progressive increase in the prevalence of oral frailty in the elderly with advancing age. Higher prevalence rates of oral frailty were observed in individuals screened using the Oral Frailty Index-8Chinese elderlyelderly femalesresidents of medical and nursing care facilitiesthose withouta spouseliving alonesmokersand elderly individuals with primary school education or lowerP<0.05. ConclusionThe prevalence of oral frailty is high in the elderlywarranting particular attention to the oral health status of elderly individuals in China who are advanced in agefemaleresiding in medical and nursing care facilitiesliving alone without a spouse smokersand have lower educational levels.

乔婉婉、郭润芳、敬洁、田海萍

10.12114/j.issn.1007-9572.2024.0152

口腔科学医学研究方法

衰弱口腔衰弱患病率老年人口腔衰弱指数 -8Meta 分析

乔婉婉,郭润芳,敬洁,田海萍.老年人口腔衰弱患病率的 Meta 分析[EB/OL].(2024-06-07)[2025-08-04].https://chinaxiv.org/abs/202406.00105.点此复制

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