老年人健康素养水平与衰弱/衰弱前期发生风险关系的meta分析

doi:10.3969/j.issn.1003-9198.2025.04.007

摘要/Abstract

摘要： 目的系统评价老年人健康素养水平与衰弱/衰弱前期发生风险的关系。方法检索PubMed、Scopus、Web of Science、Cochrane Library、EMbase、中国生物医学文献数据库、中国知网、维普、万方数据库中关于老年人健康素养水平与衰弱/衰弱前期关系的观察性研究,检索时间从建库至2024年5月13日,按照纳入及排除标准筛选文献,提取数据并对文献的方法学质量进行评价,采用Stata 17.0软件分析数据。结果共纳入6篇老年人健康素养水平与衰弱发生风险相关文献,其中3篇文献同时报道了健康素养与衰弱前期的患病风险;总样本量13 120例,衰弱/衰弱前期1 528/4 910例,非衰弱期6 682例。Meta分析结果显示,健康素养水平低下同时增加了老年人衰弱(OR＝2.18,95%CI:1.45～3.29,P＜0.01)和衰弱前期(OR＝2.30,95%CI:1.66～3.19,P＜0.01)的发生风险。结论低健康素养水平可能是老年人衰弱/衰弱前期发生的危险因素,但受纳入文献研究方法和数量的影响,此结果需进一步予以证实。

关键词: 老年人, 健康素养水平, 衰弱, 衰弱前期, meta分析

Abstract: Objective To systematically analyze the relationship between health literacy level and the risk of frailty/pre-frailty in the elderly. Methods The observational studies on association between health literacy level and frailty/pre-frailty in the elderly were retrieved from the databases such as PubMed,Scopus, Web of Science, Cochrane Library, EMbase, China Biology Medicine Database,CNKI, VIP and Wanfang data. The retrieval time was from the establishment of the database to May 13, 2024. The literatures were screened according to inclusion and exclusion criteria, and the methodological quality of the literatures was evaluated. Stata 17.0 software was used to analyze the data. Results A total of 6 literatures related to the level of health literacy and the risk of frailty in the elderly were enrolled, and 3 of them also reported the risk of pre-frailty period. The total sample size was 13 120 patients, including 1 528/4 910 patients presenting with frailty/pre-frailty and 6 682 patients with non-frailty. The Results of meta-analysis showed that the low level of health literacy increased the risk of frailty(OR=2.18,95%CI:1.45-3.29, P<0.01) and pre-frailty(OR=2.30,95%CI:1.66-3.19, P<0.01). Conclusions Current Results suggest that low health literacy level may be a risk factor for the occurrence of frailty.However, due to the limitations of literatures quality and research methods, this result needs to be further confirmed.

Key words: aged, health literacy level, frailty, pre-frailty, meta-analysis

中图分类号:

R 339.38

李佳佳, 陈艳艳, 王秀芝, 孙玉凤. 老年人健康素养水平与衰弱/衰弱前期发生风险关系的meta分析[J]. 实用老年医学, 2025, 39(4): 357-361.

LI Jiajia, CHEN Yanyan, WANG Xiuzhi, SUN Yufeng. Association between health literacy level and the risk of frailty/pre-frailty in the elderly : a meta-analysis[J]. Practical Geriatrics, 2025, 39(4): 357-361.

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