Practical Geriatrics ›› 2025, Vol. 39 ›› Issue (4): 357-361.doi: 10.3969/j.issn.1003-9198.2025.04.007

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Association between health literacy level and the risk of frailty/pre-frailty in the elderly : a meta-analysis

LI Jiajia, CHEN Yanyan, WANG Xiuzhi, SUN Yufeng   

  1. Emergency Surgery(LI Jiajia, CHEN Yanyan, SUN Yufeng); Department of Nephrology(WANG Xiuzhi), the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
  • Received:2024-06-21 Online:2025-04-20 Published:2025-04-22

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

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