中国老年糖尿病患者衰弱的患病率及影响因素：一项系统评价和荟萃分析。
Prevalence and influencing factors of frailty in older patients with diabetes in China: a system review and meta-analysis.
作者信息
Liu Jian, Cao Yanjun, Wang Qingjie, Wang Zhiwei, Luan Xiaorong
机构信息
School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Department of Neurology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
出版信息
Front Med (Lausanne). 2023 Sep 21;10:1199203. doi: 10.3389/fmed.2023.1199203. eCollection 2023.
BACKGROUND AND AIMS
To systematically evaluate the relevant literature to explore the prevalence and influencing factors of frailty in older patients with diabetes in China.
METHODS
Cochrane Library, PubMed, Embase, Medline, CINAHL, Scopus, Proquest Central, Web of Science, SinoMed, CNKI, VIP and Wan fang Databases were searched to collect Chinese and English literatures about frailty in older diabetic patients. RevMan 5.4 software was used to extract data for systematic review.
RESULTS
Seventeen studies involving 23,070 older patients with diabetes were included. The results showed that the prevalence of frailty in older Chinese diabetic patients was 30%. The main influencing factors were HbA1c level, number of complications, age, depression, exercise, and nutritional status.
CONCLUSION
The prevalence of frailty in Chinese elderly diabetic patients is high and there are many influencing factors. However, the quality of relevant literature is general and the number is limited, so high-quality prospective studies should be carried out in the future to further verify the conclusions.
背景与目的
系统评价相关文献，以探讨中国老年糖尿病患者衰弱的患病率及影响因素。
方法
检索Cochrane图书馆、PubMed、Embase、Medline、CINAHL、Scopus、Proquest Central、Web of Science、中国生物医学文献数据库、中国知网、维普数据库和万方数据库，收集有关老年糖尿病患者衰弱的中英文文献。使用RevMan 5.4软件提取数据进行系统评价。
结果
纳入17项研究，共23070例老年糖尿病患者。结果显示，中国老年糖尿病患者衰弱的患病率为30%。主要影响因素为糖化血红蛋白水平、并发症数量、年龄、抑郁、运动和营养状况。
结论
中国老年糖尿病患者衰弱的患病率较高，且影响因素众多。然而，相关文献质量一般且数量有限，未来应开展高质量的前瞻性研究以进一步验证结论。
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