College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Arch Gerontol Geriatr. 2025 Jan;128:105604. doi: 10.1016/j.archger.2024.105604. Epub 2024 Aug 21.
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.
To systematically evaluate the global prevalence of SA in older adults.
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.
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.
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.
成功老龄化（SA）描述了老年人在身体和心理健康以及社会福利方面实现最佳组合的多维方面。近年来，人们越来越关注理解 SA 的流行率。本研究系统评估了目前全球 SA 的状况，定义为多维结果。
系统评估老年人中成功老龄化的全球流行率。
我们从开始到 2024 年 2 月 14 日在 PubMed、Embase、Web of Science、Cochrane 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中进行了搜索。两名研究人员独立进行文献筛选、数据提取和质量评估。使用 Stata 16.0 进行荟萃分析。
共有 30 项研究纳入了 250460 名老年人。荟萃分析显示，全球 SA 的总体流行率为 24.0%[95%CI（20.7%，27.3%）]。亚洲的流行率为 25.1%，欧洲为 21.5%，美洲为 20.6%；发达国家为 16.8%，发展中国家为 27.1%。亚组分析表明，男性、已婚/同居、居住在城市地区和受教育程度较高的老年人 SA 率较高。
全球老年人中 SA 的流行率较低，存在年龄组、地区和教育水平的差异。由于纳入研究的局限性，需要进一步开展高质量的研究来验证这些发现。
