Objectives: Frailty is characterized by a functioning decline in multiple systems accompanied by an increase in individual’s vulnerability to stressors. It appears to be higher in low and middle-income countries compared with high-income ones. This study aimed to evaluate the prevalence of frailty in non-institutionalized Brazilian older adults. Design: a systematic review and meta-analysis study. Setting: Cross-sectional and prospective data from Brazil. Participants: non-institutionalized adults aged 60 and older. Methods: Electronic searches were performed in PubMed/MEDLINE, LILACS, SCOPUS and Web of Science, considering the studies published between March 2001 and July 2018, using a combination of the following terms and correlates: “elder” AND “frail” AND “prevalence” AND “Brazil”. Two independent reviewers selected studies according to the inclusion criteria. Disagreements were resolved by a third reviewer (title/abstract) and by consensus. Studies with samples ≥221 subjects were considered for meta-analysis. Results: 28 studies were included, while 18 had the data meta-analyzed. The majority of studies (61%) included older adults only from the Southeastern region. The number of subjects ranged from 53 to 5,532 individuals (N = 17,604) and the average age ranged from 65.6 to 85.5 years. The overall prevalence of frailty was 24%. When considering the different assessment methods, the prevalence was lower for frailty phenotype (16%) compared with other criteria (40%). Regarding sex, the prevalence of frailty was similar for women (28%) and men (25%). The prevalence of frailty was higher in older adults recruited from health care services (30%) compared to community ones (22%). Conclusion: In Brazil, the overall prevalence of frailty in non-institutionalized older adults is higher than observed from more developed countries. However, it may vary according to the assessment methods and settings.
Prevalence of Frailty in Brazilian Older Adults : a Systematic Review and Meta-Analysis / R.C. Melo, G.C. Cipolli, G.L.A. Buarque, M.S. Yassuda, M. Cesari, R.C. Oude Voshaar, I. Aprahamian. - In: THE JOURNAL OF NUTRITION, HEALTH & AGING. - ISSN 1279-7707. - 24:7(2020), pp. 708-716. [10.1007/s12603-020-1398-0]
Prevalence of Frailty in Brazilian Older Adults : a Systematic Review and Meta-Analysis
M. Cesari;
2020
Abstract
Objectives: Frailty is characterized by a functioning decline in multiple systems accompanied by an increase in individual’s vulnerability to stressors. It appears to be higher in low and middle-income countries compared with high-income ones. This study aimed to evaluate the prevalence of frailty in non-institutionalized Brazilian older adults. Design: a systematic review and meta-analysis study. Setting: Cross-sectional and prospective data from Brazil. Participants: non-institutionalized adults aged 60 and older. Methods: Electronic searches were performed in PubMed/MEDLINE, LILACS, SCOPUS and Web of Science, considering the studies published between March 2001 and July 2018, using a combination of the following terms and correlates: “elder” AND “frail” AND “prevalence” AND “Brazil”. Two independent reviewers selected studies according to the inclusion criteria. Disagreements were resolved by a third reviewer (title/abstract) and by consensus. Studies with samples ≥221 subjects were considered for meta-analysis. Results: 28 studies were included, while 18 had the data meta-analyzed. The majority of studies (61%) included older adults only from the Southeastern region. The number of subjects ranged from 53 to 5,532 individuals (N = 17,604) and the average age ranged from 65.6 to 85.5 years. The overall prevalence of frailty was 24%. When considering the different assessment methods, the prevalence was lower for frailty phenotype (16%) compared with other criteria (40%). Regarding sex, the prevalence of frailty was similar for women (28%) and men (25%). The prevalence of frailty was higher in older adults recruited from health care services (30%) compared to community ones (22%). Conclusion: In Brazil, the overall prevalence of frailty in non-institutionalized older adults is higher than observed from more developed countries. However, it may vary according to the assessment methods and settings.File | Dimensione | Formato | |
---|---|---|---|
Melo2020_Article_PrevalenceOfFrailtyInBrazilian.pdf
accesso riservato
Tipologia:
Publisher's version/PDF
Dimensione
2.6 MB
Formato
Adobe PDF
|
2.6 MB | Adobe PDF | Visualizza/Apri Richiedi una copia |
Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.