| 宋扬,王盛书,王建伟,刘少华,陈仕敏,李雪航,杨姗姗,刘淼,何耀.中国社区老年人群营养不良患病率Meta分析[J].Chinese journal of Epidemiology,2022,43(6):915-921 |
| 中国社区老年人群营养不良患病率Meta分析 |
| Prevalence of malnutrition among elderly in the community of China: a Meta-analysis |
| Received:August 24, 2021 |
| DOI：10.3760/cma.j.cn112338-20210824-00676 |
| KeyWord: 老年人 营养不良 患病率 Meta分析 |
| English Key Word: Aged Malnutrition Prevalence Meta-analysis |
| FundProject: |
| Author Name | Affiliation | E-mail | | Song Yang | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China
Department of Statistics and Epidemiology, Graduate School, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Wang Shengshu | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Wang Jianwei | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Liu Shaohua | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Chen Shimin | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Li Xuehang | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Yang Shanshan | Department of Disease Prevention and Control, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Liu Miao | Department of Statistics and Epidemiology, Graduate School, Chinese People's Liberation Army General Hospital, Beijing 100853, China | liumiaolmbxb@163.com | | He Yao | Institute of Geriatrics, The Second Medical Center & National Clinical Research Center for Geriatrics Diseases, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | yhe301@sina.com |
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| Abstract: |
| 目的 对中国社区老年人群营养不良患病率进行Meta分析。方法 通过PubMed、Embase、The Cochrane Library、Web of Science、万方数据资源系统、中国期刊全文数据库，检索2011年8月1日至2021年7月31日的中国地区社区老年人群（≥60岁）营养状况研究的相关文献，根据不同文献中营养评估筛查工具定义营养不良。拟合随机效应模型计算患病率，并根据纳入文献数据情况进行亚组分析和组间差异分析。结果 共有13篇文献符合纳入标准，包括19 938名≥60岁的参与者。营养不良诊断标准和界定共计7种方法。文献报告的营养不良患病率水平差异较大（2.4%~52.5%），其中7篇文献报告了营养不良风险的患病率（21.3%~67.0%）。Meta分析显示，中国社区老年人群营养不良和营养不良风险合并患病率为41.2%（95%CI： 29.5%~54.0%，I2=99.6%，P<0.05），且2017年后患病率低于2017年以前（29.6% vs. 66.6%，χ2=274.20，P<0.05）、男性低于女性（44.9% vs. 52.2%，χ2=10.67，P=0.001）、非独居者低于独居老年人群（41.2% vs. 49.6%，χ2=14.23，P<0.05）。结论 中国社区老年人群营养不良的患病情况较为常见，且女性和独居老人的营养不良患病率较高。 |
| English Abstract: |
| Objective The prevalence of malnutrition in the community-dwelling older population of China was analyzed by Meta-analysis. Methods Papers on the nutrition of community-dwelling elderly (≥60 years old) in China from August 1, 2011, to July 31, 2021, were retrieved through PubMed, Embase, the Cochrane Library, Web of Science, Wanfang Digital Database and China National Knowledge Infrastructure Database. Malnutrition was defined by nutritional assessment and screening tools of different studies. The random-effect model was fitted to calculate the prevalence. Subgroup analysis and inter-group difference analysis were performed according to the data included in the paper. Results A total of 13 articles met the inclusion criteria, including 19 938 participants ≥60 years old. There are a total of seven methods for diagnosing criteria and defining malnutrition. The prevalence of malnutrition reported in papers varies greatly (2.4%-52.5%), of which seven pieces reported the prevalence of malnutrition risk (21.3%-67.0%). The Meta-analysis shows that the combined prevalence of malnutrition and risk of malnutrition was 41.2% (95%CI: 29.5%-54.0%, I2=99.6%, P<0.05) in the community-dwelling older population of China. The prevalence after 2017 is lower than that before 2017 (29.6% vs. 66.6%, χ2=274.20, P<0.05). The prevalence of men was lower than that of women (44.9% vs. 52.2%, χ2=10.67, P=0.001). The prevalence of non-living alone is lower than that of the older population living alone (41.2% vs. 49.6%, χ2=14.23, P<0.05). Conclusion Malnutrition is common among the community-based older people in China. The prevalence of malnutrition is higher among older women and the elderly who live alone. |
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