Prevalence and potential influencing factors for social frailty among community-dwelling older adults: a systematic review and meta-analysis

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Abstract

Objective

To explore the prevalence and potential influencing factors of social frailty among community-dwelling older adults from a global perspective.

Methods

Systematic searches were conducted on multiple databases including CNKI, VIP, Wanfang Data, CBM, Pubmed, Cochrane Library, Web of Science, and Embase from inception to January 9, 2024. Two researchers performed a thorough literature search, gathered data, and independently evaluated the quality of the articles.

Results

2,426 literatures were examined, 45 were found to meet the specified criteria for inclusion, encompassing 314,454 participants. The combined prevalence of social pre-frailty and social frailty among community-dwelling older adults were found to be 34.5% and 21.1%, respectively. Depression, activities of daily living (ADL), physical inactivity, motor deficits, cognitive impairment, and physical frailty are potential risk factors.

Conclusions

Social pre-frailty and social frailty are frequent challenges faced by older adults living in the community. The prevalence of these conditions has been on the rise in recent years, underscoring the importance of implementing effective interventions. Early identification and intervention for individuals at risk of social frailty are essential for promoting healthy and active aging globally.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12877-024-05365-8.

Related collections

Most cited references 58

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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J L Page, Joanne E McKenzie, Patrick Bossuyt … (2028)

The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.

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Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses.

Andreas Stang (2010)

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Frailty in elderly people

Andrew B. Clegg, John Young, Steve Iliffe … (2013)

Frailty is the most problematic expression of population ageing. It is a state of vulnerability to poor resolution of homoeostasis after a stressor event and is a consequence of cumulative decline in many physiological systems during a lifetime. This cumulative decline depletes homoeostatic reserves until minor stressor events trigger disproportionate changes in health status. In landmark studies, investigators have developed valid models of frailty and these models have allowed epidemiological investigations that show the association between frailty and adverse health outcomes. We need to develop more efficient methods to detect frailty and measure its severity in routine clinical practice, especially methods that are useful for primary care. Such progress would greatly inform the appropriate selection of elderly people for invasive procedures or drug treatments and would be the basis for a shift in the care of frail elderly people towards more appropriate goal-directed care. Copyright © 2013 Elsevier Ltd. All rights reserved.

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Author and article information

Contributors

Huaihong Yuan: yuanhuaihong@wchscu.cn

Journal

Journal ID (nlm-ta): BMC Geriatr

Journal ID (iso-abbrev): BMC Geriatr

Title: BMC Geriatrics

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2318

Publication date (Electronic): 16 September 2024

Publication date PMC-release: 16 September 2024

Publication date Collection: 2024

Volume: 24

Electronic Location Identifier: 762

Affiliations

[1 ]GRID grid.412901.f, ISNI 0000 0004 1770 1022, Department of Nephrology, Institute of Kidney Diseases, , West China Hospital, Sichuan University, ; Chengdu, 610041 China

[2 ]West China School of Nursing, Sichuan University, ( https://ror.org/011ashp19) Chengdu, 610041 China

Article

Publisher ID: 5365

DOI: 10.1186/s12877-024-05365-8

PMC ID: 11403955

PubMed ID: 39285322

SO-VID: b3ac6a66-269b-4ecd-9531-a52463724493

License:

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

History

Date received : 29 April 2024

Date accepted : 6 September 2024

Funding

Funded by: Project for disciplines of excellence from West China Hospital of Sichuan University

Award ID: ZYGD23015

Custom metadata

ScienceOpen disciplines: Geriatric medicine

Keywords: older adults,community-dwelling,social frailty,prevalence,risk factors

Data availability:

ScienceOpen disciplines: Geriatric medicine

Keywords: older adults, community-dwelling, social frailty, prevalence, risk factors

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