社区老年高血压患者并发衰弱现状及影响因素的Meta分析

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Abstract Objective To systematically review the prevalence and risk factors for frailty in elderly patients with hypertension. Methods We searched the CNKI, VIP, WanFang Data, SinoMed, PubMed, Web of Science, Embase, and Cochrane database from the inception to February 2023 for the eligible original studies. Studies reporting on the prevalence and risk factors for frailty in elderly hypertensive patients were included. Two reviewers independently screened literature, appraised the study methodological quality, extracted data, then performed meta-analysis using Stata12.0 and RevMan5.4. Results A total of 15 studies including 27 risk factors met the inclusion criteria. The pooled prevalence of frailty in hypertensive patients was 22.5% (95%CI: 16%, 29%). The main risk factors for frailty were age (OR=1.54, 95%CI: 1.34~1.76), females (OR=1.33, 95%CI: 1.21~1.45), hypertension course (OR=25.81, 95%CI: 2.03~327.62), BMI (OR=2.00, 95%CI: 1.28~ 3.12), education level (OR=3.50, 95%CI: 2.26, 5.43), lack of physical activity (OR=1.50, 95%CI: 1.96~ 5.18), depression (OR=1.13, 95%CI: 3.83~17.37), diabetes (OR=1.74, 95%CI: 1.29~2.55), and hearing impairment (OR=1.33, 95%CI: 2.43~4.96) were risk factors for frailty in elderly hypertensive patients. Conclusion Frailty is highly prevalent among hypertensive patients and is affected by many factors. Targeted and individualized interventions should be taken to reduce the incidence of frailty and improve the quality of life of patients.

Key words： community aged hypertension frailty risk factors Meta-analysis

Received: 15 October 2023

PACS:

R544.1

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	LI Qun
	DUAN Anyan
	JIANG Jieqiong
	LI Ling
	HU Jiao
	CHEN Wei

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LI Qun,DUAN Anyan,JIANG Jieqiong等. Prevalence and risk factors of frailty in elderly hypertensive patients in the community: a Meta-analysis[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(6): 151-156.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2023/V20/I6/151

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