衰弱老年人糖尿病患病率的系统评价  

Prevalence of diabetes in the elderly with frailty:a systematic review

作　　者：尚轶[1] 高倩倩 陈飞[2] 赵黎 梅凡 马彬[2,3] SHANG Yi;GAO Qianqian;CHEN Fei;ZHAO Li;MEI Fan;MA Bin(Lanzhou University Second Hospital,Lanzhou 730000,P.R.China;Evidence-Based Nursing Center,School of Nursing,Lanzhou University,Lanzhou 730000,P.R.China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,P.R.China)

机构地区：[1]兰州大学第二医院普通外科一病区,兰州730000 [2]兰州大学循证护理中心,兰州大学护理学院,兰州730000 [3]兰州大学循证医学中心,兰州大学基础医学院,兰州730000

出　　处：《中国循证医学杂志》2021年第7期825-831,共7页Chinese Journal of Evidence-based Medicine

摘　　要：目的系统评价衰弱老年人糖尿病的患病情况。方法计算机检索PubMed、EMbase、Web of Science、CBM、WanFang Data、VIP和CNKI数据库,搜集有关衰弱老年人糖尿病患病率的横断面研究,检索时限均为建库至2020年11月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 15.0软件进行Meta分析。结果最终纳入21个横断面研究,包括22403例研究对象。Meta分析结果显示,衰弱老年人糖尿病的总患病率为34%[95%CI(26%,43%)]。亚组分析结果显示,亚洲(37%)和南美洲(33%)地区衰弱老年人糖尿病患病率高于欧洲(27%)及北美洲地区(18%);采用躯体性衰弱筛查工具(35%)诊断为衰弱老年人的糖尿病患病率高于使用综合性衰弱筛查工具(28%)诊断衰弱的老年人;门诊(67%)和医院(62%)衰弱老年人糖尿病患病率高于社区(31%)。结论现有证据表明,衰弱老年人糖尿病患病率较高。Objective To systematically evaluate the prevalence of diabetes in the elderly with frailty.Methods PubMed,EMbase,Web of Science,CNKI,CBM,VIP and WanFang Data databases were electronically searched to collect crosssectional studies on the prevalence of diabetes in the elderly with frailty from inception to November 2020.Two reviewers independently screened literature,extracted data and assessed the risk of bias of included studies;meta-analysis was then performed by using Stata 15.0 software.Results A total of 21 cross-sectional studies involving 22403 subjects were included.The pooled prevalence of diabetes in the elderly with frailty was 34%(95%CI 26%to 43%).Subgroup analysis showed that the prevalence of diabetes in patients with frailty in Asia and South America was higher than those in Europe and North America.The prevalence of diabetes in patients with frailty using physical frailty measures to evaluate frailty was higher than using multidimensional frailty measures.The prevalence of diabetes in patients with frailty in outpatient and hospital were higher than those in the community.Conclusions Current evidence suggests that the prevalence of diabetes is high in the elderly with frailty.

关 键 词：老年人 糖尿病 衰弱 系统评价 META分析 横断面研究 

分 类 号：R587.1[医药卫生—内分泌]