The aims of this systematic review were to explore the pooled prevalence of multidimensional frailty assessed by the Tilburg Frailty Indicator among community-dwelling older adults. A systematic review and meta-analysis. A comprehensive literature search was conducted across multiple databases, including PubMed, Web of Science, Embase, the Cochrane Library, CINAHL and three Chinese databases. Two independent researchers selected the literatures, extracted the data and evaluated the quality. All statistical analyses were performed using STATA version 16.0. There were 66 studies with a total of 40,597 individuals that were eligible for the meta-analysis. Data from the meta-analysis revealed the pooled prevalence of 42 % for multidimensional frailty (95 % CI: 38 %–45 %, I = 98.9 %, T = 0.024, < 0.001). Among the six studies that provided data for different age groups, the results demonstrated an increasing trend in the prevalence of multidimensional frailty with advancing age. The results of gender-stratified analysis proved that the pooled prevalence of multidimensional frailty in women (45 %, 95 % CI: 39 %–51 %, < 0.001) was higher than that in men (33 %, 95 % CI: 28 %–39 %, < 0.001). Based on different education levels, the prevalence of multidimensional frailty is highest in the primary elementary or illiterate group (41 %, 95 % CI: 30 %–52 %, < 0.001). According to different marital status types, the pooled prevalence of multidimensional frailty in the married group was significantly lower (36 %, 95 % CI: 28 %–43 %) than that in the unmarried, divorced or widowed group (51 %, 95 % CI: 37 %–65 %). Through a comprehensive review, we identified that 42 % of elderly individuals living in communities exhibit multidimensional frailty, indicating that multidimensional frailty is relatively common in this population. Stratified analysis revealed that advanced age, female gender, lower education level and unmarried status were associated with higher rates of multidimensional frailty.

中文翻译：

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社区老年人多维衰弱的患病率：系统评价和荟萃分析

本系统评价的目的是探讨社区老年人中通过蒂尔堡衰弱指数评估的多维衰弱的汇总患病率。系统评价和荟萃分析。对多个数据库进行了全面的文献检索，包括 PubMed、Web of Science、Embase、Cochrane 图书馆、CINAHL 和三个中文数据库。两名独立研究人员选择文献、提取数据并评估质量。所有统计分析均使用 STATA 16.0 版进行。有 66 项研究，总共 40,597 名个体符合荟萃分析的条件。荟萃分析数据显示，多维衰弱的汇总患病率为 42%（95% CI：38%–45%，I = 98.9%，T = 0.024，< 0.001）。在提供不同年龄组数据的六项研究中，结果表明，随着年龄的增长，多维衰弱的患病率呈增加趋势。性别分层分析结果证明，女性多维衰弱的汇总患病率（45 %，95 % CI：39 %–51 %，< 0.001）高于男性（33 %，95 % CI：28 %） –39%，< 0.001)。根据不同的教育水平，多维衰弱的患病率在小学或文盲组中最高（41 %，95 % CI：30 %–52 %，< 0.001）。根据不同的婚姻状况类型，已婚组多维衰弱的汇总患病率（36%、95% CI：28%～43%）显着低于未婚、离婚或丧偶组（51%、95%）。 CI：37%–65%）。通过综合回顾，我们发现社区老年人中有42%存在多维衰弱，表明多维衰弱在该人群中较为普遍。分层分析显示，高龄、女性、较低教育水平和未婚状况与较高的多维衰弱发生率相关。