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The journal of nutrition, health & aging

Erschienen in:

29.05.2020

Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis

verfasst von: R. C. Melo, G. C. Cipolli, G. L. A. Buarque, M. S. Yassuda, M. Cesari, R. C. Oude Voshaar, I. Aprahamian

Erschienen in: The journal of nutrition, health & aging | Ausgabe 7/2020

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Abstract

Objectives

Frailty is characterized by a functioning decline in multiple systems accompanied by an increase in individual’s vulnerability to stressors. It appears to be higher in low and middle-income countries compared with high-income ones. This study aimed to evaluate the prevalence of frailty in non-institutionalized Brazilian older adults.

Design

a systematic review and meta-analysis study.

Setting

Cross-sectional and prospective data from Brazil.

Participants

non-institutionalized adults aged 60 and older.

Methods

Electronic searches were performed in PubMed/MEDLINE, LILACS, SCOPUS and Web of Science, considering the studies published between March 2001 and July 2018, using a combination of the following terms and correlates: “elder” AND “frail” AND “prevalence” AND “Brazil”. Two independent reviewers selected studies according to the inclusion criteria. Disagreements were resolved by a third reviewer (title/abstract) and by consensus. Studies with samples ≥221 subjects were considered for meta-analysis.

Results

28 studies were included, while 18 had the data meta-analyzed. The majority of studies (61%) included older adults only from the Southeastern region. The number of subjects ranged from 53 to 5,532 individuals (N = 17,604) and the average age ranged from 65.6 to 85.5 years. The overall prevalence of frailty was 24%. When considering the different assessment methods, the prevalence was lower for frailty phenotype (16%) compared with other criteria (40%). Regarding sex, the prevalence of frailty was similar for women (28%) and men (25%). The prevalence of frailty was higher in older adults recruited from health care services (30%) compared to community ones (22%).

Conclusion

In Brazil, the overall prevalence of frailty in non-institutionalized older adults is higher than observed from more developed countries. However, it may vary according to the assessment methods and settings.

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Titel: Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis
verfasst von: R. C. Melo
G. C. Cipolli
G. L. A. Buarque
M. S. Yassuda
M. Cesari
R. C. Oude Voshaar
I. Aprahamian
Publikationsdatum: 29.05.2020
Verlag: Springer Paris
Erschienen in: The journal of nutrition, health & aging / Ausgabe 7/2020
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-020-1398-0

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