全球老年人的成功衰老率:系统性审查和元分析
Yurong Liu1, Xuan Zhang1, Xiangrui Fu1
1Department of Medical Statistics and Epidemiology, School of Public Health, Tianjin Medical University, Tianjin, China.
Journal of the American Medical Directors Association
|November 9, 2024
概括
在全球范围内,只有22%的老年人实现了成功的衰老 (SA). 关键因素包括良好的心理状态,没有重大疾病,高认知和身体功能,社会参与,没有残疾.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 定义成功的衰老 (SA) 是复杂的,在各个研究中都有不同的标准.
- 了解SA的全球流行率和决定因素对于公共卫生倡议至关重要.
研究的目的:
- 在60岁及以上的个体中对SA标准进行定性分析,并在全球范围内对SA率进行定量评估.
- 建立一个基础,制定强大的SA标准.
主要方法:
- 64项研究的系统审查和元分析,包括546,228名老年人.
- 在PubMed,Embase,CINAHL,科学网,SCOPUS和PsycINFO进行了搜索.
- 使用随机效应模型进行元分析并评估研究质量.
主要成果:
- 全球SA率估计为22.0% (95% CI 19.0%-25.0%).
- 通常报告的SA方面包括:没有残疾 (72.0%),良好的心理状态 (69.0%),积极的社会参与 (65.0%),高认知功能 (64.0%),高身体功能 (62.0%),没有重大疾病 (50.0%).
结论:
- 在全球范围内,很大一部分老年人不符合成功衰老的标准.
- 成功衰老的关键组成部分包括心理健康,没有重大疾病和残疾,以及维持认知和身体功能,以及社会参与.
- 调查结果为未来的老龄化人口研究和政策提供了信息,强调了心理健康和慢性疾病管理的重要性.
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