Prevalence of frailty at population level in European ADVANTAGE Joint Action Member States: a systematic review and meta-analysis

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Abstract

Introduction. Although frailty is common among community-dwelling older adults, its prevalence in Europe and how this varies between countries is unclear. Methods. A systematic review and meta-analysis of literature on frailty prevalence in 22 European countries involved in the Joint Action ADVANTAGE was conducted. Results. Sixty-two papers, representing 68 unique datasets were included. Meta-analysis showed an overall estimated frailty prevalence of 18% (95% confidence interval, CI, 15- 21%). The prevalence in community (n = 53) vs non-community based studies (n = 15) was 12% (95% CI 10-15%) and 45% (95% CI 27-63%), respectively. Pooled prevalence in community studies adopting a physical phenotype was 12% (95% CI 10-14%, n = 45) vs 16% (95% CI 7-29%, n = 8) for all other definitions. Sub-analysis of a subgroup of studies assessed as high-quality (n = 47) gave a pooled estimate of 17% (95% CI 13-21%). Conclusions. The considerable and significant heterogeneity found warrants the development of common methodological approaches to provide accurate and comparable frailty prevalence estimates at population-level.

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Authors

Rónán O’Caoimh

Lucia Galluzzo

Ángel Rodríguez-Laso

Johan Van der Heyden

Anette Hylen Ranhoff

Maria Lamprini-Koula

Marius Ciutan

Luz López Samaniego

Laure Carcaillon-Bentata

Siobhán Kennelly

Aaron Liew

on behalf of Work Package 5 of the Joint on behalf of Work Package 5 of the Joint Action ADVANTAGE

How to Cite
O’Caoimh, R., Galluzzo, L., Rodríguez-Laso, Ángel, Van der Heyden, J., Ranhoff, A. H., Lamprini-Koula, M., Ciutan, M., López Samaniego, L., Carcaillon-Bentata, L., Kennelly, S., Liew, A., & on behalf of Work Package 5 of the Joint Action ADVANTAGE, on behalf of W. P. 5 of the J. (2018). Prevalence of frailty at population level in European ADVANTAGE Joint Action Member States: a systematic review and meta-analysis. Annali dell’Istituto Superiore Di Sanità, 54(3), 226-238. Retrieved from https://annali.iss.it/index.php/anna/article/view/769
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