Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis

Frailty is an age-associated state of increased vulnerability due to declines in physiologic systems, leading to compromised ability to withstand stressors. Given India’s rapidly aging population, our study aims to estimate the pooled prevalence of frailty and its associated factors in hospital sett...

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Main Authors: Aninda Debnath, Sunanda Gupta, Ankit Yadav, Shweta Charag, Anubhav Mondal, Jugal Kishore
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_484_24
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author Aninda Debnath
Sunanda Gupta
Ankit Yadav
Shweta Charag
Anubhav Mondal
Jugal Kishore
author_facet Aninda Debnath
Sunanda Gupta
Ankit Yadav
Shweta Charag
Anubhav Mondal
Jugal Kishore
author_sort Aninda Debnath
collection DOAJ
description Frailty is an age-associated state of increased vulnerability due to declines in physiologic systems, leading to compromised ability to withstand stressors. Given India’s rapidly aging population, our study aims to estimate the pooled prevalence of frailty and its associated factors in hospital settings. An extensive search was conducted across four databases, up to January 2024. A random-effects model was utilized. To quantify heterogeneity, the I² statistic, prediction interval, and the Chi-square-based Q test were employed. Outliers were identified using a Baujat plot and influence analysis. Doi plot, luis furuya kanamori (LFK) index and funnel plot were used to assess publication bias. The current meta-analysis determined a pooled frailty prevalence of 42.3% (95%CI: 34.8%−50.1%) and prefrailty prevalence of 39.8% (95%CI: 30.4%−49.8%), both exhibiting high heterogeneity (I² values of 96.9% and 95.3%, respectively). A high degree of variability was indicated by a prediction interval ranging from 9% to 76%, while Egger’s test suggested no evidence of publication bias. Our systematic review and meta-analysis, encompassing 6,856 individuals, revealed a considerable prevalence of frailty at 42.3%, underscoring its ubiquity across health spectra and demographics in India.
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spelling doaj-art-1eddad3ebe824b31a8d9a8cfd3b5ae302025-08-20T01:59:13ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-11-0113114759477410.4103/jfmpc.jfmpc_484_24Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysisAninda DebnathSunanda GuptaAnkit YadavShweta CharagAnubhav MondalJugal KishoreFrailty is an age-associated state of increased vulnerability due to declines in physiologic systems, leading to compromised ability to withstand stressors. Given India’s rapidly aging population, our study aims to estimate the pooled prevalence of frailty and its associated factors in hospital settings. An extensive search was conducted across four databases, up to January 2024. A random-effects model was utilized. To quantify heterogeneity, the I² statistic, prediction interval, and the Chi-square-based Q test were employed. Outliers were identified using a Baujat plot and influence analysis. Doi plot, luis furuya kanamori (LFK) index and funnel plot were used to assess publication bias. The current meta-analysis determined a pooled frailty prevalence of 42.3% (95%CI: 34.8%−50.1%) and prefrailty prevalence of 39.8% (95%CI: 30.4%−49.8%), both exhibiting high heterogeneity (I² values of 96.9% and 95.3%, respectively). A high degree of variability was indicated by a prediction interval ranging from 9% to 76%, while Egger’s test suggested no evidence of publication bias. Our systematic review and meta-analysis, encompassing 6,856 individuals, revealed a considerable prevalence of frailty at 42.3%, underscoring its ubiquity across health spectra and demographics in India.https://journals.lww.com/10.4103/jfmpc.jfmpc_484_24frailfrailtymeta-analysisquality of lifesystematic review
spellingShingle Aninda Debnath
Sunanda Gupta
Ankit Yadav
Shweta Charag
Anubhav Mondal
Jugal Kishore
Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
Journal of Family Medicine and Primary Care
frail
frailty
meta-analysis
quality of life
systematic review
title Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
title_full Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
title_fullStr Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
title_full_unstemmed Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
title_short Exploring frailty prevalence among adults in Indian healthcare settings: A systematic review and meta-analysis
title_sort exploring frailty prevalence among adults in indian healthcare settings a systematic review and meta analysis
topic frail
frailty
meta-analysis
quality of life
systematic review
url https://journals.lww.com/10.4103/jfmpc.jfmpc_484_24
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