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SYSTEMATIC REVIEW article

Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1457187
This article is part of the Research Topic Oral Health in Older and Aged Individuals View all articles

Prevalence and Influencing Factors of Oral Frailty in Older Adults: A Systematic Review and Meta-analysis

Provisionally accepted
Yutong Zhou Yutong Zhou 1Li Zhou Li Zhou 2*Wen Zhang Wen Zhang 1*Yao Chen Yao Chen 1*Keyi She Keyi She 1*Hongtao Zhang Hongtao Zhang 1*Yue Gao Yue Gao 1*Xinhong Yin Xinhong Yin 1*
  • 1 School of Nursing, University of South China, Hengyang, China
  • 2 Department of Hepatobiliary Surgery, The Second Affiliated Hospital of University of South China, Hengyang, Hunan Province, China

The final, formatted version of the article will be published soon.

    Objective This study aimed to conduct a systematic review and meta-analysis, assessing the pooled prevalence and influencing factors of oral frailty in older people to assist healthcare professionals in enhancing their understanding of this condition and formulating efficient interventions. Methods This systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA) guidelines. We searched PubMed, Web of Science, The Cochrane Library, Embase, CINAHL, ProQuest, the National Knowledge Infrastructure (CNKI), WAN FANG DATA, VIP Information, SinoMed and Scopus for literature published in English or Chinese from inception to June 19, 2024. subsequently, we evaluated the potential for bias in the cross-sectional studies that met our criteria through the Agency for Healthcare Research and Quality (AHRQ) tool. In contrast, we utilized the robust Newcastle-Ottawa scale for cohort and case-control studies. We performed statistical analyses using STATA 17 software. Prevalence was studied using a meta-analysis of a single proportion. For influencing factors, dichotomous variables were expressed as odds ratios (ORs) and 95% confidence intervals (Cls), and continuous variables were expressed as weighted mean differences (WMDs) and 95% confidence intervals (Cls). Results Investigation into 17 studies encompassing 24,983 participants discovered a striking 28% overall prevalence rate for oral frailty among older individuals (95% CI 20-36%, p＜0.001). Upon assessing the literature's quality, nine articles acquired high ratings; all others received medium ratings. These findings imply a complex interplay among biological, socio-economic, lifestyle, and disease-pharmacological factors in the manifestation of oral frailty in older adults. Conclusions Oral frailty is prevalent in older adults and is impacted by diverse factors. Enhanced surveillance and effective interventions for oral frailty are required in older cohorts. Registration PROSPERO ID CRD42024544552.

    Keywords: oral frailty1, Older Adults2, Prevalence3, influencing factors4, Meta-analysis5

    Received: 30 Jun 2024; Accepted: 02 Dec 2024.

    Copyright: © 2024 Zhou, Zhou, Zhang, Chen, She, Zhang, Gao and Yin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Li Zhou, Department of Hepatobiliary Surgery, The Second Affiliated Hospital of University of South China, Hengyang, Hunan Province, China
    Wen Zhang, School of Nursing, University of South China, Hengyang, China
    Yao Chen, School of Nursing, University of South China, Hengyang, China
    Keyi She, School of Nursing, University of South China, Hengyang, China
    Hongtao Zhang, School of Nursing, University of South China, Hengyang, China
    Yue Gao, School of Nursing, University of South China, Hengyang, China
    Xinhong Yin, School of Nursing, University of South China, Hengyang, China

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