Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults

ObjectivesThe present study aim to systematically review the prevalence and influencing factors of oral frailty in older people.MethodsA search strategy was developed and implemented to systematically review literature across PubMed, Embase, Web of Science, MEDLINE (via EBSCOhost), CINAHL, the Cochr...

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Main Authors: Pingping Huang, Linjing Wu, Rongxiang Zhang, Shiqi Chen, Yu Zhang, Yuan Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1512927/full
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author Pingping Huang
Linjing Wu
Rongxiang Zhang
Rongxiang Zhang
Shiqi Chen
Shiqi Chen
Yu Zhang
Yuan Chen
Yuan Chen
author_facet Pingping Huang
Linjing Wu
Rongxiang Zhang
Rongxiang Zhang
Shiqi Chen
Shiqi Chen
Yu Zhang
Yuan Chen
Yuan Chen
author_sort Pingping Huang
collection DOAJ
description ObjectivesThe present study aim to systematically review the prevalence and influencing factors of oral frailty in older people.MethodsA search strategy was developed and implemented to systematically review literature across PubMed, Embase, Web of Science, MEDLINE (via EBSCOhost), CINAHL, the Cochrane Library, Scopus, China Knowledge Resource Integrated Database (CNKI), Wanfang Data, Chinese Biomedical Database (CBM), and Weipu Database (VIP), in accordance with the PRISMA 2020 guidelines. Our search encompassed studies published up to June 28, 2024, that investigated the prevalence or risk factors of oral frailty among older adults. Literature screening, data extraction, and quality assessment were independently performed by two researchers, followed by data analysis using Stata 17 software. This study has been registered with PROSPERO.ResultsA total of 35 studies involving 202,864 participants were analyzed. The overall prevalence of oral frailty among older adults was 34.0% (95% CI: 27.9–40.1%, I2 = 99.7%, p < 0.001). Subgroup analyses revealed statistically significant differences in the prevalence of oral frailty among different assessment tools and age groups (p < 0.05). Univariate meta-regression analysis indicated that the age was related to heterogeneity in the study (p < 0.05). Factors such as age, gender, physical frailty, pre-frailty, and unattached were identified as key risk factors for oral frailty in older adults (all p < 0.05).ConclusionThe incidence of oral frailty among older adults is notably high and influenced by a variety of factors. Healthcare professionals are encouraged to actively implement preventive and treatment measures addressing the controllable factors associated with oral frailty. Such proactive efforts are essential for early identification of high-risk individuals, which can help reduce the prevalence of oral frailty among older adults and enhance their quality of life.Systematic Review RegistrationPROSPERO (CRD42023488653: https://www.crd.york.ac.uk/prospero/).
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spelling doaj-art-2000795ba1684ceaa2d23ee29be13a832025-01-22T07:11:24ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011210.3389/fmed.2025.15129271512927Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adultsPingping Huang0Linjing Wu1Rongxiang Zhang2Rongxiang Zhang3Shiqi Chen4Shiqi Chen5Yu Zhang6Yuan Chen7Yuan Chen8Department of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaDepartment of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaDepartment of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaDepartment of Nursing, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, ChinaSchool of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaObjectivesThe present study aim to systematically review the prevalence and influencing factors of oral frailty in older people.MethodsA search strategy was developed and implemented to systematically review literature across PubMed, Embase, Web of Science, MEDLINE (via EBSCOhost), CINAHL, the Cochrane Library, Scopus, China Knowledge Resource Integrated Database (CNKI), Wanfang Data, Chinese Biomedical Database (CBM), and Weipu Database (VIP), in accordance with the PRISMA 2020 guidelines. Our search encompassed studies published up to June 28, 2024, that investigated the prevalence or risk factors of oral frailty among older adults. Literature screening, data extraction, and quality assessment were independently performed by two researchers, followed by data analysis using Stata 17 software. This study has been registered with PROSPERO.ResultsA total of 35 studies involving 202,864 participants were analyzed. The overall prevalence of oral frailty among older adults was 34.0% (95% CI: 27.9–40.1%, I2 = 99.7%, p < 0.001). Subgroup analyses revealed statistically significant differences in the prevalence of oral frailty among different assessment tools and age groups (p < 0.05). Univariate meta-regression analysis indicated that the age was related to heterogeneity in the study (p < 0.05). Factors such as age, gender, physical frailty, pre-frailty, and unattached were identified as key risk factors for oral frailty in older adults (all p < 0.05).ConclusionThe incidence of oral frailty among older adults is notably high and influenced by a variety of factors. Healthcare professionals are encouraged to actively implement preventive and treatment measures addressing the controllable factors associated with oral frailty. Such proactive efforts are essential for early identification of high-risk individuals, which can help reduce the prevalence of oral frailty among older adults and enhance their quality of life.Systematic Review RegistrationPROSPERO (CRD42023488653: https://www.crd.york.ac.uk/prospero/).https://www.frontiersin.org/articles/10.3389/fmed.2025.1512927/fulloral frailtyprevalencerisk factorolder adultsmeta-analysis
spellingShingle Pingping Huang
Linjing Wu
Rongxiang Zhang
Rongxiang Zhang
Shiqi Chen
Shiqi Chen
Yu Zhang
Yuan Chen
Yuan Chen
Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
Frontiers in Medicine
oral frailty
prevalence
risk factor
older adults
meta-analysis
title Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
title_full Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
title_fullStr Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
title_full_unstemmed Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
title_short Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults
title_sort systematic review and meta analysis on the prevalence and risk factors of oral frailty among older adults
topic oral frailty
prevalence
risk factor
older adults
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1512927/full
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