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目的 采用Meta分析中国60岁及以上老年人群营养不良水平。方法 按照营养不良、营养不足、老年人等中英文关键词，在PubMed、Embase、Web of Science、万方数据、中国期刊全文数据库，检索2000年1月1日—2023年12月31日发表中国60岁及以上老年人群营养状况的横断面研究，分析纳入了53篇文献，其中英文22篇，中文31篇。用R 4.1.2软件进行数据分析。结果 研究包括了701 434名60岁及以上老年人，文献报告的营养不良率水平差异较大(2.4%～52.5%)。Meta分析显示，中国60岁及以上老年人群营养不良率为13.0%(95%CI 10.7%～15.7%),各研究间存在显著异质性(I2=99.9%,P<0.01)。男性和女性营养不良率分别为11.2%和12.2%,差异有统计学意义(χ 2=152.68,P<0.01)。城市人群营养不良率11.5%低于农村13.6%(χ 2=613.29,P<0.01);使用体质指数标准判断的营养不良率低于其他标准(8.1%比24.1%,χ2 =33 675.29,P<0.01)。结论 2000—2023年中国60岁及以上老年人仍然存在营养不良问题，女性、农村人群营养不良率较高。
Abstract：OBJECTIVE Meta-analysis was conducted to estimate the prevalence of malnutrition among the elderly in China.METHODS According to the corresponding term in Chinese and English, such as malnutrition, underweight, elderly, China, etc., literature searches were conducted on PubMed, Embase, Web of Science, Wanfang Digital Database and China National Knowledge Infrastructure Database from January 1,2000 to December 31,2023 for literature related to the nutritional status of the elderly(≥60 years old) in China. The design was cross-section study.RESULTS 53 articles, 22 in English and 31 in Chinese, were finally included which covered 701 434 elderly people aged 60 years or older, and the prevalence of malnutrition varied widely(2.4%-52.5%).The Meta-analysis showed that the prevalence of malnutrition among the older was 13.0%(95%CI 10.7%-15.7%). There was significant heterogeneity among the studies(I2=99.9%,P<0.01). The prevalence of malnutrition among male and female group were 11.2% and 12.2%, respectively, with a statistically significant difference(χ2=152.68, P<0.01). The prevalence of malnutrition among the elderly was 11.5% in urban areas, which was lower than that in rural areas(13.6%), with a statistically significant difference(χ2=613.29, P<0.01). The prevalence of malnutrition with BMI standard was significantly lower than that by other assessment tools(8.1% vs.24.1%,χ2=33 675.29, P<0.01).CONCLUSION There is still a problem of malnutrition among the elderly over 60 years old in China, and the malnutrition rate is higher among women or in rural areas.
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基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2025.06.020
中图分类号:R153.3
引用信息:
[1]王玉英,李福胜,南晶,等.2000—2023年中国老年人营养不良率Meta分析[J].卫生研究,2025,54(06):1010-1020+1040.DOI:10.19813/j.cnki.weishengyanjiu.2025.06.020.
基金信息:
国家重点研发计划(No.2022YFC3603003)
2025-11-14
2025-11-14