Evidence map›Paper›PMID 33906838›Full record

SynthesisBMJ open2021

Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis.

Rui Xu, Qiufang Li, Feifei Guo, Maoni Zhao, Luyao Zhang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Frailty and genetics: linking molecular aging to clinical vulnerability.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Review
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  11. Models of Care for Older People: A Scoping Review.Journal of the American Geriatrics Society · 2025
    Article
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  13. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rui XuSchool of Nursing and Health of Zhengzhou University, Zhengzhou, China.
Qiufang LiSchool of Nursing and Health of Zhengzhou University, Zhengzhou, China liqiufang@zzu.edu.cn.ORCID 0000-0003-1788-5223
Feifei GuoSchool of Nursing and Health of Zhengzhou University, Zhengzhou, China.
Maoni ZhaoHenan Provincial People's Hospital, Zhengzhou, China.
Luyao ZhangSchool of Nursing and Health of Zhengzhou University, Zhengzhou, China.
Zhengzhou University · CNHenan Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOlder people in rural areas are possibly more frail due to the limited medical resources and lower socioeconomic status. Given the negative healthy outcomes caused by frailty, knowing the epidemiology of frailty in rural areas is of great importance. We tried to synthesise the existing evidences for the prevalence and risk factors of frailty in rural areas.

designA systematic review and meta-analysis. DATA SOURCES: PubMed, Embase, MEDLINE, Cochrane Library, Web of Science and Scopus were used to identify the articles from inception to 30 April 2019. ELIGIBILITY CRITERIA: Observational studies providing cross-sectional data on the prevalence of frailty in rural elderly were extracted. DATA EXTRACTION AND SYNTHESIS: Two independent investigators selected studies, extracted data and assessed the methodological quality of included studies. The pool prevalence of frailty was calculated by the random effects model and the OR and 95% CI were used to calculate the risk factors.

resultsThe literature search yielded 2219 articles, of which 23 met the study criteria and were included in this analysis. The pooled prevalence of frailty and pre-frailty were 18% (95% CI 15% to 21%, I

conclusionsFrailty influences almost one in five older people in rural areas, and increasing age, cognitive impairment, depressive symptom, risk of malnutrition, ADL disability and poor self-perception of health were all risk factors for frailty. We should be cautious about the research results due to the heterogeneity between studies.

Indexed as

FrailtyAgedCross-Sectional StudiesFemaleFrail ElderlyHumansMalePrevalenceRisk Factorsepidemiologypublic healthrisk management

Identifiers

PMID33906838
PMCPMC8088244
OpenAlexW3157823169

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.