医学
荟萃分析
炎症
内科学
C反应蛋白
纤维蛋白原
白细胞
老年学
梅德林
系统回顾
生物信息学
政治学
生物
法学
作者
Pınar Soysal,Brendon Stubbs,Paola Lucato,Claudio Luchini,Marco Solmi,Roberto Peluso,Giuseppe Sergi,Ahmet Turan Işık,Enzo Manzato,Stefania Maggi,Marcello Maggio,Matthew Prina,Theodore D. Cosco,Yu‐Tzu Wu,Nicola Veronese
标识
DOI:10.1016/j.arr.2016.08.006
摘要
The pathogenesis of frailty and the role of inflammation is poorly understood. We examined the evidence considering the relationship between inflammation and frailty through a systematic review and meta-analysis. A systematic literature search of papers providing data on inflammatory biomarkers and frailty was carried out in major electronic databases from inception until May 2016. From 1856 initial hits, 35 studies (32 cross-sectional studies n=3232 frail, n=11,483 pre-frail and n=8522 robust, and 563 pre-frail+robust; 3 longitudinal studies n=3402 participants without frailty at baseline) were meta-analyzed. Cross-sectional studies reported that compared to 6757 robust participants, both 1698 frail (SMD=1.00, 95%CI: 0.40-1.61) and 8568 pre-frail (SMD=0.33, 95%CI: 0.04-0.62) participants had significantly higher levels of C-reactive protein (CRP). Frailty (n=1057; SMD=1.12, 95%CI: 0.27-2.13) and pre-frailty (n=4467; SMD=0.56, 95%CI: 0.00-1.11) were associated with higher serum levels of interleukin-6 compared to people who were robust (n=2392). Frailty and pre-frailty were also significantly associated with elevated white blood cell and fibrinogen levels. In three longitudinal studies, higher serum CRP (OR=1.06, 95%CI: 0.78-1.44,) and IL-6 (OR=1.19, 95%CI: 0.87-1.62) were not associated with frailty. In conclusion, frailty and pre-frailty are associated with higher inflammatory parameters and in particular CRP and IL-6. Further longitudinal studies are needed.
科研通智能强力驱动
Strongly Powered by AbleSci AI