时间标签：数据日期 2026-11-01 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/31–2026/11/01 ｜ 情报发生日期 2026-11-01
研究问题
We defined falls according to WHO guidelines as ‘an event resulting in a person coming to rest inadvertently on the ground, floor, or another lower level’, excluding falls caused by assault, self-harm, animals, and environmental hazards…；We included studies reporting the prevalence of fall risk and fear of falli
方法
Risk-of-bias meta-regression analyses showed no statistically significant associations between the risk-of-bias items and prevalence estimates of higher fall risk (all P > 0.05; Table S6 in the ).；Risk-of-bias meta-regression analyses showed no statistically significant associations between the risk-of-bias items and prevalence estimates of fear of falling (all P > 0.05) (Table S8 in the ).；Univariate meta-regression was performed using the ‘metareg’ function from the R meta package, applying logit transformation to compute odds ratios (ORs) and quantify associations between sources of heterogeneity and effect size.
核心结论
Although we found no statistically significant differences in fall-risk prevalence by income level, this finding should be interpreted cautiously given the limited number of countries with available data.；RESULTS Study selection and characteristics We identified 12,399 records, from which 109 studies were included in the systematic review, providing data on 213,877 older adults across ten countries ( ; Table S2 in the ).；Fear of falling, often expressed as concern about falling, can reduce confidence in daily activities and lead to activity restriction as a coping strategy, contributing to physical deconditioning and increased fall risk [ ].；Greater concern about falling, as measured by a one-unit increase in the Falls Efficacy Scale International (FES-I) score, has been associated with a 5% increase in the odds of experiencing an injurious or recurrent fall [ ].
局限
The lack of nationwide data limits the national representativeness of the findings, warranting caution when generalising across various contexts.；We opted not to use funnel plots and Egger's regression for publication bias assessment because these approaches have methodological limitations in meta-analyses of proportions, where funnel-plot asymmetry may arise even in the absence of…
对本项目的价值
综述级证据，用于快速对齐领域共识与空白：方法学可复用：建模流程与验证策略可直接迁移到衰老时钟 / 终点研究。 ｜ 价值分 1.3/5（★☆☆☆☆）
全文来源
PubMed PMC JATS 全文（正文 44,439 字符，已过 DOI 逐字 + 题名指纹双重归属校验）
原文题录
- 英文标题：Prevalence of fall risk and fear of falling among older adults in the Middle East and North Africa: a systematic review and meta-analysis.
- 期刊与标识：Journal of global health · PMID 42961087 · DOI 10.7189/jogh.16.04397
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