The Egyptian Statistical Journal/The Egyptian Statistical Journal · Apr 2026

Disability Prevalence among Older Adults in Egypt: A Systematic Review and Meta-Analysis

By Ramadan H

Disability in older adults is an emerging public health concern, particularly in countries undergoing demographic transition such as Egypt. This study aimed to estimate the prevalence of disability among older adults in Egypt and examine associated demographic and health factors. A systematic review and meta-analysis were conducted using Google Scholar to identify Egyptian studies published up to September 2025. Eligible studies included adults with mean age≥ 60 years and reported prevalence of disability based on validated scales. Data were pooled using random-effects proportional meta-analysis. Fifteen cross-sectional studies involving 15,605 participants were included. The pooled prevalence of disability according to the Activities of Daily Living (ADL) scale was 40% (95% CI: 30- 51%), with 9% showing severe and 25% moderate disability. Based on the Instrumental Activities of Daily Living (IADL) scale, the pooled prevalence was 59% (95% CI: 40- 77%). Disability was significantly more common among females (OR= 1.55, 95% CI: 1.36- 1.77) and increased with advancing age. Chronic diseases such as diabetes, hypertension, cardiovascular disease, stroke, and arthritis were frequently associated with dependency. Approximately two out of five Egyptian older adults experience some degree of disability, particularly in instrumental daily tasks. Preventive strategies addressing modifiable risk factors and enhancing community-based geriatric care are urgently needed to support healthy aging in Egypt.

doi.org/10.21608/esju.2026.433368.1137 Open access Populations