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Age-related white matter changes
1Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, Shatin 999077, Hong Kong.
Abstract:
Age-related white matter changes (WMC) are considered manifestation of arteriolosclerotic small vessel disease and are related to age and vascular risk factors. Most recent studies have shown that WMC are associated with a host of poor outcomes, including cognitive impairment, dementia, urinary incontinence, gait disturbances, depression, and increased risk of stroke and death. Although the clinical relevance of WMC has been extensively studied, to date, only very few clinical trials have evaluated potential symptomatic or preventive treatments for WMC. In this paper, we reviewed the current understanding in the pathophysiology, epidemiology, clinical importance, chemical biomarkers, and treatments of age-related WMC.
Insights
Age-related white matter changes (WMC), linked to small vessel disease, are associated with serious health issues. This review covers WMC pathophysiology, epidemiology, clinical impact, biomarkers, and potential treatments.
Area of Science:
- Neurology
- Gerontology
- Vascular Medicine
Background:
- Age-related white matter changes (WMC) are a hallmark of arteriolosclerotic small vessel disease.
- WMC are associated with significant adverse outcomes, including cognitive decline, dementia, and increased mortality.
- Despite clinical relevance, few treatments for WMC have been evaluated.
Purpose of the Study:
- To review the current understanding of age-related white matter changes (WMC).
- To consolidate information on WMC pathophysiology, epidemiology, clinical significance, biomarkers, and treatments.
Main Methods:
- Comprehensive literature review.
- Synthesis of existing research on age-related white matter changes.
Main Results:
- WMC are linked to aging and vascular risk factors.
- Established associations between WMC and poor health outcomes.
- Limited clinical trials investigating WMC treatments.
Conclusions:
- Age-related WMC are a significant clinical concern with broad implications.
- Further research into WMC pathophysiology and effective treatments is warranted.
- Understanding WMC is crucial for managing age-related neurological and vascular conditions.
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