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The Interaction Effect between Blood Stasis Constitution and Atherosclerotic Factors on Cognitive Impairment in
Zhizhen Liu1, Hongqing Yang2, Mozhu Zhang2
1College of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
Insights
Elderly individuals with blood stasis constitution face increased risk of cognitive impairment, particularly when combined with atherosclerosis. This study highlights blood stasis as a significant factor in cognitive decline among older adults.
Area of Science:
- Gerontology
- Cardiovascular Medicine
- Traditional Chinese Medicine
Background:
- Blood stasis (BS) constitution is linked to atherosclerosis severity.
- Cognitive impairment is a growing concern in the elderly population.
Purpose of the Study:
- To investigate the interaction between blood stasis constitution and atherosclerosis in elderly cognitive impairment.
- To identify risk factors associated with cognitive decline in older adults.
Main Methods:
- Study included elderly individuals (≥65 years) from Fuzhou city in 2015.
- Compared TCM constitution and atherosclerotic factors between normal and cognitive impairment groups.
- Analyzed interactions using Minimental State Examination (MMSE) scores.
Main Results:
- Cognitive impairment prevalence was 13.0% in the study cohort.
- Blood stasis, RBC, HB, ABI, and BaPWV differed significantly between groups.
- Blood stasis constitution, RBC, HB, and ABI were correlated with cognitive impairment.
Conclusions:
- Blood stasis constitution increases risk for arterial stenosis and sclerosis.
- These vascular changes contribute to cognitive impairment susceptibility in the elderly.
- Interactions of blood stasis with HB, ABI, and BaPWV impact cognitive function (MMSE scores).
Objective:
Blood stasis (BS) constitution represents a tendency to stagnation and positively associates with the severity of atherosclerosis. In this study, we have identified the interaction effect between BS constitution and atherosclerosis on cognitive impairment in the elderly people.
Methods:
Eligible elderly people ≥65 years old who attended physical examination in the Mawei community of Fuzhou city during 2015 were enrolled in this study. We explored the characteristics of Traditional Chinese Medicine (TCM) constitution and atherosclerotic factors in the normal and cognitive impairment groups and their interaction effect between participants' Minimental State Examination (MMSE) scores in the elderly people.
Results:
The prevalence of cognitive impairment in the elderly people was 13.0%. Red blood cell (RBC), hemoglobin (HB), ankle brachial index (ABI), brachial-ankle pulse wave velocity (BaPWV), and blood stasis (BS) were significantly different between normal and cognitive impairment group (P<0.05). Logistic regression analysis indicated that RBC (odds ratio (OR)=0.530 (0.343-0.817), P=0.004), HB (OR=0.980 (0.967-0.993), P=0.003), ABI (OR=2.199(1.112-4.347), P=0.023), and blood stasis constitution (OR=1.808 (1.022-3.202), P=0.042) were correlated with cognitive impairment. The interactions of blood stasis with HB, ABI, and BaPWV significantly impacted the MMSE score (P<0.05).
Conclusion:
Elderly individuals with blood stasis may be at a higher risk of arterial stenosis and sclerosis, leading to susceptibility to cognitive impairment.
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