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社交网络对痴呆症发生的影响:基于社区的纵向研究
L Fratiglioni1, H X Wang, K Ericsson
1Stockholm Gerontology Research Centre, and Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet, Stockholm, Sweden. laura.fratiglioni@neurotec.ki.se
Lancet (London, England)
|April 25, 2000
概括
保持强大的社交网络可能会防止痴呆. 有限的社会联系增加了痴呆症的风险,突出了社会关系对认知健康的重要性.
科学领域:
- 神经科学是一个神经科学.
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 关于社会关系对痴呆症发展的影响的数据有限.
- 社会联系对于老龄人口的认知健康至关重要.
研究的目的:
- 调查社交网络组件对痴呆症发病率的影响.
- 探索不同程度的社会联系如何影响痴呆风险.
主要方法:
- 在斯德哥尔摩,1203名没有痴呆症的老年人的社区队列被跟踪了3年.
- 痴呆症的诊断遵循DSM-IV标准;通过采访收集的社交网络数据.
- 共同变量包括年龄,性别,教育,认知/功能状态,抑郁症状和血管疾病.
主要成果:
- 独自生活或缺乏密切的社会关系会使痴呆症的风险增加1.5倍.
- 与已婚个人相比,单身人士和独自生活的人的风险高出1.9倍.
- 一个全面的社交网络指数显示,贫困或有限的网络有60%的痴呆风险增加;在社会连接度 (p=0.0009) 中观察到显著的梯度.
结论:
- 广泛的社交网络似乎有助于预防痴呆症.
- 需要进一步的研究来证实这些发现,并阐明潜在的预防策略的潜在机制.
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