理想的维生素D和手握强度可以抵消APOE基因型对痴呆的风险影响:基于人口的纵向研究
Jiangtao Feng1,2, Qi Wang1,2, Yuan Zhang3,4,5
1Department of Orthopedics, Tianjin NanKai Hospital, Changjiang Road 6, Tianjin, 300100, China.
Journal of translational medicine
|May 28, 2023
概括
更高的维生素D和握力水平显著降低了痴呆症风险,即使对于具有APOE e4基因的人来说也是如此. 这些因素似乎可以抵消与APOE e4基因型相关的痴呆风险增加.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 痴呆症风险受维生素D水平,握力和阿波利波蛋白E (APOE) e4基因型的影响.
- 这些因素在痴呆风险中的相互作用仍然不完全理解.
研究的目的:
- 研究维生素D和握力对痴呆风险的联合影响.
- 为了确定最佳的维生素D和握力是否可以减轻由APOE e4基因型引起的痴呆风险.
主要方法:
- 对英国生物库队列 (n=165,688) 的分析,随访时间中位数为12年.
- 通过医院记录,死亡数据和自我报告来确定痴呆症.
- 使用考克斯的比例危险模型和受限立方线的统计分析,以混因素进行调整.
主要成果:
- 较高的维生素D和握力独立地与两性痴呆风险较低有关.
- 具有维生素D和握力水平最高的个体显著降低了痴呆症风险,无论APOE e4载体状态如何.
- 在较低的维生素D/握力和APOE e4基因型之间观察到与痴呆风险有关的显著的添加相互作用.
结论:
- 维生素D和握力是痴呆风险评估的关键因素,特别是在APOE e4携带者身上.
- 保持足够的维生素D和握力可以大大抵消与APOE e4基因型相关的痴呆风险增加.
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