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在老年乳腺癌幸存者的认知衰老
James C Root1, Yuelin Li1, Elizabeth Schofield1
1Neurocognitive Research Lab, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Cancers
|June 28, 2023
概括
75岁以下的癌症幸存者在学习,记忆,注意力,处理速度和执行功能 (APE) 中表现出认知缺陷. 年轻的幸存者的缺陷积累可能是认知衰老的可修改风险因素.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 在瘤学瘤学.
背景情况:
- 癌症及其治疗方法可以影响认知衰老的轨迹.
- 之前的研究评估间隔有限,阻碍了对长期认知变化的理解.
研究的目的:
- 与非癌症对照组相比,研究老年女性乳腺癌幸存者的认知表现.
- 使用横截面和纵向数据检查认知衰老轨迹.
主要方法:
- 评估了328名女性乳腺癌幸存者 (诊断后5-15年,60岁以上) 和158名对照.
- 在24个月内使用神经心理测试和老年评估.
主要成果:
- 与对照组相比,幸存者在学习和记忆方面表现较差.
- 年轻的幸存者 (<75岁) 在LM,注意力,处理速度和执行功能 (APE) 中表现出缺陷.
- 与对照组相比,老年幸存者没有表现出认知差异,与赤字积累趋势保持一致.
结论:
- 在年轻的幸存者中,认知缺陷和缺陷积累是突出的,这表明对认知有介导作用.
- 缺陷积累可能是癌症存活率的一个可修改的风险因素,可接受预防和干预.
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