智力障碍者痴呆的流行率和可修改的风险因素
Shintaro Takenoshita1, Seishi Terada2, Tomokazu Inoue3
1Department of Neuropsychiatry, Okayama University Hospital, Okayama, Japan.
Alzheimer's research & therapy
|July 18, 2023
概括
痴呆症在年轻的智力障碍 (ID) 没有唐氏综合征 (DS) 的成年人中更为普遍. 诸如教育和管理高血压等疾病等可修改因素可以降低痴呆风险.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 由于认知储备较低,有智力障碍 (ID) 但没有唐氏综合征 (DS) 的个人被认为患痴呆症的风险更高.
- 这项研究调查了该人口中痴呆症的流行率和风险因素.
研究的目的:
- 确定在没有DS的ID成年人中痴呆症的患病率.
- 在这个人口群体中确定与痴呆症相关的风险因素.
主要方法:
- 在日本进行了一项横截面的多中心调查.
- 居住在医疗机构的没有DS的ID成年人被评估,使用护理人员采访和医学专家的直接检查.
- 诊断标准包括ICD-10,痴呆症的DC-LD和神经认知障碍的DSM-5.
主要成果:
- 在1831名参与者中,有118人 (6.44%) 被诊断为痴呆症.
- 痴呆症的患病率随着年龄的增长而显著增加,特别是在70-79岁的人群中.
- 确定的重大风险因素包括年龄,ID严重程度,教育持续时间,高血压,抑郁症,中风和创伤性脑损伤.
结论:
- 与一般人口相比,在没有DS的ID患者中,痴呆症的患病率在较年轻的年龄段更高.
- 可修改的风险因素,如教育,头部创伤预防,中风预防,高血压和抑郁症的管理,可以降低痴呆风险.
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