在临床前阿尔茨海默氏症中,病的加速机制
Audrey A Keleman1, Jessica Nicosia2, Rebecca M Bollinger1
1Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO, USA.
Journal of Alzheimer's disease reports
|July 24, 2023
概括
功能性移动性,而不是认知或阿尔茨海默病的生物标志物,最好预测老年人的跌倒. 这一发现有助于为这一群体制定有针对性的防摔策略.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 生物标志物 生物标志物
背景情况:
- 与普通老年人群相比,患有阿尔茨海默氏症 (AD) 的人患严重跌倒的风险是两倍以上.
- 功能性移动障碍,包括步行和平衡问题,可以在临床前阿尔茨海默病的认知症状之前,增加跌倒风险.
研究的目的:
- 调查功能性移动性,认知和阿尔茨海默病 (AD) 生物标志物与认知正常的老年人跌增加之间的关联.
- 确定哪些临床测量最能预测该人群中跌倒倾向和严重程度.
主要方法:
- 一年长度队列研究涉及182名认知正常的老年人 (平均年龄75岁).
- 评估跌倒频率,功能性移动性和认知的临床测量,以及神经成像AD生物标志物.
- 用多个回归模型来确定秋季结果的预测因素.
主要成果:
- 报告共有227次跌倒,平均每人跌倒1次.
- 功能性移动性测量是跌倒倾向和严重性最强的预测指标.
- 认知和AD生物标志物相互相关,但与跌倒结果没有显著关联.
结论:
- 功能性移动性指标比认知功能或AD生物标志物更能预测认知正常的老年人的跌倒.
- 了解这些机制可以为老年人制定有针对性的防摔策略提供信息.
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