孤独和患帕金森病的风险
Antonio Terracciano1, Martina Luchetti2, Selin Karakose1
1Department of Geriatrics, Florida State University College of Medicine, Tallahassee.
JAMA neurology
|October 2, 2023
概括
孤独会增加患帕金森病 (PD) 的风险,这与其他因素无关. 这种关联似乎随着时间的推移而加强,强调孤独是健康的重要心理社会决定因素.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 孤独与增加的发病率和死亡率有关,包括神经退行性疾病.
- 孤独与有害健康结果之间的关联在帕金森病 (PD) 方面以前没有被研究过.
研究的目的:
- 调查孤独与发生帕金森病 (PD) 的风险之间的联系.
- 确定这种关联是否独立于已知的风险因素,以及是否因年龄,性别或遗传脆弱性而改变.
主要方法:
- 一项前性队列研究利用英国生物库的数据,包括超过49万名参与者.
- 孤独在基线时被评估,并且在15年的随访期间,通过健康记录追踪事件PD.
- 统计分析考虑了人口因素,生活方式,并发病症和多基因风险得分.
主要成果:
- 报告孤独的个人患PD的风险明显更高 (HR 1.37).
- 在调整了许多潜在混因素后 (完全调整HR 1.25) 这一关联仍然很重要.
- 孤独在前5年没有与PD风险相关,但在随后的10年中显示出显著的关联.
结论:
- 孤独是发生帕金森病 (PD) 的重要危险因素,独立于抑郁症和其他已知的危险因素.
- 研究结果表明,孤独是健康的重要心理社会决定因素,影响神经退行性疾病的风险.
- 延迟的关联表明孤独可能在PD发展或进展的后期阶段发挥作用.
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