长期吸烟与前脑叶缩有关:对女性进行了一项32年的随访研究
Lena Johansson1,2,3, Xinxin Guo4, Simona Sacuiu4
1Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap), Institute of Neuroscience and Physiology, University of Gothenburg, Goteborg, Sweden lena.johansson@neuro.gu.se.
BMJ open
|October 6, 2023
概括
中年期吸烟与女性晚年前额叶缩有关. 长期吸烟可能会损害大脑细胞,特别是在额叶皮层.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 中年生活方式因素显著影响晚年认知和神经健康.
- 烟草吸烟仍然是一个主要的公共卫生问题,具有广泛的系统性影响.
- 了解吸烟对大脑结构的长期影响对于预防策略至关重要.
研究的目的:
- 为了研究中年烟草吸烟与大脑缩之间的联系.
- 为了确定中年吸烟是否与晚年白质病变相关.
- 探索吸烟模式和受缩影响的特定大脑区域之间的关系.
主要方法:
- 这项研究分析了369名瑞典哥德堡妇女前性人口研究中的妇女的数据.
- 在中年 (44-50岁) 的三个时间点评估了吸烟.
- 32年后 (平均年龄76岁) 进行了脑CT扫描,以评估皮质缩和白质病变,并对共变量进行了调整后的逻辑回归分析.
主要成果:
- 中年吸烟,尤其是在所有评估时期持续吸烟,与晚年前额叶缩有显著的相关性.
- 1980-1981年的吸烟也与叶缩相关.
- 抽烟与叶或叶缩,以及白质病变之间没有发现显著的关联.
结论:
- 长期吸烟主要与前额叶皮层缩有关.
- 前额神经通路中尼古丁受体的慢性刺激可能对脑细胞有害.
- 这些发现强调了持续吸烟对特定大脑区域的有害影响,强调了戒烟的必要性.
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