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内动脉硬化和痴呆的风险:一个基于人口的队列研究
Tim C van den Beukel1,2,3, Frank J Wolters1,4,5, Uwe Siebert6,7,8
1Department of Epidemiology, Erasmus Medical Center, Rotterdam, CA, The Netherlands.
内动脉硬化,包括动脉和脊柱动脉化,显著增加痴呆症的风险. 这种联系的部分原因是脑小血管疾病的增加.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 老年学是一门学科.
背景情况:
- 内动脉硬化和痴呆症之间的关系尚未得到充分理解.
- 动脉样硬化会影响大脑中的血管,可能会影响认知功能.
研究的目的:
- 调查内动脉硬化与痴呆风险之间的关联.
- 探索大脑小血管疾病 (cSVD) 和大脑结构体积的调解作用.
主要方法:
- 在2339名没有痴呆症的个体中评估了内动脉化 (ICAC) 和脊柱动脉化 (VBAC).
- 利用考克斯模型分析痴呆风险和因果调解分析间接影响.
主要成果:
- ICAC的存在和体积都与痴呆症风险增加有关 (HR分别为1.53和1.19).
- 严重的VBAC也增加了痴呆症的风险 (HR 1.89).
- cSVD介导了ICAC效应的13%和VBAC对痴呆的影响的24%.
结论:
- 内动脉硬化是痴呆症的一个重要危险因素.
- 大脑小血管疾病部分介于内动脉硬化和痴呆之间的联系.
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