消化系统疾病,遗传风险和偶发性痴呆症:一个前性队列研究
Shuai Yuan1, Lintao Dan2, Yao Zhang3
1Department of Big Data in Health Science, School of Public Health and The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
American journal of preventive medicine
|November 2, 2023
概括
消化系统疾病与更高的痴呆风险有关. 十一种疾病显示出显著的关联,突出显示了这些患者需要痴呆症预防策略的需要.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 消化系统疾病会影响肠道微生物群,这与痴呆症风险有关.
- 消化系统疾病和痴呆症发病率之间的直接关联仍然不清楚.
研究的目的:
- 调查14种不同的消化系统疾病与痴呆症发病率之间的关联.
- 根据痴呆症发病年龄 (早期与晚期) 探索这些关联的差异.
主要方法:
- 对458,181名英国生物库参与者 (2006-2021) 进行的大型队列分析,没有基线痴呆症.
- 考克斯的比例危险回归模型被用来评估痴呆症发病率在12.4年的中位随访期间.
- 对多基因风险评分和APOE状态进行了分层和相互作用分析.
主要成果:
- 在14种检查的消化系统疾病中,有11种与痴呆症风险增加显著相关.
- 危险比率从1.15为肠道分支管疾病,到2.31为肝硬化.
- 对于早期发病的痴呆症与肝硬化,刺激性肠综合征和胃炎等疾病的关联明显更强烈.
结论:
- 研究结果表明,各种消化系统疾病与痴呆症发病率之间存在显著联系.
- 这些结果强调了在痴呆症预防策略中考虑消化系统健康的重要性.
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