骨矿物质密度和发生痴呆的风险:一个元分析
Christine W Lary1,2, Samuel Ghatan3, Meghan Gerety4
1Roux Institute at Northeastern University, Portland, Maine, USA.
Journal of the American Geriatrics Society
|November 7, 2023
概括
较高的基线骨矿物质密度 (BMD) 与痴呆症风险降低有关. 在这次痴呆风险元分析中,先前的骨损失不是一个显著的预测因素.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 骨健康 骨健康 骨健康
背景情况:
- 研究骨矿物质密度 (BMD) 对发生痴呆和阿尔茨海默病 (AD) 的预测价值.
- 比较基线 BMD 与之前的骨损失作为痴呆症风险预测因素.
研究的目的:
- 确定基线骨矿物质密度 (BMD) 或之前的骨损失是否是发生痴呆症和阿尔茨海默病 (AD) 的更重要的预测因素.
主要方法:
- 对三项纵向研究进行了元分析:弗雷明汉心脏研究 (FHS),鹿特丹研究 (RS) 和急性记忆和衰老项目 (MAP).
- 包括60岁以上的个体,在基线时没有痴呆症,有BMD测量 (部或脚跟) 和随访数据.
- 使用基线BMD和基线前BMD的年化百分比变化来建模痴呆症诊断的时间,并考虑到年龄,性别,BMI,ApoE4和教育等共变量.
主要成果:
- 对4431名参与者的元分析 (606例痴呆病例) 显示,较高的基线BMD与降低发病痴呆的风险显著相关 (HR 0.91每SD增加).
- 之前的骨损失仅在FHS队列中显示出与痴呆症风险增加的显著关联 (HR增长1.30%).
结论:
- 基线BMD是降低痴呆风险的重要预测因素.
- 之前的骨损失并不是不同队列中痴呆症的一致预测因素.
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