生命必需8项与大脑小血管疾病之间的关联
Dandan Liu1,2,3, Xueli Cai4,5, Yingying Yang1,2
1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Stroke and vascular neurology
|November 21, 2023
概括
通过Life's Essential 8 (LE8) 测量较高的心血管健康,与较少的脑小血管疾病 (CSVD) 有关. 这项研究表明,更好的LE8分数与减少CSVD负担和成像标记物相关联.
科学领域:
- 神经学 神经学
- 心血管健康 心血管健康
- 医疗成像医学成像
背景情况:
- 生活必需品8 (LE8) 和大脑小血管疾病 (CSVD) 标志物之间的关联以前尚不清楚.
- 大脑小血管疾病 (CSVD) 包含各种神经成像异常,包括缺口,白质超强度 (WMH),扩大周血管空间 (EPVS) 和大脑微血流 (CMB).
研究的目的:
- 调查生命的基本8 (LE8) 分数与CSVD及其成像标志物的存在和严重程度之间的关系.
- 确定LE8的不同组件 (医学与行为) 是否与CSVD标记物有差异关联.
主要方法:
- 来自认知障碍和血管事件 (PEARLS) 的多血管R评估研究中的3061名社区居民的横截面研究.
- 计算LE8分数 (总,医学,行为) 并将其分类为低,中等或高. 使用MRI评估了CSVD标记物 (WMH,缺口,EPVS,CMB) 并得分.
- 用标准和修改的评分系统来评估CSVD负担.
主要成果:
- 较高的LE8总得分与较低的CSVD总得分有显著的关联 (高与低LE8的COR为0.44).
- LE8的医疗成分与CSVD总得分和WMH,缺口和BG-EPVS的几率相反相关.
- LE8的行为成分与缺口和BG-EPVS的几率相反相关.
结论:
- 更高的生活必需8 (LE8) 评分,反映出更好的心血管健康,与大脑小血管疾病 (CSVD) 和其MRI标志物的负担降低有关.
- 需要进一步的纵向研究来确定LE8和CSVD之间的因果关系.
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