脊椎病和痴呆风险:丹麦基于人口的队列研究
Sham Al-Mashadi Dahl1, Erzsébet Horváth-Puhó1, Victor W Henderson1,2,3
1Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Journal of gastroenterology and hepatology
|January 10, 2024
概括
发 diverticular 疾病 (DD) 患者的痴呆风险略有增加,特别是那些年轻发病或接受保守治疗的患者. 这表明肠道炎症持续时间和痴呆症风险之间存在联系.
科学领域:
- 胃肠病学 胃肠病学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 脊椎病 (DD) 与慢性肠道炎症和微生物组变化有关.
- 这些因素可能在痴呆症的发病过程中发挥作用.
研究的目的:
- 调查分歧性疾病与发展痴呆症的风险之间的关联.
- 探索疾病的严重程度和发病程度如何影响这种风险.
主要方法:
- 全国基于人口的队列研究使用丹麦注册 (1980-2013).
- 包括DD患者和匹配的一般人口比较队列.
- 嵌套案例控制分析与风险组抽样.
主要成果:
- 确定了149527名DD患者和747635名比较者.
- 在DD患者中,30年累计痴呆发病率为12.4%,而在比较者中为13.73% (HR 1.10).
- 在年轻发病的DD (HR 1.52) 和保守治疗的DD (OR 1.08) 中观察到痴呆症风险增加.
结论:
- 痴呆症风险的轻微增加与年轻发病和保守治疗的分流管疾病有关.
- 研究结果表明,疾病持续时间可能反映肠道炎症,可能会影响痴呆风险.
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