在有或没有血管风险因素的社区老年男性中,性类固醇和认知功能:一个横截面研究
Shuning Tang1,2, Limei Huang3, Fangting Lin1,2
1Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, 200032, Shanghai, China.
BMC geriatrics
|February 13, 2024
概括
最佳的和雌激素水平与老年男性更好的认知功能有关. 血管风险因素影响这些荷尔蒙认知关系,突出显示了个性化评估的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 神经科学是一个神经科学.
- 老年学是指老年学的学科.
背景情况:
- 以前对老年男性的丸激素,雌激素和认知功能的研究得出了不确定的结果.
- 血管风险因素 (VRF) 可能会影响性激素和认知之间的关系.
研究的目的:
- 调查血清丸激素和雌激醇度与老年男性认知功能之间的关联.
- 探索血管风险因素是否会改变性激素和认知功能之间的关系.
主要方法:
- 在中国上海,对224名65-90岁的男性进行了横截面研究.
- 血清激素水平通过电化学发光免疫测试测量.
- 多变量线性和受限立方脊柱回归分析用于评估与迷你精神状态检查 (MMSE) 评分的关联,考虑VRF (肥胖,高血压,糖尿病,中风,冠心病).
主要成果:
- 在一个VRF的男性中,在丸激素和MMSE得分之间观察到一个反转的"U"形非线性关系.
- 雌激醇显示出与MMSE得分的反转"U"形非线性关联,不管VRF的数量是 (0,1,或2+).
结论:
- 最佳的性类固醇度似乎对老年男性的认知功能有益.
- 在解释这种人群中性激素和认知功能之间的关系时,血管风险因素是关键考虑因素.
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