在没有认知障碍的老年人中,虚弱和大脑变化:一个范围审查
Gabriela Cabett Cipolli1, Isadora Cristina Ribeiro2, Clarissa Lin Yasuda3
1Postgraduate Program in Gerontology, College of Medical Sciences, State University of Campinas, Campinas, Brazil.
Archives of gerontology and geriatrics
|March 16, 2024
概括
像白质病变和大脑体积减少等大脑变化与没有认知障碍的老年人的脆弱性有关. 这些神经成像发现可能有助于早期发现脆弱性.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 医疗成像医学成像
背景情况:
- 在老年人群中,脆弱性是越来越令人担忧的.
- 了解虚弱的神经基础,特别是在认知不受损的老年人中,至关重要.
研究的目的:
- 在没有认知障碍的脆弱老年人中对功能和结构性大脑变化进行范围审查.
- 绘制与脆弱相关的大脑变化的现有证据.
主要方法:
- 坚持乔安娜·布里格斯研究所 (JBI) 的方法.
- 在多个数据库 (PubMed,Scopus,Web of Science等) 中进行全面的文献搜索. 在2023年1月之前.
- 由两个独立审查员进行选和数据提取.
主要成果:
- 脆弱个体的常见发现包括白质强度过高,海马和小脑体积减少,以及补充运动区域连接性降低.
- 还注意到较低的灰质体积,皮质缩,以及在特定的大脑区域 (面,前) 的粉样β的存在.
- 这些变化表明潜在的神经退行性或脑血管起源.
结论:
- 神经成像研究显示,在没有认知障碍的老年人中,与虚弱相关的特定大脑变化.
- 这些发现提高了对脆弱的潜在机制的理解.
- 对早期脆弱性检测和干预策略的影响是显著的.
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