在正常的老年人中,大脑缩与牙脱落和饮食变化与未来的认知衰退有关
Hiroyuki Nakamura1, Moeko Noguchi-Shinohara2, Mai Ishimiya-Jokaji3
1Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan. hnak@me.com.
npj aging
|March 23, 2024
概括
牙脱落与大脑变化有关,例如对海马环缩和白质病变,即使在健康人群中也是如此. 这表明口腔健康不佳可能会通过饮食和大脑结构影响痴呆风险.
科学领域:
- 神经科学是一个神经科学.
- 老年学是指老年学的学科.
- 牙科医学 牙科医学
背景情况:
- 越来越多的证据将口腔健康状况不佳,特别是牙脱落与认知能力下降联系在一起.
- 受牙损失影响的确切的大脑区域和机制仍然不完全理解.
研究的目的:
- 调查牙脱落与老年人的特定神经病理变化之间的关联.
- 探索饮食模式在调解牙脱落与大脑健康之间的关系中的作用.
主要方法:
- 一项基于人口的纵向队列研究,涉及日本60岁以上的2454名居民.
- 综合评估包括牙科检查,饮食调查,磁共振成像 (MRI) 和认知评估.
- 分析的重点是确定牙脱落,大脑结构 (近海马环缩,白质超强度) 和饮食习惯之间的相关性.
主要成果:
- 牙损失与近海马环缩和白质超强度 (WMH) 增加显著相关.
- 这些大脑变化是痴呆病理学的公认指标.
- 牙损失与饮食转变相关,包括减少植物性食物摄入量和增加脂肪,加工食品的消费.
结论:
- 失去牙与早期的神经病理变化有关,这些变化表明痴呆症,即使在认知上正常的个体中也是如此.
- 改变饮食模式可能会调解牙脱落对大脑健康的负面影响.
- 保持口腔健康可能是预防痴呆症相关的神经病理变化的潜在策略.
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