中老年和老年人的认知功能轨迹中的精神-体质多病症
Siting Chen1, Corey L Nagel2, Ruotong Liu3
1OHSU-PSU School of Public Health, Portland, Oregon, United States of America.
PloS one
|May 14, 2024
概括
抑郁症和中风多病症显著增加认知能力下降的风险,特别是在少数群体. 预防这些疾病可能有助于延迟成年人的认知障碍.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 多种疾病对认知能力下降的风险比单一疾病更大.
- 了解老龄化人口的认知轨迹至关重要.
研究的目的:
- 在中年和老年人中确定不同的认知障碍概率轨迹.
- 评估精神-体质多病变化对这些轨迹的影响.
主要方法:
- 使用的健康和退休研究数据 (1998-2016).
- 采用基于小组的轨迹模型来确定认知障碍的概率轨迹.
- 使用多项逻辑回归研究了多病症组合 (体质,中风,抑郁,中风和抑郁) 与认知轨迹之间的关联.
主要成果:
- 确定了三个认知轨迹:生命晚期增加的低风险 (62.6%),快速增加的初始风险低 (25.7%),高风险 (11.7%).
- 脑卒中和抑郁多病症显示,跨轨迹的认知障碍的几率最高.
- 非西班牙裔黑人和西班牙裔个体的快速认知衰退轨迹的几率更高.
结论:
- 抑郁症和中风多病症组合与加速认知衰退密切相关.
- 预防这些特定的多重疾病可能会延迟认知障碍,特别是在社会弱势和少数群体中.
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