情侣共享的认知衰退的发生和危险因素:系统性审查和元分析
Hongyan Meng1, Xiangru Lv2, Rong Zhang1
1School of Nursing, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Journal of Alzheimer's disease : JAD
|June 7, 2024
概括
认知障碍患者的配偶表现出增加的风险和较低的认知分数. 共同的环境和生活方式可能会导致夫妇的认知能力下降.
科学领域:
- 神经学 神经学
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 缺乏对夫妇认知能力下降 (轻度认知障碍,阿尔茨海默氏症,痴呆症) 的系统审查.
- 证据质量和配偶认知能力下降的风险因素尚未得到充分分析.
研究的目的:
- 调查非亲属配偶的认知障碍一致性.
- 定性地描述对夫妇认知能力下降的潜在风险因素.
主要方法:
- 搜索了八个数据库 (开始时间:2023年10月20日).
- 包括11项具有中等到高证据质量的研究.
- 使用Stata 15.1分析数据;研究预先注册了PROSPERO.
主要成果:
- 认知障碍患者的配偶的认知分数较低 (科恩的d:0.180.62).
- 配偶面临的认知能力下降的风险更高 (OR = 1.42,95% CI: 1.151.76).
- 归因于照顾者的压力,分类交配和共享环境/生活方式的一致性.
结论:
- 一个配偶的认知状态会影响另一个配偶的认知功能.
- 共同的生活方式,环境和心理行为因素至关重要.
- 识别这些因素可以指导针对性的干预和预防措施对夫妇.
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