认知功能及其变化与社区老年人全因死亡率的关联
Shangjie Li1,2, Xiuping He1,2, Liang Wu1,2
1Shunde Women and Children's Hospital, Maternal and Child Research Institute, Guangdong Medical University, Foshan, China.
Frontiers in aging neuroscience
|June 27, 2024
概括
老年人的认知能力下降显著增加了死亡风险. 基线认知障碍和随着时间的推移的快速下降都与较高的死亡率有关,特别是在中国人群中.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 认知神经科学 认知神经科学
背景情况:
- 老年人认知功能变化和死亡率之间的关系缺乏共识.
- 该协会的独立性需要进一步调查.
研究的目的:
- 评估基线认知功能和一年内认知变化与全因死亡率之间的纵向关联.
- 为了评估60岁及以上的成年人中这些关联.
主要方法:
- 使用社区老年人健康调查数据 (2018年以后) 的前性队列研究.
- 通过中国迷你精神状态检查 (MMSE) 对60岁以上6042名参与者进行认知功能的年度评估.
- 多变量考克斯比例危险模型分析了认知功能的对死亡率的影响.
主要成果:
- 每一点的MMSE得分下降都与死亡风险增加6%相关 (调整后HR=1.06).
- 轻度认知障碍 (HR=1.40) 和中度至严重的认知障碍 (HR=2.49) 与正常功能相比显著增加死亡风险.
- 认知功能率每年下降一点,死亡风险增加了5% (HR=1.05),快速下降与79%的更高风险相关 (调整后HR=1.79).
结论:
- 基线认知障碍和快速认知衰退是中国老年人较高全因死亡率的重要预测因素.
- 认知变化对死亡率的影响受到基线认知功能的影响.
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