环境空气污染,隐藏的脑血管疾病和认知:来自ISSYS研究的结果
A Ballvé1,2,3, J Pizarro1,2, O Maisterra1,2
1Dementia Unit, Vall d'Hebron University Hospital, Barcelona, Spain.
暴露于空气污染,特别是PM2.5和NO2,与隐性脑血管疾病 (cCVD) 的发展和进展有关. 需要进一步的研究来确定对认知衰退的影响.
科学领域:
- 环境健康 环境健康
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 空气污染 (AP) 是已知的中风和痴呆的危险因素.
- 关于AP暴露与隐性脑血管疾病 (cCVD) 或认知功能之间的纵向关系的数据有限.
研究的目的:
- 调查空气污染与cCVD的存在,积累和进展之间的联系.
- 探索AP对随时间推移对认知功能的影响.
主要方法:
- 基于巴塞罗那976名没有中风,没有痴呆症的人群的前性人口研究 (2010-2016).
- 使用土地利用回归模型对各种空气污染物 (NOx,NO2,PM2.5,PM10,PM粗,PM2.5吸收) 进行暴露评估.
- 在基线和4年随访时评估的认知功能和cCVD (心脏病发作,白质超强度,微型血液).
主要成果:
- 暴露于PM2.5与更高的隐性脑梗塞的可能性有关.
- PM2.5吸收率和NO2与广泛的白质超强度 (WMHs) 和WMH进展有关.
- 暴露于NOx与发生的大脑微型出血有关.
- 在4年的随访中,空气污染和认知功能之间没有发现显著的关联.
结论:
- 空气污染物是CCVD存在和积累的重要预测因素.
- 空气污染对认知障碍的长期影响需要进一步研究.
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