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骨质疏松症作为泰国痴呆症潜在可修改的风险因素:一个横截面分析
Parit Hiri-O-Tappa1, Kasidid Lawongsa1, Supatcha Kengpanich1
1Family Medicine, Phramongkutklao Hospital, Bangkok, THA.
Cureus
|July 31, 2024
概括
在泰国,骨质疏松症显著增加了痴呆症的风险. 雌激素和双酸盐等治疗可能会降低这种风险,为痴呆症预防提供新的治疗途径.
科学领域:
- 老年学与公共卫生
- 神经科学与衰老问题
- 骨质新陈代谢和神经退行
背景情况:
- 骨质疏松症越来越被认为是痴呆症的潜在可修改风险因素.
- 了解骨健康和认知衰退之间的相互作用对于老龄化人口至关重要.
研究的目的:
- 在泰国人口中调查骨质疏松症和痴呆风险之间的关联.
- 评估骨质疏松症治疗的潜力,如雌激素补充剂和双酸盐,以减轻痴呆风险.
主要方法:
- 进行了对54,399名参与者的横截面分析,不包括50岁以下或有先前痴呆症的个人.
- 统计分析包括千二测试和逻辑回归来确定与痴呆相关的独立因素,并调整混因素.
主要成果:
- 患有骨质疏松症的人患痴呆的风险增加了1.62倍 (OR 1.62,95% CI 1.37-1.92,p < 0.001).
- 雌激素补充剂 (OR 0.84,95% CI 0.73-0.98,p = 0.023) 和双酸盐治疗 (OR 0.66,95% CI 0.60-0.73,p < 0.001) 与骨质疏松症患者没有治疗相比,与痴呆症风险降低有关.
结论:
- 骨质疏松症与泰国人口中痴呆的风险增加有关.
- 雌激素和双酸盐疗法在减轻骨质疏松症患者痴呆风险方面表现有前途.
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