加拿大的潜在可修改的痴呆症危险因素:加拿大关于衰老的长度研究与多国比较的分析
1Manuel Montero-Odasso, Departments of Medicine (Geriatrics) and Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, 500 Wellington Road, London, ON, Canada, N6C 0A7, mmontero@uwo.ca.
The journal of prevention of Alzheimer's disease
|October 1, 2024
概括
加拿大近一半的痴呆病例与12个可修改的风险因素有关. 解决身体不活动,听力损失,肥胖和高血压是痴呆症预防策略的关键.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 据估计,全球多达40%的痴呆病例与可修改的风险因素有关,但加拿大缺乏这些数据.
- 睡眠障碍是一个新兴的风险因素,尚未纳入终身痴呆症预防模型.
研究的目的:
- 确定包括睡眠障碍在内的12个可修改的风险因素对加拿大成年人的影响.
- 根据性别和年龄组分析这些影响,并将研究结果与国际数据进行比较.
主要方法:
- 来自加拿大长度老龄化研究 (CLSA) 的基线数据的分析.
- 一项涉及30 097名45岁及以上的加拿大成年人的横截面研究.
- 对身体不活动,听力损失,肥胖,高血压和睡眠障碍等因素进行了检查.
主要成果:
- 身体不活动 (10.2%),听力损失 (6.5%),肥胖 (6.4%) 和高血压 (6.2%) 是中年/晚年的主要危险因素.
- 睡眠障碍占痴呆症病例的3.0%.
- 这12个可修改的风险因素共同解释了男性和女性大约52%的痴呆病例,总体PAF为49.2%,随着年龄的增长而增加.
结论:
- 在加拿大,近50%的痴呆病例可归因于12个可修改的危险因素.
- 加拿大减少痴呆风险的倡议应优先考虑针对身体不活动,听力损失,肥胖和高血压的干预措施.
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