在美国和英国,虚弱轨迹在痴呆症之前
David D Ward1,2, Jonny P Flint3,4,5, Thomas J Littlejohns6
1Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
JAMA neurology
|November 11, 2024
概括
虚弱的轨迹在痴呆症发病前4-9年加速,这表明虚弱是痴呆症风险标志物. 这一发现支持虚弱作为痴呆症预防策略的目标.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 脆弱性是生物年龄和痴呆风险的潜在标志物.
- 脆弱性和痴呆症之间的时间关系需要进一步澄清.
研究的目的:
- 调查痴呆症发病前几年的脆弱性轨迹.
- 为了澄清虚弱和发作性痴呆之间的时间关系.
主要方法:
- 分析了来自四项研究的29,849名参与者 (60岁以上) 的前性队列数据.
- 计算脆弱指数得分和评估所有原因引起的痴呆症.
- 利用贝叶斯概括的线性混合回归模型来分析脆弱轨迹.
主要成果:
- 虚弱轨迹在痴呆症诊断前4至9年显著加速.
- 虚弱与痴呆症风险增加正相关 (aHRs 1.18-1.73).
- 这种关联甚至在虚弱度测量在痴呆症发病之前超过加速期时也持续存在.
结论:
- 虚弱度测量可以识别患痴呆症高风险的人.
- 虚弱可能成为痴呆症预防干预的上游目标.
- 调查结果支持在临床试验招聘中使用虚弱性来预防痴呆症.
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