从正常认知转变为阿尔茨海默氏病痴呆直接或与中间轻度认知障碍阶段
Xinlin Lu1, Yahui Zhang1, Yichen Tang2
1Department of Biostatistics, University of Florida, Gainesville, Florida, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|November 19, 2024
概括
阿尔茨海默病 (AD) 痴呆的进展方式不同. 一些个人在AD之前就会发展出轻度认知障碍 (MCI),而另一些人则会直接过渡. 直接过渡组在AD发病后表现出更快的功能衰退.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 临床神经学 临床神经学
背景情况:
- 阿尔茨海默病 (AD) 痴呆症的进展在个体之间有所不同.
- 大多数患者在AD痴呆之前会经历轻度认知障碍 (MCI) 的进展.
- 一个子集的个体直接从正常认知 (NC) 过渡到AD痴呆症 (NC-AD).
研究的目的:
- 为了研究NC-MCI-AD和NC-AD轨迹之间的疾病进展的差异.
- 为了在不同的AD进展途径中比较认知和功能结果.
- 了解阿尔茨海默病进展的异质性.
主要方法:
- 在三个时间点比较人口,健康,认知和功能数据:初始NC,最终NC和初始AD痴呆症.
- 在NC和AD痴呆阶段分析了认知和功能评分的年度变化.
- 利用纵向数据来追踪疾病的发展轨迹.
主要成果:
- 与NC-AD组相比,NC-MCI-AD组在AD诊断时表现出更大的认知和功能障碍.
- 在两组正常认知阶段观察到微不足道的年度差异.
- 而NC-AD组在AD痴呆阶段表现出可能更快的功能衰退.
结论:
- 阿尔茨海默病的进展是异质的,有不同的认知和功能衰退模式.
- 识别不同的进展途径对于AD研究和临床管理至关重要.
- 该NC-AD途径可能涉及诊断后更加速的功能恶化.
更多相关视频
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.5K
08:43Application of Granger Causality Analysis of the Directed Functional Connection in Alzheimer's Disease and Mild Cognitive Impairment
Published on: August 7, 2017
7.9K
相关概念视频
Alzheimer's Disease: Overview
448
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
448
Dementia
97
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
97
Cognitive Development During Adulthood
58
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
58
Alzheimer's Disease: Treatment
165
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
165
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
98
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
98
Amnesia
102
Amnesia is a condition marked by long-term memory loss, which impairs the ability to recall past events or create new memories.
The severity and duration of memory loss vary depending on the type and underlying cause. Amnesia is classified into two main types: retrograde and anterograde.
Retrograde amnesia is marked by the loss of memories formed before the onset of the condition. Patients may recall distant past events but often forget those occurring shortly before the incident.
Anterograde...
The severity and duration of memory loss vary depending on the type and underlying cause. Amnesia is classified into two main types: retrograde and anterograde.
Retrograde amnesia is marked by the loss of memories formed before the onset of the condition. Patients may recall distant past events but often forget those occurring shortly before the incident.
Anterograde...
102
