牛皮和痴呆症:英格兰成年人的基于人口的匹配队列研究
Julian Matthewman1, Kathryn E Mansfield1, Sharon L Cadogan1
1Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Annals of clinical and translational neurology
|January 2, 2025
概括
牛皮与痴呆症的风险略高,特别是血管性痴呆症,随着时间的推移和严重病例的风险增加. 绝对风险差异仍然很小,这表明存在潜在的剂量反应关系.
科学领域:
- 神经学 神经学
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 关于牛皮和痴呆症之间的关联,存在有限且相互矛盾的证据.
- 牛皮是一种慢性炎症性皮肤疾病,具有潜在的全身影响.
研究的目的:
- 使用大规模人口数据调查牛皮和痴呆风险之间的关联.
- 在患有牛皮的个体中,根据亚型和时间来描述痴呆风险.
主要方法:
- 英国的一项基于人口的队列研究 (1997-2021) 包括40岁以上的成年人.
- 患有牛皮的个体与匹配的对照人群进行了比较,使用链接的电子健康记录和医院数据.
- 用分层的考克斯回归分析来确定痴呆风险.
主要成果:
- 牛皮与所有原因痴呆症 (aHR1.06) 和血管痴呆症 (aHR1.10) 的风险略微增加有关,但与阿尔茨海默氏症痴呆症 (aHR1.03) 无关.
- 自从牛皮的诊断以来,这种关联随着时间的推移而加强,在严重的牛皮病例中更为明显.
- 痴呆的绝对风险差异很小,每10万人年增加24例新增病例.
结论:
- 患有牛皮的个体在长期内略有增加全因性和血管性痴呆的风险.
- 风险似乎随着疾病持续时间和严重程度的增加而增加,这表明了剂量-反应关系.
- 虽然从统计学上显著,但牛皮患者痴呆风险的绝对增加很小.
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