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探索过度活跃膀 (OAB) 与认知衰退之间的关联:老年人抑郁症的调解,NHANES加权分析
1School of Government, University of International Business and Economics, Chaoyang District, Beijing, 100029, P. R. China. lyndsey60@163.com.
Scientific reports
|January 29, 2025
概括
过度活跃的膀 (OAB) 与老年人的认知健康状况较差有关. 抑郁症显著调解了这种关联,突出了膀症状与大脑功能之间的关键联系.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 过度活性膀 (OAB) 在老年人中很常见,可能会影响认知功能.
- 了解OAB和认知健康之间的关系对于这一群体至关重要.
研究的目的:
- 研究60岁及以上美国成年人膀过活和认知健康之间的关联.
- 探索抑郁症在OAB-认知健康关系中的调解作用.
主要方法:
- 从2011-2014年NHANES中对2,324名成年人的横截面分析.
- 认知功能使用CERAD W-L,AFT和DSST进行评估;OAB通过OABSS得分定义的OAB> 3.
- 根据人口统计,行为和并发性疾病进行调整的加权回归模型.
主要成果:
- 患有OAB的个体在所有测试中表现出明显较低的认知分数 (p<0.001).
- 抑郁症发病率在OAB组 (15%) 与非OAB组 (6.05%) (p<0.001) 中较高.
- OAB与认知z分数下降14%有关;抑郁症介导了这一联系的34.56%.
结论:
- 较低的认知健康与老年人膀过度活跃显著相关.
- 抑郁症在OAB和认知衰退之间的关系中扮演着重要的调解角色.
- 研究结果强调了解决OAB和抑郁症对于老年人的认知健康的重要性.
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