抑郁症和多病症的轨迹影响认知衰退的模式:一项前性队列研究
Kai Cui1, Ronghui Zhao1, Ning Ding1
1Department of Health Statistics, School of Public Health, Jinzhou Medical University, 40 Songpo Road, Linghe District, 121000, Jinzhou, Liaoning, China.
Age and ageing
|February 19, 2025
概括
抑郁症和多病症轨迹显著影响老年人的认知能力下降. 监测这些健康状况可以帮助预测更快的认知衰退模式.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 全球认知功能的下降是异质的,有个别的模式.
- 抑郁症,功能限制和多病症对社区老年人的认知衰退轨迹的影响尚未得到充分理解.
研究的目的:
- 检查老年人抑郁症,功能限制,多病症和认知衰退模式之间的关系.
- 识别认知衰退的不同轨迹及其相关的健康预测因素.
主要方法:
- 来自健康和退休研究 (2006-2020年) 的4032名年龄≥60岁的参与者的前性队列研究.
- 潜在类轨迹模型确定了抑郁症,ADL,IADL和多病症的轨迹.
- 多项逻辑回归分析了健康轨迹和认知衰退模式之间的关联.
主要成果:
- 确定了抑郁症,ADL,IADL和多病症的不同轨迹.
- 观察到三个认知能力下降的轨迹:高稳定,温和,后来急剧.
- 抑郁症 (下降-上升,上升-下降) 和多病态 (稳定,上升) 的轨迹与认知能力下降的风险增加有关.
结论:
- 抑郁症和多病症的轨迹显著影响全球认知衰退的模式.
- 纵向健康监测可以识别各种认知衰退模式,并预测老年人加速衰退.
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