长时间的孤独和发生认知衰退和痴呆症的风险:一项两队的研究
Ziyang Ren1, Yanan Luo2, Yunduo Liu3
1Institute of Reproductive and Child Health/National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China; Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
长时间的孤独显著增加了痴呆症和认知能力下降的风险. 然而,减轻孤独感可能有助于降低这些风险并改善健康结果.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 孤独是一个日益严重的公共卫生问题,可能与痴呆症有关.
- 长期孤独及其对认知衰退和痴呆症的变化的影响尚未完全理解.
研究的目的:
- 调查累积孤独与发生认知衰退和痴呆症之间的关联.
- 研究孤独感随时间变化对认知健康和痴呆风险的影响.
主要方法:
- 利用了来自英国老龄化纵向研究 (ELSA) 和健康与退休研究 (HRS) 队列的数据.
- 使用修订的UCLA孤独度量和认知功能的验证测试来评估孤独感.
- 采用了Cox和Aalen的附加性危险回归模型,调整了生活方式,心理健康和遗传学等共变量.
主要成果:
- 严重的累积孤独与42%更高的认知衰退风险和98%更高的痴呆风险有关.
- 从频繁的孤独中恢复过来的参与者表现出不健康的生活方式,慢性疾病的风险降低,痴呆的风险降低33%.
结论:
- 长时间的孤独是认知能力下降和阿尔茨海默病以及相关痴呆症 (ADRD) 的重要危险因素.
- 缓解孤独的干预措施可能会对认知能力下降和痴呆症产生保护作用.
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