虚弱和抑郁的多轨迹与认知功能:来自健康和退休长度研究的发现
Chengxiang Hu1, Xiaoyue Sun1, Zhirong Li1
1Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin Province, China.
Journal of cachexia, sarcopenia and muscle
|April 6, 2025
概括
衰弱和抑郁症的恶化显著加快认知能力下降,增加痴呆症的风险. 解决这两种情况对于减轻老年人认知障碍至关重要.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 精神病学是一个精神病学.
背景情况:
- 虚弱和抑郁轨迹对认知功能的联合影响仍然不太清楚.
- 研究这些综合效应对于理解认知衰老至关重要.
研究的目的:
- 在十年内探索脆弱和抑郁症的不同多重轨迹.
- 确定这些轨迹对认知衰退和痴呆风险的联合影响.
主要方法:
- 利用基于8600名健康和退休研究 (HRS) 参与者的10年数据 (1996-2018) 的基于小组的轨迹建模.
- 采用多变量线性混合模型和Cox比例危险模型来分析认知轨迹和痴呆风险.
- 根据虚弱和抑郁模式将参与者分为五个不同的轨迹组.
主要成果:
- 与稳定,强壮,非抑郁组相比,其他四组都表现出加速的认知衰退.
- 脆弱性恶化和/或抑郁症状升级的群体表现出显著更快的认知衰退 (例如,持续抑郁的高脆弱性:β = -0.055 SD/年).
- 与强壮群体相比,所有患有虚弱或抑郁症恶化的群体中痴呆风险显著增加 (HRs从1.26到1.86).
结论:
- 虚弱和抑郁的同时恶化显著加快了认知衰退.
- 这些联合轨迹显著增加患痴呆症的风险.
- 针对脆弱性和抑郁症的干预措施是必要的,以保持老年人群的认知健康.
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