更年期的年龄,抑郁症状和认知功能之间的关联
Miharu Nakanishi1,2,3, Syudo Yamasaki3, Daniel Stanyon3,4
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
概括
早期更年期与增加抑郁症状和较差的认知功能有关. 在40岁之前经历更年期的女性面临着更高的认知衰退风险.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 妇女健康 妇女健康
背景情况:
- 关于更年期对与年龄相关的认知轨迹和抑郁症状的影响的证据有限.
- 研究更年期时间,情绪和认知之间的相互作用对于了解女性老化大脑健康至关重要.
研究的目的:
- 检查两年间更年期年龄,抑郁症状和认知功能之间的纵向关联.
- 确定这些关联中的潜在的性别特异性差异.
主要方法:
- 利用了来自英国长度老龄化研究 (ELSA) 的数据.
- 绝经时的年龄分为三个组:<40,40-49岁和≥50岁.
- 雇佣多层面小组对4726名女性和4286名男性进行数据回归分析.
主要成果:
- 晚期更年期 (≥50岁) 与早期更年期 (<40岁) 相比,与较少的抑郁症状和更好的认知功能相关.
- 男人报告抑郁症状较少,但表现出比更晚更年期的女性更糟糕的认知功能.
- 早期更年期 (<40岁) 与方向,即时和延迟回忆方面的表现较差有关.
结论:
- 早期更年期是加速认知衰退和增加抑郁症状的重要危险因素.
- 在40岁之前经历更年期的女性代表了认知障碍的高风险群体.
- 痴呆症风险降低策略应特别解决早期更年期妇女的需求.
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