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可修改的中年和晚年血管风险因素对发生痴呆症的贡献
Jason R Smith1, James Russell Pike2, Rebecca F Gottesman3
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
中年和晚年血管风险因素对80岁时的痴呆风险有显著的贡献. 管理高血压,糖尿病和吸烟等疾病可以减少痴呆症的发生率.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 心血管健康 心血管健康
背景情况:
- 中年血管风险因素与痴呆症风险增加有关.
- 血管风险因素在中年和晚年对痴呆的累积影响仍然不清楚.
研究的目的:
- 量化中年和晚年可修改的血管风险因素所导致的痴呆病例的比例.
- 根据阿波利波蛋白e4基因型,种族和性别来调查痴呆风险差异.
主要方法:
- 社区动脉样硬化风险 (ARIC) 研究的前性队列分析,随访33年.
- 分析包括黑人和白人参与者,测量风险因素 (高血压,糖尿病,吸烟) 在45-54岁,55-64岁和65-74岁.
- 人口可归因的事件痴呆症分数估计在80岁及之后.
主要成果:
- 80岁时21.8%至44.0%的痴呆病例归因于中年和晚年发现的血管风险因素.
- 在不同年龄组的非脂质蛋白 ε4 携带者,黑人和女性中,可归因的分数更高.
- 血管风险因素仅占80岁以后发生的痴呆病例的2%至8%.
结论:
- 到80岁时,很大一部分痴呆病例与可修改的血管风险因素有关.
- 在一生中优化血管健康可以显著降低痴呆症风险.
- 研究结果强调了终身血管风险因素管理对于预防痴呆症的重要性.
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