多重病变轨迹与随后的认知衰退之间的关联:来自两个全国纵向队列的证据
Linlin Wang1, Yiling Lou1, Qingqing Jiang2
1School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China.
Journal of affective disorders
|July 19, 2025
概括
越来越多的慢性疾病加快了老年人的认知衰退. 管理多病症可能有助于减缓这种衰退,保护记忆力和执行功能.
科学领域:
- 老年学和认知科学 认知学和认知科学
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 慢性疾病的进展 (多重疾病) 随着时间的推移,个人之间可能会有很大的差异.
- 不同的多病发育轨迹对随后的认知衰退的影响尚未得到充分理解.
研究的目的:
- 在老年人中识别不同的多病性轨迹.
- 研究这些轨迹与全球认知和特定领域随后的认知衰退之间的关联.
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) (2004-2018) 的纵向数据.
- 采用基于小组的轨迹建模来定义基于10种慢性疾病的6年多的多病态模式.
- 应用线性混合效应模型来评估已识别的轨迹与认知功能变化之间的关系.
主要成果:
- 确定了三种不同的多病态轨迹:低稳定,中度增加和快速增加.
- 无论是中度增长还是快速增长的多病变性轨迹都与记忆,定向和全球认知加速下降有显著的关联.
- 快速增长的轨迹群体表现出最的认知衰退,特别是在执行功能和全球认知方面.
结论:
- 增加的多病症,无论是中度还是快速,与老年人群中更快的认知衰退有关.
- 积极的多病症监测和管理策略对于潜在地减轻认知衰老至关重要.
- 问卷中的自我报告数据可能会引入回忆偏差,这是研究的局限性.
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