在可修改的痴呆风险因素中的性别差异:来自Rush记忆和衰老项目的发现
Jissa Martin1,2, Emily Hannah Gordon1,2,3, Natasha Reid1,2
1Centre for Health Services Research, Faculty of Health, Medicine and Behavioural Sciences, Princess Alexandra Hospital, The University of Queensland, Woolloongabba, Queensland, Australia.
即使在轻度认知障碍 (MCI) 后,痴呆风险也可以改变. 男性的潜在可预防性痴呆病例比女性的比例更高,风险因素的概况不同.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 痴呆症是一个日益严重的公共卫生问题.
- 了解可修改的风险因素对于预防策略至关重要.
- 认知状态,包括没有认知障碍 (NCI) 和轻度认知障碍 (MCI),可能会影响痴呆风险和预防.
研究的目的:
- 为了计算发生痴呆的人口归因分数 (PAFs).
- 为了检查痴呆症PAF的性别差异.
- 调查NCI和MCI患者之间的这些差异.
主要方法:
- 来自拉什大学记忆和衰老项目 (MAP) 纵向数据的分析.
- 利用考克斯的比例风险模型来估计痴呆症的风险比率.
- 根据认知状态 (NCI/MCI) 和性别分层计算的加权PAF.
主要成果:
- 该研究包括1481名NCI和515名MCI参与者.
- 在NCI (18.2%) 和MCI (18.6%) 组中,痴呆的PAF总体相似.
- 在NCI (42.5%对25.1%) 和MCI (51.5%对12.4%) 分组中,男性的PAF比女性高.
结论:
- 在MCI出现后,痴呆症风险仍然可以修改.
- 潜在可预防的痴呆病例可能在男性中比女性更多.
- 独特的风险因素概况有助于预防性痴呆症,男性的生活方式因素占主导地位,女性的心理社会因素占主导地位.
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