动脉样硬化心血管风险负担对认知健康的影响
Lijun Zuo1, Zaylea Kua2, Xuan Wang1,3
1Department of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.
Journal of the American Heart Association
|August 29, 2025
概括
动脉样硬化心血管疾病 (ASCVD) 对认知能力的影响在女性中被放大,这突显了针对性别的治疗策略的需要. 这项研究强调了与ASCVD风险因素相关的认知健康定制方法.
科学领域:
- 心脏病学
- 神经学
- 公共卫生
背景情况:
- 性别影响动脉样硬化心血管疾病 (ASCVD) 的风险因素.
- 性别之间的ASCVD风险负担和认知功能之间的关系尚不清楚.
研究的目的:
- 研究动脉样硬化心血管疾病 (ASCVD) 风险负担与认知功能之间的关系.
- 确定与ASCVD风险相关的潜在性别特异性认知表型.
主要方法:
- 在中国,对2180名50至75岁的社区成年人进行了横截面研究,这些成年人以前没有患有心血管疾病或中风.
- 使用三个多变量预测方程量化10年ASCVD风险.
- 评估认知领域,包括记忆,注意力,视觉空间功能,执行功能和处理速度.
- 使用多变量线性回归来分析性别与ASCVD认知结果风险得分之间的相互作用.
主要成果:
- 男性的ASCVD基线风险较高,但ASCVD风险对认知的负面影响在女性中更为明显.
- 观察到女性对记忆,执行功能和处理速度有强烈的影响.
- 性别分层分析显示中等ASCVD风险水平的认知特征,表明与性相关的ASCVD认知表型.
结论:
- 在ASCVD风险负担如何影响认知功能方面存在显著的性别差异.
- 在ASCVD风险管理过程中,性别特定的认知监测至关重要.
- 加强女性血管风险控制可能对预防认知能力下降至关重要.
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