脉冲压与老化中的大脑结构变化之间的关联:横截面和纵向研究的系统审查和元分析
Marina Cecelja1, Ryan McNally2, Jon Cleary3,4
1School of Life Course and Population Sciences, Department of Twin Research and Genetic Epidemiology King's College London London United Kingdom.
Journal of the American Heart Association
|September 6, 2025
概括
高脉压与与年龄相关的大脑变化有关,如灰质体积减少和白质超强度增加. 需要进一步的纵向研究来证实这些关联.
科学领域:
- 神经学
- 心血管科学
- 老龄化研究
背景情况:
- 脉压 (PP) 是心血管事件的独立预测指标.
- 年龄相关的大脑结构变化与认知衰退和痴呆症有关.
- 需要进一步阐明PP与大脑健康之间的关系.
研究的目的:
- 系统地审查和分析脉冲压与与年龄相关的大脑结构变化之间的关联.
- 研究PP对大脑体积,白质强度 (WMH) 和β-粉样蛋白积累的影响.
- 探索PP与其他大脑指标之间的联系,
主要方法:
- 对PubMed,Scopus和Ovid数据库的系统审查 (开始至2023年1月).
- 包括对成年人群的研究,检查脉压力和大脑结构.
- 叙述综合和固定效应的发现元分析,与出版偏差评估.
主要成果:
- 横截面数据显示PP与灰质体积,WMH,静态大脑病变和皮质β-粉样蛋白之间的积极关联.
- 纵向研究表明PP与海马体积变化之间存在负相关性,与皮质β-粉样蛋白有正相关性.
- 有限的证据将PP与海马体积,微分异性,大脑微型血流,血液流动和新陈代谢联系在一起.
结论:
- 截面证据表明脉冲压与灰质体积,WMH,静态大脑病变和皮质β-粉样蛋白之间存在显著的正相关性.
- 这些发现突显了PP对大脑结构和病理学的潜在影响.
- 建议进行进一步的长度研究,以证实这些关联并了解它们的临床影响.
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