在没有痴呆症的老年人中,便秘症状与更糟糕的认知结果有关
Xiaochang Liu1,2,3, Juan Zhou1,2,3, Xinyan Xie1,2,4
1Hubei Clinical Research Center for Alzheimer's Disease, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.
Frontiers in nutrition
|September 19, 2025
概括
便秘与老年人的认知能力下降有关,增加了轻度认知障碍 (MCI) 的风险,并影响了特定的认知领域. 抑郁症症状可能会调解这种关联,突出显示需要综合管理策略.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
背景情况:
- 便秘是老年人常见的疾病.
- 便秘和认知障碍之间存在相关性,但具体的症状关联不清楚.
研究的目的:
- 研究便秘及其特定症状与老年人轻度认知障碍 (MCI) 和多领域认知障碍之间的关联.
主要方法:
- 65岁以上的9,417名无痴呆症参与者的队列接受了神经心理学,临床和实验室评估.
- 便秘的诊断是使用罗马四号标准进行的.
- 使用多变量逻辑回归和调解分析来评估抑郁症状的关联性和作用.
主要成果:
- 在20.1%的参与者中诊断出便秘,并与较高的MCI风险 (OR: 1.177) 和较差的语言和执行功能的表现有关.
- 特定的症状,如不经常排便,排便困难和干便,与增加MCI风险有关.
- 抑郁症调解了便秘和全球认知/语言功能之间的关系.
结论:
- 便秘及其症状与非痴呆老年人的MCI和多领域认知障碍有关.
- 这些发现表明,解决便秘和抑郁症状可能对老年人群的认知健康管理很重要.
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