预测痴呆症的发作,使用基于身体功能的纵向性能测量
Sydney Y Schaefer1,2, Daniel S Peterson2,3, Marie Ernsth-Bravell2
1School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona, United States.
概括
老年人中的精细运动技能下降速度更快,这些老年人后来发展为痴呆症,这表明早期风险识别的潜力. 步行和握力没有显示出明显的痴呆前衰退差异.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 物理疗法物理治疗
背景情况:
- 痴呆症与老年人的身体功能减弱有关.
- 在痴呆症发作之前,身体功能下降的加快程度尚不清楚.
- 对身体功能的客观测量可以提供关于痴呆前变化的见解.
研究的目的:
- 为了比较老年人的步态,握力和功能精细运动技能的变化,这些老年人是否患有痴呆症.
- 为了确定在痴呆症诊断之前,身体功能下降是否加速.
- 探索身体功能测量对早期痴呆风险识别的有用性.
主要方法:
- 分析了来自瑞典三个队列 (OCTO-Twin,GENDER,SATSA) 的纵向数据.
- 参与者的倾向与痴呆症发病 (n=259) 和非痴呆症组相匹配.
- 线性潜伏生长曲线模型评估了痴呆症发病前身体功能指标的变化.
主要成果:
- 在痴呆症发病组中,功能精细运动测试的表现下降的速度明显更快.
- 步行速度和握力在不同组的下降率中没有显著差异.
- 功能性精细运动衰退超过认知衰退 (迷你精神状态检查).
结论:
- 功能精细运动任务的加速下降可能表明痴呆症风险增加.
- 功能精细运动测试可能对痴呆风险评估有价值,特别是当认知测试不那么可靠时.
- 这些发现突显了客观的身体评估在早期痴呆症检测中的潜力.
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