酒精饮用与事件痴呆症的关联:英国生物银行的一项前性研究
Yi Chen1, Xiangyan Yin1, Xiaoxiao Wang1
1Department of Epidemiology, School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Major Chronic Non-communicable Diseases, Suzhou Medical College of Soochow University, Suzhou, China.
European journal of epidemiology
|September 27, 2025
概括
低至中度的酒精消费与痴呆症风险降低有关,无论心血管疾病风险,APOE4基因状态或性别如何. 这一发现支持了关于预防痴呆症的公共卫生指南.
科学领域:
- 神经科学是一个神经科学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 酒精消费与痴呆风险之间的关系尚未完全理解.
- 现有的研究已经产生了关于酒精对认知衰退的影响的相互矛盾的结果.
研究的目的:
- 调查饮酒模式与患痴呆症的风险之间的联系.
- 通过心血管疾病 (CVD) 风险,APOE4基因携带和性别来检查潜在的效果修改.
主要方法:
- 利用了来自296,715名参与者的英国生物库队列数据.
- 分类饮酒状态为不饮酒,低中度饮酒和重度饮酒.
- 采用多变量考克斯回归模型来估计危险比率 (HR) 和95%置信区间 (CI),并进行子组分析.
主要成果:
- 与不饮酒相比,低至中度饮酒与所有原因痴呆的风险降低有关 (HR,0.65;95% CI,0.59-0.73).
- 严重饮酒与痴呆风险没有显著关联 (HR,0.88;95% CI,0.75-1.02).
- 低中度饮酒的保护作用在由心血管疾病风险,APOE4状态和性别定义的子组中是一致的.
结论:
- 低至中度的酒精消费与发生痴呆的风险较低有关.
- 这种保护作用似乎独立于心血管疾病风险,APOE4基因携带和性别.
- 研究结果支持将低中度饮酒纳入预防痴呆症的公共卫生战略.
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