不同水平的酒精消费对老年人认知功能的影响:使用2011年至2014年NHANES数据进行的横截面研究
Bin Zhang1, Dapeng Bao1, Ying Ma2
1The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin, Heilongjiang, China.
Medicine
|October 1, 2025
概括
过度饮酒会显著降低老年人的认知功能. 轻度饮酒显示有好处,而中度至重度饮酒会损害记忆力和认知能力,特别是在老年妇女和有健康状况的人群中.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 老年人 (≥60岁) 是认知障碍的脆弱人群.
- 不同饮酒水平对这一群体认知功能的具体影响尚未得到充分证实.
研究的目的:
- 研究美国60岁及以上的成年人不同程度的酒精消费与认知功能之间的关联.
主要方法:
- 利用了来自2011-2014年国家健康和营养检查调查的3632名参与者 (年龄≥60岁) 的数据.
- 通过问卷评估酒精摄入量和认知功能,使用单词学习和回忆,动物流利性测试和数字符号替代测试.
- 采用加权多变量线性回归和分层分析来研究关系.
主要成果:
- 轻度饮酒与认知评分显著增加有关 (β=0.44,P<.001).
- 适度和重度饮酒与认知评分的显著下降有关 (适度:β=-0.62,P<.001;重度:β=-0.97,P<.001).
- 沉重的饮酒不成比例地影响了70岁以上的个人,女性,受教育程度较低的人,以及糖尿病,高血压或中风史的人的认知.
结论:
- 过度饮酒与老年人的认知功能有不利关联.
- 特定的子组,包括老年妇女和患有先前健康状况的个人,更容易受到重度饮酒的负面认知影响.
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