认知功能随着年龄的增长而下降及其随时间的变化在认知正常的老年人中
Yosuke Matsui1, Chisato Fujisawa2, Miki Minakami1
1Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Aichi, 466-8550, Japan.
European geriatric medicine
|December 6, 2025
概括
正常衰老成年人的认知功能下降,特别是处理速度和执行功能,从70年代初开始. 这项研究在十年内没有发现任何改善,这表明即使在被认为是认知正常的人中,潜在的认知恶化也可能发生.
科学领域:
- 老年学是一门学科.
- 神经心理学 神经心理学
- 认知老龄化 认知老龄化
背景情况:
- 在认知正常的老年人中,认知轨迹尚未得到充分理解.
- 目前尚不清楚过去十年,包括COVID-19大流行期间,认知功能是否发生了变化.
研究的目的:
- 描述60岁及以上的成年人认知轨迹,这些成年人被归类为认知正常.
- 识别表现出早期衰退的特定认知领域.
- 评估从2013年到2022年认知表现的时间趋势.
主要方法:
- 使用了共变率 (ANCOVA) 的横截面分析和线性回归.
- 分析了来自记忆诊所的343名60岁以上的成年人,这些成年人被归类为认知正常.
- 认知表现在2013年至2022年间进行了评估,并在各年龄组和时间段进行了比较.
主要成果:
- 所有领域的认知表现较差与年龄的增长有关.
- 处理速度和执行功能显示了最早的显著下降,显然是在70年代初.
- 没有观察到神经心理测试表现的改善;在多个领域发生了显著的恶化.
结论:
- 注意力,处理速度和执行能力在认知正常的老年人中下降,从70年代初开始.
- 被归类为认知正常的人的认知功能可能会随着时间的推移而恶化.
- 一个"正常认知"的诊断并不能保证长期的认知稳定.
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