拉丁美洲老年人的主观记忆问题:患病率和危险因素
Nicole Caldichoury1, Breiner Morales-Asencio2, Juan-Carlos Coronado3
1Departamento de Ciencias Sociales, Universidad de Los Lagos, Osorno, Chile.
Journal of Alzheimer's disease : JAD
|December 12, 2025
概括
主观记忆问题 (SMC) 影响拉丁美洲和加勒比地区18.33%的老年人. 这些记忆问题与较低的教育水平,情绪困扰和神经认知障碍风险增加有关.
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.
- 公共卫生 公共卫生
背景情况:
- 主观记忆问题 (SMC) 被认为是神经认知障碍 (NCD) 的潜在早期指标.
- 了解SMC的流行率和相关因素对于老龄化人口的早期检测和干预策略至关重要.
研究的目的:
- 确定拉丁美洲和加勒比 (LAC) 国家的老年人中SMC的患病率.
- 调查SMC与该人口中的各种社会人口统计和临床因素之间的关联.
主要方法:
- 来自一项国际多中心研究的二次数据的基于人口的分析,该研究涉及10个LAC国家的3285名OA.
- 用临床标准和专家共识评估认知健康. 确定了SMC状态,并记录了社会人口统计和临床变量. 认知表现,抑郁症状和功能衰退分别使用MoCA-T,GDS-15和AD8进行测量.
- 统计分析包括平均差异测试和物流回归来确定关联.
主要成果:
- 总体上,SMC的患病率为18.33%,区域差异很大 (危地马拉为11.59%,秘鲁为26.30%).
- 患有SMC的老年人表现出较低的教育程度,较差的认知表现,以及更高的焦虑,跌倒和骨折的发生率.
- 后勤回归模型确定了SMC与低学历,情绪困扰,年龄较大,焦虑,不经常/偶尔跌倒和骨折之间的显著关联.
结论:
- 在LAC地区,SMC是老年人普遍关注的问题.
- SMC与多种风险因素有关,这强调了它们对公共健康的重要意义.
- 主观记忆问题可能是神经认知障碍风险增加的有价值的早期预警信号.
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