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技术与痴呆症 会议前会议

Angel Garcia De La Garza1, Carol A Derby1, Cuiling Wang1

  • 1Albert Einstein College of Medicine, Bronx, NY, USA.

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概括

越来越多的主观认知问题 (SCC) 可能预测老年人的客观认知下降. 这项研究在四年内使用智能手机评估追踪了SCC和认知功能.

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科学领域:

  • 老年学是指老年学的学科.
  • 认知神经科学 认知神经科学
  • 数字健康数字健康

背景情况:

  • 生态瞬间评估 (EMA) 越来越多地用于主观认知问题 (SCC).
  • 升高的SCC与较高的认知能力下降风险有关.
  • 很少有研究探讨了SCC和认知功能的联合纵向轨迹.

研究的目的:

  • 使用基于智能手机的EMA探索SCC轨迹和认知功能轨迹之间的关联.
  • 检查随着时间的推移与自我认知的认知困难相关的认知性能变化.

主要方法:

  • 219名居住在社区的老年人 (平均年龄77.5岁) 参与了这项研究.
  • 基于智能手机的EMA评估了14天的每日SCC,并每年进行后续调查 (2017-2022).
  • 隐藏类线性混合效应模型分析了SCC轨迹和电话蒙特利尔认知评估 (T-MoCA) 成绩.

主要成果:

  • 确定了两个SCC轨迹组:持续低的SCC (N=199) 和增加的SCC (N=15).
  • 两组之间没有观察到基线T-MoCA差异.
  • 增加的SCC组在三年后显示T-MoCA得分下降,与低SCC组不同.

结论:

  • 纵向SCC轨迹与不同的认知轨迹相关.
  • 越来越多的主观认知问题可能预测客观认知表现的未来下降.