多发病率与年轻期痴呆症之间的关联:一项前性研究
Durong Chen1, Meiling Zhang2, Yalu Wen3
1Department of Health Statistics, School of Public Health, Shanxi Medical University, Taiyuan, China.
BMC public health
|December 24, 2025
概括
多种疾病,多种慢性疾病的存在,增加了年轻发病痴呆症 (YOD) 的风险. 这些条件的特定模式和不断增加的轨迹与YOD发展有显著的关联.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 多种疾病是晚发性痴呆的已知危险因素.
- 多病症对年轻发病性痴呆症 (YOD) 的具体影响仍未得到充分研究.
研究的目的:
- 调查多病症负担,模式和轨迹与YOD风险之间的关联.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 通过使用12种慢性疾病 (2011-2015年) 评估多病症.
- 通过使用基于组的轨迹建模 (GBTM) 分析了通过等级集群和轨迹的多病态模式.
- 通过医生诊断和认知测试 (2015-2020) 评估YOD;用于分析的Cox回归.
主要成果:
- 近一半的参与者患有多发病症,189人患有YOD.
- 慢性疾病数量增加与较高的YOD风险相关 (HR=1.42).
- 特定的多病态模式 (心脏代谢,胃关节炎,混合) 显著增加了YOD风险 (HRs从2.43到4.05).
- 慢性疾病的缓慢和快速生长轨迹都与YOD风险增加有关 (HRs分别为1.42和2.67).
结论:
- 多重疾病负担,特定模式和恶化的轨迹与YOD的风险增加有关.
- 解决多病症对于预防青少年死亡和改善公共卫生至关重要.
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