老年人的多病症和记忆相关疾病:基于三个大型纵向队列的跨国研究
Fanyi Kong1, Yuxuan Li2, Jianhua Wu3
1School of Healthcare Management, Tsinghua Medicine, Tsinghua University, Beijing, China; Institute for Hospital Management, Tsinghua University, Shenzhen, China.
Journal of affective disorders
|December 25, 2025
概括
患有多种慢性疾病显著增加了老年人内存丧失的风险. 感官和功能障碍是将多病症与认知衰退联系起来的关键因素.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
背景情况:
- 老龄化人口面临着越来越多的与记忆有关的疾病负担.
- 了解多病症和认知衰退之间的联系是有限的.
- 这项研究调查了老年人多病症模式和记忆障碍之间的关系.
研究的目的:
- 检查多病症和记忆障碍之间的暴露-反应关系.
- 确定与更高风险相关的特定多病态模式.
- 确定关键的调解机制,将多病症与认知衰退联系起来.
主要方法:
- 分析了20242名50岁以上的参与者,来自三个潜在队列.
- 通过自我报告的医生诊断来评估与记忆有关的疾病.
- 时间依赖的考克斯回归和随机森林双重机器学习来识别关联和调解器.
主要成果:
- 多种疾病与111.8%更高的记忆相关疾病风险有关.
- 精神和心脏代谢多病症显示出最高的风险.
- 多种疾病过渡与感官损失和功能衰退相关,影响脆弱的子组.
结论:
- 多种疾病显著提高了老年人的记忆障碍风险.
- 感官和功能障碍是这种关系的关键调解者.
- 政策建议包括在衰老框架内的综合认知,感官和功能支持.
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