挪威痴呆的潜在可修改的风险因素 (HUNT4 70+):一个回顾性队列研究
Merete Ellingjord-Dale1, Bjørn Heine Strand2, Vegard Skirbekk3
1Department of Physical Health and Ageing, Norwegian Institute of Public Health, Oslo, Norway.
The lancet. Healthy longevity
|December 31, 2025
概括
通过解决14个可修改的风险因素,可以预防超过一半的痴呆病例. 与婚姻状况和职业状况相关的其他因素显示出进一步的潜力,尤其对女性来说.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 2024年柳叶刀委员会确定了14个可修改的痴呆症风险因素.
- 挪威HUNT研究独特地收集了所有14个风险因素和成年期患者痴呆症诊断的数据.
研究的目的:
- 评估"柳叶刀"杂志委员会确定的14个可修改的风险因素的痴呆症预防潜力.
- 评估三个额外的社会人口统计学因素对痴呆风险的影响.
主要方法:
- 使用与国家注册表 (1960-2018) 相关的HUNT4 70+数据进行回顾性队列研究.
- 分析了35-92岁的痴呆症风险因素,使用逻辑回归和反向概率加权.
- 为预防痴呆症计算人口归因分数 (PAF).
主要成果:
- 14个兰塞特风险因素占痴呆病例的50.9%.
- 包括婚姻状况和职业状况在内的PAF总数增加到54.9%.
- 其他因素显著增加了女性痴呆症预防潜力 (48.0%至52.2%).
结论:
- 解决"柳叶刀"杂志的14个可修改的风险因素可以预防超过一半的痴呆病例.
- 婚姻状况和职业状况是预防痴呆症的重要因素,特别是在女性中.
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