加速度计衍生的身体活动复杂性,认知功能和阿尔茨海默病的血生物标志物之间的关联
Yurun Cai1, Beth E Snitz2, Ann D Cohen3
1Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|February 3, 2026
概括
较低的体力活动 (PA) 复杂性,或较少的日常运动变化,与较差的认知功能和阿尔茨海默病 (AD) 病理学有关. 这表明PA复杂性可能是临床前AD的早期数字生物标志物.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 生物标志物 生物标志物
背景情况:
- 较高的体力活动 (PA) 与阿尔茨海默病 (AD) 风险降低有关.
- 传统的PA指标无法捕捉时间活动模式.
- 了解新的PA措施对于早期发现AD至关重要.
研究的目的:
- 开发和验证使用加速度计来测量活动复杂性的新方法.
- 研究PA复杂性与认知功能之间的关联.
- 探索PA复杂性和AD血生物标志物之间的关系.
主要方法:
- 在164名老年人中使用多尺度 (MSE) 开发了一种活动复杂性测量方法.
- 通过手腕穿戴加速计和神经心理测试收集的数据.
- 测量了等离子体生物标志物,包括Aβ42,Aβ40和各种p-tau异型.
主要成果:
- 与认知不受损的个体相比,在主观认知衰退和受损得分没有投诉的个体中观察到较低的PA复杂性.
- 降低PA复杂性与较差的认知功能相关 (p < 0.03).
- 在PA复杂性的日复一日变化增加与血p-tau水平升高有关.
结论:
- 降低PA复杂性和更大的每日变化与认知衰退和AD病理学有关.
- 帕复杂性可以作为临床前阿尔茨海默病的数字生物标志物.
- 需要进一步的纵向研究来证实PA复杂性在早期AD检测中的实用性.
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