中年血压水平与晚年认知功能之间的关联. 霍诺卢卢-亚洲老龄化研究
L J Launer1, K Masaki, H Petrovitch
1National Institute for Public Health and the Environment, Erasmus University Medical School, Bilthoven, The Netherlands.
JAMA
|December 20, 1995
概括
中年期高缩血压 (SBP) 与晚年认知功能较差有关. 早期管理SBP可能有助于预防老年人认知能力下降.
科学领域:
- 老年学是指老年学的学科.
- 心血管健康 心血管健康
- 神经科学是一个神经科学.
背景情况:
- 中年心血管健康越来越被认为对晚年认知功能至关重要.
- 了解血压对认知的长期影响对于公共健康至关重要.
研究的目的:
- 研究中年血压水平与老年人的认知功能之间的关联.
- 为了确定中年期的静缩血压 (SBP) 或静缩血压 (DBP) 是否预测认知能力下降.
主要方法:
- 在霍诺卢卢心脏计划中对3735名日裔美国男性进行了纵向队列研究.
- 在1965-1971年间测量了中年SBP和DBP;在1991-1993年使用认知能力查仪器 (CASI) 评估认知功能.
- 对年龄,教育,中风,冠心病和亚临床动脉样硬化的统计分析进行了控制.
主要成果:
- 较高的中年SBP与中期和晚年认知功能的风险增加显著相关.
- 中年SBP每增加10毫米克,与中期SBP风险增加7%,认知功能低下风险增加9%.
- 调整心血管因素减弱但没有消除SBP-认知联系;中年DBP和认知功能之间没有发现关联.
结论:
- 中年SBP是晚年认知功能下降的重要预测因素.
- 在中年时有效管理SBP可能是减少老年认知障碍风险的关键策略.
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