JACC:心血管风险与认知功能下降的相关性研究

2020-05-23 MedSci原创 MedSci原创

心血管风险负荷对认知轨迹和脑结构变化的影响尚不清楚。本研究旨在探讨弗雷明汉心血管风险总分(FGCRS)评估的心血管风险负担是否与认知能力下降和大脑结构差异有关。

心血管风险负荷对认知轨迹和脑结构变化的影响尚不清楚。本研究旨在探讨弗雷明汉心血管风险总分(FGCRS)评估的心血管风险负担是否与认知能力下降和大脑结构差异有关。

在"Rush Memory and Aging Project"临床研究中,共纳入了1588名没有痴呆的参与者(平均年龄79.5岁),随访时间长达21年。在所有参与者中,FGCRS评分从4-28不等(平均评分是15.6 ± 3.7)。与FGCRS评分较低的参与者相比,高分参与者与更快的认知功能、情景记忆、工作记忆、和感知能力的下降呈相关性。在磁共振成像数据分析中,较高的FGCRS与较小的海马体积和更大体积的白质强度呈相关性。

研究结果显示,较高的心血管危险负荷可预测情景记忆、工作记忆和知觉速度的下降,并与脑内的神经变性和血管病变有关。

原始出处:

Ruixue S et al.Associations Between Cardiovascular Risk, Structural Brain Changes, and Cognitive Decline.JACC.2020 May.

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    2020-10-30 hbwxf
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