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轻度认知障碍:衰老与阿尔茨海默病之间的过渡阶段

Mild cognitive impairment: transition between aging and Alzheimer's disease.

作者信息

Petersen R C

机构信息

Department of Neurology, Mayo Alzheimer's Disease Research Center, Mayo Clinic, Rochester, MN, USA.

出版信息

Neurologia. 2000 Mar;15(3):93-101.

Abstract

The concept of the boundary between normal aging and early Alzheimer's disease is a focus of a great deal of research in the field of aging and dementia. Presumably there is a continuum of function between normality and the earliest signs of Alzheimer's disease. This transitional condition has been labeled mild cognitive impairment. Mild cognitive impairment refers to individuals who have a memory impairment greater than what one would expect for age, yet general cognitive function is preserved. Similarly activities of daily living are normal. However, the memory function of these individuals is abnormal for age and education. These subjects do not meet criteria for Alzheimer's disease. When mild cognitive impairment subjects are followed longitudinally, they tend to convert to clinically probable Alzheimer's disease as a rate of 10-15% per year. This is in contrast to normal elderly subjects who will develop Alzheimer's disease at a rate of 1-2% per year. Certain predictor variables are available to determine which subjects are more likely to progress at a rapid rate. Mild cognitive impairment is an important topic for research in aging and dementia and has also become the subject of several multicenter treatment trials.

摘要

正常衰老与早期阿尔茨海默病之间界限的概念是衰老和痴呆领域大量研究的焦点。据推测,正常状态与阿尔茨海默病最早症状之间存在功能的连续体。这种过渡状态被称为轻度认知障碍。轻度认知障碍指的是那些记忆损害程度超过同龄人预期,但一般认知功能仍得以保留的个体。同样,日常生活活动也正常。然而,这些个体的记忆功能相对于其年龄和教育程度而言是异常的。这些受试者不符合阿尔茨海默病的标准。当对轻度认知障碍受试者进行纵向随访时,他们每年有10% - 15%的几率转变为临床可能的阿尔茨海默病。这与正常老年受试者每年1% - 2%的阿尔茨海默病发病率形成对比。有某些预测变量可用于确定哪些受试者更有可能快速进展。轻度认知障碍是衰老和痴呆研究的一个重要课题,并且也已成为多项多中心治疗试验的主题。

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