Chang Qing, He Yao, Ni Bin, Feng Kang, Jiang Yong, Jiang Bin
Institute of Geriatrics, Chinese PLA General Hospital, Beijing 100853, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2004 Oct;25(10):890-3.
To investigate the risk of Alzheimer's disease (AD) associated with life style, early exposure to magnetic fields, family history of dementia and other risk factors.
We conducted a case-control study among the inpatients of Chinese PLA General Hospital in 2000 - 2003. Sixty-two AD cases and 124 controls were selected and matched for age. Univariate and multivariate analyses were conducted using logistic regression model.
All subjects were males aged 66 to 102. In univariate analysis, lack of social activities, more physical exercises, early exposure to magnetic fields, suffering from negative life events and family history of dementia were statistically different between two groups (P < 0.05). Multivariate analysis showed that after adjusting for potential confounders, suffering from negative life events, family histories of dementia increased the risk of AD with odds ratio (OR) and 95% confidence interval (CI) 3.27 (1.53 - 6.97) and 5.78 (1.39 - 24.10). Early exposure to magnetic fields seemed a possible risk factor for AD, with OR (95% CI) 2.49 (0.96 - 6.45). The amount of social activities, cigarette smoking and history of cancers were negatively correlated with AD and their ORs (95% CI) were 0.81 (0.72 - 0.92), 0.46 (0.21 - 1.00) and 0.31 (0.12 - 0.82) respectively.
The study demonstrated that suffering from negative life events and family history of dementia were risk factors for AD, and the early exposure to magnetic fields might also play a role.
探讨与阿尔茨海默病(AD)相关的生活方式、早期接触磁场、痴呆家族史及其他危险因素。
2000 - 2003年在中国人民解放军总医院住院患者中进行病例对照研究。选取62例AD病例和124例对照,按年龄匹配。采用逻辑回归模型进行单因素和多因素分析。
所有受试者均为66至102岁男性。单因素分析显示,两组间缺乏社交活动、更多体育锻炼、早期接触磁场、经历负面生活事件和痴呆家族史存在统计学差异(P < 0.05)。多因素分析表明,在调整潜在混杂因素后,经历负面生活事件、痴呆家族史增加AD风险,比值比(OR)及95%置信区间(CI)分别为3.27(1.53 - 6.97)和5.78(1.39 - 24.10)。早期接触磁场似乎是AD的一个可能危险因素,OR(95%CI)为2.49(0.96 - 6.45)。社交活动量、吸烟和癌症史与AD呈负相关,其OR(95%CI)分别为0.81(0.72 - 0.92)、0.46(0.21 - 1.00)和0.31(0.12 - 0.82)。
该研究表明,经历负面生活事件和痴呆家族史是AD的危险因素,早期接触磁场可能也起一定作用。