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Gender differences in level and change in cognitive functioning. Results from the Longitudinal Aging Study Amsterdam.认知功能水平及变化中的性别差异。阿姆斯特丹纵向衰老研究结果
Gerontology. 2004 Jan-Feb;50(1):35-8. doi: 10.1159/000074387.
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Leisure activities and cognitive function in middle age: evidence from the Whitehall II study.中年时期的休闲活动与认知功能:来自白厅II研究的证据。
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Cognitive change and the APOE epsilon 4 allele.认知变化与载脂蛋白E ε4等位基因
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Change in cognitive functioning associated with apoE genotype in a community sample of older adults.老年人群社区样本中与载脂蛋白E基因型相关的认知功能变化。
Psychol Aging. 2002 Jun;17(2):194-208.
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Longitudinal analysis of the effect of apolipoprotein E epsilon4 and education on cognitive performance in elderly subjects: the PAQUID study.载脂蛋白Eε4与教育程度对老年受试者认知能力影响的纵向分析:PAQUID研究
J Neurol Neurosurg Psychiatry. 2002 Jun;72(6):794-7. doi: 10.1136/jnnp.72.6.794.
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Apolipoprotein E genotype does not predict decline in intelligence in healthy older adults.载脂蛋白E基因型不能预测健康老年人的智力衰退。
Neurosci Lett. 2002 May 10;324(1):74-6. doi: 10.1016/s0304-3940(02)00135-0.
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Apolipoprotein E gender effects on cognitive performance in age-associated memory impairment.载脂蛋白E性别差异对年龄相关性记忆障碍认知表现的影响。
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载脂蛋白E基因多态性、社会经济地位与中年认知功能——白厅II纵向研究

APOE polymorphism, socioeconomic status and cognitive function in mid-life--the Whitehall II longitudinal study.

作者信息

Zhao J H, Brunner E J, Kumari M, Singh-Manoux A, Hawe E, Talmud P J, Marmot M G, Humphries S E

机构信息

Dept. of Epidemiology and Public Health, International Centre for Health and Society, 1-19 Torrington Place, London WC1E 6BT, UK.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2005 Jul;40(7):557-63. doi: 10.1007/s00127-005-0925-y. Epub 2005 Jul 15.

DOI:10.1007/s00127-005-0925-y
PMID:16021346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5063922/
Abstract

OBJECTIVE

The aim of this study was to investigate the association of the common apolipoprotein E gene (APOE) variants with cognitive function and cognitive decline in adult mid-life and explore the possibility that APOE genotype mediates the link between socioeconomic status (SES) and cognitive function.

METHODS

Data on cognitive function, as measured by five cognitive tests, together with APOE genotype were obtained in an occupational cohort (the Whitehall II study) of 6,004 participants aged 44-69 years (1997-1999). Cognitive change was examined in 2,717 participants who had cognitive function measured at baseline (1991-1993).

RESULTS

SES based on civil service employment grade was strongly related to cognitive function. There was no association between APOE genotype and employment grade. In women, participants with APOE-epsilon4 had a lower memory score (p<0.05), but the result was sensitive to data from a small number of individuals. A marginal cross-sectional difference in the semantic fluency score was found (p=0.07), and there was a relative decline at follow-up (p<0.001, net change=-1.19; 95% CI, -1.90 to -0.49) in those with APOE-epsilon4 genotypes.

CONCLUSIONS

APOE-epsilon4 has little influence on cognitive decline in mid-life, whereas SES is a strong determinant, although APOE genotype may emerge as an important factor in cognitive function in later life.

摘要

目的

本研究旨在调查常见载脂蛋白E基因(APOE)变异与成年中年人群认知功能及认知衰退之间的关联,并探讨APOE基因型是否介导社会经济地位(SES)与认知功能之间的联系。

方法

在一项针对6004名年龄在44 - 69岁(1997 - 1999年)参与者的职业队列研究(白厅II研究)中,获取了通过五项认知测试所测量的认知功能数据以及APOE基因型数据。对2717名在基线(1991 - 1993年)时进行过认知功能测量的参与者进行了认知变化检查。

结果

基于公务员职业等级的SES与认知功能密切相关。APOE基因型与职业等级之间无关联。在女性中,携带APOE-ε4的参与者记忆得分较低(p<0.05),但该结果对少数个体的数据较为敏感。在语义流畅性得分方面发现了边缘性的横断面差异(p = 0.07),并且携带APOE-ε4基因型的参与者在随访时出现了相对衰退(p<0.001,净变化=-1.19;95%CI,-1.90至-0.49)。

结论

APOE-ε4对中年认知衰退影响较小,而SES是一个强有力的决定因素,尽管APOE基因型可能在晚年认知功能中成为一个重要因素。