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梅奥诊所衰老研究:设计与抽样、参与情况、基线测量及样本特征

The Mayo Clinic Study of Aging: design and sampling, participation, baseline measures and sample characteristics.

作者信息

Roberts Rosebud O, Geda Yonas E, Knopman David S, Cha Ruth H, Pankratz V Shane, Boeve Bradley F, Ivnik Robert J, Tangalos Eric G, Petersen Ronald C, Rocca Walter A

机构信息

Division of Epidemiology, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Neuroepidemiology. 2008;30(1):58-69. doi: 10.1159/000115751. Epub 2008 Feb 7.

Abstract

BACKGROUND

The objective of this study was to establish a prospective population-based cohort to investigate the prevalence, incidence and risk factors for mild cognitive impairment (MCI) and dementia.

METHODS

The Olmsted County, Minn., population, aged 70-89 years on October 1, 2004, was enumerated using the Rochester Epidemiology Project. Eligible subjects were randomly selected and invited to participate. Participants underwent a comprehensive in-person evaluation including the Clinical Dementia Rating Scale, a neurological evaluation and neuropsychological testing. A consensus diagnosis of normal cognition, MCI or dementia was made by a panel using previously published criteria. A subsample of subjects was studied via telephone interview.

RESULTS

Four hundred and two subjects with dementia were identified from a detailed review of their medical records but were not contacted. At baseline, we successfully evaluated 703 women aged 70-79 years, 769 women aged 80-89 years, 730 men aged 70-79 years and 517 men aged 80-89 years (total n = 2,719). Among the participants, 2,050 subjects were evaluated in person and 669 via telephone.

CONCLUSIONS

Strengths of the study are that the subjects were randomly selected from a defined population, the majority of the subjects were examined in person, and MCI was defined using published criteria. Here, we report the design and sampling, participation, baseline measures and sample characteristics.

摘要

背景

本研究的目的是建立一个基于人群的前瞻性队列,以调查轻度认知障碍(MCI)和痴呆症的患病率、发病率及危险因素。

方法

使用罗切斯特流行病学项目对明尼苏达州奥姆斯特德县2004年10月1日年龄在70 - 89岁的人群进行了统计。符合条件的受试者被随机挑选并邀请参与。参与者接受了全面的现场评估,包括临床痴呆评定量表、神经学评估和神经心理学测试。由一个小组根据先前公布的标准对正常认知、MCI或痴呆症做出共识诊断。通过电话访谈对一部分受试者进行了研究。

结果

通过详细查阅病历,确定了402名患有痴呆症的受试者,但未与他们取得联系。在基线时,我们成功评估了703名70 - 79岁的女性、769名80 - 89岁的女性、730名70 - 79岁的男性和517名80 - 89岁的男性(总计n = 2719)。在参与者中,2050名受试者接受了现场评估,669名通过电话进行了评估。

结论

本研究的优势在于受试者是从特定人群中随机选取的,大多数受试者接受了现场检查,并且MCI是根据已公布的标准定义的。在此,我们报告了研究的设计、抽样、参与情况、基线测量和样本特征。

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