Hanyu Haruo
Department of Geriatric Medicine, Tokyo Medical University.
Brain Nerve. 2018 Mar;70(3):191-198. doi: 10.11477/mf.1416200981.
There is a wide range of potentially modifiable risk factors for Alzheimer's disease and dementia, including cardiovascular risk factors (e.g. hypertension, diabetes, dyslipidemia, obesity, sleep-apnea syndrome), psychosocial factors (e.g., depression), health behaviors (e.g., low level of physical or mental activity, smoking status), and head trauma. In the elderly, weight loss associated with frailty and sarcopenia is another risk factor for dementia. Recent epidemiological studies have shown that the prevalence of dementia has declined in the US and European countries during the last 20 years. In addition to an increase in educational attainment, treatment and prevention of vascular risk factors may contribute to some extent of the decline in dementia prevalence.
阿尔茨海默病和痴呆症存在多种潜在可改变的风险因素,包括心血管风险因素(如高血压、糖尿病、血脂异常、肥胖、睡眠呼吸暂停综合征)、心理社会因素(如抑郁症)、健康行为(如身体或精神活动水平低、吸烟状况)以及头部创伤。在老年人中,与衰弱和肌肉减少症相关的体重减轻是痴呆症的另一个风险因素。最近的流行病学研究表明,在过去20年中,美国和欧洲国家痴呆症的患病率有所下降。除了受教育程度提高外,血管风险因素的治疗和预防可能在一定程度上促成了痴呆症患病率的下降。
Am J Geriatr Pharmacother. 2008-6
Ugeskr Laeger. 2006-10-2
J Cereb Blood Flow Metab. 2017-8
J Med Assoc Thai. 2013-2
Neth J Med. 2010-10
Vnitr Lek. 2003-3
Curr Opin Psychiatry. 2007-7