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生活方式模式作为晚年认知衰退的可改变风险因素:关于痴呆症预防的叙述性综述

Lifestyle Patterns as a Modifiable Risk Factor for Late-life Cognitive Decline: A Narrative Review Regarding Dementia Prevention.

作者信息

Wajman José R, Mansur Leticia L, Yassuda Monica S

机构信息

Behavioral Neurology Sector, Department of Neurology and Neurosurgery, Hospital Sao Paulo, Federal University of Sao Paulo (UNIFESP), Sao Paulo - SP, Brazil.

Department of Physical Therapy, Speech-Language Pathology and Occupational Therapy, School of Medicine, University of Sao Paulo (USP), Sao Paulo - SP, Brazil.

出版信息

Curr Aging Sci. 2018;11(2):90-99. doi: 10.2174/1874609811666181003160225.

Abstract

BACKGROUND

Dementias due to neurodegenerative disorders and more specifically, Alzheimer's disease (AD) are the most frequent of all diseases within the industrialized world. Besides this alarming fact, it is noted too that almost three-quarter of people with AD reside in low or middle- income nations. In recent years, cognitive and behavioral neuroscientists have focused on a possible correlation between environmental agents and genetic risk factors for these dementias.

METHODS

In this narrative review, a close review of Medical Literature Analysis and Retrieval System was conducted. The authors aimed at analyzing possible interactions between lifestyle patterns and major risk factors responsible for cognitive decline and dementia, considering that the prevention or treatment of midlife modifiable risks may possibly reduce population-wide late-life pathological neurodegeneration.

RESULTS

This review focuses on modifiable risk factors for late-life cognitive decline. A growing number of studies have indicated that the impact of genetics and epigenetic factors on dementia risk is dependent on different lifestyle factors, ranging from leisure activities and nutritional habits, through to social interaction and toxic exposure.

CONCLUSION

Despite all evidence regarding modifiable risk factors possibly reducing the risk of developing dementia in later life, many unanswered questions remain regarding the direct influence of these variables in later life. People who regularly and actively participate in different lifelong activities (social, cultural and intellectual) do tend to perform better on formal cognitive tests, experience fewer cognitive complaints, and are less likely to develop neurodegenerative disorders.

摘要

背景

神经退行性疾病所致的痴呆,尤其是阿尔茨海默病(AD),是工业化世界中最为常见的疾病。除了这一令人担忧的事实外,还应注意到,近四分之三的AD患者居住在低收入或中等收入国家。近年来,认知和行为神经科学家一直关注环境因素与这些痴呆的遗传风险因素之间可能存在的关联。

方法

在这篇叙述性综述中,对医学文献分析与检索系统进行了深入回顾。作者旨在分析生活方式模式与导致认知衰退和痴呆的主要风险因素之间可能存在的相互作用,因为预防或治疗中年期可改变的风险可能会减少全人群晚年的病理性神经退行性变。

结果

本综述聚焦于晚年认知衰退的可改变风险因素。越来越多的研究表明,遗传和表观遗传因素对痴呆风险的影响取决于不同的生活方式因素,从休闲活动、营养习惯到社会交往和接触毒素等。

结论

尽管有证据表明可改变的风险因素可能会降低晚年患痴呆的风险,但关于这些变量在晚年的直接影响仍有许多问题未得到解答。经常积极参与不同终身活动(社交、文化和智力活动)的人在正式认知测试中往往表现更好,认知方面的抱怨更少,患神经退行性疾病的可能性也更小。

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