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肾功能与卒中和痴呆风险:鹿特丹研究。

Kidney Function and the Risk of Stroke and Dementia: The Rotterdam Study.

机构信息

Department of Epidemiology, Erasmus MC, Rotterdam, The Netherlands.

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

J Alzheimers Dis. 2019;67(3):821-826. doi: 10.3233/JAD-181086.

Abstract

Longitudinal population-based data on effects of kidney dysfunction in the development of stroke and dementia remains inconclusive. We investigated associations of kidney function with risk of stroke and dementia in 5,993 community-dwelling individuals (mean age: 69.0 years, 57.2% women). We calculated estimated glomerular filtration rates based on creatinine, cystatin-C, and a combination of these two. During a mean follow-up of 11.6 years (69,790 person-years), 1,360 individuals suffered a stroke (n = 601) or developed dementia (n = 759). We found that an impaired kidney function was related to a higher risk of stroke, but not to dementia.

摘要

关于肾功能障碍在中风和痴呆发展中的影响的纵向人群数据尚无定论。我们研究了肾功能与 5993 名社区居住者(平均年龄:69.0 岁,57.2%为女性)中风和痴呆风险之间的关系。我们根据肌酐、胱抑素 C 及其组合计算了估算肾小球滤过率。在平均 11.6 年(69790 人年)的随访期间,1360 人发生中风(n=601)或出现痴呆(n=759)。我们发现,肾功能受损与中风风险增加有关,但与痴呆无关。

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