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痴呆症的个性化医疗保健

Personalized Healthcare for Dementia.

作者信息

Lee Seunghyeon, Cho Eun-Jeong, Kwak Hyo-Bum

机构信息

Program in Biomedical Science and Engineering, Inha University, Incheon 22212, Korea.

Department of Chemical Engineering, Inha University, Incheon 22212, Korea.

出版信息

Healthcare (Basel). 2021 Jan 28;9(2):128. doi: 10.3390/healthcare9020128.

Abstract

Dementia is one of the most common health problems affecting older adults, and the population with dementia is growing. Dementia refers to a comprehensive syndrome rather than a specific disease and is characterized by the loss of cognitive abilities. Many factors are related to dementia, such as aging, genetic profile, systemic vascular disease, unhealthy diet, and physical inactivity. As the causes and types of dementia are diverse, personalized healthcare is required. In this review, we first summarize various diagnostic approaches associated with dementia. Particularly, clinical diagnosis methods, biomarkers, neuroimaging, and digital biomarkers based on advances in data science and wearable devices are comprehensively reviewed. We then discuss three effective approaches to treating dementia, including engineering design, exercise, and diet. In the engineering design section, recent advances in monitoring and drug delivery systems for dementia are introduced. Additionally, we describe the effects of exercise on the treatment of dementia, especially focusing on the effects of aerobic and resistance training on cognitive function, and the effects of diets such as the Mediterranean diet and ketogenic diet on dementia.

摘要

痴呆症是影响老年人的最常见健康问题之一,且痴呆症患者群体正在不断增加。痴呆症指的是一种综合综合征而非特定疾病,其特征是认知能力丧失。许多因素与痴呆症有关,如衰老、基因构成、全身性血管疾病、不健康饮食和身体活动不足。由于痴呆症的病因和类型多种多样,因此需要个性化医疗保健。在本综述中,我们首先总结与痴呆症相关的各种诊断方法。特别是,对临床诊断方法、生物标志物、神经影像学以及基于数据科学进展和可穿戴设备的数字生物标志物进行了全面综述。然后,我们讨论治疗痴呆症的三种有效方法,包括工程设计、运动和饮食。在工程设计部分,介绍了痴呆症监测和药物递送系统的最新进展。此外,我们描述了运动对痴呆症治疗的影响,尤其关注有氧运动和抗阻训练对认知功能的影响,以及地中海饮食和生酮饮食等饮食对痴呆症的影响。

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