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空腹血糖升高与 MCI 风险增加相关:一项基于社区的横断面研究。

Elevated Fasting Plasma Glucose Is Associated With an Increased Risk of MCI: A Community-Based Cross-Sectional Study.

机构信息

Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Alzheimer's Disease and Related Disorders Center, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Front Endocrinol (Lausanne). 2021 Nov 16;12:739257. doi: 10.3389/fendo.2021.739257. eCollection 2021.

Abstract

BACKGROUND

Mild cognitive impairment (MCI) is a transitional state between normal elderly people and dementia, with a higher risk of dementia transition. The primary purpose of the current study was to investigate whether routine blood and blood biochemical markers could be used to predict the onset of MCI.

METHODS

Data was obtained from the cohort study on brain health of the elderly in Shanghai. A total of 1015 community elders were included in the current study. Based on clinical evaluation and the scores of Montreal Cognitive Assessment (MoCA), these participants were divided into the MCI (n=444) and cognitively normal groups (n=571). Then we tested their fasting blood routine and blood biochemical indexes, and collected their general demographic data by using a standard questionnaire.

RESULTS

By using binary logistic regression analysis and the ROC curve, we found that elevated fasting plasma glucose (p=0.025, OR=1.118, OR=1.014-1.233) was a risk factor for MCI.

CONCLUSIONS

Elevated fasting blood glucose may be a risk factor for mild cognitive impairment, but the above conclusions need to be verified by longitudinal studies.

摘要

背景

轻度认知障碍(MCI)是正常老年人向痴呆过渡的一种中间状态,向痴呆转化的风险更高。本研究的主要目的是探讨常规血液和血液生化标志物是否可用于预测 MCI 的发生。

方法

数据来自上海老年人脑健康队列研究。共纳入 1015 名社区老年人,根据临床评估和蒙特利尔认知评估(MoCA)评分,将这些参与者分为 MCI 组(n=444)和认知正常组(n=571)。然后检测他们的空腹血常规和血液生化指标,并使用标准问卷收集他们的一般人口统计学数据。

结果

通过二元逻辑回归分析和 ROC 曲线,我们发现空腹血浆葡萄糖升高(p=0.025,OR=1.118,OR=1.014-1.233)是 MCI 的一个危险因素。

结论

空腹血糖升高可能是轻度认知障碍的一个危险因素,但上述结论需要通过纵向研究来验证。

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