Dintica Christina S, Yaffe Kristine
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USA.
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USA; San Francisco VA Health Care System, San Francisco, CA, USA.
Psychiatr Clin North Am. 2022 Dec;45(4):677-689. doi: 10.1016/j.psc.2022.07.011. Epub 2022 Oct 14.
In this article, the authors discuss primarily what is known about the epidemiology of all-cause dementia. Dementia is caused by a complex interplay of genetics, comorbidities, and lifestyle factors, and drug development has been challenging. However, evidence from large, prospective, observational studies has identified a variety of factors that may prevent or delay the onset of dementia. Several of these factors are modifiable and lend themselves to well to treatments currently available. The authors discuss the state of current evidence on dementia risk factors, the most promising avenues, and future directions for dementia prevention and management.
在本文中,作者主要讨论了关于全因性痴呆流行病学的已知情况。痴呆症是由遗传、合并症和生活方式因素的复杂相互作用引起的,药物开发一直具有挑战性。然而,来自大型前瞻性观察性研究的证据已经确定了多种可能预防或延缓痴呆症发作的因素。其中一些因素是可以改变的,并且非常适合目前可用的治疗方法。作者讨论了痴呆症危险因素的当前证据状况、最有前景的途径以及痴呆症预防和管理的未来方向。