Department of Biomedical Engineering, Faculty of Medicine, McGill University, Montreal, Canada.
McConnell Brain Imaging Centre (BIC), MNI, Faculty of Medicine, McGill University, Montreal, Canada.
PLoS One. 2023 Feb 1;18(2):e0280471. doi: 10.1371/journal.pone.0280471. eCollection 2023.
Alzheimer's disease and related dementias is a major public health burden-compounding over upcoming years due to longevity. Recently, clinical evidence hinted at the experience of social isolation in expediting dementia onset. In 502,506 UK Biobank participants and 30,097 participants from the Canadian Longitudinal Study of Aging, we revisited traditional risk factors for developing dementia in the context of loneliness and lacking social support. Across these measures of subjective and objective social deprivation, we have identified strong links between individuals' social capital and various indicators of Alzheimer's disease and related dementias risk, which replicated across both population cohorts. The quality and quantity of daily social encounters had deep connections with key aetiopathological factors, which represent 1) personal habits and lifestyle factors, 2) physical health, 3) mental health, and 4) societal and external factors. Our population-scale assessment suggest that social lifestyle determinants are linked to most neurodegeneration risk factors, highlighting them as promising targets for preventive clinical action.
阿尔茨海默病及相关痴呆是一个主要的公共卫生负担,由于寿命延长,这一负担在未来几年还将加剧。最近,临床证据表明,社交孤立会加速痴呆的发生。在英国生物库的 502506 名参与者和加拿大老龄化纵向研究的 30097 名参与者中,我们重新研究了孤独和缺乏社会支持背景下痴呆发生的传统风险因素。在这些主观和客观社会剥夺的衡量标准中,我们发现个体的社会资本与阿尔茨海默病和相关痴呆风险的各种指标之间存在很强的联系,这在两个人群队列中都得到了复制。日常生活中社交接触的质量和数量与关键的发病因素密切相关,这些因素包括 1)个人习惯和生活方式因素,2)身体健康,3)心理健康,以及 4)社会和外部因素。我们的人群规模评估表明,社会生活方式决定因素与大多数神经退行性变风险因素有关,这表明它们是有希望的预防临床干预靶点。