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来自土耳其大数据的见解:揭示阿尔茨海默病(AD)的可预防性、发病机制和风险管理

Insights from Turkey's big data: unraveling the preventability, pathogenesis, and risk management of Alzheimer's disease (AD).

作者信息

Yiğit Talip, Ata Naim, Dinçer Murat, Ülgü M Mahir, Birinci Şuayip, Ayvalı M Okan

机构信息

Faculty of Economics and Administrative Sciences, Istanbul 29 Mayıs University, Ümraniye, İstanbul, Turkey.

General Directorate of Health Information System, Turkish Ministry of Health, Ankara, Turkey.

出版信息

Sci Rep. 2024 Mar 12;14(1):6005. doi: 10.1038/s41598-024-56702-1.

Abstract

Extensive research into dementia has more recently honed in on several key areas. These areas include the advancement of techniques such as the accumulation of amyloid-β and tau proteins, the monitoring of cerebral hypometabolism rates etc. The primary objective of this study is to explore the intricate interplay between Alzheimer's disease (AD)-other dementias (D) and various chronic illnesses in terms of time, intensity, and connectivity. In this context, we retrospectively examined data of 149,786 individuals aged 65 and above who received diagnoses of AD and D in the year 2020. At first, logistic regression (LR) analysis has been made with "sex", "age" and "foreigner" (citizenship status) independent variables for AD and D. The LR models shows that while "sex" and "age" variables have a small rate on the risk of developing AD/D, it is detected that being a foreigner increase the risk of AD and D as 69.8% and 88.5% respectively. Besides, the LR models have middle-level success prediction rate for both of the two dependent variables. Additionally, we used the parallel coordinates graphs method within the R Studio to visualize their relationships and connections. The findings of this investigation strongly suggest that AD/D don't stand as isolated conditions, but rather stem from intricate interactions and progressive processes involving diverse chronic diseases over time. Notably, ailments including hypertension, coronary artery disease, diabetes, hyperlipidemia, and psychological disorders, contribute substantially to the emergence of both AD and D. This study highlights that the fight against AD/D can only be possible with next-generation prophylactic interventions that can predict and manage risks. Such an approach holds the potential to potentially lower AD and dementia to levels that are amenable to treatment.

摘要

最近,针对痴呆症的广泛研究聚焦于几个关键领域。这些领域包括淀粉样β蛋白和tau蛋白积累等技术的进展、脑代谢减退率的监测等。本研究的主要目的是从时间、强度和关联性方面探索阿尔茨海默病(AD)与其他痴呆症(D)以及各种慢性疾病之间复杂的相互作用。在此背景下,我们回顾性研究了2020年149786名65岁及以上被诊断患有AD和D的个体的数据。首先,对AD和D以“性别”“年龄”和“外国人”(公民身份)为自变量进行了逻辑回归(LR)分析。LR模型显示,虽然“性别”和“年龄”变量对患AD/D风险的影响率较小,但发现作为外国人会使患AD和D的风险分别增加69.8%和88.5%。此外,LR模型对两个因变量的预测成功率处于中等水平。此外,我们在R Studio中使用平行坐标图方法来可视化它们的关系和联系。这项调查的结果有力地表明,AD/D并非孤立存在的病症,而是源于随着时间推移涉及多种慢性疾病的复杂相互作用和渐进过程。值得注意的是,包括高血压、冠状动脉疾病、糖尿病、高脂血症和心理障碍在内的疾病,在很大程度上促成了AD和D的出现。这项研究强调,只有通过能够预测和管理风险的下一代预防性干预措施,才有可能对抗AD/D。这样一种方法有可能将AD和痴呆症降低到可治疗的水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd70/10933367/c61cb61f840a/41598_2024_56702_Fig1_HTML.jpg

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